Fingerprinting_Certification_Form.pdf

PDF 587 KB Posted

Attached to
Capsule Endoscopy
Solicitation number
66000-2526-217
Issued by
San Mateo County, San Francisco City, California

About this file

This document is a Fingerprinting Certification Form issued by the County of San Mateo Contract Compliance Committee on July 1, 2013. The form is a sample template requiring contractors to certify that their employees, subcontractors, assignees, and volunteers who may have contact with children during the course of performing services will be fingerprinted.

The primary purpose of the form is to ensure child safety by allowing the county to determine whether individuals working on the contract have a criminal history that could potentially compromise the safety of children. The form requires the contractor to complete fields including the date, agreement details, name, title, and provide a signature, demonstrating their commitment to the fingerprinting requirement. This certification serves as a protective measure to screen personnel who will interact with children during the performance of contract 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...

File details come from the government source that posted it. Updated .