2b.Customer Cert Form for Category 2 - SFGOV-11976.pdf
PDF 302 KB Posted
- Solicitation number
- SFGOV-0000011976
- Issued by
- San Francisco County, San Francisco City, California
About this file
This is a Customer Certification Form for Category 2 of a Request for Qualifications (RFQ) issued by the City and County of San Francisco, Department of Public Health, under Sourcing Event ID SFGOV-0000011976, for the establishment of a prequalified list of vendors to provide as-needed technical assistance and consulting services. Respondents must demonstrate that they have successfully provided at least one of the following services to a public health organization: organizational development, technical assistance, or training services. The form requires customer certification and contact information to validate the respondent's experience and qualifications.
The form mandates that each respondent provide details for at least one customer reference, including the customer name, location, and contact information for a representative authorized to verify the services provided. The City reserves the right to contact customer references up to three times to confirm services and may deem any respondent non-responsive if invalid contact information is provided or if customer contacts are unreachable. Respondents unable to obtain customer signatures must provide valid contact information to facilitate City verification of claimed services and qualifications.
View the file
Other files
Show all 50
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
SOURCING EVENT ID: SFGOV-0000011976
RFQ FOR THE ESTABLISHMENT OF A PREQUALIFIED LIST
FOR AS-NEEDED TECHNICAL ASSISTANCE AND CONSULTING SERVICES
FOR THE DEPARTMENT OF PUBLIC HEALTH
I f 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 w ill only attempt to contact the listed customer contact three (3) t imes. The City reserves the right to deem non-responsive any Proposer who submits invalid customer contact, or if the customer contact is unreachable.
Customer Certification Form for Category 2: Public Health Organizational Development, Technical Assistance and Training Services
(To be Signed by Responder’s Customer)
SFGOV-0000011976 As-Needed Technical Assistance and Consulting Services
Responder has successfully provided at least one of the services listed below for a public health organization.
i. Organizational development
ii. Technical assistance
iii. Training services
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: |
| Phone Number same person identified in 3 above: |
| Email same person identified in 3 above: |
| Name and Title: |
File details come from the government source that posted it. Updated .