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Agreement Washington-Chapman Railroad Crossing Improvements Page 8 Project No. 2016.0320 <br />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 against liability for worker’s compensation or to undertake self-insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. <br />Signed: Date: <br />John Sposeto, President (Typed or Printed Name) <br />Business Address (Street Address, City, State & Zip Code): <br />4885 Contractors Place <br />Livermore, CA 94551 <br />Business Phone: (925) 443-4200 <br />DocuSign Envelope ID: 78994859-F088-4536-A8EA-5023C18823F6 <br />December 20, 2022 | 2:49:43 PM EST