J-4_Liberty_Security_Guard_Verification_Document_1.pdf
PDF 259 KB Posted
- Attached to
- STLI - Unarmed Guard Services
- Solicitation number
- DOIPFBO260006
About this file
Summary
This is an employee verification document template for security guards assigned to work at the Statue of Liberty under a federal task order. The document serves as a certification form that contractors' authorized representatives must complete and submit to confirm that assigned employees have fulfilled all prerequisite requirements before beginning work.
The required qualifications and documentation that must be verified and dated include: resume/transcripts/diploma, vision and hearing certification, pre-employment drug screening, initial training completion (for guards at screening sites), initial supervisory training (if applicable), initial command center training (if applicable), initial sentry guard training (if applicable), passing score on written examination, state security guard license(s), and a signed non-disclosure form. The certification must be completed and submitted to the Contracting Officer's Representative (COR) prior to the employee's initial performance under the task order and renewed every five years thereafter. A copy must also be maintained in the employee's personnel file with updates reflecting any certification renewals. The document includes a warning that false or misleading information is subject to investigation and verification under Title 18, Section 1001 of the United States Code and may be punishable by fine or imprisonment.
View the file
Other files
Show all 17
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
ATTACHMENT J-4
Statue of Liberty Security Guard Verification Document
Employee’s Name: ______________________________________________________
I hereby certify that the above named employee fulfilled all the requirements stated below, and that the following documents are all current, valid, and properly filed in the employee’s personnel file as required by Task Order number _____________________.
Subject Date Completed / Filed Resume / Transcripts / Diploma
Vision & Hearing Certification
Pre-employment Drug Screening
Initial Training Completion (Guards working at screening site)
Initial Supervisory Training Completion, if applicable
Initial Command Center Training Completed, if applicable
Initial Sentry Guard Training Completion, if applicable
Passing Score On Written Examination
State Security Guard License(s)
Signed non-disclosure form
(Printed Name of Contractor’s Authorized Representative) (Signature) (Date)
Information provided in this certification is subject investigating and verification under Title 18, Section 1001 United State Code. Any false or misleading information may be punishable by fine or imprisonment.
This certification shall be completed and submitted to the COR prior to the employee’s initial performance under the Task Order and every five (5) years thereafter. A copy of this certification shall also be placed in the Task Order employee’s personnel file and shall be updated to reflect certification renewals as they occur.
File details come from the government source that posted it. Updated .