ATTACHMENT 1 Letter of Assurance for Criminal Record Check.pdf

733 KB Posted

Attached to
ITB for Janitorial Services Canyon City
Solicitation number
S-47100-00013511
Issued by
Gilliam County, Canyonville City, Oregon

About this file

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This document is an Attachment 1 Letter of Assurance for Criminal Record Check from the Oregon Employment Department, specifically for ITB S-47100-00013511 related to Canyon City Janitorial services. The form requires a contractor to attest that all employees, contractors, and subcontractors who will work directly or indirectly on the contract have passed a criminal record check and been deemed appropriate for the contracted services.

The form is designed to be submitted to the Oregon Employment Department's Contracts and Procurement Section in Salem, Oregon, and must be signed by a person authorized to bind the contractor. The document includes spaces for the contractor's contact information, including address and contact details, and was originally created on August 5, 2010, with a revision date of September 14, 2011. The form serves as a formal assurance of background screening compliance for personnel involved in the janitorial contract.

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ITB S-47100-00013511 – Canyon City Janitorial

Page 15/55

ATTACHMENT 1

LETTER OF ASSURANCE FOR CRIMINAL RECORD CHECK

TO: Oregon Employment Department

Contracts and Procurement Section 875 Union Street NE Salem, OR 97311

I, attest and confirm all applicable* (Printed Name of Person Signing the Form - Person Authorized to Bind Contractor) employees, contractors, and subcontractors have passed a criminal record check as requested by and have been found to be appropriate for (Printed Contractor Name) services under the terms and conditions and for the duration of this Contract or Agreement.

Signed:

(Person Authorized to Bind Contractor) Date

Contractor’s Contact Information

Address

Address

Phone Number Email Address

* works directly or indirectly on any component of this Contract or Agreement.

Form created August 5, 2010; Revised September 14, 2011 / Employment Department/Human Resources

File details come from the government source that posted it. Updated .