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6 <br />LA515\1\1077755.v2 <br /> <br /> □ Other (specify): ________________________________________________ <br /> _____________________________________________________________ <br /> <br />I HAVE READ AND UNDERSTAND MY RIGHTS AND OBLIGATIONS WITH REGARD <br />TO PUBLIC CONTRACTS AND WORKERS’ COMPENSATION COVERAGE, AND I <br />CERTIFY THAT THE INFORMATION PROVIDED IS TRUE AND CORRECT. <br /> <br /> <br /> Joshua Yocum <br /> (Signature)