Common use of THIS IS A REQUIRED FORM Clause in Contracts

THIS IS A REQUIRED FORM. Any claims under this bond may be addressed to: (Name and Address of Surety) (Name and Address of Agent or Representative for service of process in California, if different from above) (Telephone number of Surety and Agent or Representative for service of process in California) Notary Acknowledgment A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. STATE OF CALIFORNIA COUNTY OF On , 20 , before me, , Notary Public, personally appeared , who proved to me on the basis of satisfactory Name(s) of Signer(s) evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature of Notary Public OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT Individual Corporate Officer Title(s) Partner(s) Limited General Attorney-In-Fact Trustee(s) Guardian/Conservator Other: Signer is representing: Name Of Person(s) Or Entity(ies) Title or Type of Document Number of Pages Date of Document Signer(s) Other Than Named Above EXHIBIT "E" CONTRACTOR FINGERPRINTING REQUIREMENTS CONTRACTOR CERTIFICATION With respect to the Contract dated 20 by and between the POWAY UNIFIED SCHOOL XXXXXXXX ("xxx Xxxxxxxx") and ("Contractor") Contractor hereby certifies to the District's governing board that it has completed the criminal background check requirements of Education Code section 45125.1 and that none of its employees that may come in contact with the District 's pupils have been convicted of a violent felony listed in Penal Code section 667.5(c) or a serious felony listed in Penal Code section 1192.7(c). Contractor's Representative Date: CONTRACTOR EXEMPTION Pursuant to Education Code sections 45125.1 and 45125.2, the POWAY UNIFIED XXXXXX XXXXXXXX ("xxx Xxxxxxxx") has determined that ("Contractor") is exempt from the criminal background check certification requirements for the contract dated 20 by and between the District and Contractor ("Contract") because: The Contractor's employees will have limited contact with the District students during the course of the Contract; Emergency or exceptional circumstances exist; or With respect to Contractors constructing, reconstructing, rehabilitating or repairing a school facility, as provided in Section 45125.2, the Contractor has agreed to ensure the safety of pupils at the school facility by the following method(s) specified in Section 45125.2: School the District Official: Date: EXHIBIT "E" (CONT.) SUBCONTRACTOR FINGERPRINTING REQUIREMENTS SUBCONTRACTOR'S CERTIFICATION The POWAY UNIFIED SCHOOL DISTRICT ("xxx Xxxxxxxx") entered into a contract for services with ("Contractor") on or about , 20 ("Contract"). This certification is submitted by , a subcontractor to the Contractor for purposes of that Contract ("Subcontractor"). Subcontractor hereby certifies to the District's governing board that it has completed the criminal background check requirements of Education Code section 45125.1 and that none of its employees that may come in contact with the District pupils have been convicted of a violent felony listed in Penal Code section 667.5(c) or a serious felony listed in Penal Code section 1192.7(c). Subcontractor's Representative: Date: SUBCONTRACTOR'S EXEMPTION The POWAY UNIFIED SCHOOL DISTRICT ("xxx Xxxxxxxx") entered into a contract for services with ("Contractor") on or about , 20 ("Contract"). Pursuant to Education Code sections 45125.1 and 45125.2, the District has determined that , a subcontractor to the Contractor for purposes of that Contract ("Subcontractor") is exempt from the criminal background check certification requirements for the Contract because: The Subcontractor's employees will have limited contact with the District students during the course of the Contract; Emergency or exceptional circumstances exist; or With respect to Contractors constructing, reconstructing, rehabilitating or repairing a school facility, as provided in Section 45125.2, the Contractor and/or Subcontractor have agreed to ensure the safety of pupils at the school facility by the following method(s) specified in Section 45125.2: School the District Official: Date EXHIBIT "F" CONTRACTOR'S CERTIFICATE REGARDING WORKERS' COMPENSATION Labor Code section 3700 in relevant part provides: Every employer except the State shall secure the payment of compensation in one or more of the following ways:

