Attachment_10.pdf

PDF 2 MB Posted

Attached to
CON | RFQ2026-07 Audit Services
Solicitation number
SFGOV-0000012041
Issued by
San Francisco County, San Francisco City, California

About this file

Summary

This is a San Francisco Ethics Commission filing document that contains two standardized forms related to contract notifications and approvals for the City and County of San Francisco, Office of the Controller (CON). The document includes SFEC Form 126(f)2 for notification of proposal submission and SFEC Form 126(f)4 for notification of contract approval, both required when a contract has a total anticipated or actual value of $100,000 or more. The forms are used to document audit services procurement through a Request for Qualifications (RFQ2026-07) seeking qualified suppliers to provide public sector audit services to assist the Office of the Controller–City Services Auditor in assessing City service levels and effectiveness. The RFQ encompasses three service areas: Performance Audit, Financial Audit and Attestation Engagement Services; Forensic Accounting and Investigative Services; and Financial, Management, or Accounting Review Services. Proposers are not required to submit proposals for all three service areas, and those prequalified are not guaranteed a contract, as the City may use the Prequalified Pool on an as-needed basis at its sole discretion.

Resulting contracts awarded from this prequalification process will be non-exclusive, indefinite quantity, as-needed arrangements with original terms to be determined at contract award based on departmental business needs but not to exceed ten years. The forms require listing of all contractors, subcontractors, board members, principal officers, individuals or entities with 10 percent or greater ownership interests, and certification under penalty of perjury by authorized signatories. Proposal submissions must be made to the San Francisco Ethics Commission at 25 Van Ness Avenue, Suite 220, San Francisco, CA 94102 within 30 days of proposal submission, and contract approvals must be filed within five business days of approval by the responsible city elective officer or board.

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Other files

File Type Posted
CON___RFQ2026-07_Audit_Services.xml XML file
Attachment_7.pdf PDF
Attachment_2.docx DOCX document
CON___RFQ2026-07_Audit_Services.pdf PDF
Attachment_5.docx DOCX document
Attachment_1.docx DOCX document
CON_-_RFQ2026-07_Audit_Services_Main_RFQ.pdf PDF
Attachment_8.docx DOCX document
Attachment_4.docx DOCX document
Attachment_3.pdf PDF

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vivri, San Francisco Ethics Commission Received on:

• 25 Van Ness Avenue, Suite 220, San Francisco, CA 94102 I

Phone: 415.252.3100. Fax: 415.252.3112 ethics.commission@sfgov.org . www.sfethics.org

Notification of Submission of Proposal SFEC Form 126(1)2

(S.F. Campaign and Governmental Conduct Code § 1.126(1)2)

Each City agency seeking to enter into a contract that has a total anticipated or actual value of $100,000 or more must file this form with the Ethics Commission within 30 days of the submission of a proposal. For more information, see: https://sfethics.org/cornpliance/city-officers/submission-of-proposal-city-agency

TYPE OF FILING

AMENDMENT DESCRIPTION - Explain reason for amendment

DATE OF ORIGINAL FILING (for amèndmènt only) t CITY IAGENCYICONTACT

CITY AGENCY AGENCY CONTACT TELEPHONE NUMBER

NAME OF CITY AGENCY CONTACT PERSON -. AGENCY CONTACT EMAIL

BID/RFP NUMBER FILE NUMBER (if applicable)

NATURE OF THE CONTRACT (Please describe)

SAN FRANCISCO ETHICS COMMISSION - SEEC Form 126(1)2 v.12.7.18 1

Attachment 10 Do Not Complete - Notification Purposes Only

I! IT ,

List the names of all contractors and subcontractors that are listed in the proposal and the date the proposal was submitted.

CONTRACTOR/SUBCONTRACTOR

NAME

CONTRACTOR TYPE DATE PROPOSAL SUBMITTED

SAN FRANCISCO ETHICS COMMISSION - SFEC Form 126(f)2 v.12.7.18

I IIr1

List the names of all contractors and subcontractors that are listed in the proposal and the date the proposal was submitted.

CONTRACTOR/SUBCONTRACTOR

NAME

CONTRACTOR TYPE DATE PROPOSAL SUBMITTED

SAN FRANCISCO ETHICS COMMISSION - SFEC Form 126(1)2 v.12.7.18

List the names of all contractors and subcontractors that are listed in the proposal and the date the proposal was submitted.

CONTRACTOR/SUBCONTRACTOR

NAME CONTRACTOR TYPE DATE PROPOSAL SUBMITTED

Check this box if you need to include additional names. Please submit a separate form with complete information.

Select "Supplemental" for filing type.

