C.5 Criminal Background Disclosure Statement (3).doc

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Attached to
Paving Contract Services
Solicitation number
Not on record
Issued by
Wayne County, Sterling Heights City, Michigan

About this file

The document is a Criminal Background Disclosure Statement for Southgate Community Schools' Request for Proposal (RFP) for Paving Contractor Services in Michigan. The project involves civil and repaving services for multiple elementary schools, including Allen Elementary School and Gerisch School, to be completed during summer break before the new school year begins on September 2nd, 2025. The work will be conducted during standard shifts from 7am-5pm Monday through Friday, with board approval scheduled for July 15th, 2025, and project completion required by August 28th, 2025. Projects will be awarded on a school-by-school basis, and alternative completion schedules may be submitted for district review.

The criminal background disclosure requires contractors to perform comprehensive background checks, including an Internet Criminal History Tool (ICHAT) check, for all personnel who will be on school district premises. Contractors must certify that no personnel are registered sexual offenders or have been convicted of listed offenses, with the understanding that false certification or non-compliance may result in immediate contract termination. While specific pricing details are not provided in this document, the RFP indicates that the work will involve parking lot repaving, civil work, pre-construction requirements like staking and survey elevation confirmation across the Southgate Community Schools district.

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Text version

SOUTHGATE COMMUNITY SCHOOLS

REQUEST FOR PROPOSAL – PAVING CONTRACTOR SERVICES

ATTACHMENT C.5 – CRIMINAL BACKGROUND AFFIDAVIT

Criminal Background Affidavit The undersigned, the owner or authorized officer of the below-named Firm, pursuant to the criminal background compliance certification requirements of Southgate Community Schools (the “School District”) hereby represents and warrants that the Firm has performed and/or will perform sufficient criminal background checks, including at a minimum, an Internet Criminal History Tool (“ICHAT”) check, for all of its owners, employees, agents, representatives, contractors and/or other personnel who will be on any School District premises to carry out the services contemplated by the Contract Documents. The Firm further hereby certifies that no owner, employee, agent, representative, contractor and/or other personnel of the Firm will be on any School District premises if they are a registered criminal sexual offender under the Sex Offenders Registration Act, Public Act 295 of 1994, or have been convicted of “Listed Offense” as defined under Section 722 of the Sex Offenders Registration Act, MCL 28.722.

The Firm further acknowledges that if it is found to have submitted a false certification or otherwise fails to comply with the requirements of this certification, the School District may immediately terminate the Contract.

FIRM:

Name of FIRM By:

Its:

STATE OF

)ss.

COUNTY OF )

This instrument was acknowledged before me on the day of , 2025, by ________________.

, Notary Public

______________ County, My Commission Expires:

Acting in the County of:

C-5

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