Fingerprinting_Certification_Form.pdf
PDF 587 KB Posted
- Attached to
- Freight Management Services
- Solicitation number
- 66000-2425-205
- Issued by
- San Mateo County, San Francisco City, California
About this file
The document is a Fingerprinting Certification Form issued by the County of San Mateo's Contract Compliance Committee on July 1, 2013. This is a sample form that requires contractors to ensure that their employees, subcontractors, assignees, and volunteers who will have contact with children during the course of performing services under an agreement will be fingerprinted to determine if they have a criminal history that could compromise children's safety.
While the form is a sample template and does not contain specific contract details, it is associated with a potential Freight Management Services contract for San Mateo Medical Center. The medical center is a public hospital and clinic system serving San Mateo County, providing healthcare services to all residents without regard to ability to pay. The estimated budget for this opportunity is currently undefined, and the form represents a standard compliance requirement for contractors working in environments involving children.
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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...
File details come from the government source that posted it. Updated .