Fingerprinting_Certification_Form.pdf

This is a Fingerprinting Certification Form issued by the County of San Mateo Contract Compliance Committee, applicable to contractors and their employees, subcontractors, assignees, and volunteers working on County agreements. The form establishes a requirement that all personnel with direct contact with children during service delivery must undergo fingerprinting to screen for criminal history that could compromise child safety. The form serves as a template for documenting contractor compliance with this mandatory background check requirement and includes fields for the date of agreement, contracting party name, employee/volunteer name, job title, and authorized signature with date. No specific contract term, renewal options, site visits, or bidder meetings are referenced in this certification document.

The fingerprinting certification represents a compliance requirement rather than a pricing or procurement instrument. As a standalone form, it does not establish pricing terms, set-asides, or funding amounts. However, when applied to the related Pharmacy Consulting Services contract for San Mateo Medical Center, this requirement would apply only if the selected consulting firm's personnel have contact with children during service delivery. The fingerprinting requirement is part of San Mateo County's broader contractor compliance framework and should be considered in conjunction with other mandatory compliance obligations including HIPAA Business Associate Agreement provisions, Living Wage Ordinance compliance ($17.00 per hour minimum), insurance requirements, and the Corporate Compliance Code of Conduct.