Fingerprinting_Certification_Form.pdf

This is a Fingerprinting Certification Form issued by the County of San Mateo Contract Compliance Committee, applicable to contractors and service providers working with children under county agreements. The form establishes a requirement that all employees, subcontractors, assignees, and volunteers who have contact with children during service delivery must undergo fingerprinting to screen for criminal history that could compromise child safety. The form serves as a certification document where contractors acknowledge this requirement, with designated fields for the agreement date, contractor name, title of the authorizing individual, signature, and date of issuance. This certification requirement applies broadly to any contractor performing services under County of San Mateo agreements involving child contact.

The fingerprinting certification form represents a mandatory compliance component for contractors engaging in child-related services with the County of San Mateo. As a sample form issued July 1, 2013, it functions as a standardized template for documenting contractor acknowledgment of background screening obligations. The form does not specify pricing, set-asides, or funding details, as it operates as an administrative compliance tool rather than a procurement instrument. Contractors must ensure full compliance with this requirement as a condition of service delivery, with the fingerprinting process designed to protect vulnerable populations served by the county's programs and services.