7-Contractor Employee Background Certification Form 2024.pdf

This is a Contractor Employee Background Certification Form issued by the Commonwealth of Virginia for a Tree Trimming & Removal Services contract opportunity. The form serves as a compliance document requiring contractor applicants and any employees who will have direct contact with students to certify their eligibility under Virginia Code 22.1-296.1. The certification mandates that applicants and relevant employees have never 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.

Completion and submission of this certification form with the bid submission is mandatory; failure to return the form will render the bid non-responsive and ineligible for consideration. The form requires the signature of an authorized representative, printed name, company name, business address, and date of certification. This background certification requirement applies specifically to positions involving student contact and reflects Virginia's commitment to protecting students in school environments where tree trimming and removal services are performed on school properties.