Common use of Vaccination Attestation Clause in Contracts

Vaccination Attestation. Instructions: If you or any of your agents or employees will have direct or indirect contact with PPS students as a result of this contract, you must complete the following attestation. If you will have no direct or indirect contact with PPS students as a result of this contract, skip to Step 2: Waiver of Liability below. Please read and initial. ______ I attest that, per Oregon Administrative Rule 333-019-1030, any people within my organization who will have direct or indirect contact with PPS students under the above contract scope, whether at PPS sites or other sites, are already fully vaccinated as of the date of this attestation, will be fully vaccinated before the contracted work begins, or have an approved medical or religious exception to COVID vaccination. ______ I attest that I, or those with authority within my organization, have reviewed and verified the proof of vaccination of any people who will have direct or indirect contact with PPS students under the above contract scope. I further attest that I, or those with authority within my organization, have reviewed and approved or accepted the documentation of any medical or religious exception, made on a form prescribed by the Oregon Health Authority, and in compliance with the requirements set forth in OAR 333-019-1030(14). ______ I attest that my organization, as required by Oregon Administrative Rule 333-019-1030, will maintain the proof of vaccination or exception documentation for any such person (a) in accordance with applicable federal and state laws, and (b) for at least two full years. I attest that my organization will provide such documentation to the Oregon Health Authority upon request. ______ I attest that any people within my organization who will have direct or indirect contact with students will follow PPS’s protective measures in place at the time of such contact. Such measures may include wearing face coverings, distancing from others, and isolating or quarantining if exposed to or contracting COVID-19. Portland Public Schools Exhibit #: Mandatory Contractor COVID-19 Vaccine Attestation

Vaccination Attestation. Instructions: If you or any of your agents or employees will have direct or indirect contact with PPS students as a result of this contract, you must complete the following attestation. If you will have no direct or indirect contact with PPS students as a result of this contract, skip to Step 2: Waiver of Liability below. Please read and initial. ______ I attest that, per Oregon Administrative Rule 333-019-1030, any people within my organization who will have direct or indirect contact with PPS students under the above contract scope, whether at PPS sites or other sites, are already fully vaccinated as of the date of this attestation, will be fully vaccinated before the contracted work begins, or have an approved medical or religious exception to COVID vaccination. ______ I attest that I, or those with authority within my organization, have reviewed and verified the proof of vaccination of any people who will have direct or indirect contact with PPS students under the above contract scope. ______ I further attest that I, or those with authority within my organization, have reviewed and approved or accepted the documentation of any medical or religious exception, made on a form prescribed by the Oregon Health Authority, and in compliance with the requirements set forth in OAR 333-019-1030(14). ______ I attest that my organization, as required by Oregon Administrative Rule 333-019-1030, will maintain the proof of vaccination or exception documentation for any such person (a) in accordance with applicable federal and state laws, and (b) for at least two full years. I attest that my organization will provide such documentation to the Oregon Health Authority upon request. Portland Public Schools Exhibit D: Mandatory Contractor COVID-19 Vaccine Attestation and Waiver of Liability Addendum ______ I attest that any people within my organization who will have direct or indirect contact with students will follow PPS’s protective measures in place at the time of such contact. Such measures may include wearing face coverings, distancing from others, and isolating or quarantining if exposed to or contracting COVID-19. Portland Public Schools Exhibit #: Mandatory Contractor COVID-19 Vaccine Attestation______ I understand and agree that failure to comply with these requirements may result in immediate termination of my contract.

