Fingerprinting_Certification_Form.pdf

PDF 587 KB Posted

Attached to
Consultant Support for Audio/Visual Systems, CCTV Systems, Man-Down Systems, and Panic Alarm Systems
Solicitation number
66000-2526-243
Issued by
San Mateo County, San Francisco City, California

About this file

This is a Fingerprinting Certification Form related to San Mateo Medical Center's consultant support procurement for Audio/Visual Systems, CCTV Systems, Man-Down Systems, and Panic Alarm Systems in San Mateo County, California. The form serves as a requirement for individuals seeking to work on or support projects within the medical center and county facilities. The document establishes fingerprinting and background certification procedures as a prerequisite for consultant engagement on this contract opportunity, ensuring compliance with healthcare facility security and personnel vetting standards. This certification requirement applies to all consultants providing support services across the specified system categories at SMMC's acute-care hospital, outpatient clinics, and long-term care facilities throughout San Mateo County.

The fingerprinting certification form functions as a mandatory credential verification document within the procurement process for this consultant support contract. By requiring fingerprinting certification, San Mateo Medical Center implements a security and compliance measure consistent with healthcare industry standards and California state requirements for individuals accessing medical facilities and patient areas. This prerequisite ensures that all consultants involved in installing, maintaining, or supporting critical systems such as CCTV, panic alarm, and man-down systems meet background screening criteria established by the county and medical center.

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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...

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