Fingerprinting_Certification_Form.pdf

This is a Fingerprinting Certification Form issued by the County of San Mateo Contract Compliance Committee, effective July 1, 2013, applicable to contractors performing services for San Mateo Medical Center. The form establishes a requirement that all contractor employees, subcontractors, assignees, and volunteers who have contact with children during service delivery must undergo fingerprinting to screen for criminal history that could compromise child safety. The form serves as a template with designated fields for the agreement date, contracting party name, contractor name, title of signatory, and signature and date fields to document compliance with this certification requirement.

The fingerprinting certification is a mandatory safety compliance measure that applies to service contracts involving potential child contact at San Mateo Medical Center facilities. No specific pricing, funding amounts, or contract term information is provided in this certification form, as it functions as a standalone compliance document to be incorporated into broader service agreements. Organizations bidding on county contracts, including the Kitchen Exhaust Cleaning and Maintenance Services opportunity, must ensure that relevant personnel complete fingerprinting clearance prior to contract award or commencement of services.