Attachment F - RFP 841-27-002 - Criminal History Background Check.pdf

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Attached to
Janitorial Services and Supplies
Solicitation number
URFP-131036
Issued by
Henrico County, Roanoke City, Virginia

About this file

This document is Attachment F to RFP No. 841-27-002 and serves as a criminal history background check and certification form required by the Department of Aviation (DOAV). The attachment establishes mandatory compliance requirements for contractors and their personnel upon contract award. The contractor must certify that all personnel assigned to work at the DOAV have obtained criminal history background checks and that identified employees have no incidents of felony or larceny crimes. The form requires the signature of the contractor's proprietor or authorized representative and includes spaces for employee names, birthdates, addresses, and telephone numbers.

Additionally, the attachment includes a certification of compliance with the Immigration Reform and Control Act of 1986, whereby the contractor's proprietor or authorized representative must certify under signature that they are not knowingly employing any unauthorized aliens as defined by federal law for performance on the contract. These certifications are standard compliance requirements that must be completed and submitted prior to contract commencement.

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Text version

Attachment F – RFP No. 841-27-002

Attachment F

RFP 841-27-002

Criminal History Background Check and Certification & Immigration Reform and

Control Act of 1986 Compliance Certification

This is to be submitted by the Contractor upon contract award.

I, __________________________, as the proprietor or authorized agent/representative of ___________________________ (company) hereby certify that all personnel assigned to work at the DOAV have obtained a criminal history background check. I further certify that the following employees have no incidents of felony or larceny crimes.

(Signature)

NAME BIRTHDATE ADDRESS TELEPHONE

CONTRACTOR’S CERTIFICATION OF COMPLIANCE WITH IMMIGRATION REFORM AND CONTROL ACT

OF 1986:

I, ________________________, as the proprietor or authorized agent/representative of ________________________ (company) hereby certify that I am not knowingly employing an unauthorized alien as defined in the federal Immigration Reform and Control Act of 1986, for performance on this contract.

(Signature)

File details come from the government source that posted it. Updated .