Fingerprinting_Certification_Form.pdf
PDF 587 KB Posted
- Attached to
- After-Hours Pharmacy Remote Order Entry Services
- Solicitation number
- 66000-2425-201
- Issued by
- San Mateo County, San Francisco City, California
About this file
The document is a Fingerprinting Certification Form issued by the County of San Mateo Contract Compliance Committee on July 1, 2013. This sample form is designed for contractors to certify that employees, subcontractors, assignees, and volunteers who will have contact with children during the course of performing services will be fingerprinted to determine their criminal history.
While the form is a sample template and does not contain specific contract details, it is associated with a broader contract opportunity for After-Hours Pharmacy Remote Order Entry Services at San Mateo Medical Center. The medical center serves San Mateo County residents and is seeking services with an estimated budget of $1,000,000. The fingerprinting requirement appears to be a standard safety protocol to ensure the protection of vulnerable populations, specifically children, who may interact with contract personnel.
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Text version
County of San Mateo – Fingerprinting Certification Form
DATE: Click here to enter a date.
AGREEMENT WITH: Click here to enter text.
FOR:
Contractor agrees that its employees and/or its subcontractors, assignees and volunteers who, during the course of performing services under this agreement, have contact with children will be fingerprinted in order to determine whether they have a criminal history which would compromise the safety of children with whom contractors employees, assignees and subcontractors or volunteers have contact.
NAME: Click here to enter text.
TITLE: Click here to enter text.
SIGNATURE:
DATE:
Issued by County of San Mateo Contract Compliance Committee July 1, 2013
SAMPLE
Contractor agrees that its employees and/or its subcontractors, assignees and volunteers who, during the course of performing services under this agreement, have contact with children will be fingerprinted in order to determine whether they have a cri...
File details come from the government source that posted it. Updated .