6-Contractor Employee Background Certification Form 2024.pdf
PDF 193 KB Posted
- Solicitation number
- 1113-P-2526
- Issued by
- Portsmouth City, Virginia
About this file
This is a Contractor Employee Background Certification Form required by the Commonwealth of Virginia for the Fire Protection Systems Testing Inspection and Maintenance Services contract opportunity. The form mandates that bidding contractors and any employees who will have direct contact with students must certify compliance with Virginia Code 22.1-296.1 regarding background qualifications. Contractors must attest that neither the applicant firm nor any of its employees have been convicted of a felony, any offense involving sexual molestation, physical or sexual abuse, or rape of a child, nor convicted of a crime of moral turpitude.
The form requires completion by an authorized representative with signature, printed name, company name, business address, and date. Submission of the completed and signed certification form is mandatory and must be returned with the bid submission. Failure to include this form with the bid will result in the bid being deemed non-responsive and ineligible for consideration. No exceptions or waivers to this requirement are noted in the documentation.
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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 .