DISCLOSURE AND AUTHORIZATION REGARDING BACKGROUND INVESTIGATION FOR EMPLOYMENT PURPOSES
Bela Flor Nurseries Inc (the "Company") may request from a consumer reporting agency nnd for
cmploymcnH·elated purposes, a "consumer report(s)" (commonly known as "background repmls") containing
background information about you in connection with your employment, or applictltion for employment, or
engagement for services (including independent contractor or volunteer assignments, as applicable).
HireRight, LLC ("l-lireRight") will prepare or assemble the background reports for the Company. HireRight is
located and can be contacted at 3349 ?vfichelson Drive, Suite 150, Irvine, CA 92612, (800) 400-2761,
The background report(s) may contain information concerning your character, general reputation, personal
characteristics, mode of living, or credit standing. The types of background information that may be obtained
include, but are not limited to: criminal history; litigation history; motor vehicle record and accident history;
social security number verification; address and alias history; credit history; verification of your education,
employment and earnings history; professional licensing, credential and certification checks; drug/alcohol testing
results and history; military service; and other information.