Fingerprinting_Certification_Form.pdf
PDF 587 KB Posted
- Attached to
- Medical Physicist
- Solicitation number
- 66000-2627-270
- 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 a requirement for contractors and their employees, subcontractors, assignees, and volunteers performing services under County agreements to undergo fingerprinting if they will have contact with children during service delivery. The fingerprinting requirement is implemented to screen for criminal histories that could compromise child safety. The form serves as a template for documenting contractor agreement to this condition, requiring completion of contractor name, title, date, and authorized signature fields.
No specific pricing terms, project timelines, response deadlines, or contract duration information is provided in this certification form, as it functions as a compliance documentation instrument rather than a standalone contract or solicitation document. The form does not contain set-asides, incumbent information, or funding details. This document would typically be executed as part of a larger service agreement where child contact is an anticipated element of service delivery.
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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 .