8-j. Certified Cleared Employee List.pdf

This is a Certified Cleared Employee List certification document required by Rockford Public School District No. 205 in Illinois. The vendor, supplier, professional services firm, or contractor executing this document certifies that criminal history records checks, Statewide Sex Offender Database checks, and Statewide Child Murderer and Violent Offender Against Youth Database checks have been conducted for all employees in accordance with 105 ILCS 5/10-21.9. The certifying party attests that all listed employees have not been convicted of any enumerated criminal or drug offenses under the Act and do not appear on the noted databases. The document requires completion of employee information including last name, middle initial, and first name, with checkboxes indicating completion of criminal database reviews.

The document must be executed by an authorized representative of the vendor, supplier, professional services firm, or contractor, such as an owner in the case of a sole proprietorship or an officer, member, or partner in other business structures. The certification requires notarization with the notary public's commission expiration date noted. This clearance requirement applies to the Manufacturing Equipment – Mills & Lathes Invitation for Bid issued by Rockford Public School District No. 205 and is referenced in Section 36 of the Supplemental Terms and Conditions. The document may be marked as not applicable if circumstances warrant such notation.