Fingerprinting_Certification_Form.pdf

This is a Fingerprinting Certification Form issued by the County of San Mateo Contract Compliance Committee, effective July 1, 2013. The form applies to contractors and their employees, subcontractors, assignees, and volunteers who will have contact with children during the performance of services under a county agreement. The form establishes a requirement that all personnel with child contact must undergo fingerprinting to screen for criminal history that could compromise child safety. The document includes fields for the agreement date, contractor name, contractor title, and authorized signature and date.

The form serves as a compliance and certification mechanism rather than a procurement document. It does not contain pricing information, set-asides, funding amounts, or contract terms. Instead, it functions as a mandatory prerequisite or condition of county contracts involving child contact, requiring contractors to certify that fingerprinting requirements will be met. The form is a template designed to be completed and signed by the contractor's authorized representative as part of the contracting process with San Mateo County.