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F AND B ENGINEERING SERVICES INC
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Last modified
8/15/2013 11:43:33 AM
Creation date
7/10/2013 12:00:22 PM
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General
General - Type
Insurance
General 2 - Date
7/10/2013
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Workers Compensation Certificate <br />Iv David S. Slebo&6 hereby, hereby, certify and acknowledge that 1 am aware of the 'worker -i <br />Compensation laws of the State of California and that l have no employees which would be <br />subject to the protection a the Workers Compensation Act at this tine. And that if any time <br />during the teim of the Agreement, any employee are obtained , that 1 will comply with the <br />requirement of the Worker Compensation laws will provide evidence of such coverage to <br />the Ci of Riverside in accordance with the t�s of the A ement. <br />By• Date: July 22, 2013 <br />Title: President <br />Z0 39Vd 9600 30IJJO X3a3J 985E - EGO - -O ZO 9 T : B T E TOZ /GZ /10 <br />
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