2d. Customer Certification Form for Category 4.pdf

This is a Customer Certification Form for Category 4 (Media Relations) associated with the San Francisco Department of Public Health's Request for Qualifications (RFQ SFGOV-0000011970) for As-Needed Community Outreach and Media Services. The form is designed for respondents to provide evidence of prior experience delivering media relations services, including the development of marketing campaigns, television and radio advertisements, billboard advertisements, and ethnic news media outreach. Respondents must obtain signatures from previous customers certifying the work performed. The RFQ was published on August 10, 2026, with a response deadline of 2:00 PM PT on September 16, 2026. Questions were due by 5:00 PM PT on August 27, 2026, with a Q&A addendum estimated for posting on September 4, 2026. The estimated announcement of the Prequalified List is October 2, 2026. The prequalified lists will remain valid through March 11, 2029.

The certification form requires respondents to provide customer information including name, location, and a representative's contact details (name, title, signature, phone number, and email). If a customer is unable to sign the form directly, respondents must provide valid contact information for the City to verify services, with the City making up to three contact attempts. The City reserves the right to deem non-responsive any respondent who submits invalid customer contact information or whose customer contact cannot be reached. This RFQ is a reissue of RFQ 0000010081 to reopen the unranked Prequalified Lists; respondents who previously qualified under the original RFQ will remain qualified but may resubmit if desired. Services are intended to serve all San Francisco residents with focused expertise in meeting the cultural needs of residents experiencing disparate impacts from public health-related issues.