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.

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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 .