Vaccination Attestation. Instructions: If you or any of your agents or employees will have direct or indirect contact with PPS students as a result of this contract, you must complete the following attestation. If you will have no direct or indirect contact with PPS students as a result of this contract, skip to Step 2: Waiver of Liability below. Please read and initial. ______ I attest that, per Oregon Administrative Rule 333-019-1030, any people within my organization who will have direct or indirect contact with PPS students under the above contract scope, whether at PPS sites or other sites, are already fully vaccinated as of the date of this attestation, will be fully vaccinated before the contracted work begins, or have an approved medical or religious exception to COVID vaccination. ______ I attest that I, or those with authority within my organization, have reviewed and verified the proof of vaccination of any people who will have direct or indirect contact with PPS students under the above contract scope. I further attest that I, or those with authority within my organization, have reviewed and approved or accepted the documentation of any medical or religious exception, made on a form prescribed by the Oregon Health Authority, and in compliance with the requirements set forth in OAR 333-019-1030(14). ______ I attest that my organization, as required by Oregon Administrative Rule 333-019-1030, will maintain the proof of vaccination or exception documentation for any such person (a) in accordance with applicable federal and state laws, and (b) for at least two full years. I attest that my organization will provide such documentation to the Oregon Health Authority upon request. ______ I attest that any people within my organization who will have direct or indirect contact with students will follow PPS’s protective measures in place at the time of such contact. Such measures may include wearing face coverings, distancing from others, and isolating or quarantining if exposed to or contracting COVID-19. Portland Public Schools Exhibit #D: Mandatory Contractor COVID-19 Vaccine AttestationAttestation and Waiver of Liability Addendum ______ I understand and agree that failure to comply with these requirements may result in immediate termination of my contract.

Vaccination Attestation. Instructions: If you or any of your agents or employees will have direct or indirect contact with PPS students as a result of this contract, you must complete the following attestation. If you will have no direct or indirect contact with PPS students as a result of this contract, skip to Step 2: Waiver of Liability below. Please read and initial. ______ I attest that, per Oregon Administrative Rule 333-019-1030, any people within my organization who will have direct or indirect contact with PPS students under the above contract scope, whether at PPS sites or other sites, are already fully vaccinated as of the date of this attestation, will be fully vaccinated before the contracted work begins, or have an approved medical or religious exception to COVID vaccination. ______ I attest that I, or those with authority within my organization, have reviewed and verified the proof of vaccination of any people who will have direct or indirect contact with PPS students under the above contract scope. I further attest that I, or those with authority within my organization, have reviewed and approved or accepted the documentation of any medical or religious exception, made on a form prescribed by the Oregon Health Authority, and in compliance with the requirements set forth in OAR 333-019-1030(14). ______ I attest that my organization, as required by Oregon Administrative Rule 333-019-1030, will maintain the proof of vaccination or exception documentation for any such person (a) in accordance with applicable federal and state laws, and (b) for at least two full years. I attest that my organization will provide such documentation to the Oregon Health Authority upon request. ______ I attest that any people within my organization who will have direct or indirect contact with students will follow PPS’s protective measures in place at the time of such contact. Such measures may include wearing face coverings, distancing from others, and isolating or quarantining if exposed to or contracting COVID-19. Portland Public Schools Exhibit #B: Mandatory Contractor COVID-19 Vaccine Attestation

Vaccination Attestation. Instructions: If you or any of your agents or employees will have direct or indirect contact with PPS students as a result of this contract, you must complete the following attestation. If you will have no direct or indirect contact with PPS students as a result of this contract, skip to Step 2: Waiver of Liability below. Please read and initial. ______ I attest that, per Oregon Administrative Rule 333-019-1030, any people within my organization who will have direct or indirect contact with PPS students under the above contract scope, whether at PPS sites or other sites, are already fully vaccinated as of the date of this attestation, will be fully vaccinated before the contracted work begins, or have an approved medical or religious exception to COVID vaccination. ______ I attest that I, or those with authority within my organization, have reviewed and verified the proof of vaccination of any people who will have direct or indirect contact with PPS students under the above contract scope. I further attest that I, or those with authority within my organization, have reviewed and approved or accepted the documentation of any medical or religious exception, made on a form prescribed by the Oregon Health Authority, and in compliance with the requirements set forth in OAR 333-019-1030(14). ______ I attest that my organization, as required by Oregon Administrative Rule 333-019-1030, will maintain the proof of vaccination or exception documentation for any such person (a) in accordance with applicable federal and state laws, and (b) for at least two full years. I attest that my organization will provide such documentation to the Oregon Health Authority upon request. ______ I attest that any people within my organization who will have direct or indirect contact with students will follow PPS’s protective measures in place at the time of such contact. Such measures may include wearing face coverings, distancing from others, and isolating or quarantining if exposed to or contracting COVID-19. Portland Public Schools Exhibit #I: Mandatory Contractor COVID-19 Vaccine Attestation