THIS IS A REQUIRED FORM. Any claims under this bond may be addressed to: (Name and Address of Surety) (Name and Address of Agent or Representative for service of process in California, if different from above) (Telephone number of Surety and Agent or Representative for service of process in California) Notary Acknowledgment A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. NOTARY ACKNOWLEDGMENT (California All-Purpose Acknowledgment) STATE OF CALIFORNIA ) ) COUNTY OF SAN DIEGO ) On , 20 , before me, , Notary Public, personally appeared , who proved to me on the basis of satisfactory Name(s) of Signer(s) evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature of Notary Public OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT Individual Corporate Officer Title(s(SEAL) Partner(s) Limited General Attorney-In-Fact Trustee(s) Guardian/Conservator Other: Signer is representing: Name Of Person(s) Or Entity(ies) Title or Type of Document Number of Pages Date of Document Signer(s) Other Than Named Above EXHIBIT "E" CONTRACTOR FINGERPRINTING REQUIREMENTS CONTRACTOR CERTIFICATION With respect to the Contract dated 20 by and between the POWAY UNIFIED SCHOOL XXXXXXXX School Xxxxxxxx ("xxx Xxxxxxxx") and ("Contractor") Contractor hereby certifies to the District's governing board that it has completed the criminal background check requirements of Education Code section 45125.1 and that none of its employees that may come in contact with the District 's pupils have been convicted of a violent felony listed in Penal Code section 667.5(c) or a serious felony listed in Penal Code section 1192.7(c). Contractor's Representative Date: CONTRACTOR EXEMPTION Pursuant to Education Code sections 45125.1 and 45125.2, the POWAY UNIFIED XXXXXX XXXXXXXX School District ("xxx Xxxxxxxx") has determined that ("Contractor") is exempt from the criminal background check certification requirements for the contract dated 20 by and between the District and Contractor ("Contract") because: The Contractor's employees will have limited contact with the District students during the course of the Contract; Emergency or exceptional circumstances exist; or With respect to Contractors constructing, reconstructing, rehabilitating or repairing a school facility, as provided in Section 45125.2, the Contractor has agreed to ensure the safety of pupils at the school facility by the following method(s) specified in Section 45125.2: School the District Official: Date: LLB - Construction Services Agreement, SMUSD and. Page E-1 of 2 Project , 2018 EXHIBIT "E" (CONT.) SUBCONTRACTOR FINGERPRINTING REQUIREMENTS SUBCONTRACTOR'S CERTIFICATION The POWAY UNIFIED SCHOOL DISTRICT School District ("xxx Xxxxxxxx") entered into a contract for services with ("Contractor") on or about , 20 ("Contract"). This certification is submitted by , a subcontractor to the Contractor for purposes of that Contract ("Subcontractor"). Subcontractor hereby certifies to the District's governing board that it has completed the criminal background check requirements of Education Code section 45125.1 and that none of its employees that may come in contact with the District pupils have been convicted of a violent felony listed in Penal Code section 667.5(c) or a serious felony listed in Penal Code section 1192.7(c). Subcontractor's Representative: Date: SUBCONTRACTOR'S EXEMPTION The POWAY UNIFIED SCHOOL DISTRICT ("xxx Xxxxxxxx") entered into a contract for services with ("Contractor") on or about , 20 ("Contract"). Pursuant to Education Code sections 45125.1 and 45125.2, the District has determined that , a subcontractor to the Contractor for purposes of that Contract ("Subcontractor") is exempt from the criminal background check certification requirements for the Contract because: The Subcontractor's employees will have limited contact with the District students during the course of the Contract; Emergency or exceptional circumstances exist; or With respect to Contractors constructing, reconstructing, rehabilitating or repairing a school facility, as provided in Section 45125.2, the Contractor and/or Subcontractor have agreed to ensure the safety of pupils at the school facility by the following method(s) specified in Section 45125.2: School the District Official: Date EXHIBIT "F" CONTRACTOR'S CERTIFICATE REGARDING WORKERS' COMPENSATION Labor Code section 3700 in relevant part provides: Every employer except the State shall secure the payment of compensation in one or more of the following ways:

