Fingerprinting_Certification_Form.pdf

This is a Fingerprinting Certification Form issued by the County of San Mateo Contract Compliance Committee, effective July 1, 2013. The form establishes requirements for contractors and their employees, subcontractors, assignees, and volunteers working on county agreements who will have contact with children during the performance of services. The form serves as a template with blank fields for the agreement date, contracting party name, contractor representative name and title, and signature and date fields. The form is directly associated with the FOHC Lobbies AV project at San Mateo Medical Center, a public hospital and clinic system operated by the County of San Mateo in California.

The fingerprinting requirement outlined in this form is a compliance and safety measure mandating that all personnel with child contact undergo fingerprinting to determine criminal history that could compromise child safety. No specific pricing terms, funding amounts, or contract duration information is contained within this certification form, as it functions as a standardized screening and compliance document rather than a complete contract document. The form does not identify specific response dates, due dates, or award information, but rather establishes an ongoing compliance requirement applicable to contractor personnel throughout the duration of any agreement where child contact occurs.