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I ____________________________________, as an independent contractor performing <br />(Name of Contractor) <br />work and/or services for __________________________________, acknowledge that <br />(Name of District) <br />I am a sole proprietor business and will not employ any person(s) in the work to be <br />performed for __________________________________ under this agreement. As a sole <br />(Name of District) <br />proprietor with no employees, I further acknowledge that I am not subject to the Workers’ <br />Compensation Act of the State of California. <br />I hereby agree to notify _________________________________ in writing, prior to hiring <br />(Name of District) <br />any person(s), full time or part time, to assist in this agreement and to secure workers’ <br />compensation insurance prior to any person beginning work or assisting in the <br />performance of work under this agreement. <br />(Signature) <br />(Date) <br /> Rojas Communications Group <br />City of Pleasanton <br /> City of Pleasonton <br />City of Pleasanton <br />February 11, 2025 <br />Docusign Envelope ID: 9EA63438-DF87-8BE7-8238-BCB3A9C077E7