Vaccination Attestation. Instructions: If you or any of your agents or employees will have direct or indirect contact with PPS students as a result of this contract, you must complete the following attestation. If you will have no direct or indirect contact with PPS students as a result of this contract, skip to Step 2: Waiver of Liability below. Please read and initial. ______ I attest that, per Oregon Administrative Rule 333-019-1030, any people within my organization who will have direct or indirect contact with PPS students under the above contract scope, whether at PPS sites or other sites, are already fully vaccinated as of the date of this attestation, attestation or will be fully vaccinated before the contracted work begins, or have an approved medical or religious exception to COVID vaccination. ______ I attest that I, or those with authority within my organization, have reviewed and verified the proof of vaccination of any people who will have direct or indirect contact with PPS students under the above contract scope. I further attest that I, or those with authority within my organization, have reviewed and approved or accepted the documentation of any medical or religious exception, made on a form prescribed by the Oregon Health Authority, and in compliance with the requirements set forth in OAR 333-019-1030(14). ______ I attest that my organization, as required by Oregon Administrative Rule 333-019-1030, will maintain the proof of vaccination or exception documentation vaccination* for any such person (a) in accordance with applicable federal and state laws, and (b) for at least two full years. I attest that my organization will provide such documentation to the Oregon Health Authority upon request. *“Proof of vaccination” means documentation provided by a tribal, federal, state or local government, or a health care provider, that includes an individual’s name, date of birth, type of COVID-19 vaccination given, date or dates given, depending on whether it is one dose or two-dose vaccine, and the name/location of the health care provider or site where the vaccine was administered. Documentation may include but is not limited to a COVID-19 vaccination record card or a copy or digital picture of the vaccination record card, or a print-out form from the Oregon Health Authority’s immunization registry. ______ I attest that I will not allow any unvaccinated person (myself or any employee or agent) to have direct or indirect contact with students, even if such people have medical or religious exceptions to vaccination. Portland Public School s Exhibit D: Mandatory Contractor COVID-19 Vaccine Attestation and Waiver of Liability Addendum ______ I attest that any people within my organization who will have direct or indirect contact with students will follow PPS’s protective measures in place at the time of such contact. Such measures may include wearing face coverings, distancing from others, and isolating or quarantining if exposed to or contracting COVID-19. Portland Public Schools Exhibit #: Mandatory Contractor COVID-19 Vaccine Attestation______ I understand and agree that failure to comply with these requirements may result in immediate termination of my contract.

Vaccination Attestation. Instructions: If you or any of your agents or employees will have direct or indirect contact with PPS students as a result of this contract, you must complete the following attestation. If you will have no direct or indirect contact with PPS students as a result of this contract, skip to Step 2: Waiver of Liability below. Please read and initial. ______ I attest that, per Oregon Administrative Rule 333-019-1030, any people within my organization who will have direct or indirect contact with PPS students under the above contract scope, whether at PPS sites or other sites, are already fully vaccinated as of the date of this attestation, attestation or will be fully vaccinated before the contracted work begins, or have an approved medical or religious exception to COVID vaccination. ______ I attest that I, or those with authority within my organization, have reviewed and verified the proof of vaccination of any people who will have direct or indirect contact with PPS students under the above contract scope. I further attest that I, or those with authority within my organization, have reviewed and approved or accepted the documentation of any medical or religious exception, made on a form prescribed by the Oregon Health Authority, and in compliance with the requirements set forth in OAR 333-019-1030(14). ______ I attest that my organization, as required by Oregon Administrative Rule 333-019-1030, will maintain the proof of vaccination or exception documentation vaccination* for any such person (a) in accordance with applicable federal and state laws, and (b) for at least two full years. I attest that my organization will provide such documentation to the Oregon Health Authority upon request. *“Proof of vaccination” means documentation provided by a tribal, federal, state or local government, or a health care provider, that includes an individual’s name, date of birth, type of COVID-19 vaccination given, date or dates given, depending on whether it is one dose or two-dose vaccine, and the name/location of the health care provider or site where the vaccine was administered. Documentation may include but is not limited to a COVID-19 vaccination record card or a copy or digital picture of the vaccination record card, or a print-out form from the Oregon Health Authority’s immunization registry. ______ I attest that I will not allow any unvaccinated person (myself or any employee or agent) to have direct or indirect contact with students after October 18, 2021, even if such people have medical or religious exceptions to vaccination. Portland Public School s Exhibit : Mandatory Contractor COVID-19 Vaccine Attestation and Waiver of Liability Addendum ______ I attest that any people within my organization who will have direct or indirect contact with students will follow PPS’s protective measures in place at the time of such contact. Such measures may include including wearing face coverings, distancing from others, and isolating or quarantining if exposed to or contracting COVID-19. Portland Public Schools Exhibit #: Mandatory Contractor COVID-19 Vaccine Attestation______ I understand and agree that failure to comply with these requirements may result in immediate termination of my contract.

