Fingerprinting_Certification_Form.pdf
PDF 587 KB Posted
- Attached to
- Narrative Ethnography for the Health Futures Lab
- Solicitation number
- 66000-2526-216
- 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, establishing requirements for contractors and subcontractors engaged in services involving contact with children. The form serves as a template for documenting contractor agreements to ensure that all employees, subcontractors, assignees, and volunteers who have contact with children during service delivery are fingerprinted to determine whether they possess a criminal history that could compromise child safety. The form includes fillable fields for the date of agreement, contracting entity name, contractor name, title, signature, and date of issuance.
The fingerprinting certification requirement applies universally to all contractors and their personnel working on County of San Mateo contracts that involve child contact, with no exceptions noted. This compliance requirement is mandatory for contract award and performance, and contractors must ensure adherence throughout the contract term. The form does not specify pricing, contract duration, or other commercial terms, as it functions solely as a certification and compliance document 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...
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