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M'()RI(t,"IZS'('OMI"l�,I'qSAI'ION INSURANCE, CIER'"FIFICATION <br />Pursuant to Section 7-4 of the Standard Specifications, the Contractor certifies as follows: <br />'"'ll aWal-C 0f(fiC PMViSiOlIS Of SC',CtiOD 3700 of L,abor Code which require every employer to be insured <br />against. liability for worker's compensation or to undertake self- iF1SUraDCQ In accordance with the provisions <br />ofthat code, and I will coinply with such provisions before commencing (lie performance of the work Of <br />this Contract, <br />Signed: <br />Kenneth B. Olson, Vice President <br />(Typed or Printed Name) <br />BLISiness Address (Street Address, City, 1,31ate & Zip Code)- <br />GRANITL CONSTRUCTION CIOMPANY <br />715 (OMSTOC'K STRI-T I' <br />S A N't A C I , A R A. C'A 95 0.5 4 <br />Business Phone: (408),.3� <br />- - �!--.70-09 <br />Last Revised: 06/01/16 Page 8 <br />Annual Street Overlay/Rehabilitation 2016-17, Phase 2 <br />Date: 7/26/18 <br />Agreement <br />Project No.2017,0050 <br />