1. Responder Contact Information.pdf
PDF 500 KB Posted
- Solicitation number
- SFGOV-0000011970
- Issued by
- San Francisco County, California
About this file
This is a Responder Contact Information cover sheet for an as-needed community outreach and media services Request for Qualifications (RFQ) issued by the San Francisco Department of Public Health (DPH). The solicitation seeks qualified firms to provide community outreach and media services to support the San Francisco Health Network (SFHN), Behavioral Health Services (BHS), and Population Health Division (PHD). Services are organized into five categories: Electronic Outreach, Print and Other Promotional Materials, On-the-Ground Community Outreach, Media Relations, and Focus Groups. The RFQ is a reissue of a previous solicitation (RFQ 0000010081) to re-open unranked prequalified lists. The response deadline is September 16, 2026, at 2:00 PM PT, with an estimated prequalified list announcement on October 2, 2026. Qualified vendors will be added to prequalified lists with an expiration date of March 11, 2029. Responders previously qualified under RFQ 0000010081 may remain qualified without resubmission but may choose to apply.
Responders must certify good standing in California with all necessary licenses, permits, and authorizations, and must comply with all City contracting requirements including the attached Agreement Templates and Business Associate Agreement contained in Attachment A-3 without modification. The cover sheet requires responders to provide organizational information, an authorized representative with contact details, and signed certifications regarding compliance with City requirements and contractual terms. No specific pricing information, funding amounts, or contract duration terms are detailed in this cover sheet document.
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Text version
SOURCING EVENT ID: SFGOV-0000011970
AS-NEEDED COMMUNITY OUTREACH AND MEDIA SERVICES
FOR THE DEPARTMENT OF PUBLIC HEALTH
COVER SHEET
Responder Contact Information and Representations
1. Responder is applying for the following Service Categories (check all that apply):
2. Responder’s Description.
Responder’s name and organizational structure (e.g., non-profit, for-profit, corporation, partnership, limited liability company), the State in which Responder is registered and date of such registration.
3. Authorized Representative.
The name, address, telephone number, and facsimile number of the employee listed below is authorized to act on behalf of Responder for purposes of this solicitation:
Name:
Address:
Phone: Fax: Email:
4. Certification re: Good Standing, Licenses, etc.
Responder is in good standing in the State of California and has all necessary licenses, permits, approvals and authorizations necessary to perform the solicitation scope of work. (Please check the item below if you agree with this statement.)
I hereby represent and certify that the above statement is true and correct.
5. Certification re: City Contracting Requirements.
Responder will comply with all City contracting requirements. (Please check the items below if you agree with this statement.)
Responder agrees to and will comply with all terms and conditions of the attached Agreement Template(s), contained in Attachment A-3, including all Appendices, without modification. If a satisfactory contract(s) cannot be negotiated in a reasonable time, the City, in its sole discretion, may terminate negotiations.
Responder agrees to and will comply with all terms and conditions of the attached Business Associate Agreement (“BAA”) and attestations, contained in Attachment A-3, without modification. If a satisfactory contract(s) cannot be negotiated in a reasonable time, the City, in its sole discretion, may terminate negotiations.
Category 1: Electronic Outreach
Category 2: Print and other promotional material
Category 3: On-the-ground community outreach
Category 4: Media relations
Category 5: Focus groups
PRINT NAME SIGNATURE/DATE
| 1. Proposer is applying for the following Service Categories (check all that apply): |
| 2. Proposer’s Description. |
| 3. Authorized Representative. |
| Name: |
| 4. Certification re: Good Standing, Licenses, etc. |
| 5. Certification re: City Contracting Requirements. |
| Authorized Representative: |
| Name: |
| Address: |
| Phone: |
| Fax: |
| Email: |
| I hereby represent and certify that the above statement is true and correct: |
| Templates contained in Attachment A3 including all Appendices without modification If a: |
| Proposer agrees to and will comply with all terms and conditions of the attached Business: |
| PRINT NAME: |
| SIGNATUREDATE: |
| Check Box2: Off |
| Check Box3: Off |
| Check Box4: Off |
| Check Box5: Off |
| Check Box6: Off |
File details come from the government source that posted it. Updated .