Eastern Contra Costa Transit Authority Contract ... - Tri Delta Transit

CERTIFICATE REGARDING WORKER COMPENSATION
Contract with the EASTERN CONTRA COSTA TRANSIT AUTHORITY, 801 Wilbur
Avenue, Antioch, California 94509, for:
Audit of Financial Statements
RFP #2013-002
Labor Code Section 3700:
"Every employer, except the State, and all political subdivisions or institutions thereof,
shall secure the payment of compensation in one or more of the following ways:
(a) By being insured against liability to pay compensation by one or more insurers, duly
authorized to write compensation insurance in this State.
(b) By securing from the Director of Industrial Relations a certificate on consent to selfinsure,
which may be given upon furnishing proof satisfactory to the Director of
Industrial Relations of ability to self-insure and to pay any compensation that may
become due to employees."
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 selfinsurance.
In accordance with the provisions of that code, I will comply with such
provisions before commencing the performance of the Work of this contract.
Dated: _____________20__
(Bidder)
By___________________________________
_____________________________________
(Official Title)
(SEAL)
(Labor Code Section 1861, provides that the above certificate must be signed and
filed by the Bidder with the Authority prior to performing any work under this
contract.)
53