Fingerprinting_Certification_Form.pdf
PDF 587 KB Posted
- Attached to
- Courier Services
- Solicitation number
- 66000-2425-194
- Issued by
- San Mateo County, San Francisco City, California
About this file
The document is a Fingerprinting Certification Form issued by the County of San Mateo's Contract Compliance Committee on July 1, 2013. This sample form is designed for contractors performing services that involve contact with children, requiring that all employees, subcontractors, assignees, and volunteers undergo fingerprinting to assess potential criminal history that could compromise child safety.
While the form is a standard template with placeholder fields for agreement details, date, name, title, and signature, it is specifically associated with a potential Courier Services contract for San Mateo Medical Center. The medical center, a public hospital and clinic system serving San Mateo County, is seeking proposals for courier services with an estimated budget of $2,650,000. The fingerprinting requirement represents a critical child protection measure for contractors who may interact with children during service delivery.
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| Attachment_IP.pdf | ||
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| HIPAA_Attachment_H.pdf | ||
| Sample_Service_Agreement.pdf | ||
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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 .