Xxxxx’s Law (Sex Offenders. I have verified and will continue to verify that the employees of Contractor that will be on the Project site and the employees of the Subcontractor(s) that will be on the Project site are not listed on California’s “Xxxxx’s Law” Website (xxxx://xxx.xxxxxxxxx.xx.xxx/). Contractor’s responsibility for background clearance extends to all of its employees, subcontractors, and employees of subcontractors coming into contact with District pupils regardless of whether they are designated as employees or acting as independent Contractors of the Contractor. Date: Contractor Legal Name: Signature: Print Name: Title: ASBESTOS AND OTHER HAZARDOUS MATERIALS CERTIFICATION Contractor hereby certifies that no Asbestos, or Asbestos-Containing Materials, polychlorinated biphenyl (PCB), or any material listed by the federal or State Environmental Protection Agency or federal or State health agencies as a hazardous material, or any other material defined as being hazardous under federal or State laws, rules, or regulations (“New Material Hazardous”) shall be furnished, installed, or incorporated in any way into the Project or in any tools, devices, clothing, or equipment used to affect any portion of Contractor's work on the Project for District. Contractor further certifies that it has instructed its employees with respect to the above-mentioned standards, hazards, risks, and liabilities. Asbestos and/or asbestos-containing material shall be defined as all items containing but not limited to chrysotile, crocidolite, amosite, anthophyllite, tremolite, and actinolite. Any or all material containing greater than one-tenth of one percent (.1%) asbestos shall be defined as asbestos-containing material. Any disputes involving the question of whether or not material is New Hazardous Material shall be settled by electron microscopy or other appropriate and recognized testing procedure, at the District’s determination. The costs of any such tests shall be paid by Contractor if the material is found to be New Hazardous Material. All Work or materials found to be New Hazardous Material or Work or material installed with “New Hazardous Material” containing equipment will be immediately rejected and this Work will be removed at Contractor's expense at no additional cost to the District. Contractor has read and understood the document Hazardous Materials Procedures and Requirements, and shall comply with all the provisions outlined therein. Date: Legal Name of Contractor: Signature: Prin...
Xxxxx’s Law (Sex Offenders. I have verified and will continue to verify that the employees of Contractor that will be on the Project site and the employees of the Subcontractor(s) that will be on the Project site are not listed on California’s “Xxxxx’s Law” Website (xxxx://xxx.xxxxxxxxx.xx.xxx/). Contractor’s responsibility for background clearance extends to all of its employees, subcontractors, and employees of subcontractors coming into contact with District pupils regardless of whether they are designated as employees or acting as independent contractors of the Contractor. I certify that to the best of my knowledge, the contents of this disclosure are true, or are believed to be true. Date: Proper Name of Contractor: Signature: Print Name: Title: PERFORMANCE BOND PERFORMANCE BOND (100% of Contract Price)
Xxxxx’s Law (Sex Offenders. I have verified and will continue to verify that the employees of Contractor that will be on the Project site and the employees of the Subcontractor(s) that will be on the Project site are not listed on California’s “Xxxxx’s Law” Website (xxxx://xxx.xxxxxxxxx.xx.xxx/). Contractor’s responsibility for background clearance extends to all of its employees, subcontractors, and employees of subcontractors coming into contact with District pupils regardless of whether they are designated as employees or acting as independent contractors of the Contractor. I certify that to the best of my knowledge, the contents of this disclosure are true, or are believed to be true. Date: Proper Name of Contractor: Signature: Print Name: Title: EXHIBIT A (“SCOPE OF WORK”) • File Name: 23.0001_SOW PLANS • File Name: 23.0001_Plans PERFORMANCE BOND PERFORMANCE BOND (100% of Contract Price) (Note: Contractors must use this form, NOT a surety company form.) KNOW ALL PERSONS BY THESE PRESENTS:
Xxxxx’s Law (Sex Offenders. I have verified and will continue to verify that the employees of Contractor that will be on the Project site and the employees of the Subcontractor(s) that will be on the Project site are not listed on California’s “Xxxxx’s Law” Website (xxxx://xxx.xxxxxxxxx.xx.xxx/). Contractor’s responsibility for background clearance extends to all of its employees, subcontractors, and employees of subcontractors coming into contact with District pupils regardless of whether they are designated as employees or acting as independent contractors of the Contractor. Date: Proper Name of Contractor: Signature: Print Name: Title: PERFORMANCE BOND (100% of Contract Price) (Note: Contractor must use this form, NOT a surety company form.) KNOW ALL PERSONS BY THESE PRESENTS:
