Detention_Facilities_Site_Requirements_(Forms).pdf

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Are you an employee of an organization that has an AB109 or other county contract? No Job Title: Supervisor:

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ALAMEDA COUNTY SHERIFF'S OFFICE

DETE

Please print or type all entries. Please complete this form in its entirety. Illegible or incomplete forms will be returned.

Any additional information may be attached to the application

Purpose of obtaining security clearance

Employer: Job Title:

Phone #:Emergency Contact:

Personal Information

Contact Phone #: E-mail:

DOB: SSN:

Address:

Last: First: Race:

CDL/ID:

City:

application. I authorize the Office of the Sheriff to conduct any investigation to confirm the above listed information. I authorize the release of

Have you used any illegal narcotics within the last three years? YES □ NO □ Are you currently on probation or parole? YES □ NO □

If you answered yes to any of the above questions, please explain below:

Policy Acknowledgement I certify that the statements contained herein are true. I understand that any false or inaccurate information may result in the denial of my

FBI: REMARKS:

all confidential documents to the Alameda County Sheriff’s Office to determine my eligibility for a security site clearance. I understand that I am subject to and give my consent to be searched, including my personal affects and vehicle while I am on Sheriff’s Office Property. I acknowledge that I will notify the Sheriff's Office in writing within 24 hours, if anyone I know comes into custody within the Alameda County Jail System.

Applicant Signature: Date:

Office Use Only

DMV: REMARKS:

WARRANTS: REMARKS:

Date: APPROVED □ DENIED □

Reviewed by Lieutenant: Badge #: Date: APPROVED □ DENIED □

Facility Commanding Officer:

Appeal Process

Division Commander: Date: APPROVED □ DENIED □

CII: REMARKS:

Reviewed by Sergeant: Badge #: Date: APPROVED □ DENIED □ Processed By: Badge #: Date:

Have you ever engaged in any type of sexual abuse in any confinement setting? YES □ NO □ Have you been found civily liable for engaging in any form of sexual abuse? YES □ NO □ Have you been civily or administratively adjudicated to have engaged in sexual abuse in any confinement facility? YES □ NO □

*** FAILING TO LIST AN ARREST OR CONVICTION MAY BE BASIS FOR DENIAL ***

Do you have any family members or personal friends in custody in the Alameda County Jail System? YES □ NO □ Have you ever been arrested, charged, or convicted of any criminal offense? YES □ NO □

Yes

Inmate Services Santa Rita Jail

Reason for Visit:

Tour GroupContractor or EmployerVolunteer or Service Provider Santa Rita Jail

Procurement Contract #:

Revised 9/2025

Name of Project:

SANTA RITA JAIL PROJECTS SECURITY CLEARANCE FORM

For SRJ Projects, email completed form to: acsoprojsiteclearance@acgov.org

ALAMEDA COUNTY SHERIFF’S OFFICE

Special Projects Unit

Detention and Corrections Division

CONSULTANT/CONTRACT PERSONNEL AGREEMENT

All consultants and/or contract personnel (herein designated Agents of the Detention and Corrections Division) who are authorized entry into a jail facility, or who are in the proximity of inmates incarcerated in a jail facility, shall agree to abide by Detention and Corrections Division policies, rules, and regulations, and the requirements of confidentiality at all times.

Sheriff’s personnel are in absolute authority, full cooperation is expected. Failure to observe these rules shall result in immediate removal from the job site by Sheriff’s personnel.

The Agents of the Detention and Corrections Division shall agree to:

• Act responsibly within the institution and follow all directions from Sheriff’s personnel.

• Sign in and out at the designated control station, when applicable.

• The taking of pictures/video must be preapproved by Sheriff’s Personnel and are subject to review.

• Alert detention staff if an inmate makes a statement threatening to harm him/herself or another person.

• Refrain from personal and social involvement with inmates by:

o Refusing to deliver oral or written messages to and from inmate.

o Not becoming involved in personal, legal, or family activities.

• Per the Prison Rape Elimination Act (PREA) of 2003, report all allegations of knowledge of sexual abuse, harassment, or any sexual misconduct involving inmates that take place within any Sheriff’s office facility.

• Maintain confidentiality relative to operational procedures concerning jail safety and security issues.

• Maintain confidentiality relative to personal information concerning detention staff.

• If unable to appear for a scheduled appointment, notify the Special Projects staff.

• You may not bring any form of alcohol, drugs, drug paraphernalia, or firearms/weapons on jail property at any time.

• Do not introduce contraband into the facility.

• Leave personal items and other non-essential items in locked vehicles. Bring in only appropriate identification, keys, and materials needed to accomplish job duties and responsibilities. Vehicles and any storage compartments (ie. Toolboxes) must always be locked.

• Be security conscious by:

o Reporting anything, which appears out of the ordinary o Complying with security procedures or decisions made by security personnel.

