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 on County agreements who have contact with children during the course of service delivery. The form requires that all personnel with child contact be fingerprinted to determine whether they possess a criminal history that could compromise child safety. The document is a template form with designated fields for the date of agreement, contracting party name, employee or authorized representative name and title, and signature with corresponding date fields.

The form does not specify pricing, set-asides, funding sources, or contract duration information, as it functions as a compliance certification requirement rather than a standalone contract document. This fingerprinting requirement applies broadly across County of San Mateo contracts involving child contact, serving as a prerequisite safety measure rather than a service deliverable. The form indicates it is a sample template for use by the County's Contract Compliance Committee in implementing background check requirements across contracted services.