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Last modified
9/10/2014 10:15:24 AM
Creation date
8/20/2014 8:34:13 AM
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General - Type
Agendas
General 2 - Date
8/20/2014
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rr <br />■ <br />ft <br />APPROVED <br />Dated: August 19th, 2014 <br />I. FLORIAN FRANK FAJARDO, hereby, certify and acknowledge that I am <br />aware of the Workers Compensation laws of the State of California and <br />that I currently have no employees which would be subject to the <br />protection of the Workers Compensation Act. Further that if at any time <br />during the term of the Agreement, any employees are hired, that I will <br />comply with the requirement of the Workers Compensation laws. At that <br />time I will provide evidence of such coverage to the City of Riverside in <br />accordance with the terms of the Agreement. <br />Owner, F3 BUILDING SERVICES <br />Licensed (CA LIC. 988249), Bonded, and Insured <br />1166 2nd St., Norco, California 92860 <br />(951) 526 -33081 f3buildingservices @gmail.com <br />
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