Fingerprinting_Certification_Form.pdf

PDF 587 KB Posted

Attached to
Cardiac Monitoring Services
Solicitation number
66600-2627-274
Issued by
San Mateo County, San Francisco City, California

About this file

This is a Fingerprinting Certification Form related to the County of San Mateo's Cardiac Monitoring Services contract opportunity. The form appears to be a requirement for personnel involved in the provision of cardiac monitoring services at San Mateo Medical Center, a public hospital and clinic system operated by the county. The form serves as documentation that individuals working on this contract have completed fingerprinting and background clearance procedures, which is a standard requirement for healthcare personnel working in clinical settings and patient-facing roles. The specific submission deadlines, detailed service requirements, and contract term information are not detailed within this fingerprinting form itself, as it functions as a compliance and credentialing document rather than a comprehensive solicitation document.

The fingerprinting certification requirement indicates that the County of San Mateo has implemented background screening and security clearance procedures as a condition for participation in this cardiac monitoring services contract. This requirement is typical for healthcare providers and reflects compliance with state and federal regulations governing patient safety and clinical facility operations. Additional details regarding pricing, contract duration, renewal options, funding sources, and other material terms would be contained in the primary contract solicitation documents rather than in this standalone fingerprinting certification form.

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Text version

County of San Mateo – Fingerprinting Certification Form

DATE: Click here to enter a date.

AGREEMENT WITH: Click here to enter text.

FOR:

Contractor agrees that its employees and/or its subcontractors, assignees and volunteers who, during the course of performing services under this agreement, have contact with children will be fingerprinted in order to determine whether they have a criminal history which would compromise the safety of children with whom contractors employees, assignees and subcontractors or volunteers have contact.

NAME: Click here to enter text.

TITLE: Click here to enter text.

SIGNATURE:

DATE:

Issued by County of San Mateo Contract Compliance Committee July 1, 2013

SAMPLE

Contractor agrees that its employees and/or its subcontractors, assignees and volunteers who, during the course of performing services under this agreement, have contact with children will be fingerprinted in order to determine whether they have a cri...

File details come from the government source that posted it. Updated .