Common use of TUBERCULOSIS CLEARANCE Clause in Contracts

TUBERCULOSIS CLEARANCE. The undersigned does hereby certify to the governing board of the District as follows: I am a representative of the Contractor currently entering into this Agreement with the District and I am familiar with the facts herein certified, and am authorized and qualified to execute this certificate on behalf of Contractor. Contractor’s responsibility for tuberculosis (“TB”) 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. Contractor certifies that at least one of the following items applies to the Services that are the subject of the Agreement:  The Contractor ensures that any person providing any portion of the Services with more than limited contact with District students (as determined by the District) has, at no cost to the District, completed a TB risk assessment within the past 60 days, and, if risk factors are identified, has received a TB test in compliance with the requirements of Education Code section 49406. A complete and accurate list of Contractor's employees and of all of its subcontractors' employees who may come in contact with District pupils during the course and scope of the Agreement is attached hereto; and/or  Contractor shall only have limited or no contact (as determined by District) with District students at all times during the Term of this Agreement. Date: Name of Contractor: Representative’s Name and Title: Signature: CRIMINAL BACKGROUND INVESTIGATION CERTIFICATION

TUBERCULOSIS CLEARANCE. The undersigned does hereby certify to the governing board of the District as follows: I am a representative of the Contractor currently entering into this Agreement with the District and I am familiar with the facts herein certified, and am authorized and qualified to execute this certificate on behalf of Contractor. Contractor’s responsibility for tuberculosis (“TB”) 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. Contractor certifies that at least one of the following items applies to the Services that are the subject of the Agreement:  🞎✓ The Contractor ensures that any person providing any portion of the Services with more than limited contact with District students (as determined by the District) has, at no cost to the District, completed a TB risk assessment within the past 60 days, and, if risk factors are identified, has received a TB test in compliance with the requirements of Education Code section 49406. A complete and accurate list of Contractor's employees and of all of its subcontractors' employees who may come in contact with District pupils during the course and scope of the Agreement is attached hereto; and/or  🞎 Contractor shall only have limited or no contact (as determined by District) with District students at all times during the Term of this Agreement. Date: Name of Contractor: Representative’s Name and Title: Signature: END OF DOCUMENT CRIMINAL BACKGROUND INVESTIGATION CERTIFICATION

TUBERCULOSIS CLEARANCE. The undersigned does hereby certify to the governing board of the District as follows: I am a representative of the Contractor currently entering into this Agreement with the District and I am familiar with the facts herein certified, and am authorized and qualified to execute this certificate on behalf of Contractor. Contractor’s responsibility for tuberculosis (“TB”) 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. Contractor certifies that at least one of the following items applies to the Services that are the subject of the Agreement:  🞎 The Contractor ensures that any person providing any portion of the Services with more than limited contact with District students (as determined by the District) has, at no cost to the District, completed a TB risk assessment within the past 60 days, and, if risk factors are identified, has received a TB test in compliance with the requirements of Education Code section 49406. A complete and accurate list of Contractor's employees and of all of its subcontractors' employees who may come in contact with District pupils during the course and scope of the Agreement is attached hereto; and/or  🞎 Contractor shall only have limited or no contact (as determined by District) with District students at all times during the Term of this Agreement. Date: Name of Contractor: Representative’s Name and Title: Signature: CRIMINAL BACKGROUND INVESTIGATION CERTIFICATION

TUBERCULOSIS CLEARANCE. The undersigned does hereby certify to the governing board of the District as follows: I am a representative of the Contractor currently entering into this Agreement with the District and I am familiar with the facts herein certified, and am authorized and qualified to execute this certificate on behalf of Contractor. Contractor’s responsibility for tuberculosis (“TB”) 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. Contractor certifies that at least one of the following items applies to the Services that are the subject of the Agreement:   The Contractor ensures that any person providing any portion of the Services with more than limited contact with District students (as determined by the District) has, at no cost to the District, completed a TB risk assessment within the past 60 days, and, if risk factors are identified, has received a TB test in compliance with the requirements of Education Code section 49406. A complete and accurate list of Contractor's employees and of all of its subcontractors' employees who may come in contact with District pupils during the course and scope of the Agreement is attached hereto; and/or  Contractor shall only have limited or no contact (as determined by District) with District students at all times during the Term of this Agreement. Date: Name of Contractor: Representative’s Name and Title: Signature: END OF DOCUMENT CRIMINAL BACKGROUND INVESTIGATION CERTIFICATION