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AUTHORIZATION FOR RELEASE OF INFORMATION <br /> Indian River County and Early Learning Coalition of Indian River. Martin and <br /> Okeechobee Counties . Inc . (Agency/Individual are in the process of negotiation of a <br /> contract for Childcare Access <br /> Indian River County is authorized to make an investigation of the Agency/Individual <br /> regarding its experience and qualifications . The Agency/Individual authorized the <br /> release of all relevant information concerning prior services furnished , contracts and <br /> background information of the Agency/Individual . The Agency/Individual authorizes any <br /> individual or organization that is in possession of relevant factual contract and <br /> background information , to release such data to Indian River County in response of the <br /> County's request. <br /> When an individual employee of the Agency signs Authorization for Release of <br /> Information , such individual authorizes the County to obtain relevant background <br /> information concerning such employee's criminal record , if any, and such other <br /> information that may be relevant to employee 's good character and work experience . <br /> Authorization is given here by the Agency/Individual and such employees who execute <br /> this authorization with the understanding and limitation that Indian River County will <br /> utilize the information obtained for the purposes set forth herein and that such <br /> information shall not be disclosed to third parties except as provided by law. <br /> Name Agency/Individual EARLY LEARNING COALITION OF INDIAN RIVER , MARTIN <br /> AND OKEECHOBEE COUNTIES , INC . <br /> Print name <br /> Name Employee Providing au oriz tion OLAN FAUCK <br /> rint nam <br /> Signature (in blue ink) <br /> Date <br /> XII <br />