Fingerprinting_Certification_Form.pdf

PDF 587 KB Posted

Attached to
HRSA Service Area Competition (SAC) Application Support
Solicitation number
66000-2526-239
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 service providers working with the county. The form establishes a requirement that all employees, subcontractors, assignees, and volunteers of contractors who have contact with children during the performance of services under a county agreement must undergo fingerprinting. The fingerprinting process is designed to identify any criminal history that could compromise child safety. The form is a template requiring completion with the contract date, contracting party name, contractor representative name and title, signature, and date of execution. No specific project timeline, site visits, bidders' conferences, or contract term information is detailed within the form itself, as it serves as a compliance certification mechanism rather than a primary solicitation document.

The form contains no pricing terms, set-aside provisions, incumbent information, or funding details, functioning instead as a mandatory compliance requirement for county contractors. This fingerprinting certification requirement applies broadly to any county contract where contractor personnel may interact with children, ensuring baseline background screening for child safety protection. The form was issued July 1, 2013, establishing the compliance standard for the County of San Mateo's contractor management practices. No renewal options, award amounts, or funding sources are specified within this document.

View the file

Other files

File Type Posted
HRSA_Service_Area_Competition_(SAC)_Application_Support.pdf PDF
HRSA_Service_Area_Competition_(SAC)_Application_Support.pdf PDF
HRSA_Service_Area_Competition_(SAC)_Application_Support.pdf PDF
HRSA_Service_Area_Competition_(SAC)_Application_Support.pdf PDF
Attachment_IP.pdf PDF
Vendor_Contractor_Access_Policy.pdf PDF
Sample_Service_Agreement.pdf PDF
Vendor_Contractor_Access_Policy.pdf PDF
Attachment_I_504_Compliance.pdf PDF
Fingerprinting_Certification_Form.pdf PDF
Attachment_I_504_Compliance.pdf PDF
Sample_Service_Agreement.pdf PDF
Attachment_IP.pdf PDF
Attachment_I_504_Compliance.pdf PDF
Attachment_IP.pdf PDF
Fingerprinting_Certification_Form.pdf PDF
Sample_Service_Agreement.pdf PDF
Vendor_Contractor_Access_Policy.pdf PDF
Living_Wage_Ordinance.pdf PDF
Sample_Service_Agreement.pdf PDF
Vendor_Contractor_Access_Policy.pdf PDF
Attachment_IP.pdf PDF
Living_Wage_Ordinance.pdf PDF
Living_Wage_Ordinance.pdf PDF
Fingerprinting_Certification_Form.pdf PDF
Living_Wage_Ordinance.pdf PDF
Attachment_I_504_Compliance.pdf PDF
HIPAA_Attachment_H.pdf PDF
Enclosure_2_Sample_Exhibit_E_-_Corporate_Compliance_Code_of_Conduct_(Third_Parties).pdf PDF
HIPAA_Attachment_H.pdf PDF
HIPAA_Attachment_H.pdf PDF
Enclosure_2_Sample_Exhibit_E_-_Corporate_Compliance_Code_of_Conduct_(Third_Parties).pdf PDF
Enclosure_2_Sample_Exhibit_E_-_Corporate_Compliance_Code_of_Conduct_(Third_Parties).pdf PDF
HIPAA_Attachment_H.pdf PDF
Enclosure_2_Sample_Exhibit_E_-_Corporate_Compliance_Code_of_Conduct_(Third_Parties).pdf PDF
Show all 35

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

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 .