Appendix F.docx
DOCX document 30 KB Posted
- Attached to
- Adult and Older Adult System of Care Services
- Solicitation number
- RFSQ-BHS-FY23-0210
- Issued by
- Santa Clara County, San Diego City, California
About this file
This is a confidential information declaration form from the County of Santa Clara's Behavioral Health Services Department for RFSQ-BHS-FY23-0210, which concerns Adult and Older Adult System of Care Services. The form serves as an appendix to the Request for Sealed Quotation and allows offerors to identify specific sections of their response that they wish to maintain as confidential under the California Public Records Act (CPRA). Offerors must list specific page numbers and sections they seek to protect and provide a legal basis for the exemption request, as simply marking an entire response as "confidential" or "proprietary" is not acceptable. The form includes numbered rows for documenting up to ten separate confidentiality requests, with columns for page numbers, section identifiers, and explanations of the legal reasoning behind each request.
Offerors who do not request any exemptions may check a designated box to acknowledge this position. The form requires completion and signature by an authorized representative of the offeror and must include the offeror's printed name, authorized signature, company name, and submission date. It is important to note that listing information does not guarantee confidential treatment; the County will evaluate requests against applicable CPRA exemptions and disclose information accordingly if the stated legal basis does not qualify for protection under state law.
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Text version
APPENDIX F
County of Santa Clara – Behavioral Health Services Department RFSQ-BHS-FY23-0210: Adult and Older Adult System of Care Services
CALIFORNIA PUBLIC RECORDS ACT – CONFIDENTIAL INFORMATION
1. If requesting that section(s) of their response be kept confidential, Offeror must list the specific page number(s) and section(s) below.
2. Listing the information below does not guarantee it will remain confidential. Offeror must have a legal basis for requesting an exemption(s) under the California Public Records Act (CPRA) per Government Code section 6250 et seq.
3. If the explanation/reason does not fall under one of the exemptions permitted by the CPRA, the information will be disclosed by the County in accordance with the law.
4. Marking your entire response as “confidential” or “proprietary” is unacceptable. You must identify the specific page number(s) and section(s) and have a legal basis stated in the explanation/reason column below.
5. If Offeror is not requesting any exemption(s), please check box: ☐ Please note, regardless of whether this box is checked, if Offeror does not list any requested exemptions below, the County will treat the entire response as if it is not confidential.
| Item # |
| Page # |
| Section/sub-section # |
| Explanation/Reason |
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Print or Type Name: ___________________________________
Authorized Signature: ___________________________________
Offeror Name: _________________________________________
Date: _________________________________________________
File details come from the government source that posted it. Updated .