Fingerprinting_Certification_Form.pdf
PDF 587 KB Posted
- Attached to
- FOHC Lobbies AV
- Solicitation number
- 66600-2526-236
- 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 performing services on San Mateo Medical Center contracts. The form documents the County's requirement that all contractor employees, subcontractors, assignees, and volunteers who have contact with children during service delivery must undergo fingerprinting to screen for criminal history that could compromise child safety. The form includes fields for the date of agreement, contracting party identification, employee name, title, and authorized signature, establishing a binding commitment to compliance with this background check requirement.
The fingerprinting certification requirement is a mandatory contractual provision for the FOHC Lobbies AV project, an audiovisual system installation and upgrade initiative at Fair Oaks Health Center. Contractors bidding on this work must acknowledge and comply with the fingerprinting obligation as part of the broader regulatory and operational requirements for San Mateo Medical Center contracts. This requirement applies regardless of the contractor's size or experience level and represents a standard compliance component within the County of San Mateo's procurement framework for services involving potential child contact.
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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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