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WO .T? I3 m COMPENSATION DELLA <br />!I KrION <br />i �idereby affirm under penalty of perjury, the <br />( ame,Tide) <br />following declaration: <br />I certify on behalf of MOV -'I& MhY diat d r ing the term of my <br />(Consuita t/Compaay Nanw) <br />contract for 2-umba_.... services with4te City of Santa Ana, I will <br />not employ any person in any manner so as to become subject to the workers' <br />compensation laws of California, and agree that if I should become subject to the <br />workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith <br />comply with those provisions and Provide proof of workers' compensation coverage. <br />DATE: <br />Name: j V <br />Telephone: g <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 />