LEIN Request 22453.pdf
PDF 158 KB Posted
- Attached to
- 472/22453. RWG; WHV - PM & Associated Repairs
- Solicitation number
- RFQ - 171 - 240000000082
- Issued by
- Washtenaw County, Wyoming City, Michigan
About this file
This document is a LEIN Request form from the Michigan Department of Corrections for a vendor or contractor to conduct criminal history checks in order to visit or meet with persons confined in a Michigan Department of Corrections facility. The state and local contract opportunity is for Preventative Maintenance & Associated Repairs at the Women's Huron Valley Correctional Facility, with the solicitation number 472/22453.RWG. Potential vendors/contractors must complete the LEIN Request form, providing personal identification information, in order to be approved to visit the facility. The contract opportunity requires electronic bid submissions through the SIGMA VSS system, with a 2:00 p.m. deadline. Questions should be directed to the project contact, Joe Sovis, via email.
The contract opportunity does not provide details on pricing terms, set asides, incumbents, funding requirements, or other salient financial information. The contract is for maintenance and repair services at the state correctional facility in Washtenaw County, Michigan, as well as in the city of Wyoming.
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Other files
| File | Type | Posted |
|---|---|---|
| Drawings Part 2 22453.pdf | ||
| Advertisement 22453.pdf | ||
| Specifications 22453.pdf | ||
| Drawings Part 1 22453.pdf |
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Text version
MICHIGAN DEPARTMENT OF CORRECTIONS
VENDOR/CONTRACTOR LEIN REQUEST
CAJ-1037
REV. 04/18
Please provide the information requested below. This information will be used to complete a criminal history check in the Michigan Law Enforcement Information Network (LEIN).
Your Driver’s License Number or State Identification Card Number is needed to complete this LEIN. Also needed are your date-of-birth, race and sex. Potential entry into MDOC facilities require that this LEIN check be completed and cleared.
I authorize the Michigan Department of Corrections to conduct a criminal history check, so that I may be approved to visit/meet with persons confined in a Michigan Department of Corrections facility.
Signature Date
Staff Use Only
Reason for LEIN Check
Staff requesting LEIN Check
LEIN Checked by
LEIN Clear Yes No, You may obtain a copy of your Michigan criminal history at www.michigan.gov/ichat. There is a fee for this service.
LEIN Check completed by Initials Date
Profession Vendor Contractor
Last Name (Please Print)
First Name Middle Name
Address
City State Zip Code
Date of Birth Sex Race
Please provide the number of one of the following types of identification:
Driver’s License # State issued by
State ID # State issued by
Facility /Project Name: Women’s Huron Valley Correctional Facility
– Preventative Maintenance & Associated Repairs
File # 472/22453.RWG http://www.michigan.gov/ichat
State of Michigan Matrix Consulting Engineers, Inc.
Department of Technology, Management and Budget Design and Construction Division Women’s Huron Valley Preventative Maintenance & Associated Repairs File No: 472/22453.RWG Funding Code No.: 472MAINTPROJ
THIS PAGE IS LEFT BLANK INTENTIONALLY
| VENDOR/CONTRACTOR LEIN REQUEST |
| I authorize the Michigan Department of Corrections to conduct a criminal history check, so that I may be approved to visit/meet with persons confined in a Michigan Department of Corrections facility. |
File details come from the government source that posted it. Updated .