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6.1.B. - Page 18 <br /> ATTACHMENT E <br /> FfNGERPRINT�NC C�ERTIFIC�4TNON <br /> Contractor hereby certifies tha� Cae�tractnr's employees, volunteers, eor�sultants, <br /> agents, and any ofiher persons who pra�ide services �ander th'rs Agreement and <br /> who haslwifl have supervisory or cEisciplinary power o�er a child (Penal Code <br /> Section 1'l 105.3) {t1�e "Applican�"} shail be finger�rinted in ord�r fo determine <br /> w�ether eac� such Applicanf has a criminal hisfiory which would compromise the <br /> safety of children with whom eac�t such Applicanfi haslwiil haue con#aet. <br /> Co�tractor's employees, �oiunte�rs, co�sulta�ts, agents, ar�c� any ot}�er persons <br /> who provide services �nder this Agreement: (c�eck a ar b) <br /> a. da NQT exercise supervisory or disciplinary power over chi�dren (Penal <br /> 11105.3). <br /> b. do exercise supervisary or disciplinary pawer over children (PenaE <br /> 19105.3). <br /> Name of Contractor <br /> Signature af Authorized Official <br /> Name {please print} <br /> Ti#le {please print) <br /> Dafe <br />