Contractor Employee Background Certification Form 2024.pdf
PDF 193 KB Posted
- Solicitation number
- RFP-121674
- Issued by
- Williamsburg City, Portsmouth City, Virginia
About this file
This is a Contractor Employee Background Certification Form required by the State of Virginia for RFP #1113-P-2526, which solicits Fire Protection Systems Testing, Inspection and Maintenance Services. The form must be completed and submitted with all bids; failure to include this certification will render a bid non-responsive. The certification pertains to compliance with Virginia Code 22.1-296.1 and applies to the applicant firm and any employees who will have direct contact with students under the contract.
The contractor and all employees with student contact must certify that neither the firm nor its employees have been convicted of felony charges, offenses involving sexual molestation, physical or sexual abuse, or rape of a child, or crimes of moral turpitude. The form requires the signature, printed name, company name, business address, and date from an authorized representative of the bidding organization.
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Text version
CONTRACTOR EMPLOYEE BACKGROUND CERTIFICATION
I certify that the applicant firm is in compliance with the Code of Virginia § 22.1-296.1, regarding providing certification from the company and any employee that will come in direct contact with students, for the provision of services under this contract.
I certify that the applicant firm and any of its employees, that will come in direct contact with students, have (i) never been convicted of a felony or any offense involving the sexual molestation or physical or sexual abuse or rape of a child; nor (ii) convicted of a crime of moral turpitude.
BY_______________________________________________ (SIGNATURE)
_______________________________________________ (PRINTED NAME)
_______________________________________________ COMPANY
_______________________________________________ BUSINESS ADDRESS
_______________________________________________ DATE
This form must be completed and returned with your bid.
Failure to return this form with your bid will result in your bid being considered non responsive.
File details come from the government source that posted it. Updated .