7-Contractor Employee Background Certification Form 2024.pdf
PDF 193 KB Posted
- Attached to
- Architectural and Engineering Services As Needed
- Solicitation number
- 1117-P-2627
- Issued by
- Portsmouth City, Virginia
About this file
This is a Contractor Employee Background Certification Form required by Petersburg Public Schools (PPS) in Virginia for compliance with Virginia Code 22.1-296.1. The form mandates that all contractor firms and any employees who will have direct contact with students must provide certification attesting to their eligibility to work with the school system. The certification requirement applies to the provision of Architectural and Engineering Services on an as-needed basis.
Contractors and their employees must certify that they have never been convicted of a felony or any offense involving sexual molestation, physical abuse, sexual abuse, or rape of a child, nor convicted of any crime of moral turpitude. Submission of the completed and signed form is mandatory with all bids; failure to return the form will result in the bid being deemed non-responsive. The form requires the contractor's signature, printed name, company name, business address, and date of submission.
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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 .