Business Certificate Application - City Of Fontana Page 2

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Tax Rate Schedule (Gross Receipts)
The following tax rates shall be applicable to every business declared to be subject to a tax based upon gross receipts, and such taxes shall
be subject to annual review and adjustment by council action.
TAX RATE SCHEDULE A
TAX RATE SCHEDULE D
If Gross Receipts Are:
The Tax Is:
The Tax Is:
If Gross Receipts Are:
Under $50,000.00
$50.00
Under $50,000.00
$100.00
Over $50,000.00
$50.00 plus
Over $50,000.00
$100.00 plus
$0.25 for each thousand dollars
$1.00 for each thousand dollars
or fraction thereof over $50,000
or fraction thereof over $50,000
TAX RATE SCHEDULE B
TAX RATE SCHEDULE E
If Gross Receipts Are:
The Tax Is:
The Tax Is:
If Gross Receipts Are:
Under $25,000.00
$25.00
Under $25,000.00
$50.00
Over $25,000.00
$25.00 plus
Over $25,000.00
$50.00 plus
$0.30 for each thousand dollars
$1.00 for each thousand dollars
or fraction thereof over $25,000
or fraction thereof over $25,000
TAX RATE SCHEDULE C
TAX RATE SCHEDULE F
The Tax Is:
If Gross Receipts Are:
The Tax Is:
If Gross Receipts Are:
Under $100,000.00
$75.00
Under $25,000.00
$25.00
Over $100,000.00
$75.00 plus
$25.00 plus
Over $25,000.00
$0.75 for each thousand dollars
$1.00 for each thousand dollars
or fraction thereof over $100,000
or fraction thereof over $25,000
CONTRACTORS LICENSE DECLARATION
Section 1. Section 7033. Every city or city and county which requires the issuance of a business license as condition precedent
to engaging within the city or city and county, in a business which is subject to regulation under this chapter, shall require that
each licensee and applicant for issuance or renewal of such license shall file, or have on file, with such city or city and county,
a signed statement that such licensee or applicant is licensed under the provisions of this chapter, and stating that the license
is in full force and effect, or if such licensee or applicant is exempt from the provisions of this chapter, he shall furnish proof of
the facts which entitle him to such exemption.
q q
This is to certify that the undersigned is licensed under the Business and Professions Code of California
as a contractor and that such license is in full force and effect.
Date
Signature
Title
q q
This is to ceritify that the undersigned claims exemption from the provisions of Section 7000 ET.SEQ. of
the Business and Professions Code, in that I propose not to furnish labor and/or materials on any
project, the value of which (aggregate labor and materials) is over $299.99.
Date
Signature
Title
WORKERS’ COMPENSATION DECLARATION
I HEREBY AFFIRM, UNDER PENALTY OF PERJURY, ONE OF THE FOLLOWING DECLARATIONS:
q q
I have and will maintain a certificate of consent to self-insure for workers compensation, as provided by
Section 3700, for the duration of any business activities conducted for which this license is issued.
q q
I have and will maintain workers’ compensation insurance, as required by Section 3700, for the duration
of any business activities for which this license is issued. My workers’ compensation insurance carrier
and policy number are:
Carrier
Policy Number
q q
I certify that in the performance of any business activities for which this license is issued I shall not
employ any person in any manner so as to become subject to the workers’ compensation laws of
California, and agree that if I should become subject to the workers’ compensation provisions of Section
3700 of the Labor Code, I shall forthwith comply with the provisions of Section 3700.
Date
Applicant
WARNING: FAILURE TO SECURE WORKERS’ COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO $100,000, IN ADDITION TO
THE COST OF COMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST AND ATTORNEYS FEES.
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