Vaccination Attestation. Instructions: If you or any of your agents or employees will have direct or indirect contact with PPS students as a result of this contract, you must complete the following attestation. If you will have no direct or indirect contact with PPS students as a result of this contract, skip to Step 2: Waiver of Liability below. Please read and initial. ______ I attest that, per Oregon Administrative Rule 333-019-1030, any people within my organization who will have direct or indirect contact with PPS students under the above contract scope, whether at PPS sites or other sites, are already fully vaccinated as of the date of this attestation, will be fully vaccinated before the contracted work begins, or have an approved medical or religious exception to COVID vaccination. ______ I attest that I, or those with authority within my organization, have reviewed and verified the proof of vaccination of any people who will have direct or indirect contact with PPS students under the above contract scope. ______ I further attest that I, or those with authority within my organization, have reviewed and approved or accepted the documentation of any medical or religious exception, made on a form prescribed by the Oregon Health Authority, and in compliance with the requirements set forth in OAR 333-019-1030(14). ______ I attest that my organization, as required by Oregon Administrative Rule 333-019-1030, will maintain the proof of vaccination or exception documentation for any such person (a) in accordance with applicable federal and state laws, and (b) for at least two full years. I attest that my organization will provide such documentation to the Oregon Health Authority upon request. Portland Public Schools Exhibit B: Mandatory Contractor COVID-19 Vaccine Attestation and Waiver of Liability Addendum ______ I attest that any people within my organization who will have direct or indirect contact with students will follow PPS’s protective measures in place at the time of such contact. Such measures may include wearing face coverings, distancing from others, and isolating or quarantining if exposed to or contracting COVID-19. Portland Public Schools Exhibit #: Mandatory Contractor COVID-19 Vaccine Attestation______ I understand and agree that failure to comply with these requirements may result in immediate termination of my contract.

Vaccination Attestation. Instructions: If you or any of your agents or employees will have direct or indirect contact with PPS students as a result of this contract, you must complete the following attestation. If you will have no direct or indirect contact with PPS students as a result of this contract, skip to Step 2: Waiver of Liability below. Please read and initial. ______ I attest that, per Oregon Administrative Rule 333-019-1030, any people within my organization who will have direct or indirect contact with PPS students under the above contract scope, whether at PPS sites or other sites, are already fully vaccinated as of the date of this attestation, attestation or will be fully vaccinated before the contracted work beginsby October 18, or have an approved medical or religious exception to COVID vaccination2021. ______ I attest that I, or those with authority within my organization, have reviewed and verified the proof of vaccination of any people who will have direct or indirect contact with PPS students under the above contract scope. I further attest that I, or those with authority within my organization, have reviewed and approved or accepted the documentation of any medical or religious exception, made on a form prescribed by the Oregon Health Authority, and in compliance with the requirements set forth in OAR 333-019-1030(14). ______ I attest that my organization, as required by Oregon Administrative Rule 333-019-1030, will maintain the proof of vaccination or exception documentation vaccination* for any such person (a) in accordance with applicable federal and state laws, and (b) for at least two full years. I attest that my organization will provide such documentation to the Oregon Health Authority upon request. *“Proof of vaccination” means documentation provided by a tribal, federal, state or local government, or a health care provider, that includes an individual’s name, date of birth, type of COVID-19 vaccination given, date or dates given, depending on whether it is one dose or two-dose vaccine, and the name/location of the health care provider or site where the vaccine was administered. Documentation may include but is not limited to a COVID-19 vaccination record card or a copy or digital picture of the vaccination record card, or a print-out form from the Oregon Health Authority’s immunization registry. ______ I attest that I will not allow any unvaccinated person (myself or any employee or agent) to have direct or indirect contact with students after October 18, 2021, even if such people have medical or religious exceptions to vaccination. Portland Public School s Exhibit Error: Reference source not found: Mandatory Contractor COVID-19 Vaccine Attestation and Waiver of Liability Addendum ______ I attest that any people within my organization who will have direct or indirect contact with students will follow PPS’s protective measures in place at the time of such contact. Such measures may include including wearing face coverings, distancing from others, and isolating or quarantining if exposed to or contracting COVID-19. Portland Public Schools Exhibit #: Mandatory Contractor COVID-19 Vaccine Attestation______ I understand and agree that failure to comply with these requirements may result in immediate termination of my contract.

