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WORKERS' COMPENSATION INSURANCE CERTIFICATION <br /> Pursuant to Section 7-4 of the Standard Specifications,the Contractor certifies as follows: <br /> I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured <br /> against liability for worker's compensation or to undertake self-insurance in accordance with the provisions <br /> of that code, and I will comply with such provisions before commencing the performance of the work of <br /> this contract. <br /> Signed: Date: 8/3/2017 <br /> _Ralph P Gre wood <br /> (Typed or Printed Name) <br /> Business Address(Street Address,City, State&Zip Code): <br /> 4820 Business Center Drive#I 10 <br /> Lairfield, CA 94534 <br /> Business Phone: (707) 864-3950 <br /> Bancroft--Sybil Signal Improvements Page 7 Agreement <br /> Last Revised:06/01/16 Project No.2014.0440 <br />