Fingerprinting_Certification_Form.pdf

This is a Fingerprinting Certification Form issued by the County of San Mateo Contract Compliance Committee, applicable to contractors and subcontractors performing services on county agreements. The form establishes a requirement that all employees, subcontractors, assignees, and volunteers who have contact with children during the performance of services must undergo fingerprinting to determine whether they have a criminal history that could compromise child safety. The form serves as a template for documenting contractor agreement to this fingerprinting certification requirement and includes fields for the date, agreement party, contractor name, title, signature, and date of execution.

This fingerprinting certification requirement is directly applicable to the County of San Mateo's FOHC Lobbies AV contract opportunity, as San Mateo Medical Center operates facilities that serve diverse populations potentially including children. Contractors responding to the audiovisual system installation and upgrades RFP must ensure compliance with this fingerprinting certification mandate for any personnel who may have contact with children at Fair Oaks Health Center or other SMMC facilities. The certification form was issued July 1, 2013, and remains part of the county's standard contractual compliance requirements for all service providers working with or in proximity to vulnerable populations.