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 applies to contractors and their employees, subcontractors, assignees, and volunteers working on agreements with the county. The document requires that any personnel with contact with children during the course of performing services undergo fingerprinting to determine criminal history that could compromise child safety. The form includes fields for the date of agreement, contractor name, employee or representative name and title, and signature and date of the authorizing official.

The fingerprinting requirement is a mandatory compliance condition for all county contracts involving work around children. This certification form serves as the documentation mechanism to verify that contractors have acknowledged and will comply with the fingerprinting and background check requirements. No pricing, contract term, or other financial terms are specified in this form, as it functions solely as a compliance and safety certification document applicable across county contracting activities.