Fingerprinting_Certification_Form.pdf
PDF 587 KB Posted
- Attached to
- Cancer Registry Services
- Solicitation number
- 66000-2627-262
- Issued by
- San Mateo County, San Francisco City, California
About this file
This is a Fingerprinting Certification Form issued by the County of San Mateo Contract Compliance Committee, effective July 1, 2013. The form serves as a template for contractors entering into agreements with San Mateo County to certify compliance with fingerprinting requirements. The form requires contractors to confirm that all employees, subcontractors, assignees, and volunteers who will have contact with children during the performance of services under the agreement will undergo fingerprinting. The fingerprinting process is designed to screen for criminal history that could compromise child safety. The form includes fields for the contract date, agreement party, contractor name, title, signature, and date of certification.
The form applies to any County of San Mateo contract involving services that include contact with children. No specific pricing terms, renewal options, or contract duration information is contained within the form itself, as it functions solely as a compliance certification document. This fingerprinting requirement represents a mandatory safeguard for contracts involving child-facing services and reflects the County's commitment to protecting vulnerable populations. Contractors must ensure all relevant personnel complete the fingerprinting process prior to or during the performance of contracted services.
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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...
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