Fingerprinting_Certification_Form.pdf

This is a Fingerprinting Certification Form issued by the County of San Mateo, applicable to contractors and service providers engaged by the county. The form serves as a certification document requiring contractors, their employees, subcontractors, assignees, and volunteers who have contact with children during the performance of services to undergo fingerprinting and background checks. The form contains fields for the date of agreement, contractor name, agreement details, signatory information, and title of the authorizing official. The document was issued by the County of San Mateo Contract Compliance Committee on July 1, 2013, and functions as a standard template for use across county contracts requiring child safety clearances.

The fingerprinting certification requirement applies to all personnel assigned to county contracts involving child contact and serves as a mandatory compliance measure to assess criminal history and ensure child safety. This particular form template is directly relevant to the San Mateo Medical Center's Laser Equipment and Technicians for OR procurement, where all vendor and contractor personnel must satisfy fingerprinting and background certification requirements as outlined in the county's access policies. The form establishes baseline personnel security standards across county contracting activities and does not specify pricing, set-asides, or financial terms, as it functions as an administrative certification document rather than a procurement instrument.