Attachment E School Safety Affidavit.pdf
PDF 343 KB Posted
- Attached to
- GISD Workflow Solution RFP Rebid
- Solicitation number
- RFP GIS 260000001292 1
- Issued by
- Genesee County, Michigan
About this file
This is a School Safety Affidavit attachment to an RFP issued by Genesee Intermediate School District (GISD) for a Workflow Solution. The affidavit is a mandatory compliance document that must be completed, certified, and submitted with every bid submission. The Board of Education will not accept any bid without this signed form. The affidavit requires the authorized officer of the Contractor to certify that all persons working directly or indirectly for the Contractor—including employees, agents, vendors, subcontractors, and consultants—who will work at or on school district property shall comply at all times with Michigan statutes MCL 380.1230, 380.1230a, 380.1230c, 380.1230d, and 380.1230g, and have not been convicted of any "listed offenses" as defined under those statutes.
The Contractor must report within three business days to the School District if any such person is charged with a crime listed in Section 1535a(1) of the Revised School Code or a substantially similar law, and must immediately report to the Michigan Statewide Education Network if that person is subsequently convicted, pleads guilty, or pleads no contest to such a crime. The affidavit form includes spaces for the Contractor to identify exceptions, if any, along with signature, name, state, county, and Tax ID Number fields for certification purposes.
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Text version
RFP - Attachment E Genesee Intermediate School District GISD Workflow Solution RFP
School Safety
THE AFFIDAVIT SET FORTH BELOW MUST BE CERTIFIED ON BEHALF
OF THE VENDOR AND FURNISHED WITH EVERY BID
The Board of Education will not accept this bid without this completed and signed form.
School Safety Legislation
State of
County of
Tax ID Number
__________________ , the authorized officer of ______________ (the "Contractor") certifies, warrants and represents that any and all persons who will work directly or indirectly for the
Contractor, including but not limited to employees, agents, vendors, subcontractors or consultants, and who will work at or on any school district property, shall, at all times, be in compliance with MCL 380.1230, 380.1230a, 380.1230c, 3801230d, and 380.1230g and have not been convicted of any "listed offenses". In this regard, Contractor agrees, without limitation, to report within 3 business days to the School District when any such person is charged with a crime listed in Section 1535a(1) of the Revised School Code or a substantially similar law, and to immediately report to Michigan Statewide Education
Network if that person is subsequently convicted, pleads guilty or pleads no contest to that crime.
Exceptions:
(If no exceptions, please state none)
Name:
Signature:
1/1
| State of: |
| County of: |
| Tax ID Number: |
| warrants and represents that any and all persons who will work directly or indirectly for the: |
| the authorized officer of: |
| Exceptions If no exceptions please state none: |
| Name: |
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