LEIN Request 23207.pdf

123 KB Posted

Attached to
472/23207. RWG; Handlon CF - Wi-Fi Cabling Infrastructure
Solicitation number
RFQ - 171 - 230000000416
Issued by
Ionia County, Michigan

About this file

Written by GovTribe AI ·

This document is a LEIN (Law Enforcement Information Network) Request Form from the Michigan Department of Corrections (MDOC). The form is used to conduct a criminal history check for individuals seeking to enter the secure perimeter/property of an MDOC facility to perform work, visit, meet with, or work with MDOC offenders. The form requires the individual to provide their personal information, including last name, first name, middle name, address, date of birth, sex, race, and driver's license or state ID number.

The related state and local contract opportunity is for the Handlon CF - Wi-Fi Cabling Infrastructure project, with the file number 472/23207.RWG. The project is located in Ionia County, Michigan. The bid attachments must be uploaded to the SIGMA VSS system, and no hard copies will be accepted. Bidders are instructed to email questions to Bret Emerson at bids@commtechdesign.com, as online questions via VSS will not be accepted. The bid submission deadline is 2:00 p.m., and approved emailed submissions may be considered on a case-by-case basis.

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Other files

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472-23207.RWG Richard Handlon Wi-Fi Cabling Infrastructure - DTMB-0415 Adverstisment.pdf PDF
Addendum 1 Appendix V - part 2 of 9.pdf PDF
Addendum 1 Appendix V - part 3 of 9.pdf PDF
Addendum 1 Appendix V - part 9 of 9.pdf PDF
472_22307_RWG_Handlon (MTU)_WiFi Cabling Bid Specs.pdf PDF
472_23207_RWG_Handlon (MTU)_WiFi Cabling Drawings.pdf PDF
Addendum 1 23207.pdf PDF
Addendum 1 Appendix V - part 1 of 9.pdf PDF
Addendum 1 Appendix V - part 5 of 9.pdf PDF
Addendum 1 Appendix V - part 6 of 9.pdf PDF
Addendum 1 Appendix V - part 8 of 9.pdf PDF
Addendum 1 Appendix V - part 4 of 9.pdf PDF
Addendum 1 Appendix V - part 7 of 9.pdf PDF
Show all 13

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MICHIGAN DEPARTMENT OF CORRECTIONS

LEIN REQUEST

CAJ-1037.

REV. 09/19.

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, date-of-birth, race and sex is needed to complete this LEIN request.

Employment/Human Resources HR Personnel / Requesting

Contractor Visitor Contractor Agency Agency Representing

Volunteer Other Agency Representing Agency Representing

Are you entering the secure perimeter/property of a Michigan Department of Corrections (MDOC) facility? Yes No

Please print information below:

Last Name: 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:

I authorize the MDOC to conduct a criminal history check, so that I may be approved to enter the secure perimeter/property of an MDOC facility to perform work, visit, meet with or work with MDOC offenders.

For MDOC HR/Employment purposes only: I further authorize the Department to check my motor vehicle operator license record for the purposes of determining if I will be allowed to operate a motor vehicle while conducting Department business.

Signature: Date:

LEIN Completed By: Name: Date:

LEIN Cleared: Yes No (Does not apply to Human Resources)

MDOC Employment/HR purposes: Indicate the # of convictions:

Comment (Optional):

hallt2 Text Box Facility/Project Name: Handlon CF - Wi-Fi Cabling Infrastructure File # 472/23207.RWG

File details come from the government source that posted it. Updated .