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<br />Declaration <br /> <br />Sole Proprietor Certification <br /> <br />This is to certify that I, 13d/'..{bj~",(tc IJ , am a sole proprietor and my <br />business has no employees. Should this situation change and I hire employees, <br />I will notify the City of Redwood City ten (10) days prior to the date of change <br />and, by that same time, obtain all Worker's Compensation and/or Employer <br />Liability Insurance required by the Professional Services Agreement between <br />myself and the City of Redwood City for Proiect Description <br /> <br />Dated: ~p,,.L, i/f ,200} <br /> <br />I <br /> <br />CONTACT INFO <br />NAME <br />ADDRESS <br />CITY, ST ZIP <br />PHONE # <br />E-MAIL (optional) <br /> <br />Borton Rubenstein <br />Rubenstein Studios <br />4819 Dorset Avenue <br />Chevy Chase, MD 20815 <br />www.RubensteinStudios.com <br />b6:.f~ aDl ,UM <br />ju I/" te;f - S-4u b <br />