2a. Customer Certification Form for Category 1.pdf
PDF 201 KB Posted
- Solicitation number
- SFGOV-0000011970
- Issued by
- San Francisco County, California
About this file
This is a Customer Certification Form for Category 1 related to the Department of Public Health's Request for Qualifications for As-Needed Community Outreach and Media Services in San Francisco. The RFQ seeks qualified firms to provide community outreach and media services to the San Francisco Health Network, Behavioral Health Services, and Population Health Division, with services designed to serve all San Francisco residents regardless of race, ethnicity, national origin, gender, or sexual orientation, with particular expertise in addressing disparate public health impacts among culturally diverse populations. The RFQ was published on August 10, 2026, with a deadline for submission of responses at 2:00 PM PT on September 16, 2026. Questions must be submitted by 5:00 PM PT on August 27, 2026, with a Q&A addendum estimated to be posted on September 4, 2026. The estimated announcement of prequalified lists is October 2, 2026. This solicitation is a reissue of RFQ 0000010081 to reopen unranked prequalified lists that were established on March 11, 2025, with the reopened lists set to expire on March 11, 2029. Vendors who previously qualified under RFQ 0000010081 will remain qualified and are not required to resubmit, though they may choose to do so.
The document does not specify pricing terms, set-asides, incumbent vendors, funding amounts, or other financial details in the materials provided. Qualified vendors will be added to prequalified lists upon DPH's issuance of the Notice of Prequalified List for RFQ 0000011970, establishing an as-needed contracting mechanism rather than a specific award structure with defined contract terms or renewal options at this stage of the solicitation.
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Text version
SOURCING EVENT ID: SFGOV-0000011970
AS-NEEDED COMMUNITY OUTREACH AND MEDIA SERVICES
FOR THE DEPARTMENT OF PUBLIC HEALTH
If a customer is unable to sign a customer certification form, the respondent must include valid contact information for The City to contact and verify services indicated above. The City wil l only attempt to contact the l isted customer contact three (3) times. The City reserves the right to deem non-responsive any Responder who submits invalid customer contact, or if the customer contact is unreachable.
Customer Certification Form for Category 1: Electronic Outreach (To be Signed by Responder’s Customer)
SFGOV-0000011970 As-Needed Community Outreach and Media Services
Responder has successfully provided electronic outreach services. This includes but is not limited to developing e-newsletters, websites, blogs, and social media.
Customer #1
1. Customer Name:
2. Customer Location:
3. Name and title of Customer representative completing this form:
Signature (same person identified in #3 above):
Date:
Phone Number (same person identified in #3 above):
Email (same person identified in #3 above):
| 1 Customer Name: |
| 2 Customer Location: |
| undefined: |
| Date: |
| Phone Number same person identified in 3 above: |
| Email same person identified in 3 above: |
File details come from the government source that posted it. Updated .