2-Contractor Employee Background Certification Form 2024.pdf
PDF 193 KB Posted
- Attached to
- Grease Trap Pumping and Cleaning
- Solicitation number
- 1115-B-2627
- Issued by
- Portsmouth City, Virginia
About this file
This is a Contractor Employee Background Certification Form required by Virginia for a Grease Trap Pumping and Cleaning services contract with Petersburg Public Schools (PPS). The form mandates that all contractor firms and their employees who will have direct contact with students must certify compliance with Virginia Code 22.1-296.1 and confirm they have never been convicted of a felony, any offense involving sexual molestation or physical or sexual abuse or rape of a child, or any crime of moral turpitude. The completed and signed certification form must be submitted with the bid submission; failure to return this form will result in the bid being deemed non-responsive.
The form requires the contractor to provide their signature, printed name, company name, business address, and date of certification. This background certification requirement reflects the jurisdiction's commitment to safeguarding student safety and welfare in all contracted service provisions, regardless of the nature of the service being provided.
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Text version
CONTRACTOR EMPLOYEE BACKGROUND CERTIFICATION
I certify that the applicant firm is in compliance with the Code of Virginia § 22.1-296.1, regarding providing certification from the company and any employee that will come in direct contact with students, for the provision of services under this contract.
I certify that the applicant firm and any of its employees, that will come in direct contact with students, have (i) never been convicted of a felony or any offense involving the sexual molestation or physical or sexual abuse or rape of a child; nor (ii) convicted of a crime of moral turpitude.
BY_______________________________________________ (SIGNATURE)
_______________________________________________ (PRINTED NAME)
_______________________________________________ COMPANY
_______________________________________________ BUSINESS ADDRESS
_______________________________________________ DATE
This form must be completed and returned with your bid.
Failure to return this form with your bid will result in your bid being considered non responsive.
File details come from the government source that posted it. Updated .