2c.Customer Cert Form for Category 3 - SFGOV-11976.pdf

This is a Customer Certification Form for Category 3 of a Request for Quotation (RFQ) issued by the City and County of San Francisco Department of Public Health for the establishment of a prequalified list of vendors to provide as-needed technical assistance and consulting services. The RFQ, identified as SFGOV-0000011976, seeks respondents who have successfully designed and implemented process and outcome evaluations for public health programs and/or community needs assessments at the project, program, and/or organizational levels for public health organizations. Respondents must submit customer certification forms completed and signed by their customers to demonstrate relevant experience and past performance in public health program evaluation and community needs assessment services.

The form requires respondents to provide customer references with complete contact information, including customer name, location, and the name, title, phone number, and email of a customer representative who can verify the respondent's qualifications and experience. The City reserves the right to contact listed customers up to three times to verify the services and experience claimed by the respondent. Any proposer who submits invalid customer contact information or whose customer contact is unreachable may be deemed non-responsive and rejected from consideration for the prequalified vendor list.