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WORKERS' COMPENSATION INSURANCE CERTIFICATION <br />As required by California Labor Code Section 1860 and 1861, the Contractor certifies as follows: <br />I am aware of the provisions of Section 3700 of the Labor Code, which requires every employer to be <br />insured against liability for worker's compensation or to undertake self-insurance in accordance with the <br />provisions of the Code, and I will comply with such provisions before commencing the performance of <br />the work of this contract. <br />Signed: " <br />Title: Dennis Gansen, Division Mana�zer <br />Firm: Griffith Com <br />Date: 12/17/21 <br />o NSF Risk MwagmerdDMsiun <br />z <br />REVIEWED & APPROVED BY. - <br />Risk Management Analyst <br />