Fingerprinting_Certification_Form.pdf

This is a Fingerprinting Certification Form issued by the County of San Mateo Contract Compliance Committee, effective July 1, 2013, establishing requirements for contractors performing services under county agreements. The form mandates that all contractor employees, subcontractors, assignees, and volunteers who have contact with children during the performance of services must undergo fingerprinting to determine criminal history and ensure child safety. The certification form serves as a template for documenting contractor compliance with this child safety requirement and requires signature by an authorized representative with the date of agreement execution and contractor identification information.

The fingerprinting requirement applies specifically to the Moving Services, Temporary Equipment Storage, and New Equipment Set Up contract for San Mateo Medical Center, a public hospital and clinic system serving San Mateo County and San Francisco City. This compliance measure is part of the county's broader contract management framework, ensuring that any personnel with potential contact with children—a consideration relevant to a healthcare facility environment—meet established safety and background check standards prior to contract performance.