Appendix G rev11182025.docx

This is an Appendix G cultural and linguistic competence qualification form for the County of Santa Clara's Behavioral Health Services Department, specifically for RFSQ-BHS-FY23-0210 regarding Adult and Older Adult System of Care Services. The form requires offerors to demonstrate their ability to provide culturally responsive and linguistically accessible services to clients, including those who speak English but whose cultural backgrounds may affect service delivery and receipt. Offerors must identify whether they have staff capable of providing services in multiple languages and whether language services are included in their staffing work plan or if they have arrangements with other agencies, including BHSD-contracted agencies, to fulfill language interpretation needs.

The form mandates that at minimum, services be made available in seven threshold languages: Spanish, Vietnamese, Mandarin, Cantonese, Farsi, Russian, and Tagalog. Offerors must indicate their capacity to serve clients in these languages as well as any additional languages they can support. The document was last reviewed by County Counsel on August 11, 2025, and serves as a compliance requirement for organizations bidding on Santa Clara County behavioral health services contracts to ensure equitable access for non-English speaking and culturally diverse populations.