Fingerprinting_Certification_Form.pdf
PDF 587 KB Posted
- Attached to
- Overpayment Resolution Services
- Solicitation number
- 66000-2526-225
- 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's Contract Compliance Committee, applicable to contractors performing services under county agreements. The form requires that all contractor employees, subcontractors, assignees, and volunteers who have contact with children during service delivery be fingerprinted to determine criminal history and ensure child safety. The form is a template document with blank fields for the agreement date, contracting party name, contractor name, title, signature, and date of issuance. No specific project timeline, response dates, or contract term is indicated in the form itself, as it serves as a compliance requirement applicable across multiple county procurements.
This certification form functions as a mandatory compliance document within the broader San Mateo County contracting framework, specifically relevant to the Overpayment Resolution Services RFP (No. 66000-2526-225) and other county contracts involving potential child contact. The fingerprinting requirement is part of the county's corporate compliance code of conduct and must be completed by all applicable personnel prior to contract performance. The form was established on July 1, 2013, and remains in effect as a standing requirement for contractor personnel eligibility verification.
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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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