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 satisfactory proof 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 Consultant: UndergroundGIS, Inc. Signature: Print Name and Title: Xxxxxxx X. Xxxxxx, 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.) EXHIBIT “A” DESCRIPTION OF SERVICES TO BE PERFORMED BY CONSULTANT 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 satisfactory proof 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: December 30, 2015 2020 Name of Consultant: UndergroundGISEmployer Solutions Staffing Group, Inc. LLC Signature: Print Name and Title: Xxxxxxx X. Xxxxx Xxxxxx, V.P., Sales & Marketing 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 Contract.) EXHIBIT “A” DESCRIPTION OF SERVICES TO BE PERFORMED BY CONSULTANT Consultant’s entire Proposal is not made part of this Agreement.) 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-insure, which may be given upon furnishing satisfactory proof 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: December 30, 2015 {{Dte1_es_:signer1:date}} Name of Consultant: UndergroundGISFirst Floor Group, Inc. LLC Signature: {{_es_:signer1:signature}} Print Name and Title: Xxxxxxx X. Xxxxxx, V.P., Sales & Marketing {{_es_:signer1:fullname}} (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 Contract.) EXHIBIT “A” DESCRIPTION OF SERVICES TO BE PERFORMED BY CONSULTANT 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 satisfactory proof 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 Consultant: UndergroundGIS, Inc. Signature: Print Name and Title: Xxxxxxx X. Xxxxxx, 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.) EXHIBIT “A” DESCRIPTION OF SERVICES TO BE PERFORMED BY CONSULTANT 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 satisfactory proof 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: December 30March 1, 2015 2023 Name of Consultant: UndergroundGIS, Inc. RepresentEd Leadership Signature: Print Name and Title: Xxxxxxx X. XxxxxxXxxxx, V.P., Sales & Marketing 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 Contract.) EXHIBIT “A” DESCRIPTION OF SERVICES TO BE PERFORMED BY CONSULTANT Consultant’s entire Proposal is not made part of this Agreement.) END OF DOCUMENT Independent Consultant Agreement (Non-Construction Related) Page 12 Xxxxxxx Community College District DWK DMS 3777981v1

COMPENSATION CERTIFICATION. Labor Code Section 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 Statestate. • By securing from the Director of Industrial Relations a certificate of consent to self-insure, which may be given upon furnishing proof satisfactory proof to the Director of Industrial Relations of ability to self-insure and to pay any compensation that may become due to its his employees. I am aware of the provisions of Section 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 Services under this ContractAgreement. If Vendor/Contractor does NOT have employees then write N/A across signature lines Date: December 30, 2015 Proper Name of ConsultantContractor: UndergroundGIS, Inc. Signature: Print Name and Name: Title: Xxxxxxx X. Xxxxxx, V.P., Sales & Marketing (In accordance with Article 5 – - commencing at Section section 1860, Chapter chapter 1, part 7, Division division 2 of the Labor Code, the above certificate must be signed and filed with the District awarding body prior to performing any Work Services under this Contract.) EXHIBIT “A” DESCRIPTION OF SERVICES TO BE PERFORMED BY CONSULTANT 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 satisfactory proof 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: December 30, 2015 Name of Consultant: UndergroundGIS, Inc. Signature: Print Name and Title: Xxxxxxx X. 06/12/2024 Catalyst Family Inc. Xxxxx Xxxxxx Digitally signed by Xxxxx Xxxxxx Date: 2024.06.12 23:42:54 -07'00' Xxxxx Xxxxxx, V.P., Sales & Marketing 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 Contract.) EXHIBIT “A” DESCRIPTION OF SERVICES TO BE PERFORMED BY CONSULTANT Consultant’s entire Proposal is not made part of this Agreement.) Independent Consultant Agreement for Services (Non-Construction Related) EXHIBIT C Redwood City School District WORKERS COMPENSATION CERTIFICATION EXHIBIT D

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-insure, which may be given upon furnishing satisfactory proof 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: December 30, 2015 Name of Consultant: UndergroundGIS08 / 16 / 2024 Newsela, Inc. Signature: Print Name and Title: Xxxxxxx X. XxxxxxXxxxx Xxxxxxxxxx, V.P., Sales & Marketing 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 Contract.) EXHIBIT “A” DESCRIPTION OF SERVICES TO BE PERFORMED BY CONSULTANT Consultant’s entire Proposal is not made part of this Agreement.) Independent Consultant Agr-ment forServices (Non-Construction Related) EXHIBIT C Redwood City School District WORKERS COMPENSATION CERTIFICATION EXHIBIT D

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 satisfactory proof 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: December 30, 2015 Name of Consultant: UndergroundGIS, Inc. Signature: Print Name and Title: Xxxxxxx X. 05/24/2024 Catalyst Family Inc. Xxxxx Xxxxxx Date: 2024.05.24 12:10:55 -07'00' Digitally signed by Xxxxx Xxxxxx Xxxxx Xxxxxx, V.P., Sales & Marketing 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 Contract.) EXHIBIT “A” DESCRIPTION OF SERVICES TO BE PERFORMED BY CONSULTANT Consultant’s entire Proposal is not made part of this Agreement.) Independent Consultant Agreement for Services (Non-Construction Related) EXHIBIT C Redwood City School District WORKERS COMPENSATION CERTIFICATION EXHIBIT D