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Agmt11 County of San Mateo Alcohol and Drug Abuse Prevention Services
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Agmt11 County of San Mateo Alcohol and Drug Abuse Prevention Services
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Last modified
12/13/2011 3:31:39 PM
Creation date
12/13/2011 3:31:35 PM
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Agreement
Contractor Name
County of San Mateo with RWC 2020
PROJECT NAME
Alcohol and Drug Abuse Prevention Services
RMP File Number
304
Date
11/1/2011
MO Ref
11-163
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� <br /> ATTACHMENT E <br /> FINGERPRINTING CERTIFICATION <br /> Contractor hereby certifies that ContractoPs 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 11705.3) (the °ApplicanY') shal! be fingerprinted in order to determine <br /> whether each such Applicant has a criminal history which would wmpromise the <br /> safety of children with whom each such Applicant has/wiil have contact. <br /> Contractor's empioyees, 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 discipiinary power over chiidren (Penal <br /> � 11105.3). <br /> �`� b. do exercise supervisory or disciplinary power over children (Penal <br /> 11105.3). '� <br /> o Rec�ti�1 ���. C�c� , <br /> Name of oMr ctor <br /> �� ,6 , � .�r <br /> Signature of Authorized Official � <br /> �Dl�e ir� � � ��e I l <br /> Name (piease print) . <br /> � f� �:-� f Y� <br /> Tdle (p ase print) Atte : " <br /> oC r�( , ZO l 1 si� ia n er►inden, City C�erk <br /> Date <br /> � <br />
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