Fingerprinting_Certification_Form.pdf

PDF 587 KB Posted

Attached to
Hosptial and Professional Coding Audits
Solicitation number
66000-2526-219
Issued by
San Mateo County, San Francisco City, California

About this file

This is a Fingerprinting Certification Form from the County of San Mateo, California, establishing requirements for contractor compliance in connection with the Hospital and Professional Coding Audits procurement (RFP No. 66000-2526-219). The form certifies that all contractor employees, subcontractors, assignees, and volunteers who will have contact with children during service delivery must undergo fingerprinting to screen for criminal history that could compromise child safety. The RFP was released on October 10, 2025, with proposals due on November 14, 2025 at 1:00 pm. The contract term is five years, with evaluation based on five criteria: Project Approach (30 points), Firm Qualifications (25 points), Team Qualifications (20 points), Price (25 points), and Preferential Points (10 points). All auditors must be certified by either the American Academy of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA).

The fingerprinting certification requirement applies to any contractor personnel with child contact during service performance and represents a mandatory administrative compliance requirement for San Mateo County contracts. Contractors must also comply with Section 504 Rehabilitation Act requirements, HIPAA Business Associate regulations, and the Living Wage Ordinance, which mandates minimum wages starting at $14.00 per hour in January 2017, incrementally increasing to $17.00 per hour by July 2019. Local business preference opportunities exist for local small or micro businesses and non-profits, with additional preferential points available. While no explicit budget range is stated, the sample service agreement template indicates potential contract values exceeding $200,000.

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Text version

County of San Mateo – Fingerprinting Certification Form

DATE: Click here to enter a date.

AGREEMENT WITH: Click here to enter text.

FOR:

Contractor agrees that its employees and/or its subcontractors, assignees and volunteers who, during the course of performing services under this agreement, have contact with children will be fingerprinted in order to determine whether they have a criminal history which would compromise the safety of children with whom contractors employees, assignees and subcontractors or volunteers have contact.

NAME: Click here to enter text.

TITLE: Click here to enter text.

SIGNATURE:

DATE:

Issued by County of San Mateo Contract Compliance Committee July 1, 2013

SAMPLE

Contractor agrees that its employees and/or its subcontractors, assignees and volunteers who, during the course of performing services under this agreement, have contact with children will be fingerprinted in order to determine whether they have a cri...

File details come from the government source that posted it. Updated .