UC SANTA BARBARA

CALIFORNIA LABOR CODE 9251 CERTIFICATION:
ENTERTAINMENT EVENT

Event Information
(*certification is required for each event, this is not a blanket certification)
  1. The undersigned certifies, to the best of their understanding of the law (CA Labor Code Sections 9250-9254), that the workers and supervisors onsite meet the training requirements of CA Labor Code Sections 9250-9254.
  2. Labor Code section 9251 requires an entertainment events vendor ("Supplier") to certify for its employees, and any subcontractors' employees, as part of the contract for production of any live event at a public events venue.
  3. Supplier has verified the training completion and certification requirements of all employees, and any subcontractor's employees, who will work on the setting up, operation, or tearing down of the Event listed above.
  4. At least one of the supplier's employees who will be involved in the setting up, operation, or tearing down of a live event has completed the Cal/OSHA-10, the OSHA-10/General Entertainment Safety training, or the OSHA-10 as applicable to their occupation.
  5. One of the following applies: (a) Heads of departments and leads have completed the Cal/OSHA-30, the OSHA-30/General Entertainment Safety training, or the OSHA-30, and are certified through the Entertainment Technician Certification Program relevant to the task or tasks they are supervising or performing, or another certification program; or (b) the Supplier certifies that its employees meet the conditions for a skilled and trained workforce as defined in CA Public Contract Code Section 2601(d).
  6. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction.
  7. Listed below are the names of the employees, and any subcontractor employees (if applicable) providing the services for the Event listed above, the relevant training or certification the employee has completed, and the date of certification:
Employee & Subcontractor Training Roster

Provide the required details for all employees and subcontractor employees performing services at the Event. Click "+ Add Another Employee / Subcontractor" to add more entries. 

Employee / Subcontractor 1

(Attach additional page if more employees/subcontractor employees will be at the Event)

Supplier Verification & Authorization
Typing your full legal name acts as your official signature.