Fingerprinting Certification Form

This is a fingerprinting certification form issued by the County of San Mateo Contract Compliance Committee for use in contracts where contractor employees, subcontractors, assignees, and volunteers have contact with children. The form requires contractors to certify that all personnel with direct contact with children will undergo fingerprinting to determine criminal history and ensure the safety of minors served under the contract. The form includes fields for the agreement date, contractor name, signatory name and title, and signature with date. This certification applies broadly to any County of San Mateo contract involving child contact, serving as a standard compliance requirement across the County's contracting portfolio.

The fingerprinting requirement is a mandatory safeguarding measure implemented County-wide and applies regardless of contract type, scope, or value. Contractors must ensure compliance by coordinating fingerprinting for all applicable personnel prior to contract performance and maintain documentation of completed background clearances. The form, issued July 1, 2013, represents the County's standardized approach to child safety verification across all departmental contracting activities, including the referenced Pharmacy Consulting Services contract for San Mateo Medical Center.