AGREEMENT_TO_A_TEMPORARY_WAIVER_OF_CHARACTER_12_10_11_(2).doc

AGREEMENT TO A TEMPORARY WAIVER OF CHARACTER INVESTIGATION (FOR GOVERNMENT CONTRACTORS ONLY) Per your request, the Chief Contracting Officer, Oklahoma City Area Indian Health Service has agreed to a temporary waiver of the character investigation for:

(Name of Contractor)

This temporary waiver has been agreed to with the understanding that you will continue the process of accomplishing the character investigation in accordance with Public Law 101-630 and 101-630, both known as Crime Control Act of 1990. Upon completion of the character investigation, you shall notify the Contracting Officer.

Your signature indicates you are taking the responsibility to assure the Chief Contracting Officer that the above named individual will not have unmonitored contact with Indian children. This agreement is in effect until the Chief Contracting Officer is notified that the above named contractor has successfully completed the background investigation.

I understand that in accordance with Section 231 of the Crime Control Act of 1990 (P.L. 101-630 and P.L. 101-630), that failure to comply with these statues will result in my immediate removal.

CONTRACTOR DATE

I hereby assure that such continuous monitoring will occur when said individual is in contact with Indian children under the age of 18 years. I am aware, and will assure, that those providing DIRECT SIGHT MONITORING shall as a minimum, have had a successfully completed NACI. I certify that the permanent federal employees assigned to provide DIRECT SITE MONITORING have met the requirements of Section 231 of the Crime Control Act of 1990 (P.L. 101-630 & P.L. 101-307) One of the three individuals listed below will be responsible for direct /in sight monitoring of the contractor named above.

SIGNATURE OF INDIVIDUAL RESPONSIBLE DATE

SIGNATURE OF INDIVIDUAL RESPONSIBLE DATE

SIGNATURE OF INDIVIDUAL RESPONSIBLE DATE

CHIEF EXECUTIVE OFFICER DATE