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WORKERS' ( O)MPL'iS:AI O\ DF,C'I .,\RA !S)V <br />het by artirm undat penalty oE' 4X ul'q, the <br />("mme Niel <br />Iallo%ain" declaration <br />[ eortitj on hahnit of i}j 'l�`� t f ��% that dKI'LU the term or my <br />V.1madlgm t oogaro 4ain�a <br />contract too Recreation Classes- ser%ices kith the Cite or5anta Ana, I will <br />. ... . _ . <br />not employ any persue in any manner no us to hCCQnlc subject to the rwrkers' <br />compensation lags orAMA. anis agree that it I should become subject to time <br />%%trAvY compensation pininislans orkahn 3700 orse Labor Cod, I shall lizrtr uhh <br />comply will those provisions and pro%ide pruofot %corkers' compcnsutitan co%erage. <br />DATF. �. l <br />By <br />-- <br />�_ r i yr r„. <br />tile: <br />1elCpliZlnC / i' 61 <br />%A.RNrNCR FAILURE URE TO SECURE "ORKER.S' COMPE NS_VI'ION COVERAGE IS <br />UNLAWFUL, AND SHALL SUBJECT AN EMPLOVER TO CRINIINAL PENALTIES <br />AND CIVIL FtNES UP TO ONE HUNDRED THOUSAND DOLLARS (310(1,0(70). IN <br />ADDITION TO THE COST OF COMPENSATION, DAMAGES ;AS PROVIDED FOR <br />IN SECTION 3706 OF TIIF LABOR CODE. INTEREST. AND VTTORNEti'S FEES. <br />