ADOC16-113022-ADOC16-113022_-_Amendment_26_2.pdf
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- Attached to
- Master Agreement AZ|ADOC16-113022
- Contract number
- ADOC16-113022
- Issued by
- Arizona
About this file
The document is a Contract Change Order/Amendment from the Arizona Department of Corrections (ADOC), dated July 7, 2017, for Contract No. ADOC16-113022 / ADC No. AD9-010-A3-001. Amendment No. 26 modifies an existing contract, specifically addressing the Scope of Work related to Applicant Background Checks. The amendment is associated with the State of Arizona's corrections system and was prepared by Anna Mroz, a Senior Procurement Specialist.
The amendment requires the Facility Operator to complete an Application Record Notification form along with DO 602 Background Investigation documents, which must remain on record at the facility. The document outlines procedures for criminal history record checks through the Federal Bureau of Investigation (FBI) and provides guidance for applicants to review, challenge, or correct their criminal history records. The amendment emphasizes the applicant's rights to be informed about and potentially dispute information in their criminal history before any adverse action is taken. All other contract terms and conditions remain unchanged, with the amendment becoming effective upon acknowledgment in the ProcureAZ system.
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Contract Change Order/Amendment State of Arizona
Department of Corrections
1645 West Jefferson Street
Phoenix, AZ 85007
Contract No.: ADOC16-113022 / ADC No. AD9-010-A3-001
Amendment No.: 26 Date: July 7, 2017
Prepared by: Anna Mroz, Senior Procurement Specialist
Date: July 7, 2017
Available online at
Procure.AZ.gov
In accordance with Scope of Work Paragraph, 2.9.4.1, Applicant Background Checks, the above referenced contract is hereby amended as follows:
The Facility Operator shall complete the attached Application Record Notification form along with DO
602 Background Investigation documents. This Application Record Notification form shall remain on record at the facility.
This Amendment is effective upon acknowledgement of the Contractor in ProcureAZ.
ALL OTHER REQUIREMENTS, SPECIFICATIONS, TERMS AND CONDITIONS REMAIN UNCHANGED
ACKNOWLEDGEMENT AND AUTHORIZATION
This Change Order/Amendment shall be fully executed upon the approval electronically in ProcureAZ by an authorized representative of the Contractor and applied to the contract by the Procurement Officer or delegate.
https://procure.az.gov/
DOUGLAS A. DUCEY
GOVERNOR
CHARLES L. RYAN
DIRECTOR
Applicant Record Notification
Applicant Notification and Record Challenge
Your fingerprints will be used to check the criminal history records of the Federal Bureau of
Investigation (FBI). If you have a criminal history record, the officials making a determination of your suitability for the job, license, or other benefit must provide you the opportunity to complete or challenge the accuracy of the information in the record. You should be afforded a reasonable amount of time to correct or complete the record (or decline to do so) before officials deny you the job, license, or other benefit based on information in the criminal history record.
The procedures for obtaining a change, correction, or updating of your FBI criminal history record are set forth in Title 28, Code of Federal Regulations (C.F.R.), Section 16.30 through
16.34. Information on how to review and challenge your FBI criminal history record can be found at www.fbi.gov under ‘Services’– ‘Identity History Summary Checks (IdHSC)’ or by calling (304) 625-5590.
To obtain a copy of your Arizona criminal history to review, update, or correct the record, you can contact the Arizona Department of Public Safety (DPS) Criminal History Records Unit at
(602) 223-2222 to obtain a fingerprint card and a Review and Challenge packet. Information on the Review and Challenge process can be found on the DPS website at www.azdps.gov.
Print Name Date
Signature
1601 WEST JEFFERSON
PHOENIX, ARIZONA 85007
(602) 542-5497 www.azcorrections.gov https://www.fbi.gov/ https://www.fbi.gov/services/cjis/identity-history-summary-checks http://www.azdps.gov/services/public/records/criminal
File details come from the government source that posted it. Updated .