Customer Criminal Background Report. In the event that Customer requires its own criminal background screening for Maxim Personnel, Customer shall provide Maxim with a copy of the results and/or report, or the “Clear” or “Not Clear” status. Customer agrees that Personnel may begin assignment following completion of a successful Customer background screening. ATTACHMENT “C” ASSIGNMENT CONFIRMATION Xxxxx and Customer hereby agree the following Personnel will be assigned to Customer’s Work Site, listed below, under the terms and conditions outlined below and according to the Agreement signed between Customer and Maxim. Customer and Xxxxx understand and agree that this assignment is contingent upon verification of Personnel’s compliance with the Agreement and the pre-assignment screening requirements in “Attachment B” prior to the assigned start date. To the extent that the rates set forth herein differ from the rates in “Attachment A” the rates set forth herein shall govern for the length of the Assignment start and end dates, and with renewal of the Agreement. Customer Name: School Work Site Address: Confirmation Date: Customer hereby agrees to sign/return this document WITHIN 48 BUSINESS HOURS of the date listed above and understands that failure to do so may result in the delay of the assignment start date, and/or additional charges as defined in the Agreement. Personnel Name, Discipline: Assigned Unit/Department: Float Requirement: Assignment Start Date: Assignment End Date: Guaranteed Weekly Hours/Schedule: Approved Time-Off: Base Bill Rate: Overtime and Holiday Rates: On Call/Call Back Rates: Approved Orientation Rate/Hrs.: Special Provisions: Authorized signature below indicates agreement to utilize Maxim Personnel under of ALL of the conditions specified above. The Staffing Services Agreement between Customer and Maxim shall govern any/all additional provisions that affect this assignment and/or the business relationship between the parties. Authorized Customer Representative Signature Printed Name & Title Date Please email a signed copy of this confirmation back to E-MAIL ADDRESS. Thank you. State of Kansas Department of Administration DA-146a (Rev. 06-12)
Customer Criminal Background Report. In the event that Customer requires its own criminal background screening, which may include fingerprinting, for Amergis Personnel, Customer shall provide Amergis with a copy of the results and/or report, or the “Clear” or “Not Clear” status. Providing first day instructions for Amergis Personnel following Customer required background screening will constitute a “Clear” status. Customer agrees that Personnel may begin assignment following completion of a successful Customer background screening.
Customer Criminal Background Report. In the event that Customer requires its own criminal background screening, which may include fingerprinting, for Maxim Personnel, Customer shall provide Maxim with a copy of the results and/or report, or the “Clear” or “Not Clear” status. Providing first day instructions for Maxim Personnel following Customer required background screening will constitute a “Clear” status. Customer agrees that Personnel may begin assignment following completion of a successful Customer background screening.
Customer Criminal Background Report. In the event that Customer requires its own criminal background screening, which may include fingerprinting, for BEAM, LLC Personnel, Customer shall provide BEAM, LLC with a copy of the results and/or report, or the “Clear” or “Not Clear” status. Providing first day instructions for BEAM, LLC Personnel following Customer required background screening will constitute a “Clear” status. Customer agrees that Personnel may begin assignment following completion of a successful Customer background screening. Critical Assessment Response Team (CART) Collaborating with school districts across the Southern California region to address the overflow and backlog of special education assessments Rate Sheet 2024/2025
