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, establishing requirements for contractors performing services under county agreements. The form documents contractor agreement that all employees, subcontractors, assignees, and volunteers who have contact with children during service delivery must undergo fingerprinting to determine whether they possess a criminal history that could compromise child safety. The form includes fill-in fields for the agreement date, contractor name, signatory name and title, and signature line with date. This certification requirement applies broadly to any county contract involving child contact and serves as a prerequisite compliance document for contractor engagement.
The form represents a mandatory child safety screening protocol rather than a procurement opportunity itself, functioning as a compliance requirement within the broader Archive Remit and Claim Repository contract opportunity issued by San Mateo County for San Mateo Medical Center. While the fingerprinting certification does not establish specific pricing, timelines, or deliverables unique to this document, it represents a binding requirement that any selected vendor must implement for applicable personnel. The County of San Mateo established this certification framework to fulfill its duty to protect vulnerable populations and ensure contractor accountability through standardized background verification procedures prior to contract performance initiation.
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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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