Contractor Background Check Form Page 4

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Subcontractor Criminal Background Certification
Introduction: Texas Education Code Chapter 22 requires service subcontractors to obtain criminal history record information
regarding covered employees and to certify that fact to the District. Covered employees with disqualifying convictions are prohibited
from serving at a school district.
Definitions:
Covered employees: All employees of a subcontractor who have or will have continuing duties related to the service to be performed
at the District and have or will have direct contact with students. The District will be the final arbiter of what constitutes direct
contact with students.
Disqualifying conviction: One of the following offenses, if at the time of the offense, the victim was under 18 or enrolled in a public
school: (a) a felony offense under Title 5, Texas Penal Code; (b) an offense for which a defendant is required to register as a sex
offender under Chapter 62, Texas Code of Criminal Procedure; (c) an equivalent offense under federal law or the laws of another
state; or (d) the conviction of a felony or misdemeanor that would disqualify a person from obtaining certification as an educator
under Texas Education Code 21.060. This same standard applies to employees of subcontractors.
On behalf of _______________________________________________ (“Subcontractor”), I certify that [check one]:
[ ] None of subcontractor’s employees are covered employees, as defined above.
Or
[ ] Some or all of subcontractor’s employees are covered employees. If this box is selected, I further certify that:
(1) Subcontractor has obtained all required criminal history record information, through the Texas Department of Public Safety, regarding its
covered employees. None of the covered employees has a disqualifying conviction. Subcontractor has taken reasonable steps to ensure that its
employees who are not covered employees do not have continuing duties related to the contract services or direct contact with students.
(2) If Subcontractor receives information that a covered employee has a disqualifying conviction, subcontractor will immediately remove the
covered employee from contract duties and notify the District in writing within three (3) business days.
(3) Upon request, Subcontractor will make available for the District’s inspection the criminal history record information of any covered
employee. If the District objects to the assignment of a covered employee on the basis of the covered employee’s criminal history record
information, Subcontractor agrees to discontinue using that covered employee to provide services at the District.
Noncompliance by Subcontractor with this certification may be grounds for contract termination.
Subcontractor Name:
/Submitter’s Name/Title:
Email Address: (PLEASE TYPE EMAIL ADDRESS)
Submitter’s Signature:
Telephone No.
/800 # (if available)
Fax No.
Date:
Address:
City, State and Zip Code:
This form is required to be completed and signed however, only the successful Proposers will be required to comply with requirement set
th
forth in Act of May 28, 2007, 80
Leg., R.S., S.B. 9, § 30. All related costs including background checks/fingerprinting shall be at the sub-
contractor’s expense.
This sheet must be completed, signed, and returned with Prime Contractor’s submittal
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