Fingerprinting_Certification_Form.pdf

This is a Fingerprinting Certification Form issued by the County of San Mateo Contract Compliance Committee. The form documents an agreement requiring that all employees, subcontractors, assignees, and volunteers of a contractor who have contact with children during the performance of services must undergo fingerprinting to determine criminal history. The form includes designated fields for the agreement date, contracting party name, employee or volunteer name, title, signature, and date of completion. The document serves as a compliance certification mechanism for child safety screening and was issued on July 1, 2013, as a standard requirement applicable to contracts involving child contact.

This fingerprinting certification requirement is a mandatory compliance provision for the County of San Mateo's HRSA Service Area Competition Application Support contract (RFP No. 66000-2526-239). Contractors responding to this solicitation must ensure all relevant personnel meet fingerprinting certification requirements as part of the comprehensive compliance framework, which also includes Corporate Compliance Code of Conduct adherence, HIPAA Business Associate Agreement provisions, Living Wage Ordinance compliance, Section 504 of the Rehabilitation Act requirements, and Vendor/Contractor Access Policy compliance. The form functions as documentation that contractors have fulfilled this specific child safety requirement prior to contract performance.