Fingerprinting_Certification_Form.pdf

This is a Fingerprinting Certification Form issued by the County of San Mateo Contract Compliance Committee, effective July 1, 2013. The form establishes requirements for contractors and their employees, subcontractors, assignees, and volunteers working under agreements with San Mateo County who will have contact with children during service delivery. Under the agreement, all personnel with child contact must undergo fingerprinting to screen for criminal history that could compromise child safety. The form requires completion of contractor name, agreement date, signatory name and title, and signature, with fields provided for this contractual documentation.

This certification form applies to the County of San Mateo's contract for Expanding Nutrition Services for People Experiencing Homelessness, administered by San Mateo Medical Center (SMMC) in conjunction with the Health Care for the Homeless and Farmworker Health Program. Given the nature of services involving vulnerable populations, including potentially homeless individuals and families, the fingerprinting requirement ensures background screening compliance for any contractor staff or subcontractors with direct service contact. The form serves as a standard compliance mechanism across San Mateo County contracts involving child-vulnerable populations and does not specify pricing terms, set-asides, or other financial conditions.