Exhibit_4_-_Employee_Acknowledgment_of_Employer_Form.pdf
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- Solicitation number
- RFP-057-2761401-MM
- Issued by
- Orange County, San Francisco City, California
About this file
Exhibit 4 is an Employee Acknowledgment of Employer form related to a contract opportunity between a contractor and the County of Orange, California for Polygraph Examination Services for Post-Conviction Adult Sex Offenders. The form is designed to clearly establish that the employee understands they are employed by the contracted service provider, not the County of Orange, and that the County will not be responsible for providing employee benefits or assuming liability for wages, salaries, or compensation.
The document serves as a standard employment clarification form that ensures transparency in the contractual relationship between the service provider, its employees, and the County of Orange. By requiring employees to sign this acknowledgment, the County and the contractor establish a clear delineation of employment responsibilities and potential liabilities, which is particularly important for specialized service contracts involving sensitive work such as polygraph examinations for post-conviction sex offenders.
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Text version
Exhibit 4
EMPLOYEE ACKNOWLEDGMENT OF EMPLOYER
I acknowledge that I am an employee of and not of the County of Orange.
I understand that my employer, and not the County of Orange will be solely responsible for providing on my behalf, all legally required employee benefits.
I understand that the County shall not assume any liability for the payment of salaries, wages, benefits, or other compensation to, or on my behalf.
(Employee Name – Please Print) (Signature of Employee)
File details come from the government source that posted it. Updated .