Fingerprinting_Certification_Form.pdf
PDF 587 KB Posted
- Attached to
- Blood Products & Blood Services
- Solicitation number
- 66000-2627-259
- 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 on behalf of San Mateo County. The form mandates that all employees, subcontractors, assignees, and volunteers who have contact with children during the performance of services under a county agreement must undergo fingerprinting to determine criminal history that could compromise child safety. The certification form requires completion with the agreement date, contractor name, employee name, title, signature, and date of issuance. This requirement applies broadly to any contractor service delivery involving potential child contact within San Mateo County jurisdiction.
The form serves as a compliance mechanism to protect vulnerable populations and establishes a baseline safety standard for all county contracts involving child interaction. No specific pricing, contract term, or renewal information is contained within this document, as it functions as a standalone certification requirement that contractors must satisfy prior to or during contract performance. The form was issued July 1, 2013, and represents a standing policy for the County of San Mateo Contract Compliance Committee applicable to relevant contract opportunities.
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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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