HomeMy WebLinkAboutCOI - Albert Balagso - ExpiresALBERT BALAGSO
507 Calie Fiorencia, Morgan H町CA 95037. (408〉 427-6274
abalagso@gmaii.com
Sandra Cruz
South County Youth Task Force Coordinator
City of Gilrov
7301 HannaSt
Giiroy, CA 95020
December 12, 2021
Dear Ms Cruz,
This letter isto confirm that myconsuIting business is a sole proprieto「entity and does not
have any emp!oyees beyond mvseif and as such shouid be exempt from empIoyee workers
compensation insurance. 1 personaliy carry fu= medical, dental and vision coverage for myself
through personal/fam=y insurance and benefits as required by the Affordable Ca「e Act,
DocuSign Envelope ID: 2C5D1101-2F36-4A9D-86E6-9204729C0EEA