Fingerprinting_Certification_Form.pdf

This is a Fingerprinting Certification Form issued by the County of San Mateo Contract Compliance Committee, effective July 1, 2013, applicable to the Hospital Ambassador Services contract opportunity with San Mateo Medical Center (SMMC). The form establishes requirements for contractor compliance regarding employee background screening for positions involving contact with children. The certification mandates that all employees, subcontractors, assignees, and volunteers performing services under the agreement who have contact with children must undergo fingerprinting to determine criminal history that could compromise child safety. The form serves as a contractual agreement between the County and the contractor, requiring the contractor to ensure compliance with this fingerprinting requirement across all personnel involved in service delivery.

The form functions as a standard certification document with fields for the contract date, agreement parties, contractor name, title, signature, and date of issuance. No specific pricing terms, funding amounts, set-asides, or renewal options are detailed within this fingerprinting certification form, as its primary purpose is to establish and document the background screening requirement rather than address financial or contractual performance terms. Contractors responding to the Hospital Ambassador Services opportunity must acknowledge and comply with this fingerprinting requirement as a condition of contract performance.