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N-2019-001 <br />I Claudia Lipp. President hereby affirm under penalty of perjury, the <br />(Name/Tide) <br />following declaration <br />I certify on behalf of Readwrite Educational Solutions Inc. that during the term of my <br />(Consultant/Compwy Name) <br />contract for recreation services with the City of Santa Ana, I will not employ any person <br />in any manner so as to become subject to the workers' compensation laws of California, <br />and agree that if I should become subject to the workers' compensation provisions of <br />Section 3700 of the Labor Code, I shall forthwith comply with those provisions and <br />provide proof of workers' compensation coverage. <br />L- <br />Name: Claudia Lipp <br />Title: President <br />Telephone: 949-263-0633 <br />WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS <br />UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES <br />AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN <br />ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR <br />IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. <br />