Fingerprinting_Certification_Form.pdf

This is a Fingerprinting Certification Form issued by the County of San Mateo Contract Compliance Committee, effective July 1, 2013, applicable to contractors performing services under agreements with San Mateo County. The form establishes requirements for fingerprinting and criminal background screening for all contractor employees, subcontractors, assignees, and volunteers who will have contact with children during the performance of services. The document serves as a template with fields for the contractor to fill in the agreement date, contracting entity name, and authorized representative's name, title, signature, and date of execution.

The form does not contain pricing information, set-asides, funding sources, or other financial terms. It functions as a compliance certification mechanism designed to protect children by ensuring that individuals with criminal histories that could compromise child safety are identified before engaging in work involving child contact. The fingerprinting requirement applies to all personnel categories including direct employees and any subcontractors or volunteers involved in the contracted services.