Fingerprinting_Certification_Form.pdf

This is a Fingerprinting Certification Form issued by the County of San Mateo Contract Compliance Committee, dated July 1, 2013, applicable to contractors and service providers working with the County. The form establishes a requirement that all employees, subcontractors, assignees, and volunteers engaged by contractors who have contact with children during the performance of services under a county agreement must undergo fingerprinting. The fingerprinting process is designed to determine whether individuals have a criminal history that could compromise the safety of children with whom contractors' employees, assignees, subcontractors, or volunteers have contact. The form includes designated fields for the date of the agreement, the name of the contractor or agreement party, the name and title of the signing official, and signature and date lines for execution and certification.

This certification form serves as a mandatory compliance document for any county contract involving services that include direct contact with children. The form represents San Mateo County's standardized approach to child safety screening and must be completed and submitted as part of the contracting process. No pricing terms, funding amounts, or contract-specific renewal options are detailed in this document, as it functions as a compliance requirement applicable across multiple county contracts rather than as a contract-specific document.