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)
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