Contractor Employee Background Certification Form 2024.pdf

This is a Contractor Employee Background Certification Form for Virginia that applies to the Fire Protection Systems Testing, Inspection & Maintenance Services contract opportunity (1116-P-2627). The form requires certification of compliance with Virginia Code 22.1-296.1, mandating that the applicant firm and any employees who will have direct contact with students must be certified and meet specific background requirements. The contractor must certify that neither the firm nor its employees have been convicted of felonies, offenses involving sexual molestation or physical or sexual abuse or rape of a child, or crimes of moral turpitude. The form must be completed and signed by an authorized representative of the company, including the signatory's printed name, company name, business address, and date.

Submission of this background certification form is mandatory and must be returned with the bid submission. Failure to include the completed form with the bid will result in the bid being deemed non-responsive and likely rejected from consideration. This requirement ensures compliance with Virginia state law regarding protection of students in educational settings and reflects the state's commitment to background vetting for service providers who may interact with students.