8-j. Certified Cleared Employee List.pdf

This is a Certified Cleared Employee List form required by Rockford Public School District No. 205 in Illinois for vendors, suppliers, professional services firms, and contractors bidding on state and local contract opportunities, including the E-Rate 2026 Firewall Equipment solicitation. The form serves as a certification that all employees have undergone required background checks, including criminal history records checks, Statewide Sex Offender Database checks, and Statewide Child Murderer and Violent Offender Against Youth Database checks, in accordance with 105 ILCS 5/10-21.9. Vendors must certify that their employees have not been convicted of enumerated criminal or drug offenses and do not appear on the specified databases.

The form requires vendors to list employee information including last name, middle initial, and first name, with checkboxes indicating completion of required database checks. The document must be executed by an owner, officer, member, or partner authorized to bind the vendor and requires notarization with the date of subscription and notary commission expiration. This certification is a mandatory prerequisite for contract award and reflects the district's commitment to protecting students by ensuring vendors and their employees meet stringent background clearance requirements.