THIS IS A REQUIRED FORM. Any claims under this bond may be addressed to: (Name and Address of Surety) (Name and Address of Agent or Representative for service of process in California, if different from above) (Telephone number of Surety and Agent or Representative for service of process in California) Notary Acknowledgment A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. NOTARY ACKNOWLEDGMENT (California All-Purpose Acknowledgment) STATE OF CALIFORNIA ) ) COUNTY OF SAN DIEGO ) On , 20 , before me, , Notary Public, personally appeared , who proved to me on the basis of satisfactory Name(s) of Signer(s) evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature of Notary Public OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT Individual Corporate Officer Title(s(SEAL) Partner(s) Limited General Attorney-In-Fact Trustee(s) Guardian/Conservator Other: Signer is representing: Name Of Person(s) Or Entity(ies) Title or Type of Document Number of Pages Date of Document Signer(s) Other Than Named Above EXHIBIT "E" CONTRACTOR FINGERPRINTING REQUIREMENTS CONTRACTOR CERTIFICATION With respect to the Contract dated 20 by and between the POWAY UNIFIED SCHOOL XXXXXXXX School District ("xxx Xxxxxxxxthe District") and ("Contractor") Contractor hereby certifies to the District's governing board that it has completed the criminal background check requirements of Education Code section 45125.1 and that none of its employees that may come in contact with the District 's pupils have been convicted of a violent felony listed in Penal Code section 667.5(c) or a serious felony listed in Penal Code section 1192.7(c). Contractor's Representative Date: CONTRACTOR EXEMPTION Pursuant to Education Code sections 45125.1 and 45125.2, the POWAY UNIFIED XXXXXX XXXXXXXX School District ("xxx Xxxxxxxxthe District") has determined that ("Contractor") is exempt from the criminal background check certification requirements for the contract dated 20 by and between the District and Contractor ("Contract") because:  The Contractor's employees will have limited contact with the District students during the course of the Contract;  Emergency or exceptional circumstances exist; or  With respect to Contractors constructing, reconstructing, rehabilitating or repairing a school facility, as provided in Section 45125.2, the Contractor has agreed to ensure the safety of pupils at the school facility by the following method(s) specified in Section 45125.2: School the District Official: Date: EXHIBIT "E" (CONT.) SUBCONTRACTOR FINGERPRINTING REQUIREMENTS SUBCONTRACTOR'S CERTIFICATION The POWAY UNIFIED SCHOOL DISTRICT School District ("xxx Xxxxxxxxthe District") entered into a contract for services with ("Contractor") on or about , 20 ("Contract"). This certification is submitted by , a subcontractor to the Contractor for purposes of that Contract ("Subcontractor"). Subcontractor hereby certifies to the District's governing board that it has completed the criminal background check requirements of Education Code section 45125.1 and that none of its employees that may come in contact with the District pupils have been convicted of a violent felony listed in Penal Code section 667.5(c) or a serious felony listed in Penal Code section 1192.7(c). Subcontractor's Representative: Date: SUBCONTRACTOR'S EXEMPTION The POWAY UNIFIED SCHOOL DISTRICT ("xxx Xxxxxxxx") entered into a contract for services with ("Contractor") on or about , 20 ("Contract"). Pursuant to Education Code sections 45125.1 and 45125.2, the District has determined that , a subcontractor to the Contractor for purposes of that Contract ("Subcontractor") is exempt from the criminal background check certification requirements for the Contract because: The Subcontractor's employees will have limited contact with the District students during the course of the Contract; Emergency or exceptional circumstances exist; or With respect to Contractors constructing, reconstructing, rehabilitating or repairing a school facility, as provided in Section 45125.2, the Contractor and/or Subcontractor have agreed to ensure the safety of pupils at the school facility by the following method(s) specified in Section 45125.2: School the District Official: Date EXHIBIT "F" CONTRACTOR'S CERTIFICATE REGARDING WORKERS' COMPENSATION Labor Code section 3700 in relevant part provides: Every employer except the State shall secure the payment of compensation in one or more of the following ways:

