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Last modified
8/26/2009 4:56:32 PM
Creation date
8/25/2009 11:17:57 AM
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Agendas
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CERTIFICATION AND ACKNOWLEDGEMENT OF <br />WORKERS' COMPENSATION INSURANCE REQUIREMENT <br />as Entertainment for the Agreement For Entertainment <br />Services, hereby certify and acknowledge that I am aware of the Workers Compensation laws of <br />the State of California and that I have no employees which would be subject to the protection of <br />the Workers Compensation Act at this time, and that if, at any time during the term of the <br />Agreement For Entertainment Services, any employees are obtained that I, Entertainment, will <br />comply with the requirements of the Workers Compensation laws and will provide evidence of <br />such coverage to the City of Riverside in accordance with the terms of the Agreement For <br />Entertainment Services. <br />Entertainment: Date: <br />(Insert Name, Title) <br />c <br />Date: <br />WS-eft Name-,)ritle') <br />Risk Massa <br />
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