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Agmt18 RWC 2020 Co of San Mateo AOD - RWC 2020 sub-recipient
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Agmt18 RWC 2020 Co of San Mateo AOD - RWC 2020 sub-recipient
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Last modified
5/23/2018 9:25:07 AM
Creation date
5/23/2018 9:22:43 AM
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Agreement
Contractor Name
County of San Mateo
PROJECT NAME
sub-recipient agreement between County and RWC 2020 and City for alhohol and other drug prevention and recovery services AOD
RMP File Number
304 filed 18 RWC2020
Date
3/13/2018
Reso Ref
SM CO Reso 075771
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ATTACHMENT E <br />FINGERPRINTING CERTIFICATION <br />Contractor hereby certifies that Contractor's employees, volunteers, consultants, <br />agents, and any other persons who provide services under this Agreement and <br />who has/will have supervisory or disciplinary power over a child (Penal Code <br />Section 11105.3) (the "Applicant") shall be fingerprinted in order to determine <br />whether each such Applicant has a criminal history which would compromise the <br />safety of children with whom each such Applicant has/will have contact. <br />Contractor's employees, volunteers, consultants, agents, and any other persons <br />who provide services under this Agreement: (check a or b) <br />a. do NOT exercise supervisory or disciplinary power over children (Penal <br />11105.3). <br />�b. do exercise supervisory or disciplinary power over children (Penal <br />11105.3). <br />Citv of Redwood Citv <br />Name of Contractor <br />Signature of Authorized Official ✓ <br />Me,V a, 5kmy�5on �ltaz <br />Name (please print) <br />Title r <br />(please print) u <br />1 f�it� <br />Date <br />REV: 01-17-18 RL <br />
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