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6.1.E. - Page 36 <br /> 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 chiid (Penal Code <br /> Section 11105.3) (the "Applicant") shall be fingerprinted in order to determine <br /> wftether 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 N�T exercise supervisory or disciplinary power over children (Penal <br /> 111 Q5.3�. <br /> V b. do exercise supervisory or disciplinary power over children (Penal <br /> 11105.3). <br /> �� ; .� i <br /> Name o Contractor <br /> � �� ��f �/ <br /> Signature of Authorized Official <br /> � lGl Ul �0 � � �. (���-- <br /> Name (please pr' t) <br /> �{ n �( f � /��a!'1 QC Prt <br /> � , ` ' 1� l C S�S!'c�ri � \ r �/ J <br /> Ti e (please print) <br /> �'� � 2 <br /> Date <br /> Page 19 of 20 <br />