Fingerprinting_Certification_Form.pdf

This is a Fingerprinting Certification Form issued by the County of San Mateo Contract Compliance Committee, applicable to contractors performing services on behalf of San Mateo Medical Center (SMMC) in California. The form establishes a requirement that all contractor employees, subcontractors, assignees, and volunteers who have contact with children during the performance of services under a contract must undergo fingerprinting. The fingerprinting requirement serves to determine whether individuals possess a criminal history that could compromise child safety. The form functions as a certification document that contractors must complete and sign, indicating their agreement to comply with the fingerprinting mandate. The document is a template with designated fields for entry of the agreement date, contracting entity name, contractor name, title, signature, and date of signature.

The fingerprinting certification requirement applies specifically to the Fixed and Removable Prosthesis for Dental Patients procurement, though the dental prosthesis work itself does not inherently involve child contact. This requirement reflects San Mateo County's broader child protection compliance protocols that apply across multiple contract categories. Contractors responding to the dental prosthesis RFP must ensure all personnel with potential child contact are fingerprinted and cleared prior to contract execution. No specific budget allocation, pricing structure related to fingerprinting costs, or separate funding source for fingerprinting compliance is specified in the certification form; such costs are presumed to be incorporated into the contractor's overall service delivery and pricing.