I have used all reasonab preparing this statement. I have reviewed this statement and to the best of my knowledge the information I have provided here is true and complete.

I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

PERSON SIGNING ON BEHALF OF THE AGENCY I DATE SIGNED

SAN FRANCISCO ETHICS COMMISSION—SFEC Form 126(f)2v.12.7.18

11 'cot T Received On:

q San Francisco Ethics Commission

25 Van Ness Avenue, Suite 220, San Francisco, CA 94102 File II:

Phone: 415.252.3100. Fax: 415.252.3112 ethics.commission@sfRov.org . www.sfethics.org Bid/RFP :

Notification of Contract Approval SFEC Form 126(f)4

(S.F. Campaign and Governmental Conduct Code § 1.126(f)4) A Public Document

Each City elective officer who approves a contract that has a total anticipated or actual value of $100,000 or more must file this form with the Ethics Commission within five business days of approval by: (a) the City elective officer, (b) any board on which the City elective officer serves, or (c) the board of any state agency on which an appointee of the City elective officer serves. For more information, see: https://sfethics.org/compliance/city-officers/contract-approval-city-officers

FILING INFORMATION

TYPE OF FILING DATE OF ORIGINAL FILING (for amendment only)

AMENDMENT DESCRIPTION - Explain reason for amendment

2. CITY ELECTIVE

OFFICE OR BOARD NAME OF CITY ELECTIVE OFFICER

CONTACT

NAME OF FILER'S CONTACT TELEPHONE NUMBER

FULL DEPARTMENT NAME EMAIL

k CONTR- A-CTI-N-G- DEPARTMENT CONTACT

NAME OF DEPARTMENTAL CONTACT DEPARTMENT CONTACT TELEPHONE NUMBER

FULL DEPARTMENT NAME DEPARTMENT CONTACT EMAIL

SAN FRANCISCO ETHICS COMMISSION - SFEC Form 126(f)4 v.12.7.18 1

NAME OF CONTRACTOR TELEPHONE NUMBER

STREET ADDRESS (including City, State and Zip Code) EMAIL

DATE CONTRACT WAS APPROVED BY THE CITY ELECTIVE OFFICER(S) ORIGINAL BID/RFP NUMBER j FILE NUMBER (If applicable)

DESCRIPTION OF AMOUNT OF CONTRACT

NATURE OF THE CONTRACT (Please describe)

This contract was appro._e- by:

THE CITY ELECTIVE OFFICER(S) IDENTIFIED ON THIS FORM

A BOARD ON WHICH THE CITY ELECTIVE OFFICER(S) SERVES

El I THE BOARD OF A STATE AGENCY ON WHICH AN APPOINTEE OF THE CITY ELECTIVE OFFICER(S) IDENTIFIED ON THIS FORM SITS

SAN FRANCISCO ETHICS COMMISSION —SFEC Form 126(f)4 v.12.7.18 2

List the names of (A) members of the contractor's board of directors; (B) the contractor's principal officers, including chief executive officer, chief financial officer, chief operating officer, or other persons with similar titles; (C) any individual or entity who has an ownership interest of 10 percent or more in the contractor; and (D) any subcontractor listed in the bid or contract.

# LAST NAME/ENTITY/SUBCONTRACTOR FIRST NAME TYPE

SAN FRANCISCO ETHICS COMMISSION - SFEC Form 126(1)4 v.127.18

List the names of (A) members of the contractor's board of directors; (B) the contractor's principal officers, including chief executive officer, chief financial officer, chief operating officer, or other persons with similar titles; (C) any individual or entity who has an ownership interest of 10 percent or more in the contractor; and (D) any subcontractor listed in the bid or contract.

# LAST NAME/ENTITY/SUBCONTRACTOR FIRST NAME TYPE

SAN FRANCISCO ETHICS COMMISSION - SFEC Form 126(f)4 v.12.7.18

List the names of (A) members of the contractor's board of directors; (B) the contractor's principal officers, including chief executive officer, chief financial officer, chief operating officer, or other persons with similar titles; (C) any individual or entity who has an ownership interest of 10 percent or more in the contractor; and (D) any subcontractor listed in the bid or contract.

# LAST NAME/ENTITY/SUBCONTRACTOR FIRST NAME TYPE

Check this box if you need to include additional names. Please submit a separate form with complete information.

Select "Supplemental" for filing type.

_L.i• I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best of my knowledge the information I have provided here is true and complete.

I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

SIGNATURE OF CITY ELECTIVE OFFICER OR BOARD SECRETARY OR I DATE SIGNED

CLERK

SAN FRANCISCO ETHICS COMMISSION - SFEC Form 126(f)4 v.12.7.18

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