Fingerprinting_Certification_Form.pdf
PDF 587 KB Posted
- Attached to
- Archive Remit and Claim Repository
- Solicitation number
- 66000-2526-235
- 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. The form establishes requirements for contractors and their employees, subcontractors, assignees, and volunteers working on County agreements. The form mandates that any personnel with contact with children during the course of service delivery must undergo fingerprinting to identify any criminal history that could compromise child safety. The document serves as a template with designated fields for the agreement date, contracting party name, contractor name, title, signature, and date of execution.
The fingerprinting certification requirement applies universally to all County of San Mateo contracts involving child contact, with no exceptions or set-asides noted. The form does not specify pricing, funding sources, or contract term information, as it functions as a compliance and safety certification document rather than a procurement instrument. Contractors must ensure compliance with this requirement prior to commencing work, and the form must be completed and submitted as part of the contract agreement process.
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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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