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 services for the county. The form serves as a contractual agreement requiring that employees, subcontractors, assignees, and volunteers who have contact with children during the performance of services must undergo fingerprinting to determine whether they possess a criminal history that could compromise child safety. The form includes template fields for the date of agreement, contractor name and agreement details, signatory name, title, and date of execution. This certification requirement is a standard compliance document integrated into San Mateo County contracts involving child contact.

The form represents a mandatory pre-contractual compliance measure with no associated pricing, set-asides, or funding implications, as it functions as a protective screening mechanism rather than a service procurement vehicle. The fingerprinting requirement applies across all San Mateo County contract opportunities involving child contact, including the concurrent Fixed and Removable Prosthesis for Dental Patients RFP, though dental prosthesis services may have limited direct child interaction depending on patient demographics at San Mateo Medical Center. Contractors must complete this certification as a condition of contract award and performance, with compliance verification conducted by the County of San Mateo Contract Compliance Committee.