Fingerprinting_Certification_Form.pdf

This is a Fingerprinting Certification Form issued by the County of San Mateo Contract Compliance Committee on July 1, 2013. The form establishes requirements for contractors and their employees, subcontractors, assignees, and volunteers working under County of San Mateo agreements. The document mandates that any individuals who have contact with children during the course of performing services must undergo fingerprinting to determine whether they possess a criminal history that could compromise child safety. The form includes blank fields for the date of the agreement, contractor name and agreement details, as well as signature and date lines for authorized representatives to acknowledge compliance with these fingerprinting requirements.

This certification form serves as a protective mechanism for vulnerable populations and represents a standard compliance requirement for County of San Mateo contracts involving child contact. While the form itself does not address pricing, set-asides, or funding sources, it functions as a mandatory prerequisite document that contractors must complete and return as part of their contractual obligations with the county. The form's sample language indicates it is a template designed for repeated use across multiple County of San Mateo contract opportunities to ensure consistent child safety protocols.