C.5 Criminal Background Disclosure Statement (3).pdf
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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
This document is a Criminal Background Affidavit from Southgate Community Schools for a Request for Proposal (RFP) for Paving Contractor Services. The affidavit requires the selected contractor to perform comprehensive criminal background checks, including an Internet Criminal History Tool (ICHAT) check, for all personnel who will be on school district premises. The paving project involves civil and repaving services for multiple elementary schools (Allen Elementary School and Gerisch School) during summer months, with work to be completed between July and August 2025. The project is scheduled for board approval on July 15th, 2025, with a requirement for project completion by August 28, 2025, and work typically occurring during standard shifts of 7am-5pm Monday through Friday when school is not in session.
The affidavit stipulates that no contractor personnel who are registered criminal sexual offenders or convicted of specific listed offenses will be permitted on school grounds. The document includes provisions for immediate contract termination if false certifications are submitted or compliance requirements are not met. While specific pricing details are not included in this attachment, the document is part of the larger RFP process for paving services within the Southgate Community Schools district in Michigan, emphasizing the critical importance of background screening and safety protocols for contractors working in educational environments.
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Text version
SOUTHGATE COMMUNITY SCHOOLS
REQUEST FOR PROPOSAL – PAVING CONTRACTOR SERVICES
ATTACHMENT C.5 – CRIMINAL BACKGROUND AFFIDAVIT
C-5
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:
File details come from the government source that posted it. Updated .