My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
GIG ROSTERS PROFESSIONAL ENTERTAINMENT
Clerk
>
Contracts / Agreements
>
G
>
GIG ROSTERS PROFESSIONAL ENTERTAINMENT
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
2/13/2025 7:59:54 AM
Creation date
5/19/2022 9:02:33 AM
Metadata
Fields
Template:
Contracts
Company Name
GIG ROSTERS PROFESSIONAL ENTERTAINMENT
Contract #
A-2022-046-02
Agency
Parks, Recreation, & Community Services
Council Approval Date
4/5/2022
Expiration Date
3/31/2025
Insurance Exp Date
7/30/2025
Destruction Year
2027
Notes
For Insurance Exp. Date see Notice of Compliance
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
41
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
WORKERS' COMPENSATION DECLARATION <br /> I Darrell K Wagner hereby affirm under penalty of perjury, the <br /> (Name/Title) <br /> following declaration <br /> I certify on behalf of Professional Entertainment TM that during the term of my <br /> (Consultant/Company Name) <br /> contract for Entertainment services with the City of Santa Ana, I will not employ any <br /> person in any manner so as to become subject to the workers' compensation laws of <br /> California, and agree that if I should become subject to the workers' compensation <br /> provisions of Section 3700 of the Labor Code, I shall forthwith comply with those <br /> provisions and provide proof of workers' compensation coverage. <br /> DATE: February 10, 2025 <br /> By: <br /> Name: Darrell Wagner <br /> Title: Owner <br /> Telephone: 800-801-2484 <br /> WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS <br /> UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES <br /> AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN <br /> ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR <br /> IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. <br />
The URL can be used to link to this page
Your browser does not support the video tag.