Fingerprinting_Certification_Form.pdf

PDF 587 KB Posted

Attached to
Electroencephalography (EEG) Equipment and Remote Solution
Solicitation number
66600-2627-275
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 establishes requirements for contractors and their employees, subcontractors, assignees, and volunteers performing services under County agreements. The document mandates fingerprinting for all personnel who will have contact with children during the course of contract performance to determine whether they possess a criminal history that could compromise child safety.

The form serves as a standardized certification template with blank fields for completion, including the agreement date, contractor name, employee or representative name and title, and authorized signature and date. No pricing terms, funding sources, incumbents, set-asides, or other financial considerations are specified within this document, as it functions solely as a compliance certification mechanism rather than a procurement instrument.

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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 .