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HomeMy WebLinkAbout01-1418-Criminal-History-Information_Rev_1Dennis Yarmouth Intermediate Middle School January 19, 2021 Dennis Yarmouth Regional School District 100% Construction Documents Perkins Eastman DPC, project #71011 SECTION 01 1418 – CRIMINAL HISTORY INFORMATION 1 of 2 SECTION 01 1418 CRIMINAL HISTORY INFORMATION Part 1 – General 1.0 RELATED DOCUMENTS: This section is only a portion of the Contract Documents. All of the Contract Documents, including Conditions of the Contract and Division 1 General Requirements, apply to this section. This section applies to all specification sections and work of the Contract. 1.1 SECTION INCLUDES: Requirements for Criminal Background Check as condition of employment and permission to work on Owner’s property. A. Mandatory Identity Verification: Verify the identity of all persons working on site. 1. Use government issued documents with photographs such as driver’s license or passport. B. Mandatory Criminal Background Check: 7 working days prior to allowing person to work on site: 1. Provide to the OPM completed CORI forms (appendix) and copy of proper identification (copy of valid drivers license is preferred). 2. CORI will be processed by the District / Town, OPM will be notified of the results. 3. When cleared OPM will issue numbered sticker to be affixed to the right side of the individuals hard hat (PPE). In order to obtain sticker the individual must present the government issued ID to the OPM at the time of pick-up or the sticker will not be released. C. Owner’s Decision: The Owner may exclude any person from work on the Owner’s property due to reasonable concern about the person’s Criminal Background. D. Inequality of Criminal Offense: Assault, theft, vandalism, arson, embezzling, check fraud, crimes involving fire arms, illegal drug possession or distribution, and sexual offenses may be judged more significant than other criminal offenses for work related to this Contract. E. Right to Due Process: All persons subject to Criminal Background Check shall be given opportunity to challenge the accuracy and relevancy of Criminal Background Check results. 1. All persons shall be given due process protections to which they are entitled by law or by applicable collective bargaining agreements. F. Applicable Law: Without limitation, comply with all laws and regulations of authorities having jurisdiction. G. Non Disclosure: Maintain Criminal Background Check information confidential and secure, even if the information was obtained from public records. 1. Prior to having access to Criminal Background Check information, all persons shall sign an Agreement of Non-Disclosure approved by the Owner’s legal counsel. 2. Keep Criminal Background Check information in a locked file controlled by persons authorized by the Owner. Dennis Yarmouth Intermediate Middle School January 19, 2021 Dennis Yarmouth Regional School District 100% Construction Documents Perkins Eastman DPC, project #71011 SECTION 01 1418 – CRIMINAL HISTORY INFORMATION 2 of 2 3. Destroy Criminal Background Check information at completion of the Contract. End of Section Revised: 10/3/18 Dennis-Yarmouth Regional School District 296 Station Avenue South Yarmouth, MA 02664 Phone (508)398-7600 Fax (508)398-7622 CRIMINAL OFFENDER RECORD INFORMATION (CORI) ACKNOWLEDGEMENT FORM Dennis-Yarmouth Regional School District is registered under the provisions of M.G.L. c. 6, §172 to receive CORI for the purpose of screening current and otherwise qualified prospective employees, subcontractors, and volunteers. As a prospective or current employee, subcontractor, or volunteer, I understand that a CORI check will be submitted for my personal information to the Department of Criminal Justice Information Services (DCJIS). I hereby acknowledge and provide permission to Dennis-Yarmouth Regional School District (DYRSD) to submit a CORI check for my information to the DCJIS. This authorization is valid for one year from the date of my signature. I may withdraw this authorization at any time by providing DYRSD Human Resource Office with written notice of my intent to withdraw consent to a CORI check. DYRSD may conduct subsequent CORI checks within one year of the date this form was signed by me, provided, however, that DYRSD must first provide me with written notice of this check. PURPOSE FOR CORI – PLEASE CHECK ONE BOX □Employee (current) □Employee Applicant____________________________ (position applied for) □Volunteer/Chaperone □Student Intern/Observer □Subcontractor_______________________ (Employer) The fields marked with an asterisk (*) are required fields. Please print legibly in pen! *First Name*_______________________________ Middle Initial ____________ *Last Name* _______________________________ Suffix (Jr., Sr., etc.) ______ Former Last Name 1 _________________________________Former Last Name 2 _________________________________ Former Last Name 3 _________________________________Former Last Name 4 _________________________________ *Date of Birth (MMDDYYYY)*______________________ Place of Birth _____________________________ *Last SIX digits of Social Security Number* ____ ____ -- ____ ____ ____ ____ Sex ______ Height ________ Eye Color ___________ Race _______________ Driver’s License or ID Number _____________________ Sate of Issue ___________ Father’s Full Name _____________________________ Mother’s Full Name __________________________ *Current Full Address _______________________________________*Current Phone Number* ______________________ By signing below, I provide my consent to a CORI check and affirm that the information on this Acknowledgement Form is true and accurate. _____________________________________________ ____________________ *SIGNATURE OF CORI SUBJECT Date For Office Use Only: The above information was verified by reviewing the following form(s) of government issued photo identification (please check one box) and a copy of the ID is attached: □ Driver’s License □ Passport □ Military I.D. □ State I.D. NAME OF EMPLOYEE VERIFYING: _____________________________ VERIFYER’S SIGNATURE__________________________ (THIS PAGE IS BLANK)