Documentation Submission. The Company shall not commence the Services under this SOW and the Agreement until the Company has submitted the following documents to District: Signed Agreement Workers’ Compensation Certification, in the form attached as a Schedule hereto Fingerprinting/Criminal Background Investigation Certification, in the form attached as a Schedule hereto Insurance Certificates and Endorsements W-9 Form Non-collusion Declaration, in the form attached as a Schedule hereto Tuberculosis Clearance, in the form attached as a Schedule hereto The Parties have executed this SOW effective as of the date first written above. COMPANY: HEYTUTOR INC. DISTRICT: Accelerated Schools By: Name: Title: Address for Notices: By: Name: Xxxxxxx Xxxxxxxxx Title: Chief Business Officer Address for Notices: 0000 X. Xxxx Xxxxxx Xxx Xxxxxxx, XX 00000 Date Executed: Date Executed: 8/15/23 -- Board approval 9/20/23 HEYTUTOR INC. SCHEDULE TO SOW FINGERPRINTING/CRIMINAL BACKGROUND INVESTIGATION CERTIFICATION One of the three boxes below must be checked, with the corresponding certification provided, and this form attached to the Statement of Work of Master Tutoring Services Agreement (“Agreement”): The fingerprinting and criminal background investigation requirements of Education Code section 45125.1 apply to Contractor’s services under this Agreement and Contractor certifies its compliance with these provisions as follows: Contractor certifies that the Contractor has complied with the fingerprinting and criminal background investigation requirements of Education Code section 45125.1 with respect to all Contractor’s employees, subcontractors, agents, and subcontractors’ employees or agents (“Employees”) regardless of whether those Employees are paid or unpaid, concurrently employed by the District, or acting as independent contractors of the Contractor, who may have contact with District pupils in the course of providing services pursuant to the Agreement, and the California Department of Justice has determined that none of those Employees has been convicted of a felony, as that term is defined in Education Code section 45122.1. A complete and accurate list of all Employees who may come in contact with District pupils during the course and scope of the Agreement is attached hereto. Pursuant to Education Code section 45125.2, Contractor has installed or will install, prior to commencement of Work, a physical barrier at the Work Site, that will limit contact between Contractor's employees and Distri...
Documentation Submission. Applicants must submit all required documentation to verify eligibility as outlined by the subrecipient. This may include, but is not limited to, pay stubs, tax returns, or statements from relevant government agencies.