Vaccination Attestation. Instructions: If you or any of your agents or employees will have direct or indirect contact with PPS students as a result of this contract, you must complete the following attestation. If you will have no direct or indirect contact with PPS students as a result of this contract, skip to Step 2: Waiver of Liability below. Please read and initial. ______ I attest that, per Oregon Administrative Rule 333-019-1030, any people within my organization who will have direct or indirect contact with PPS students under the above contract scope, whether at PPS sites or other sites, are already fully vaccinated as of the date of this attestation, will be fully vaccinated before the contracted work begins, or have an approved medical or religious exception to COVID vaccination. ______ I attest that I, or those with authority within my organization, have reviewed and verified the proof of vaccination of any people who will have direct or indirect contact with PPS students under the above contract scope. ______ I further attest that I, or those with authority within my organization, have reviewed and approved or accepted the documentation of any medical or religious exception, made on a form prescribed by the Oregon Health Authority, and in compliance with the requirements set forth in OAR 333-019-1030(14). ______ I attest that my organization, as required by Oregon Administrative Rule 333-019-1030, will maintain the proof of vaccination or exception documentation for any such person (a) in accordance with applicable federal and state laws, and (b) for at least two full years. I attest that my organization will provide such documentation to the Oregon Health Authority upon request. Portland Public Schools Exhibit F: Mandatory Contractor COVID-19 Vaccine Attestation and Waiver of Liability Addendum ______ I attest that any people within my organization who will have direct or indirect contact with students will follow PPS’s protective measures in place at the time of such contact. Such measures may include wearing face coverings, distancing from others, and isolating or quarantining if exposed to or contracting COVID-19. Portland Public Schools Exhibit #: Mandatory Contractor COVID-19 Vaccine Attestation______ I understand and agree that failure to comply with these requirements may result in immediate termination of my contract.