THIS IS A REQUIRED FORM. Any claims under this bond may be addressed to: (Name and Address of Surety) (Name and Address of Agent or Representative for service of process in California, if different from above) (Telephone number of Surety and Agent or Representative for service of process in California) Notary Acknowledgment A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. NOTARY ACKNOWLEDGMENT (California All-Purpose Acknowledgment) STATE OF CALIFORNIA ) COUNTY OF MADERA ) On , 20 , before me, , Notary Public, personally appeared , who proved to me on the basis of satisfactory Name(s) of Signer(s) evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature of Notary Public OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT Individual Corporate Officer Title(s(SEAL) Partner(s) Limited General Attorney-In-Fact Trustee(s) Guardian/Conservator Other: Signer is representing: Name Of Person(s) Or Entity(ies) Title or Type of Document Number of Pages Date of Document Signer(s) Other Than Named Above EXHIBIT "E" CONTRACTOR FINGERPRINTING REQUIREMENTS CONTRACTOR CERTIFICATION With respect to the Contract dated 20 by and between the POWAY UNIFIED SCHOOL XXXXXXXX School Xxxxxxxx ("xxx Xxxxxxxx") and ("Contractor") Contractor hereby certifies to the District's governing board that it has completed the criminal background check requirements of Education Code section 45125.1 and that none of its employees that may come in contact with the District 's pupils have been convicted of a violent felony listed in Penal Code section 667.5(c) or a serious felony listed in Penal Code section 1192.7(c). Contractor's Representative Date: CONTRACTOR EXEMPTION Pursuant to Education Code sections 45125.1 and 45125.2, the POWAY UNIFIED XXXXXX XXXXXXXX School District ("xxx Xxxxxxxx") has determined that ("Contractor") is exempt from the criminal background check certification requirements for the contract dated 20 by and between the District and Contractor ("Contract") because: The Contractor's employees will have limited contact with the District students during the course of the Contract; Emergency or exceptional circumstances exist; or With respect to Contractors constructing, reconstructing, rehabilitating or repairing a school facility, as provided in Section 45125.2, the Contractor has agreed to ensure the safety of pupils at the school facility by the following method(s) specified in Section 45125.2: School the District Official: Date: EXHIBIT "E" (CONT.) SUBCONTRACTOR FINGERPRINTING REQUIREMENTS SUBCONTRACTOR'S CERTIFICATION The POWAY UNIFIED SCHOOL DISTRICT School District ("xxx Xxxxxxxx") entered into a contract for services with ("Contractor") on or about , 20 ("Contract"). This certification is submitted by , a subcontractor to the Contractor for purposes of that Contract ("Subcontractor"). Subcontractor hereby certifies to the District's governing board that it has completed the criminal background check requirements of Education Code section 45125.1 and that none of its employees that may come in contact with the District pupils have been convicted of a violent felony listed in Penal Code section 667.5(c) or a serious felony listed in Penal Code section 1192.7(c). Subcontractor's Representative: Date: SUBCONTRACTOR'S EXEMPTION The POWAY UNIFIED SCHOOL DISTRICT ("xxx Xxxxxxxx") entered into a contract for services with ("Contractor") on or about , 20 ("Contract"). Pursuant to Education Code sections 45125.1 and 45125.2, the District has determined that , a subcontractor to the Contractor for purposes of that Contract ("Subcontractor") is exempt from the criminal background check certification requirements for the Contract because: The Subcontractor's employees will have limited contact with the District students during the course of the Contract; Emergency or exceptional circumstances exist; or With respect to Contractors constructing, reconstructing, rehabilitating or repairing a school facility, as provided in Section 45125.2, the Contractor and/or Subcontractor have agreed to ensure the safety of pupils at the school facility by the following method(s) specified in Section 45125.2: School the District Official: Date EXHIBIT "F" CONTRACTOR'S CERTIFICATE REGARDING WORKERS' COMPENSATION Labor Code section 3700 in relevant part provides: Every employer except the State shall secure the payment of compensation in one or more of the following ways:

