for other states, see DCS' website on child welfare policies and contractor policies for web links to CPS records); (c) Conduct National Sex Offender Registry checks for all states of residency in the past five (5) years (see DCS' website for web links for national sex offender registry checks); (d) Conduct Local Law Enforcement checks with law enforcement agencies that would have responded to each residential address in the last five (5) years; (f) Register and make appointment(s) for Fingerprint-Based National and State Checks through the State approved fingerprint vendor [The Provider must confirm that their name is available as a valid provider to be printed for DCS purposes on the State approved fingerprint vendors website. If the Provider cannot locate their name as a valid provider under DCS on the registration/appointment website, no additional steps can be taken until the Provider contacts DCS at for further instructions. Employee(s)/volunteer(s) should not be printed under a local DCS office or other Provider name.] and follow through with obtaining fingerprints; and (g) Review Results of Criminal and Background Checks and take appropriate action as listed in the DCS Child Welfare Policy 13.4, Evaluation of Background Checks for DCS Contractors. (2) For those with only electronic or physical access to children's records: (a) Verify the identity of all individuals subject to criminal and background checks by viewing a current government issued picture I.D; (b) Conduct Child Protection Services (“CPS”) checks for all states of residency in the past five (5) years (for Indiana, send DCS an Indiana Request for Child Protection Services History Check; for other states, see DCS' website on child welfare policies and contractor policies for web links to CPS records); (c) Conduct National Sex Offender Registry checks for all states of residency in the past five (5) years (see DCS' website for web links for national sex offender registry checks); and (d) Review Results of Criminal and Background Checks and take appropriate action as listed in the DCS Child Welfare Policy 13.4, Evaluation of Background Checks for DCS Contractors. All directors/chief executive officers, facility managers, and licensing applicants, regardless of their level of contact with children, shall have background checks commensurate with the highest level of background checks required of any other Covered Personnel within their organization. If no other Covered Personnel require background checks and no
Appeals; and Section 58. Lobbying Activities. The above list of Sections surviving the termination and/or expiration of this Contract is not exhaustive and there are other provisions of this Contract which shall survive the termination, in whole or in part, and/or expiration of this Contract. 62. State Boilerplate Affirmation Clause. I swear or affirm under the penalties of perjury that I have not altered, modified, changed or deleted the State’s Boilerplate contract clauses (as contained in the 2014 OAG/IDOA Professional Services Contract Manual) in any way except for the following clauses which are named below: 5. Assignment; Successors; and Subcontracting - modified; 7. Audits and Monitoring - modified; 10. Compliance with Laws - modified; 11. Condition of Payment – modified; 12. Confidentiality of State Information - modified; 13. Continuity of Services – modified; 14. Debarment and Suspension – modified; 16. Disputes – modified; 19. Employment Option – modified; 21. Funding Cancellation – modified; 23. HIPAA Compliance – modified; 25. Independent Contractor; Workers’ Compensation Insurance – modified; 26. Information Technology Architecture Requirements – deleted; 27. Insurance - modified; 28. Key Person(s) – deleted; 29. Licensing Standards – modified; 33. Notice to Parties - modified; 34. Order of Precedence; Incorporation by Reference - modified; 35. Ownership of Documents and Materials – modified; 36. Payments and Fiscal Requirements - modified; 40. Renewal Option – modified; 45. Termination for Default and Termination or Suspension for Additional Reasons – modified; 46. Travel – modified; 48. Waiver of Rights – modified; 49. Work Standards – modified; 50. Reports and Records Concerning Services – added; 51. Delivery of Documents, Files, Data, Studies, or Reports to the State Upon Termination or Expiration of this Contract – added; 52. Conflict of Interest – added; 53. Criminal and Background Checks – added; 54. Purchase and Disposal of Property – added; 55. Eligibility and Appeals – added;
_____ Reviewed the results of criminal and civil Background Checks and taken appropriate action per DCS child welfare policy13.4 (previously 2.11). _______________________________________ ______________________ Signature of Provider Date _______________________________________ ___ _______________________ Typed or Printed Name Signed Above Title of Signer __________________________________________ _________________________ E-mail Address of Signer Phone Number Send by U.S Postal Service to: DCS, Central Office Background Check Unit Rm. E 306, MS 08 302 W. Washington St. Indianapolis, IN 46204--2739