4-Contractor Employee Background Certification Form 2024.pdf
PDF 193 KB Posted
- Attached to
- World Language Textbooks
- Solicitation number
- 2026
- Issued by
- Newport News City, Portsmouth City, Virginia
About this file
This is a Contractor Employee Background Certification Form related to a World Language Textbook Adoption contract opportunity in Virginia. The form requires contractor firms and any employees who will have direct contact with students to certify compliance with Virginia Code 22.1-296.1. Specifically, applicants must certify that neither the firm nor its employees have 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 form must be signed by an authorized representative of the company and include the printed name, company name, business address, and date.
Submission of the completed form is mandatory and must be returned with the bid submission. Failure to include this certification form will render the bid non-responsive and result in rejection of the proposal. This background certification requirement is a compliance measure designed to protect students in Virginia's educational system.
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Other files
| File | Type | Posted |
|---|---|---|
| 1-PPS Publisher Intent to Submit-World Language Textbooks 2026.docx | DOCX document | |
| 2-PPS Publisher Submission Form.docx | DOCX document | |
| 6-PPS General Terms and Conditions 2024.pdf | ||
| 5-W-9 2024.pdf | ||
| 3-SCC Form 2024.pdf |
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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 .