THIS IS A REQUIRED FORM. Any claims under this bond may be addressed to: (Name and Address of Surety) (Name and Address of Agent or Representative for service of process in California, if different from above) (Telephone number of Surety and Agent or Representative for service of process in California) Notary Acknowledgment A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. STATE OF CALIFORNIA COUNTY OF On , 20 , before me, , Notary Public, personally appeared , who proved to me on the basis of satisfactory Name(s) of Signer(s) evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature of Notary Public OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT Individual Corporate Officer Title(s) Title or Type of Document Partner(s) Limited General Attorney-In-Fact Limited General Number of Pages Trustee(s) Guardian/Conservator Other: Date of Document Signer is representing: Name Of Person(s) Or Entity(ies) Title or Type of Document Number of Pages Date of Document Signer(s) Other Than Named Above EXHIBIT "E" CONTRACTOR FINGERPRINTING REQUIREMENTS CONTRACTOR CERTIFICATION With respect to the tothe Contract dated 20 by and between the POWAY UNIFIED SCHOOL XXXXXXXX Carlsbad Unified School District ("xxx Xxxxxxxx") and ("Contractor") Contractor hereby certifies to the District's governing board that it has completed the criminal background check requirements of Education Code section 45125.1 and that none of its employees that may come in contact with the District 's pupils have been convicted of a violent felony listed in Penal Code section 667.5(c) or a serious felony listed in Penal Code section 1192.7(c). Contractor's Representative Date: CONTRACTOR EXEMPTION Pursuant to Education Code sections 45125.1 and 45125.2, the POWAY UNIFIED XXXXXX XXXXXXXX Carlsbad Unified Xxxxxx Xxxxxxxx ("xxx Xxxxxxxx") has determined that ("Contractor") is exempt from the criminal background check certification requirements for the contract dated 20 by and between the District and Contractor ("Contract") because: The Contractor's employees will have limited contact with the District students during the course of the Contract; Emergency or exceptional circumstances exist; or With respect to Contractors constructing, reconstructing, rehabilitating or repairing a school facility, as provided in Section 45125.2, the Contractor has agreed to ensure the safety of pupils at the school facility by the following method(s) specified in Section 45125.2: School the District Official: Date: EXHIBIT "E" (CONT.) SUBCONTRACTOR FINGERPRINTING REQUIREMENTS SUBCONTRACTOR'S CERTIFICATION The POWAY UNIFIED SCHOOL DISTRICT Carlsbad Unified School District ("xxx Xxxxxxxx") entered into a contract for services with ("Contractor") on or about , 20 ("Contract"). This certification is submitted issubmitted by , a subcontractor to the Contractor for purposes of that Contract ("Subcontractor"). Subcontractor hereby certifies to the District's governing board that it has completed the criminal background check requirements of Education Code section 45125.1 and that none of its employees that may come in contact with the District pupils have been convicted of a violent felony listed in Penal Code section 667.5(c) or a serious felony listed in Penal Code section 1192.7(c). Subcontractor's Representative: Date: SUBCONTRACTOR'S EXEMPTION The POWAY UNIFIED SCHOOL DISTRICT ("xxx Xxxxxxxx") entered into a contract for services with ("Contractor") on or about , 20 ("Contract"). Pursuant to Education Code sections 45125.1 and 45125.2, the District has determined that , a subcontractor to the Contractor for purposes of that Contract ("Subcontractor") is exempt from the criminal background check certification requirements for the Contract because: The Subcontractor's employees will have limited contact with the District students during the course of the Contract; Emergency or exceptional circumstances exist; or With respect to Contractors constructing, reconstructing, rehabilitating or repairing a school facility, as provided in Section 45125.2, the Contractor and/or Subcontractor have agreed to ensure the safety of pupils at the school facility by the following method(s) specified in Section 45125.2: School the District Official: Date EXHIBIT "F" CONTRACTOR'S CERTIFICATE REGARDING WORKERS' COMPENSATION Labor Code section 3700 in relevant part provides: Every employer except the State shall secure the payment of compensation in one or more of the following ways:

THIS IS A REQUIRED FORM. Any claims under this bond may be addressed to: (Name and Address of Surety) (Name and Address of Agent or Representative for service of process in California, if different from above) (Telephone number of Surety and Agent or Representative for service of process in California) Notary Acknowledgment A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. NOTARY ACKNOWLEDGMENT (California All-Purpose Acknowledgment) STATE OF CALIFORNIA ) ) COUNTY OF SAN DIEGO ) On , 20 , before me, , Notary Public, personally appeared , who proved to me on the basis of satisfactory Name(s) of Signer(s) evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature of Notary Public OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT Individual Corporate Officer Title(s(SEAL) Partner(s) Limited General Attorney-In-Fact Trustee(s) Guardian/Conservator Other: Signer is representing: Name Of Person(s) Or Entity(ies) Title or Type of Document Number of Pages Date of Document Signer(s) Other Than Named Above EXHIBIT "E" CONTRACTOR FINGERPRINTING REQUIREMENTS CONTRACTOR CERTIFICATION With respect to the Contract dated 20 by and between the POWAY UNIFIED SCHOOL XXXXXXXX School Xxxxxxxx ("xxx Xxxxxxxx") and ("Contractor") Contractor hereby certifies to the District's governing board that it has completed the criminal background check requirements of Education Code section 45125.1 and that none of its employees that may come in contact with the District 's pupils have been convicted of a violent felony listed in Penal Code section 667.5(c) or a serious felony listed in Penal Code section 1192.7(c). Contractor's Representative Date: CONTRACTOR EXEMPTION Pursuant to Education Code sections 45125.1 and 45125.2, the POWAY UNIFIED XXXXXX XXXXXXXX School District ("xxx Xxxxxxxx") has determined that ("Contractor") is exempt from the criminal background check certification requirements for the contract dated 20 by and between the District and Contractor ("Contract") because:  The Contractor's employees will have limited contact with the District students during the course of the Contract;  Emergency or exceptional circumstances exist; or  With respect to Contractors constructing, reconstructing, rehabilitating or repairing a school facility, as provided in Section 45125.2, the Contractor has agreed to ensure the safety of pupils at the school facility by the following method(s) specified in Section 45125.2: School the District Official: Date: EXHIBIT "E" (CONT.) SUBCONTRACTOR FINGERPRINTING REQUIREMENTS SUBCONTRACTOR'S CERTIFICATION The POWAY UNIFIED SCHOOL DISTRICT School District ("xxx Xxxxxxxx") entered into a contract for services with ("Contractor") on or about , 20 ("Contract"). This certification is submitted by , a subcontractor to the Contractor for purposes of that Contract ("Subcontractor"). Subcontractor hereby certifies to the District's governing board that it has completed the criminal background check requirements of Education Code section 45125.1 and that none of its employees that may come in contact with the District pupils have been convicted of a violent felony listed in Penal Code section 667.5(c) or a serious felony listed in Penal Code section 1192.7(c). Subcontractor's Representative: Date: SUBCONTRACTOR'S EXEMPTION The POWAY UNIFIED SCHOOL DISTRICT ("xxx Xxxxxxxx") entered into a contract for services with ("Contractor") on or about , 20 ("Contract"). Pursuant to Education Code sections 45125.1 and 45125.2, the District has determined that , a subcontractor to the Contractor for purposes of that Contract ("Subcontractor") is exempt from the criminal background check certification requirements for the Contract because: The Subcontractor's employees will have limited contact with the District students during the course of the Contract; Emergency or exceptional circumstances exist; or With respect to Contractors constructing, reconstructing, rehabilitating or repairing a school facility, as provided in Section 45125.2, the Contractor and/or Subcontractor have agreed to ensure the safety of pupils at the school facility by the following method(s) specified in Section 45125.2: School the District Official: Date EXHIBIT "F" CONTRACTOR'S CERTIFICATE REGARDING WORKERS' COMPENSATION Labor Code section 3700 in relevant part provides: Every employer except the State shall secure the payment of compensation in one or more of the following ways: