Fingerprinting_Certification_Form.pdf

This is a Fingerprinting Certification Form issued by the County of San Mateo's Contract Compliance Committee, effective July 1, 2013. The form establishes requirements for contractors providing services to the County, particularly those with potential contact with children. Under the agreement, contractors must ensure that all employees, subcontractors, assignees, and volunteers who have contact with children during service delivery are fingerprinted to determine criminal history that could compromise child safety. The form is designed as a template with blank fields for the agreement date, contractor name, signatory title, signature, and date of execution.

This certification requirement applies to the Overpayment Resolution Services contract (RFP No. 66000-2526-225) issued by San Mateo Medical Center. While the overpayment resolution services themselves do not inherently involve direct child contact, the County's standard compliance protocols require all contractors to complete fingerprinting certifications as part of their contractual obligations. This represents a uniform County policy ensuring background verification across all service providers engaging with the public healthcare system, regardless of the specific nature of the services rendered.