Vaccination Attestation. Instructions: If you or any of your agents or employees will have direct or indirect contact with PPS students as a result of this contract, you must complete the following attestation. If you will have no direct or indirect contact with PPS students as a result of this contract, skip to Step 2: Waiver of Liability below. Please read and initial. ______ I attest that, per Oregon Administrative Rule 333-019-1030, any people within my organization who will have direct or indirect contact with PPS students under the above contract scope, whether at PPS sites or other sites, are already fully vaccinated as of the date of this attestation, attestation or will be fully vaccinated before the contracted work begins, or have an approved medical or religious exception to COVID vaccination. ______ I attest that I, or those with authority within my organization, have reviewed and verified the proof of vaccination of any people who will have direct or indirect contact with PPS students under the above contract scope. I further attest that I, or those with authority within my organization, have reviewed and approved or accepted the documentation of any medical or religious exception, made on a form prescribed by the Oregon Health Authority, and in compliance with the requirements set forth in OAR 333-019-1030(14). ______ I attest that my organization, as required by Oregon Administrative Rule 333-019-1030, will maintain the proof of vaccination or exception documentation vaccination* for any such person (a) in accordance with applicable federal and state laws, and (b) for at least two full years. I attest that my organization will provide such documentation to the Oregon Health Authority upon request. *“Proof of vaccination” means documentation provided by a tribal, federal, state or local government, or a health care provider, that includes an individual’s name, date of birth, type of COVID-19 vaccination given, date or dates given, depending on whether it is one dose or two-dose vaccine, and the name/location of the health care provider or site where the vaccine was administered. Documentation may include but is not limited to a COVID-19 vaccination record card or a copy or digital picture of the vaccination record card, or a print-out form from the Oregon Health Authority’s immunization registry. ______ I attest that I will not allow any unvaccinated person (myself or any employee or agent) to have direct or indirect contact with students after October 18, 2021, even if such people have medical or religious exceptions to vaccination. Portland Public School s Exhibit (enter RFP/ITB/Quotes solicitation number, e.g., RFP #2016-1922) : Mandatory Contractor COVID-19 Vaccine Attestation and Waiver of Liability Addendum ______ I attest that any people within my organization who will have direct or indirect contact with students will follow PPS’s protective measures in place at the time of such contact. Such measures may include including wearing face coverings, distancing from others, and isolating or quarantining if exposed to or contracting COVID-19. Portland Public Schools Exhibit #: Mandatory Contractor COVID-19 Vaccine Attestation______ I understand and agree that failure to comply with these requirements may result in immediate termination of my contract.

Vaccination Attestation. Instructions: If you or any of your agents or employees will have direct or indirect contact with PPS students as a result of this contract, you must complete the following attestation. If you will have no direct or indirect contact with PPS students as a result of this contract, skip to Step 2: Waiver of Liability below. Please read and initial. ______ I attest that, per Oregon Administrative Rule 333-019-1030, any people within my organization who will have direct or indirect contact with PPS students under the above contract scope, whether at PPS sites or other sites, are already fully vaccinated as of the date of this attestation, attestation or will be fully vaccinated before the contracted work beginsby October 18, or have an approved medical or religious exception to COVID vaccination2021. ______ I attest that I, or those with authority within my organization, have reviewed and verified the proof of vaccination of any people who will have direct or indirect contact with PPS students under the above contract scope. I further attest that I, or those with authority within my organization, have reviewed and approved or accepted the documentation of any medical or religious exception, made on a form prescribed by the Oregon Health Authority, and in compliance with the requirements set forth in OAR 333-019-1030(14). ______ I attest that my organization, as required by Oregon Administrative Rule 333-019-1030, will maintain the proof of vaccination or exception documentation vaccination* for any such person (a) in accordance with applicable federal and state laws, and (b) for at least two full years. I attest that my organization will provide such documentation to the Oregon Health Authority upon request. *“Proof of vaccination” means documentation provided by a tribal, federal, state or local government, or a health care provider, that includes an individual’s name, date of birth, type of COVID-19 vaccination given, date or dates given, depending on whether it is one dose or two-dose vaccine, and the name/location of the health care provider or site where the vaccine was administered. Documentation may include but is not limited to a COVID-19 vaccination record card or a copy or digital picture of the vaccination record card, or a print-out form from the Oregon Health Authority’s immunization registry. ______ I attest that I will not allow any unvaccinated person (myself or any employee or agent) to have direct or indirect contact with students after October 18, 2021, even if such people have medical or religious exceptions to vaccination. Portland Public School s Exhibit (enter RFP/ITB/Quotes solicitation number, e.g., RFP #2016-1922) : Mandatory Contractor COVID-19 Vaccine Attestation and Waiver of Liability Addendum ______ I attest that any people within my organization who will have direct or indirect contact with students will follow PPS’s protective measures in place at the time of such contact. Such measures may include including wearing face coverings, distancing from others, and isolating or quarantining if exposed to or contracting COVID-19. Portland Public Schools Exhibit #: Mandatory Contractor COVID-19 Vaccine Attestation______ I understand and agree that failure to comply with these requirements may result in immediate termination of my contract.