Xxxxx’s Law (Sex Offenders. I have verified and will continue to verify that the employees of Contractor that will be on the Project site and the employees of the Subcontractor(s) that will be on the Project site are not listed on California’s “Xxxxx’s Law” Website (xxxx://xxx.xxxxxxxxx.xx.xxx/). Contractor’s responsibility for background clearance extends to all of its employees, subcontractors, and employees of subcontractors coming into contact with District pupils regardless of whether they are designated as employees or acting as independent contractors of the Contractor. Date: Proper Name of Contractor: Signature: Print Name: Title: SMOKE-FREE ENVIRONMENT CERTIFICATION PROJECT NO.: 2028-19 between Fairfield-Suisun Unified School District (the “District” or the “Owner”) and (the “Contractor” or the “Bidder”) Office Reconfiguration Project , (the “Contract” or the “Project”). This Smoke-Free Environment Certification form is required from the successful Bidder. Pursuant to, without limitation, 20 U.S.C section 6083, Labor Code section 6400 et seq., Health & Safety Code section 104350 et seq. and District Board Policies, all District sites, including the Project site, are tobacco-free environments. Smoking and the use of tobacco products by all persons is prohibited on or in District property. District property includes school buildings, school grounds, school owned vehicles and vehicles owned by others while on District property. I acknowledge that I am aware of the District’s policy regarding tobacco-free environments at District sites, including the Project site and hereby certify that I will adhere to the requirements of that policy and not permit any of my firm’s employees, agents, subcontractors, or my firm’s subcontractors’ employees or agents to use tobacco and/or smoke on the Project site. Date: Proper Name of Contractor: Signature: Print Name: Title: DRUG-FREE WORKPLACE CERTIFICATION PROJECT NO.: 2028-19 between Fairfield-Suisun Unified School District (the “District” or the “Owner”) and (the “Contractor” or “Bidder”) Office Reconfiguration Project, (the “Contract” or the “Project”). This Drug-Free Workplace Certification form is required from the successful Bidder pursuant to Government Code section 8350 et seq., the Drug-Free Workplace Act of 1990. The Drug-Free Workplace Act of 1990 requires that every person or organization awarded a contract or grant for the procurement of any property or service from any state agency must certify that it will provide a drug-free wo...
Xxxxx’s Law (Sex Offenders. I have verified and will continue to verify that the employees of Contractor that will be on the Project site and the employees of the Subcontractor(s) that will be on the Project site are not listed on California’s “Xxxxx’s Law” Website (xxxx://xxx.xxxxxxxxx.xx.xxx/). Contractor’s responsibility for background clearance extends to all of its employees, subcontractors, and employees of subcontractors coming into contact with District pupils regardless of whether they are designated as employees or acting as independent contractors of the Contractor. I certify that to the best of my knowledge, the contents of this disclosure are true, or are believed to be true. Date: Proper Name of Contractor: Signature: Print Name: Title: EXHIBIT A (“SCOPE OF WORK”) REFER TO FILE: 22.0005_SOW PLANS REFER TO LINK: xxxxx://xxxxx.xxxxxx.xxx/file/d/1si0VQOKjM8vX1za_yVz9ONf8OuZifIAB/view?usp=sharing WORK SPECIFICATIONS REFER TO FILE: 22.0005_LIST REFER TO FILE: 22.0005_ LOCK LISTING PERFORMANCE BOND PERFORMANCE BOND (100% of Contract Price) (Note: Contractors must use this form, NOT a surety company form.) KNOW ALL PERSONS BY THESE PRESENTS:
Xxxxx’s Law (Sex Offenders. I have verified and will continue to verify that the employees of Seller that will be on the Project site and the employees of the Subcontractor(s) that will be on the Project site are not listed on California’s “Xxxxx’s Law” Website (xxxx://xxx.xxxxxxxxx.xx.xxx/). Seller’s responsibility for background clearance extends to all of its employees, subcontractors, and employees of subcontractors coming into contact with District pupils regardless of whether they are designated as employees or acting as independent contractors of the Seller. I certify that to the best of my knowledge, the contents of this disclosure are true, or are believed to be true. Date: Proper Name of Seller: Signature: Print Name Title: CERTIFICATIONS TO BE COMPLETED BY SELLER THE UNDERSIGNED MUST CHECK EACH BOX AND EXECUTE THIS FORM AND HEREBY CERTIFIES TO THE GOVERNING BOARD OF THE DISTRICT THAT: • He/she is a representative of the Seller, • He/she is familiar with the facts herein certified and acknowledged, • He/she is authorized and qualified to execute this Agreement and these certifications on behalf of Seller and that by executing this Agreement he/she is certifying the following items. 🞏 Labor Code Sections 1860-1861 (Workers’ Compensation). In accordance with Labor Code section 3700, every seller will be required to secure the payment of compensation to his or her employees. I acknowledge and certify under penalty of perjury that I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for workers’ compensation or to undertake self-insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. �� Government Code Sections 8355-8357 (Drug-Free Workplace). I acknowledge and certify under penalty of perjury that I will provide a drug-free workplace by doing all of the following:
Xxxxx’s Law (Sex Offenders. I have verified and will continue to verify that the employees of Contractor that will be on the Project site and the employees of the Subcontractor(s) that will be on the Project site are not listed on California’s “Xxxxx’s Law” Website (xxxx://xxx.xxxxxxxxx.xx.xxx/). Contractor’s responsibility for background clearance extends to all of its employees, subcontractors, and employees of subcontractors coming into contact with District pupils regardless of whether they are designated as employees or acting as independent contractors of the Contractor. I certify that to the best of my knowledge, the contents of this disclosure are true, or are believed to be true. Date: Proper Name of Contractor: Signature: Print Name: Title: EXHIBIT A (“SCOPE OF WORK”) Selective demolition and construction necessary for the Marquee Projects at sites below, including associated civil, landscape, architectural, structural, plumbing, mechanical and/or electrical work as