Common use of COMPENSATION CERTIFICATION Clause in Contracts

COMPENSATION CERTIFICATION. Labor Code Section 3700 in relevant part provides: Every employer except the State shall secure the payment of compensation in one or more of the following ways: ▪ By being insured against liability to pay compensation by one or more insurers duly authorized to write compensation insurance in this State. ▪ By securing from the Director of Industrial Relations a certificate of consent to self- insure, 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 its employees. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for workers’ 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. Date: Name of Vendor or Company: ▇▇▇▇▇▇ Construction Inspection Inc. Signature: Print Name and Title: (In accordance with Article 5 – commencing at Section 1860, Chapter 1, part 7, Division 2 of the Labor Code, the above certificate must be signed and filed with the District prior to performing any Work under this Contract.)

COMPENSATION CERTIFICATION. Labor Code Section 3700 in relevant part provides: Every employer except the State shall secure the payment of compensation in one or more of the following ways: ▪ ● By being insured against liability to pay compensation by one or more insurers duly authorized to write compensation insurance in this State. ▪ ● By securing from the Director of Industrial Relations a certificate of consent to self- self-insure, which may be given upon furnishing satisfactory proof satisfactory to the Director of Industrial Relations of ability to self-insure and to pay any compensation that may become due to its employees. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for workers’ 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 Services of this ContractAgreement. Date: , 2020 Name of Vendor or CompanyConsultant: ▇▇▇▇▇▇ Construction Inspection Inc. Employer Solutions Staffing Group, LLC Signature: Print Name and Title: ▇▇▇▇▇ ▇▇▇▇▇▇, CEO/President (In accordance with Article 5 – commencing at Section 1860, Chapter 1, part 7, Division 2 of the Labor Code, the above certificate must be signed and filed with the District prior to performing any Work Services under this ContractAgreement.)) END OF DOCUMENT

COMPENSATION CERTIFICATION. Labor Code Section 3700 in relevant part provides: Every employer except the State shall secure the payment of compensation in one or more of the following ways: ▪ ● By being insured against liability to pay compensation by one or more insurers duly authorized to write compensation insurance in this State. ▪ ● By securing from the Director of Industrial Relations a certificate of consent to self- self-insure, which may be given upon furnishing satisfactory proof satisfactory to the Director of Industrial Relations of ability to self-insure and to pay any compensation that may become due to its employees. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for workers’ 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 Services of this ContractAgreement. Date: Name of Vendor or CompanyConsultant: ▇▇▇▇▇▇▇▇▇▇▇ Construction Inspection Inc. ▇▇▇▇ Architects (QKA) Signature: Print Name and Title: ▇▇▇▇▇ ▇▇▇▇▇▇, President/CEO (In accordance with Article 5 – commencing at Section 1860, Chapter 1, part 7, Division 2 of the Labor Code, the above certificate must be signed and filed with the District prior to performing any Work Services under this ContractAgreement.)

COMPENSATION CERTIFICATION. Labor Code Section 3700 in relevant part provides: Every employer except the State shall secure the payment of compensation in one or more of the following ways: ▪ By being insured against liability to pay compensation by one or more insurers duly authorized to write compensation insurance in this State. ▪ By securing from the Director of Industrial Relations a certificate of consent to self- insure, 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 its employees. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for workers’ 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. 11/1/2024 Date: Name of Vendor or Company: ▇▇▇▇▇▇ Construction Inspection EnviroScience, Inc. Signature: Print Name and Title: ▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇ President (In accordance with Article 5 – commencing at Section 1860, Chapter 1, part 7, Division 2 of the Labor Code, the above certificate must be signed and filed with the District prior to performing any Work under this Contract.)

COMPENSATION CERTIFICATION. Labor Code Section 3700 in relevant part provides: Every employer except the State shall secure the payment of compensation in one or more of the following ways: ▪ • By being insured against liability to pay compensation by one or more insurers duly authorized to write compensation insurance in this State. ▪ • By securing from the Director of Industrial Relations a certificate of consent to self- self-insure, which may be given upon furnishing satisfactory proof satisfactory to the Director of Industrial Relations of ability to self-insure and to pay any compensation that may become due to its employees. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for workers’ 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. Date: December 30, 2015 Name of Vendor or CompanyConsultant: ▇▇▇▇▇▇ Construction Inspection UndergroundGIS, Inc. Signature: Print Name and Title: ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, V.P., Sales & Marketing (In accordance with Article 5 – commencing at Section 1860, Chapter 1, part 7, Division 2 of the Labor Code, the above certificate must be signed and filed with the District prior to performing any Work under this Contract.)) Consultant’s entire Proposal is not made part of this Agreement.

COMPENSATION CERTIFICATION. Labor Code Section 3700 in relevant part provides: Every employer except the State shall secure the payment of compensation in one or more of the following ways: ▪  By being insured against liability to pay compensation by one or more insurers duly authorized to write compensation insurance in this State. ▪  By securing from the Director of Industrial Relations a certificate of consent to self- insure, 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 its employees. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for workers’ 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. Date: Name of Vendor or Company: ▇▇▇▇▇▇ Construction Inspection EnviroScience, Inc. Signature: Print Name and Title: (In accordance with Article 5 – commencing at Section 1860, Chapter 1, part 7, Division 2 of the Labor Code, the above certificate must be signed and filed with the District prior to performing any Work under this Contract.)

COMPENSATION CERTIFICATION. Labor Code Section 3700 in relevant part provides: Every employer except the State shall secure the payment of compensation in In one or more of the following ways: ▪ • By being insured against liability to pay compensation by one or more insurers duly authorized to write compensation insurance in this State. ▪ • By securing from the Director of Industrial Relations a certificate of consent to self- self-insure, which may be given upon furnishing satisfactory proof satisfactory to the Director of Industrial Relations of ability to self-self- insure and to pay any compensation that may become due to its employees. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for workers’ ' 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 Services of this ContractAgreement. Date: Name of Vendor or CompanyConsultant: ▇▇▇▇▇▇ Construction Inspection 08 / 16 / 2024 Newsela, Inc. Signature: Print Name and Title: ▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇, Chief Customer Officer (In accordance with Article 5 – - commencing at Section 1860, Chapter 1, part 7, Division 2 of the Labor Code, the above certificate must be signed and filed with the District prior to performing any Work Services under this ContractAgreement.)

COMPENSATION CERTIFICATION. Labor Code Section 3700 in relevant part provides: Every employer except the State shall secure the payment of compensation in one or more of the following ways: ▪ By being insured against liability to pay compensation by one or more insurers duly authorized to write compensation insurance in this State. ▪ By securing from the Director of Industrial Relations a certificate of consent to self- insure, 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 its employees. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for workers’ 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. Date: Name of Vendor or Company: ▇▇▇▇▇▇ Construction Inspection Consultant, Inc. Signature: Print Name and Title: (In accordance with Article 5 – commencing at Section 1860, Chapter 1, part 7, Division 2 of the Labor Code, the above certificate must be signed and filed with the District prior to performing any Work under this Contract.)

COMPENSATION CERTIFICATION. Labor Code Section 3700 in relevant part provides: Every employer except the State shall secure the payment of compensation in one or more of the following ways: ▪ • By being insured against liability to pay compensation by one or more insurers duly authorized to write compensation insurance in this State. ▪ • By securing from the Director of Industrial Relations a certificate of consent to self- self-insure, which may be given upon furnishing satisfactory proof satisfactory to the Director of Industrial Relations of ability to self-insure and to pay any compensation that may become due to its employees. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for workers’ 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 Services of this ContractAgreement. Date: March 1, 2023 Name of Vendor or CompanyConsultant: ▇▇▇▇▇▇ Construction Inspection Inc. RepresentEd Leadership Signature: Print Name and Title: ▇▇▇▇▇▇▇ ▇▇▇▇▇, CEO (In accordance with Article 5 – commencing at Section 1860, Chapter 1, part 7, Division 2 of the Labor Code, the above certificate must be signed and filed with the District prior to performing any Work Services under this ContractAgreement.)) DWK DMS 3777981v1

COMPENSATION CERTIFICATION. Labor Code Section 3700 in relevant part provides: Every employer except the State shall secure the payment of compensation in one or more of the following ways: ▪ By being insured against liability to pay compensation by one or more insurers duly authorized to write compensation insurance in this State. ▪ By securing from the Director of Industrial Relations a certificate of consent to self- insure, 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 its employees. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for workers’ 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. Date: Name of Vendor or Company: ▇▇▇▇▇▇ Construction Inspection Inc. Consolidated Engineering Laboratories Signature: Print Name and Title: (In accordance with Article 5 – commencing at Section 1860, Chapter 1, part 7, Division 2 of the Labor Code, the above certificate must be signed and filed with the District prior to performing any Work under this Contract.)