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 performing services under agreements with San Mateo County. The form establishes a requirement that all contractor employees, subcontractors, assignees, and volunteers who have contact with children during the performance of services must undergo fingerprinting. The fingerprinting requirement serves to screen for criminal history that could compromise child safety in the course of contract performance. The form includes fields for the agreement date, contracting entity name, contractor name, title, signature, and date of certification.

The form functions as a compliance certification document with no specified pricing terms, contract duration, renewal options, or funding information. It represents a mandatory safety and background check protocol rather than a standalone procurement document. The fingerprinting requirement applies specifically to service providers working with vulnerable populations, reflecting San Mateo County's risk mitigation standards for child protection in contractor-provided services.