indicated in the Drawings and Specifications. This is a DSA project that consists of the installation of new owner furnished single and double sided pole, and wall mounted LED digital marquee signs at the 4 sites listed below. Contractor to provide all labor, parts and materials identified in drawings, including all ID cabinets, electrical, rebar, footings and poles for a complete installation, startup and commissioning of each marquee. Contractor to install owner provided wall and pole mounted Daktronics LED digital marquee signs at below sites: Xxxxxx Elementary School Washington Elementary School • Contractor is to install owner provided Daktronics LED digital marquees including all labor and material necessary for a turnkey installation. • Contractor is to provide and install ID cabinets to marquees as identified in drawings. ID cabinet renderings will be provided and approved by District prior to manufacturing. • Contractor is to provide and install pole skirting and finishes as identified in drawings. • Contractor is to provide, install and terminate all electrical conduits and wiring as identified in drawings. • Contractor is to provide and install all rebar and concrete footings as identified in drawings. • Contractor is to make all patch and repairs necessary to landscape, asphalt and concrete as necessary as a result of installation of conduits. • Contractor is to make all terminations of electrical and communication cabling for a complete operation of power and communication to marquees. • Contractor ...
Xxxxx’s Law (Sex Offenders. I have verified and will continue to verify that the employees of Designer/Builder that will be on the Project site and the employees of the subcontractor(s) that will be on the Project site are not listed on California’s “Xxxxx’s Law” Website (xxxx://xxx.xxxxxxxxx.xx.xxx/). Designer/Builder’s responsibility for background clearance extends to all of its employees, subcontractors, and employees of subcontractors coming into contact with District pupils regardless of whether they are designated as employees or acting as independent Designer/Builders of the Designer/Builder. Date: Proper Name of Designer/Builder: Signature: Print Name: Title: DRUG-FREE WORKPLACE / TOBACCO-FREE ENVIRONMENT CERTIFICATION Government Code section 8350 et seq., the Drug-Free Workplace Act of 1990 (“Act”), requires that every person or organization awarded a contract or grant for the procurement of any property or service from any state agency must certify that it will provide a drug-free workplace by doing certain specified acts. In addition, the Act provides that each contract or grant awarded by a state agency may be subject to suspension of payments or termination of the contract or grant, and the Designer/Builder or grantee may be subject to debarment from future contracting, if the contracting agency determines that specified acts have occurred. The District is not a “state agency” as defined in the applicable section(s) of the Government Code, but the District is a local agency and public school district under California law and requires all Designer/Builders on District projects to comply with the provisions and requirements of the Act. Designer/Builder shall certify that it will provide a drug-free workplace by doing all of the following: 1 Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensation, possession, or use of a controlled substance is prohibited in the person’s or organization’s workplace and specifying actions which will be taken against employees for violations of the prohibition;
Xxxxx’s Law (Sex Offenders. I have verified and will continue to verify that the employees of Contractor that will be on the Project Site(s) and the employees of the Subcontractor(s) that will be on the Project Site(s) are not listed on California’s “Xxxxx’s Law” Website (xxxx://xxx.xxxxxxxxx.xx.xxx/). Contractor’s responsibility for background clearance extends to all of its employees, subcontractors, and employees of subcontractors coming into contact with District pupils regardless of whether they are designated as employees or acting as independent contractors of the Contractor. Date: Proper Name of Contractor: Signature: Print Name: Title: ROOFING CONTRACT FINANCIAL INTEREST CERTIFICATION (Public Contract Code § 3006) I, , Name Name of Contractor certify that I have not offered, given, or agreed to give, received, accepted, or agreed to accept, any gift, contribution, or any financial incentive whatsoever to or from any person in connection with the roof project contract or subcontract on the Project. As used in this certification, “person” means any natural person, business, partnership, corporation, union, committee, club, or other organization, entity, or group of individuals. Furthermore, I , Name Name of Contractor certify that I do not have, and throughout the duration of the Contract, I will not have, any financial relationship in connection with the performance of the Contract with any architect, engineer, roofing consultant, materials manufacturer, distributor, or vendor that is not disclosed below. I, , Name Name of Contractor have the following financial relationships with an architect, engineer, roofing consultant, materials manufacturer, distributor, or vendor, or other person in connection with the following roof project contract: Name of firm ("Firm"): Mailing address: Address of branch office used for this Project: If subsidiary, name and address of parent company: I certify that to the best of my knowledge, the contents of this disclosure are true, or are believed to be true. Date: Proper Name of Contractor: Signature: Print Name: Title: PERFORMANCE BOND (100% of Contract Price) (Note: Contractor must use this form, NOT a surety company form.) KNOW ALL PERSONS BY THESE PRESENTS:
