03-083.00 Affiliated Information Resources, Inc06/03/2003 11:10 5V7 _ 1008 CITYOFSPOKAtf-•— PAGE 04
Affiliated Information Resources, Inc.
P.O. Box 14344 • Spokane, Washington 99214-0344
(509) 928-0229 • Fax (509) 928-7903 • (800) 290-7031
Customer Service (509) 928-0229 • (800) 729-7776
E-MAIL – air@airfactz.com # WEBSITE — www.airfadz.com
Pre -Employment Screening
SERVICEAg—RE EMENT
This Agreement is made by and between-����!�cl &,z &-t,_ ,
VAU!t `1 , L,4./0 (`Client") and Affiliated Information R soF4 urces,inc, P.O. Box 14344,
Spokane, WA 99214 ('AIR') to provide for tenant screening services (Exhibit A) and/or Employment
Screening Services (Exhibit B), which may include consumer credit reports.
The undersigned Client and Affiliated Information Resources, Inc. ("A.I.R.'), hereby make the following
agreement:
l . (Client Initials). Client is a ft%A Krcf J J— and has a need for
ccsnsum r credit information In connection with the valuation of individuals for employment,
promotion, reassignment or retention as an employee ("Consumer Report for Employment
Purposes').
2. Client shall request a Consumer Report for Employment Purposes pursuant to procedures prescribed
by Affiliated Information Resources, Inc. from time to time only when it Is considering the Individual
inquired upon for employment, promotion. reassignment or retention as an employee, and for no
other purpose.
3. Client certifies that it will not request a Consumer Report for Employment Purposes unless:
A. A clear and conspicuous disclosure is first made in writing to the consumer before the report
is obtained, in a document that consists solely of the disclosure, that a consumer report may
be obtained for employment purposes;
B. The consumer has authorized in writing the procurement of the report; and
C. Information from the Consumer Report for Employment Purposes will not be used in violation
of any applicable federal or state equal employment opportunfty law or regulation.
5. Client further certifies that before taking adverse action in whole or in part based on the Consumer
Report for Employment Purposes, it will provide the consumer.
A. A copy of the Consumer Report for Employment Purposes; and
B. A copy of the consumer's rights, in the format approved by the FTC, which notice shall be
supplied to Client by Affiliated Information Resources. Inc..
6. Client agrees that it shall use Consumer Report for Employment Purposes only for a one-time use,
and to hold the report in strict confidence, and not to disclose it to any third parties not involved in the
current employment decision.
._ 67 41.3
-06/03/2003 11:10 5erT,'1008 CITY01-51"QKAi PAGE 05
7. Aplent Initials). All payments shall be due on receipt of the invoice. Client is
responsible for all monies due for services received, past due amounts shall accrue interest at
the rate of 1.5°x6 per month, If collection efforts are required, venue will be Spokane County,
Washington, and Client shall pay all costs of collection, including attorney's fees.
8. Affiliated information Resources, Inc. reserves the right to change the charges of any of its services
from time to time, but no change In such charges shall become effective as to the Client earlier than
thirty (30) days after written notice thereof shall have been given by Affiliated Information Resources,
Inc. to the Client.
9. Affiliated Information Resources, Inc. shall use good faith in attempting to obtain information reported.
and in no event shall Affiliated Information Resources. Inc. be liable in any manner whatsoever for
any loss or injury to Client resulting from the obtaining or furnishing of such information; and further
Client agrees to hold Affiliated Information Resources, Inc. harmless and indemnify it from any and all
claims, losses and damages arising out of alleged liability or failure of the Client to keep and perform
any of its obligations described herein.
Miscellaneous
A. This Agreement shall commence upon the last signature dale below and shall remain in
force and effect until this Agreement is terminated pursuant by either party upon at least
thirty (30) days' prior written notice to the other party. The foregoing not vathstanding,
without limiting any other remedies to which may be entitled Including, but not limited to,
injunctive relief, Affiliated Information Resources, Inc reserves the right, at Affiliated
Information Resources, Inc sole option, to immediately suspend its performance. in whole
or in part, under this Agreement, to Immediately terminate this Agreement, or both, it
Affiliated Information Resources, Inc, in good faith, determines that: (1) Client, either
directly or Indirectly, has materially breached any of its obligations under this Agreement;
(2) the requirements of any law, regulation, or judicial action have not been met; or (3) as a
result of changes in laws, regulations or regulatory or judicial action, the requirements of
any law, regulation or judicial action wail not be met.
B. Each of the parties to this Agreement are independent contractors and nothing contained in
this Agreement shall be construed as creating a joint venture, partnership, employer-
employee, principal -agent nor mutual agency relationship between or among the parties
hereto and no party shall, by virtue of this Agreement, have any right or power to create
any obligation, express or implied, on behalf of any other party. No party, nor any
employee of a party, shall be deemed to be an employee of the other party by virtue of this
Agreement.
C. Neither party shalt be liable to the other for fallure to perform or delay in performance under
this Agreement if, and to the extent, such failure or delay is caused by conditions beyond its
reasonable control and which, by the exercise of reasonable diligence, the delayed party is
unable to prevent or provide against. Such conditions include, but are not limited to, acts of
God: strikes, boycotts or other concerted acts of workmen; laws, regulations or other orders
of public authorities: military action, state of war or other national emergency; fire or flood.
D. This Agreement shall be governed by and construed in accordance with the laws of the
State of Washington regardless of the laws that might otherwise govern under applicable
Washington prindples of conflicts of lava.
E. The recitals set forth above are an integral part of this Agreement and are hereby
incorporated into this Agreement.
`06/03/2003 11:10 50'.>"'`;1008 CITYOFSPOKAN ' PAGE 06
THIS AGREEMENT INCLUDING, BUT NOT LIMITED TO, ALL ASSOCIATED PRICING
AGREED UPON, CONSTITUTES THE ENTIRE AGREEMENT BETWEEN THE PARTIES
HERETO AND SUPERSEDES ALL PREVIOUS AGREEMENTS AND UNDERSTANDINGS,
WHETHER ORAL OR WRITTEN, EXPRESS OR IMPLIED, SOLELY WITH RESPECT TO
THE SUBJECT MATTER OF THIS AGREEMENT. THIS AGREEMENT MAY NOT BE
ALTERED, AMENDED, OR MODIFIED EXCEPT BY WRITTEN INSTRUMENT SIGNED BY
THE DULY AUTHORIZED REPRESENTATIVES OF BOTH PARTIES.
IN WITNESS WHEREOF, the paries. Intending to be legally bound, have caused this Agreement io be
executed by their duly authorized representatives as of the last date and year set forth below, The parties
heretb agree that a facsimile transmission of this fully executed Agreement shall constitute an original and
legally binding document. This agreement shall not be binding on either party until accepted by Affiliated
Information Resources, Inc.
Client
Signatu
Name;
Title: }{ „LMAAS IQ•t 9 ✓mcg tfl� ✓,
Date:
Affiliated Information Resources, Inc
Signature: , G
nature:
Name: ,
Title:
—
Date:
Account Number Issued by AIR: 2 k S(—j
On -Line Services: User Name and Password will be E-mailed to you.
Please Provide E -Mail Address: -02–'a
c�
06/03/2003 11:10 509Q?11008 CITYOFSPOKAN"" PAGE 02
I 1
f,
�.I• Membership Application
Company Name: k �qA Doing Busincss As: w
Contact Name: DIA Title:
N"(r_4 p 5 V.g 1K—�«t 1r7't fO'` r Lc C r-,, �f
Company Main Phone fl: -mss - _ Answering Service: Yes_ No
Physical Address:
Strcc[
Billing Address (if different)
State zip
Sheet City State Zip
Nature of Business: �iil�{LC(r�i�tc t 4Qtf'C,eWM_W{,?4" DatcEslablished: f( tl pQ�
Intended Use ol'Praduct(s): PVA _ 0-.c� 't—" GVq y�4 w Year/Month
Is the company. exempt from sales taxes? Ycs 1.No
If "Yes", please provide the appropriate resale or exemption certificate(s).
Is the company licensed or providkiU service as an attorney or do ctivdinvcstigativc gent; 7 YesNo Ye
If"Yes", indicate
Does the company intend to resell or release information from the consumer credit reportto a third party? Ycs No__,k _
Does the company provide credit repair or credit consulting services For a fce? Yes No—& _
Will the company, or does the company have an Internet Web Site address? Ycs No
If "Yes" please list site address 1, yr,,/, ,y am H � 1� a�LV_ _ "" —
Does the company have an E-mail address?' Yes --y No
If"Ycs" please list E-mail address_� IJ
Complete for Sole Proprietor or Partnership (circle which)
Owner Name:
Residence:__
`Street City State Zip
Social Security #: Signature:
Complete for Corporation
OfficerNamc: (/•l
4 t���,",' IY-yK Title; 014-f Y..— ln,,
Officer Name: l{y4lQ J�m! rC �!•y— Title:
Officer Name:
Fcd Tax ID#
Title:
! certify that the Info atio provided on this application is true. 1 understand that by the signature above, Affiliated Information
Resources may pulra "nbqW, report or owners of this company in connection with approval of this application.
Signature; pate:_�/��d
This document contains confidential tax information and
has been redacted pursuant to RCW 82.32.330.
You may petition for a review of our findings pertaining to any
redacted or withheld documents pursuant to Spokane Valley
Municipal Code (SVMC) 2.75.080; and obtain judicial review
pursuant to RCW 42.56.550.