Fingerprinting_Certification_Form.pdf

This is a Fingerprinting Certification Form issued by the County of San Mateo, applicable to contractors and service providers engaged by the county. The form establishes a requirement that all employees, subcontractors, assignees, and volunteers who have contact with children during the performance of services under a county agreement must undergo fingerprinting to determine whether they have a criminal history that could compromise child safety. The form is a template document with blank fields for the date of agreement, contractor name, contractor title, signature, and date of issuance. This certification was issued by the County of San Mateo Contract Compliance Committee on July 1, 2013, and serves as a standard compliance document for contracts involving child contact work.

The form does not specify pricing terms, award dates, or contract duration details, as it functions as a compliance requirement rather than a standalone procurement document. The fingerprinting requirement applies universally to any contractor agreement involving child contact within San Mateo County, regardless of contract type or value. No set-asides, incumbent information, or funding sources are addressed in this certification form, which is designed to be incorporated into broader service agreements such as the related Moving Services contract for San Mateo Medical Center.