Specifications

Microcomputer Peripherals, Annual Contract #08-02-9975 Page 53 of 58
Felony Conviction Notification
I, the undersigned for the firm named below, certify that the information concerning notification of felony convictions
has been reviewed by me and the following information furnished is true to the best of my knowledge.
Please select one choice below:
 A. My firm is a publicly held corporation; therefore, this reporting requirement is not applicable.
 B. My firm is not owned or operated by anyone who has been convicted of a felony.
 C. My firm is owned or operated by the following individuals who has/have been convicted of a felony.
Name of individual(s): ________________________________________________________
________________________________________________________
Details of conviction(s): ________________________________________________________
________________________________________________________
________________________________________________________
Date of conviction(s): _______________________________________________________
Name of Vendor: ________________________________________________________
(Please type or print)
Name of Company Official: ________________________________________________________
(Please type or print)
Signature of authorized agent: _______________________________________ Date: _________
Note: This form must be executed and submitted with Bid Form.
State of Texas Legislative Senate Bill No. 1, Section 44.034, Notification of Criminal History, Subsection (a), states “a person or
business entity that enters into a contract with a school district must give advance notice to the district if the person or owner or
operator of the business entity has been convicted of a felony.” The notice must include a general description of the conduct
resulting in the conviction of a felony.
Subsection (b) states “a school district may terminate a contract with a person or business entity if the district determines that the
person or business entity failed to give notice as required by Subsection (a) or misrepresented the conduct resulting in the
conviction. The district must compensate the person or business entity for services performed before the termination of the
contract.
This notice is not required of a publicly held corporation.