Attachment_D_-_Attestation_of_Compliance_with_Background_Screening.pdf
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- Solicitation number
- B-7-25-56
- Issued by
- Brevard County, Florida
About this file
This document is an Attestation of Compliance with Background Screening Requirements for Brevard County, Florida, specifically related to the Ritch Grissom Memorial Constructed Wetlands Maintenance contract. The form requires vendors to affirm their compliance with background screening procedures, including submitting to high-level background screenings defined in Florida Statutes Chapter 435.04, which involves fingerprinting for all employees, agents, representatives, and volunteers. Vendors must undergo a Florida Department of Law Enforcement (FDLE) Criminal History Records Check and commit to notifying the Utilities Department Director within 24 hours of any arrest or criminal status changes.
The attestation mandates that vendors ensure all personnel have no disqualifying criminal history, including no pending arrests, no guilty pleas (regardless of adjudication), and no offenses that would prevent passing a criminal background check. By signing the document, vendors swear under penalty of perjury that they are over 18 years old, authorized to bid, and fully compliant with the Invitation to Bid's background screening requirements. The form provides spaces for vendor details, signature, printed name/title, date, and contact information, serving as a critical compliance document for the Brevard County Board of County Commissioners' procurement process.
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Text version
ATTESTATION OF COMPLIANCE
With Background Screening Requirements
I, __________________________________, swear and affirm under penalty of perjury as follows:
(Vendor Name)
1. That I am over eighteen (18) years of age and am authorized to sign for the subject Bid, (Vendor Name)
2. That I am in full compliance with the Invitation to Bid;
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 Bid with the Brevard County Board of County Commissioners;
• Under the Bid, the Vendor 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 Vendor shall notify the Utilities Department 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
Vendor Name
Signature
Print Name/Title
Phone Number https://www.fdle.state.fl.us/Criminal-History-Records/Florida-Checks
File details come from the government source that posted it. Updated .