Attachment H - Authorization of Contractor's Personnel.pdf
PDF 116 KB Posted
- Attached to
- Janitorial Services- Cedar Bluff Office
- Solicitation number
- IFB-116698
- Issued by
- Powhatan County, Chatham Town, Virginia
About this file
Exhibit H is an authorization form required by Virginia Works for contractor personnel working at the Cedar Bluff Office janitorial services contract. Upon contract award and prior to service performance, the contractor must submit a completed exhibit certifying that all assigned personnel are legal residents or authorized aliens under the Immigration Reform and Control Act of 1986, have passed criminal history background checks through the Virginia State Police (VSP), and have no felony or larceny convictions. The form requires the contractor's proprietor or authorized representative to list all personnel by name, birthdate, address, and phone number, and to warrant that the company will not knowingly employ unauthorized aliens.
Virginia Works maintains strict facility access controls requiring that all individuals, including non-custodial staff, family members, and visitors, must pass VSP criminal background checks and receive prior approval before entering the facility. The contractor is responsible for keeping Exhibit H current and promptly resubmitting updates to the Virginia Works Contract Administrator whenever personnel changes occur. Virginia Works uses security cameras to monitor facility access and verify that only authorized personnel enter the building.
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Text version
EXHIBIT H
AUTHORIZATION OF CONTRACTOR’S PERSONNEL
EXHIBIT H, AUTHORIZATION OF CONTRACTOR’S PERSONNEL (To be submitted by the Contractor upon contract award, prior to service performance):
I, ____________________________, as the proprietor or authorized agent/representative of ________________________ (company) on this ___________( date ) hereby certify that all personnel assigned to work at the Virginia Works are legal residents or aliens under the terms of the Immigration Reform and Control Act of 1986 and that __________________________(company) shall not knowingly employ an unauthorized alien. I further certify that all personnel have passed a criminal history background check through the Virginia State Police (VSP) and that the following employees assigned to Virginia Works have no incidents of felony or larceny crimes.
NAME BIRTHDATE ADDRESS PHONE#
1. The Contractor shall not allow access to the Virginia Works facility by any individual who has not passed a criminal history background check though the Virginia State Police (VSP) and who is not previously approved by the Virginia Works through the submission of Exhibit H, Authorization of Contractor’s Personnel; this includes non-custodial staff, family members, and friends. Virginia Works uses a security camera system to verify that unauthorized persons are not entering the building.
2. Exhibit H, Authorization of Contractor’s Personnel, shall be kept up-to-date by the Contractor and promptly resubmitted to the Virginia Works Contract Administrator upon any change in personnel.
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