Fingerprinting_Certification_Form.pdf
PDF 587 KB Posted
- Attached to
- Wander Management System
- Solicitation number
- 66000-2526-233
- 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, effective July 1, 2013, applicable to contractors performing services for the county. The form establishes a requirement that all employees, subcontractors, assignees, and volunteers who have contact with children during the course of performing services under a county agreement must undergo fingerprinting. The fingerprinting process is designed to identify any criminal history that could compromise the safety of children served by the contractor, its employees, subcontractors, or volunteers. The form includes fields for the agreement date, contractor name, contractor signatory name and title, signature, and date of certification.
This form serves as a standard compliance document that contractors must complete and submit to the County of San Mateo as a condition of contract execution when the work involves contact with children. The certification confirms the contractor's commitment to implementing background checks for all personnel with child contact. No specific pricing, funding amounts, or contract term information is contained in this form, as it functions as a prerequisite compliance certification rather than a comprehensive contract document.
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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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