• You are responsible for security of your tools at all times.

o You must have a complete inventory list of all tools carried with you or within your vehicle. This includes any equipment you are using such as ladders, hoses, hand tools, power tools, anything carried on a belt or in a bucket or tool box. Your toolbox must always be locked when not in use. Any Deputy at Santa Rita Jail has the right to see the list and compare it to your tools and equipment at any time.

o Missing tools and equipment will be reported to Sheriff’s Personnel immediately.

o Never leave your tools unattended. Everything you bring to the site must be picked up and put in a locked enclosure such as you vehicle or other designated location when you go to lunch, take a break, or leave at the end of the day. Remember, any tool can be used as a weapon!

• Ensure the activity area is left in a clean and neat condition.

I agree to abide by the Sheriff’s Office Detentions and Corrections Division policies, rules and regulations, and State Penal Code and the listed responsibilities at all times. Everyone entering the secured area is subject to search of their person and vehicle.

Signature Date

Print First and Last Name

Revised 1/10/23

NONDISCLOSURE AND USE OF INFORMATION

AGREEMENT

THIS NONDISCLOSURE AGREEMENT (“NDA”) is by and between the County of Alameda (“County"), and ____________________ __________ ("Contractor", together with the County, collectively, the "Parties), and shall begin on the execution date set forth below.

The Parties agree as follows:

1. The Contractor acknowledges Contractor will be exposed to and may review drawings, specifications, information, data, and/or records that constitute secure, valuable, confidential, and proprietary information, know-how, and trade secrets belonging to the County, its agents, entities, or affiliates and/or third parties ("Confidential Information") as part of the procurement process for the _______________________________________ _________________________________________________________ Project (“Project”).

2. In consideration of being provided such Confidential Information, the Contractor agrees to hold the same in strict confidence and shall take all reasonable measures to prevent unauthorized or improper disclosure or use of the Confidential Information. The Contractor agrees that all such Confidential Information:

(a) Shall be used only for the purpose of bidding for the Project; and,

(b) The Contractor agrees that it shall only disclose this Confidential Information to its authorized personnel bidding on this Project. The Contractor further represents and warrants that the Contractor will implement and maintain reasonable security procedures and practices appropriate to the nature of the information, to protect the Confidential Information from unauthorized access, destruction, use, modification, or disclosure. The Contractor further agrees not to use the data for a secondary commercial purpose not related to this Project.

c) Upon completion of the bidding process, the Contractor agrees to return to the

County all any and all drawings, specifications, information, data, and/or records that constitute secure, valuable, confidential, and proprietary information, know-how, and trade secrets, belonging to County, its agents, entities, or affiliates.

3. The Contractor agrees that any third parties owning any Confidential Information that the

County shares with the Contractor are express third party beneficiaries of this Agreement.

4. The Contractor agrees that for any violation of any provision of this NDA, the County may seek a restraining order and/or injunction against the Contractor in addition to any other remedy the County may have by law. The County reserves all rights that may be applicable to such a proceeding.

5. This Agreement shall be governed by and interpreted in accordance with the laws of the

State of California. The Parties recognize that the courts of California are the proper venue for enforcement of this NDA, and the venue for all actions shall lie in the County of Alameda.

6. The Parties agree that Confidential Information shall not include (a) information that is in the public domain through no violation of this NDA; (b) information that the Contractor can demonstrate was already in its possession and was not acquired, directly or indirectly, from the County on a confidential basis; or (c) information that is independently developed by the Contractor without the use of or reference to the Confidential Information.

7. The Contractor shall be liable for the actions of, or any disclosure or use by, its employees, agents, subcontractors or representatives in violation of this NDA; however, such liability shall not limit or prevent any actions by the County directly against such employees, agents, or representatives for improper disclosure and/or use. In no event shall the Contractor or its employees, agents, or representatives take any actions related to Confidential Information that is inconsistent with holding Confidential Information in strict confidence.

The Contractor shall immediately notify County in writing if it becomes aware of the possibility of any misuse, improper disclosure, or misappropriation of the Confidential Information by the Contractor or any of its employees, agents, or representatives. However, nothing in this Agreement shall obligate the County to monitor or enforce the Contractor’s compliance with the terms of this Agreement.

8. Nothing in this Agreement is intended to or shall prevent the Contractor from complying with lawful disclosure orders of a court or governmental or regulatory agency (“Required Disclosure”). In the event Confidential Information becomes subject to a Required Disclosure, the Contractor agrees to notify the County immediately of the request. If the request is made in writing, the Contractor shall immediately provide the County with a copy of the request. The County may seek a court order to defend the confidentiality of the Confidential Information. If the disclosure of such Confidential Information is required to prevent the Contractor from being held in contempt or subject to other penalty, the Contractor agrees to furnish only such portion of the Confidential Information as it is legally compelled to disclose and to redact any and all Confidential Information not required to be disclosed by law or order. Moreover, prior to disclosing the Confidential Information, the Contractor shall provide the County the opportunity to seek a court order preventing the disclosure of the Confidential Information and will cooperate with any lawful requests from the County should the County decide to seek such a court order.

County of Alameda: Contractor

Signature Signature

Name Name

Title Title

Date Date

Contractor Tool Inventory

Company Name: Work Location: DATE:

Item Description Manufacturer QTY

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Exhibit - Detention Facilties Site Requirements (Forms)