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SIEMENS INDUSTRY, INC.
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SIEMENS INDUSTRY, INC.
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Last modified
11/14/2024 3:12:39 PM
Creation date
2/26/2013 11:32:07 AM
Metadata
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Template:
Contracts
Company Name
Siemens Industry, Inc.
Contract #
Various
Agency
Public Works
Council Approval Date
2/14/2013
Expiration Date
2/28/2014
Notes
Project
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CITY OF SANTA ANA <br />PROJECT NO. 12 -6758: TRAFFIC SIGNAL INSTALLATION ON FAIRVIEW ST & EDNA DR <br />PROJECT NO. 12 -6759: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AVE & EUCLID ST <br />PROPOSAL AND CONTRACT AGREEMENT <br />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 />If I, as the Contractor, now or at any time during the course of this agreement, qualify as an employer <br />under California Labor Code Section 3300, unless the hired employee(s) is (are) persons excluded by <br />said Labor Code, I shall furnish the City of Santa Ana with an insurance certificate from my workers' <br />compensation insurance carrier certifying that I carry such insurance and that the policy shall not be <br />canceled nor the coverage reduced except upon thirty (30) days prior written notice to the City of Santa <br />Ann_ <br />Sig <br />Tit] <br />Firm <br />Date i ) 11 S 11-7— <br />TO BE INCLUDED IN BID PACKAGE <br />BP 12 of 30 <br />
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