Fingerprinting_Certification_Form.pdf

This is a Fingerprinting Certification Form issued by the County of San Mateo's Contract Compliance Committee, applicable to contractors performing services under county agreements. The form establishes a requirement that all contractor employees, subcontractors, assignees, and volunteers who have contact with children during the course of service delivery must undergo fingerprinting to determine criminal history and ensure child safety. The form is a template document with fields for the date of agreement, agreement counterparty name, contractor/signatory name and title, and signature authorization. The document serves as a certification mechanism to document compliance with the County's child protection policy.

This fingerprinting requirement applies specifically to work involving contact with children and represents a standard county compliance provision. The form was issued July 1, 2013, by the San Mateo County Contract Compliance Committee and functions as a prerequisite certification rather than a standalone contract document. While the sample form does not specify particular contract terms, pricing, or award information, it establishes a mandatory screening requirement that would be incorporated into applicable county contracts involving services to vulnerable populations, particularly children. Contractors must ensure all relevant personnel complete fingerprinting and background clearance before commencing work under such agreements.