Fingerprinting_Certification_Form.pdf
PDF 587 KB Posted
- Attached to
- Coding Services
- Solicitation number
- 66000-2526-232
- 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 and their employees, subcontractors, assignees, and volunteers working on county agreements. The form documents a contractor's agreement to ensure that all personnel who have contact with children during service delivery are fingerprinted to determine whether they have a criminal history that could compromise child safety. The form includes fields for the date of agreement, contractor name, contractor title, signature, and date of issuance. This certification requirement applies broadly to any county contract involving child contact and serves as a mandatory compliance document for contract execution.
The form is a template document with fill-in fields, issued on July 1, 2013, and represents a standing requirement rather than a transaction-specific agreement. No specific contract values, timelines, or renewal terms are associated with this form itself, as it functions as a standard compliance instrument for all applicable San Mateo County contracts. The requirement applies uniformly without set-asides or preferential considerations and is non-negotiable for any contractor whose employees or representatives will have contact with children in the course of contract performance.
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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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