Attachment E School Safety Affidavit.pdf

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Attached to
Genesee Career Institute (GCI) Field House Technology REBID
Solicitation number
RFP GIS 210000001110 1
Issued by
Genesee County, Michigan

About this file

This is a School Safety Affidavit attachment for a Request for Proposals (RFP) issued by the Genesee Intermediate School District for the GCI Field house Technology Rebid project. The affidavit is a mandatory compliance document that must be completed, signed, and notarized by an authorized officer of the contracting vendor and submitted with every bid submission. The Board of Education will not accept any bid that does not include this completed and properly executed form.

The affidavit requires 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 any school district property shall comply with Michigan Code of Laws sections 380.1230, 380.1230a, 380.1230c, 380.1230d, and 380.1230g and have not been convicted of any listed offenses under these 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 the charged crime. The affidavit must include notation of any exceptions or state "none" if no exceptions apply.

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RFP - Attachment E Genesee Intermediate School District GCI Field house Technology Rebid RFP

School Safety

THE AFFIDAVIT SET FORTH BELOW MUST BE EXECUTED ON BEHALF OF

THE VENDOR AND FURNISHED WITH EVERY BID

The Board of Education will not accept this bid without this completed, signed and notarized form

School Safety Legislation

State of

County of

Tax ID Number

__________________ , the authorized officer of ______________ (the "Contractor") being duly sworn, 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)

(Affiant)

SWORN TO and subscribed before me, a Notary Public, in and for the above named State and County thi

_______ day of ________, _________.

(Notary Public)

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