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A <br />R Na1'Froat lar our RtlMation <br />UNITED YOUTH OF AMERICA, INC <br />10880 Wilshire Blvd, Ste 1101, Los Angeles CA 90024 <br />United Youth of America, Inc does not carry Workers Compensation Insurance as we do not have any <br />employees on company.payroll. At this time all workers for our agency are volunteers or contracted as <br />consultants far the classroom and clinical training hours and shall be Issued 1099 for their services. <br />I certify that In the performance of the work described In this agreement, I shall not employ any person <br />In any matter so as to become subject to State or Federal Workers Compensation Laws. <br />I also certify that, in the future, should I employ persons to perform work pursuant to this agreement in <br />a manner that makes me subject to State or Federal Workers Compensation Laws, I shall immediately <br />obtain Workers Compensation Insurance coverage and provide the City of Inglewood, south Bay <br />Workforce Investment Board, Inc, with a certificate as evidence that am in compliance with such laws. <br />Annette Wilson -CEO <br />United Youth of America, Inc <br />10880 Wilshire Blvd Ste 1101 <br />Los Angeles, CA 90024 <br />