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 is a Fingerprinting Certification Form issued by the County of San Mateo Contract Compliance Committee, applicable to contractors providing services under agreements with San Mateo County. The form establishes a requirement that all employees, subcontractors, assignees, and volunteers who have contact with children during service delivery must undergo fingerprinting to determine whether they possess a criminal history that could compromise child safety. The form serves as a template for documenting contractor agreement to this fingerprinting requirement and includes spaces for the agreement date, contractor name, authorized representative name and title, and signature and date fields for execution. This certification requirement applies across various County of San Mateo procurements, including the current Capsule Endoscopy system procurement (RFP No. 66000-2526-217) for San Mateo Medical Center.
The fingerprinting certification requirement is a mandatory compliance provision for all contractors and their personnel who may interact with children during contract performance. Failure to comply with fingerprinting requirements represents a material contract violation and is enforced through the County's contract compliance framework. This requirement is standard across San Mateo County procurements and must be satisfied prior to contract award or during the initial performance phase, depending on the specific contract terms and conditions established in individual service agreements.
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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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