Fingerprinting_Certification_Form.pdf

This is a Fingerprinting Certification Form issued by the County of San Mateo's Contract Compliance Committee, applicable to contractor agreements involving contact with children. The form establishes that contractors, their employees, subcontractors, assignees, and volunteers who have contact with children during service delivery must undergo fingerprinting to screen for criminal history that could compromise child safety. The form requires completion of contractor name, agreement date, agreement counterparty, signatory name and title, and signature and date fields. The document serves as a template for compliance certification purposes.

This fingerprinting requirement is directly applicable to the Core Measures Vendor RFP issued by San Mateo County for San Mateo Medical Center. While the RFP does not explicitly highlight child contact as a primary service component, the county's standard contract compliance procedures mandate fingerprinting certification for any agreement involving potential child interaction. Contractors responding to the Core Measures Vendor RFP must be prepared to comply with this fingerprinting requirement as a condition of contract award, in addition to other extensive compliance requirements including HIPAA regulations, cyber liability insurance ($5,000,000 per occurrence), workers' compensation coverage, and adherence to the Living Wage Ordinance. All contractor employees and subcontractors with potential child contact must complete the certification process before contract execution or service commencement.