Fingerprinting_Certification_Form.pdf

This is a Fingerprinting Certification Form issued by the County of San Mateo 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 assess potential risks to child safety. The form includes standard fields for recording the date of agreement, agreement party, contractor name, title of authorized representative, and signature with date of execution. The document is dated July 1, 2013, and serves as a template for implementation across County contracts.

This certification form functions as a mandatory compliance document rather than a standalone contract and does not contain pricing terms, award dates, or contract duration information. The fingerprinting requirement applies specifically to roles involving child contact and represents a safeguarding provision within the broader contracting framework. No specific funding amounts, set-asides, or procurement timelines are detailed in this form. The document is designed for integration into broader County procurement processes, as evidenced by its reference to the related E-Learning Course Authoring & Development contract opportunity with San Mateo Medical Center, though the fingerprinting requirement's applicability to that specific contract would depend on whether the e-learning development involves child contact.