Attachment_D_-_Attestation_of_Compliance_with_Background_Screening.pdf

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Attached to
Ritch Grissom Memorial Constructed Wetlands Maintenance
Solicitation number
B-7-25-56
Issued by
Brevard County, Florida

About this file

The document is an Attestation of Compliance with Background Screening Requirements form from Brevard County, Florida, specifically designed for vendors participating in the Ritch Grissom Memorial Constructed Wetlands Maintenance contract (Bid Number B-7-25-56). The form requires vendors to affirm compliance with background screening requirements, 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 complete a criminal history records check through the Florida Department of Law Enforcement (FDLE) and commit to notifying the Utilities Department Director within 24 hours of any arrest or criminal status changes.

The attestation is part of a broader procurement process for a five-year wetlands maintenance contract with an estimated budget of $80,000. Vendors must demonstrate a clean criminal history and be prepared to undergo comprehensive background checks as a condition of bidding. The form emphasizes the county's strict requirements for vendor personnel, mandating that no individuals with disqualifying criminal backgrounds can be involved in the project. By signing the document, vendors swear under penalty of perjury that they meet all background screening requirements and will maintain ongoing compliance throughout the contract period, reflecting Brevard County's commitment to safety and due diligence in contractor selection.

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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 .