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REV: 06-22-22 RL <br />“ ”EXHIBIT B <br />DECLARATION REGARDING WORKERS' COMPENSATION INSURANCE AND <br />EMPLOYER'S LIABILITY INSURANCE <br />Consultant certifies that it has only one employee, that such employee is a director of <br />the firm and that such employee has elected not to be covered by workers' <br />compensation insurance in accordance with an exception to the requirement of workers' <br />compensation insurance coverage as provided for under Section 3351 (c) of the <br />California Labor Code. Consultant agrees to purchase workers' compensation insurance <br />if it retains any additional employees during the term of this agreement. Being that the <br />Consultant does not have any employees that are not owners of the firm, Consultant <br />does not carry Employer's Liability Insurance. <br />_____________________________ <br />Rolph Mejia <br />1222 Sierra Street <br />Redwood City, CA 94061 <br />ATTY/AGR.2022.110/Rolph Mejia (Video Production) (Page 12 of 12) <br />Rolph Mejia (Jul 6, 2022 16:05 PDT)