Attachment_B_-_Attestation_of_Compliance_with_Background_Screening_Requirements.pdf
PDF 129 KB Posted
- Attached to
- Non-Motorized Eco Tours - Restricted Use Permits
- Solicitation number
- RFP-4-25-04
- Issued by
- Brevard County, Mount Carmel CDP, Florida
About this file
The document is an Attestation of Compliance with Background Screening Requirements form issued by Brevard County Parks and Recreation in Florida. The form requires a Concessionaire (service provider) to affirm compliance with specific background screening protocols for all employees, agents, representatives, and volunteers working under a Services and Lease Contract.
The attestation mandates that the Concessionaire will submit to high-level background screenings as defined in Florida Statutes Chapter 435.04, which includes fingerprinting. The Concessionaire must submit criminal history information to the Florida Department of Law Enforcement (FDLE) and pay associated fees, ensuring that no personnel have disqualifying criminal records. Additionally, the Concessionaire must immediately notify the Parks and Recreation Director in writing within 24 hours of any arrest or criminal status change for their personnel. The form serves as a legally binding document signed under penalty of perjury, confirming the organization's commitment to maintaining comprehensive background screening standards for all personnel involved in the contract.
View the file
Other files
Show 40 more
50 files listed here. See the rest on GovTribe.
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
ATTESTATION OF COMPLIANCE
With Background Screening Requirements
I, , swear and affirm under penalty of perjury as follows:
(Concessionaire Name)
1. That I am over eighteen (18) years of age and am authorized to sign for the subject Concessionaire, (Concessionaire Name)
2. That I am in full compliance with the Services and Lease Contract;
3. That I am in compliance, and shall maintain compliance with the following statements:
I will submit to a high‐level background screening, as defined in Florida Statues Chapter 435.04, and include fingerprinting, as a requirement of the Services and Lease Contract with the Brevard County Board of
County Commissioners;
Under the Services and Lease Contract, the Concessionaire will be responsible for submitting information and paying the fees for all employees, agents, representatives, or volunteers to the State of Florida Criminal
History Records Check to the Florida Department of Law Enforcement (FDLE) https://www.fdle.state.fl.us/Criminal‐History‐Records/Florida‐Checks having not been arrested for and are not awaiting final disposition of, have not been found guilty of, regardless of adjudication, or have not entered a plea of nolo contendere (no contest) or guilty to, or have been adjudicated delinquent and the record has not been sealed or expunged for any offense that would result in failure to pass a FDLE Criminal
History Records Check.
The Concessionaire shall notify the Parks and Recreation Director in writing, within 24 hours of any arrest or change in criminal status, regarding any of their employees, agents, representatives, or volunteers.
That we have met all the requirements for the Brevard County Board of County Commissioners Background
Screening.
Date Concessionaire Name
Signature
Print Name/Title
Phone Number
File details come from the government source that posted it. Updated .