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 and subcontractors performing work for San Mateo County. The form establishes a requirement that 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 serves as a template with designated fields for entering the agreement date, contractor name, contractor title, authorized signature, and signature date.

This certification requirement applies broadly to county service contracts involving child contact and does not specify particular pricing terms, set-asides, or funding mechanisms. The form is a standard compliance document that contractors must execute and maintain as part of their contractual obligations with San Mateo County, ensuring background screening protocols are in place for personnel with access to children in county-funded or operated programs and services.