Laserfiche WebLink
809359 <br />A Human Resmuna Munagamemt Company <br />June 20, 2014 <br />CALIFORNIA PROFESSIONAL ENGINEERING <br />929 Otterbein Ave <br />Unit E <br />La Puente, CA 91748 <br />Re: Barrett Business Services, Inc. ( "BBSI ") <br />Letter of Self- Insurance for Workers' Compensation Coverage <br />For CALIFORNIA PROFESSIONAL ENGINEERING, CSLB license number 793907 <br />As the named addressee of this Letter, your company's required workers' compensation coverage is provided through <br />BBSI's state approved Self- Insured Workers' Compensation Plan. As a party to a co- employment contract with BBSI, <br />which is effective from 6/25/2014 until 6/24/2015, California Labor Code §3602 allows CALIFORNIA PROFESSIONAL <br />ENGINEERING to obtain its workers' compensation coverage from BBSI. <br />BBSI's California customers can also verify BBSI's state certification at http: //w m. dir .ca.govtosip /PrivateRoster,pdf; then <br />scroll down to Barrett (the list is alphabetical by company name). Additional information is as follows: <br />State: California Workers' Comrsensatlan Limits: Employer Liability Limi. <br />Self Insurance Certification #: 2246 Statutory $5,000,000.0 Each Accident <br />$5,000,000.0 Disease Coverage Limit by Client <br />$5,000,000.0 Disease; Each Employee <br />Notice of Termination: In the event the contract between BBSI and CALIFORNIA PROFESSIONAL ENGINEERING is <br />terminated, BBSI must provide notice of the termination within seven (7) days to the California Contractors State License <br />Board ( "CSLB "). <br />Other Comments (place an "X" if apolicabie)� <br />,X Named "Letter Holder ": City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92701 <br />® Other: Statutory Limites Apply,BBSI will notify "LETTER HOLDER" 30 day notice of cancellation for California <br />Professional Engineering, Inc. Re: All Operations <br />Additionally, BBSI's self- insured program is further supported by an excess workers' compensation insurance policy with <br />ACE American Insurance Co. Copy of certificate is available upon request. <br />For additional information, please contact your local BBSI office at: SAN BERNARDINO <br />(909) 890 -3633 <br />1950 Sunwest Lane Suite 250 <br />A[� i San Bernardino, CA 92408 <br />Very truly your/s,} A p V6� l�3 <br />San ra nt City zmnnn <br />Sr. Assistant City Attorney doe: LOST -3 <br />Michael L. Elich <br />President and Chief Executive Officer <br />