Fingerprinting_Certification_Form.pdf
PDF 587 KB Posted
- Solicitation number
- 66000-2526-244
- Issued by
- San Mateo County, San Francisco City, California
About this file
This is a Fingerprinting Certification Form from the County of San Mateo, applicable to contractors performing services under agreements with the county. The form establishes a requirement that employees, subcontractors, assignees, and volunteers who have contact with children during the course of service delivery must undergo fingerprinting to determine criminal history that could compromise child safety. The form is a template document issued by the County of San Mateo Contract Compliance Committee as of July 1, 2013, and requires completion with the agreement date, contracting entity name, contractor representative name and title, and authorized signatures. The form serves as a certification mechanism ensuring compliance with child safety protocols across county-contracted services.
The fingerprinting requirement applies universally to all personnel with child contact, regardless of contractor size or service type. This certification is a mandatory compliance condition for any San Mateo County contract involving services to minors. No pricing, funding sources, or contract term information is contained in this certification form, as it functions as a standalone compliance document that accompanies primary service agreements rather than as a standalone procurement vehicle.
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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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