Common use of ’ Compensation Insurance Coverage Clause in Contracts

’ Compensation Insurance Coverage. Bidder is required to provide with the bid a certificate of insurance showing proof of compliance with the Oklahoma Workers’ Compensation Act. YES – Include with the bid a certificate of insurance. NO – Exempt from the Workers’ Compensation Act pursuant to 85A O.S. § 2(18)(b)(1-11) – Attach a written, signed, and dated statement on letterhead stating the reason for the exempt status.2 1 For frequently asked questions concerning Oklahoma Sales Tax Permit, see xxxxx://xxx.xx.xxx/tax/Businesses/index.html 2 For frequently asked questions concerning workers’ compensation insurance, see xxxxx://xxx.xx.xxx/wcc/Insurance/index.html

’ Compensation Insurance Coverage. Bidder is required to provide with the bid a certificate of insurance showing proof of compliance with the Oklahoma Workers’ Compensation Act. YES – Include with the bid a certificate of insurance. NO – Exempt from the Workers’ Compensation Act pursuant to 85A O.S. § 2(18)(b)(1-11) – Attach a written, signed, and dated statement on letterhead stating the reason for the exempt status.2 1 For frequently asked questions concerning Oklahoma Sales Tax Permit, see xxxxx://xxx.xx.xxx/tax/Businesses/index.html 2 For frequently asked questions concerning workers’ compensation insurance, see xxxxx://xxx.xx.xxx/wcc/Insurance/index.htmlxxxxx://xxx.xx.xxx/wcc/Insurance/index.html OMES FORM CP 076 Rev. 03/2020 PAGE 1 OF 2

’ Compensation Insurance Coverage. Bidder is required to provide with the bid a certificate of insurance showing proof of compliance with the Oklahoma Workers’ Compensation Act. YES – Include with the bid a certificate of insurance. NO – Exempt from the Workers’ Compensation Act pursuant to 85A O.S. § 2(18)(b)(1-11) – Attach a written, signed, and dated statement on letterhead stating the reason for the exempt status.2 1 status.4 3 For frequently asked questions concerning Oklahoma Sales Tax Permit, see xxxxx://xxx.xx.xxx/tax/Businesses/index.html 2 4 For frequently asked questions concerning workers’ compensation insurance, see xxxxx://xxx.xx.xxx/wcc/Insurance/index.html