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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: <br />(Typed or Printed Name) <br />Business Address (Street Address, City, State & Zip Code): <br />4731 Coliseum Way <br />Oakland, CA 94601 <br />Business Phone: (510) 534-1077 <br />Date: <br />Last Revised: 06/01/16 Page 7 Agreement <br />Curb Ramp Upgrades 2018-19 Project No. 2019.0070 <br />