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 establishes requirements for contractors and their employees, subcontractors, assignees, and volunteers performing services under County agreements who will have contact with children during service delivery. The form requires that all personnel with child contact be fingerprinted to determine whether they have a criminal history that could compromise child safety. The document is a template form containing fields for the date of the agreement, agreement recipient, contractor name, title, signature, and date of execution.

The form serves as a compliance mechanism for child safety and protection within County contracts. Contractors are responsible for ensuring fingerprinting compliance for all applicable personnel, including direct employees, subcontractors, assignees, and volunteers engaged in work involving child contact. No specific pricing terms, set-asides, funding sources, or other financial considerations are addressed in this certification form, as it functions solely as a compliance and certification document to be completed and submitted as part of the contracting process.