Fingerprinting_Certification_Form.pdf

This is a Fingerprinting Certification Form issued by the County of San Mateo Contract Compliance Committee, effective July 1, 2013. The form pertains to a contract opportunity for Material Handling Equipment Maintenance, Repair, and Operator Safety Certification Services at San Mateo Medical Center (SMMC), a public hospital and clinic system accredited by The Joint Commission. The form establishes a requirement that all contractor employees, subcontractors, assignees, and volunteers who will have contact with children during performance of services under the agreement must undergo fingerprinting to determine whether they have a criminal history that could compromise child safety.

The fingerprinting certification requirement serves as a compliance mechanism for child protection and must be completed prior to work commencement for any personnel with child contact. The form includes fields for the date of the agreement, the contracting party name, the contractor's representative name and title, and signature authorization. This requirement applies universally to all contractors and their personnel working on SMMC projects regardless of the specific service nature, reflecting the County of San Mateo's commitment to safeguarding vulnerable populations within its healthcare facilities and services.