LEIN Request 26396.pdf

PDF 129 KB Posted

Attached to
472/26396. SAA; WHVCF - Roof Replacements
Solicitation number
RFP 171 260000002683 1
Issued by
Michigan

About this file

This is a LEIN (Local Economic Impact Notice) Request document from the State of Michigan related to roof replacement work at the Whitehall Village Community Facilities (WHVCF). The project, identified as 472/26396, involves the replacement of roofing systems at the facility. The request appears to be a notification to state agencies regarding a local contracting opportunity that may have economic impact implications for the jurisdiction. The document serves as formal notice of the contract opportunity to relevant state entities and stakeholders.

The LEIN Request establishes the framework for local procurement processes and ensures compliance with state notice requirements. Key details regarding specific bid response dates, due dates, site visit schedules, and award timelines would typically be contained in the associated bidding documents and project specifications. The roof replacement project falls under the SAA (State Agreement Act) framework, indicating it operates under established state purchasing procedures. Funding sources, project budgets, and any prevailing wage or set-aside requirements applicable to Michigan state and local contracts would be detailed in the accompanying scope of work and contract specifications documents.

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Text version

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: WHVCF - Calhoun & Dickinson HVAC Repair File # 472/26396.SAA

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