Attachment_6_-_CMD_Form_3.pdf
PDF 77 KB Posted
- Attached to
- EXT ADM RED | Hazmat Services
- Solicitation number
- SFGOV-0000012053
- Issued by
- San Francisco County, San Francisco City, California
About this file
This is a CMD Compliance Affidavit form required by the Office of City Administrator, Real Estate Division of the City and County of San Francisco for the Hazmat Services Request for Qualifications. The affidavit pertains to compliance with Chapter 14B of the San Francisco Administrative Code and related Rules and Regulations. The RFQ seeks qualified contractors to provide professional if-and-as-needed mitigation, abatement, remediation of hazardous materials, and related restoration services in accordance with San Francisco Administrative Code sections 6.63 and 6.70. The written questions deadline is Friday, September 11, 2026 at 5:00 PM Pacific Time, with proposals due Friday, October 2, 2026 at 5:00 PM Pacific Time. A Notice of Intent to Award is anticipated for the week of October 26, 2026.
By executing this affidavit, contractors attest to full compliance with applicable San Francisco labor and employment provisions and agree to provide the CMD with contracts, subcontract agreements, certified payroll records, and other documents upon request for investigation of discrimination claims or non-compliance issues. Contractors acknowledge that any monetary penalties assessed by the Director of the CMD are payable to the City and County upon demand and may be withheld from monies otherwise due to the contractor for work performed under any City and County of San Francisco contract. The affidavit must be signed under penalty of perjury by the owner or authorized representative and submitted with the proposal by the October 2, 2026 deadline.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Attachment_3_-_Proposer_Questionnaire.docx | DOCX document | |
| EXT_ADM_RED___Hazmat_Services.pdf | ||
| Attachment_5_-_Personnel_Sheet.xlsx | XLSX spreadsheet | |
| HAZMAT_Q_A__0000012053.pdf | ||
| EXT_ADM_RED___Hazmat_Services.xml | XML file | |
| Attachment_2_-_Scope_of_Services.docx | DOCX document | |
| RFQ_HAZMAT_Services_Sourcing_Event_ID0000012053.pdf | ||
| Attachment_4_-_Written_Proposal_Template.docx | DOCX document | |
| Attachment_1_-_Sample_Master_Agreement.docx | DOCX document |
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Text version
- 18 -
FORM 3: CMD COMPLIANCE AFFIDAVIT
1. I will ensure that my firm complies fully with the provisions of Chapter 14B of the San Francisco Administrative Code and its implementing Rules and Regulations and attest to the truth and accuracy of all information provided regarding such compliance.
2. Upon request, I will provide the CMD with copies of Contracts, subcontract agreements, certified payroll records and other documents requested so the HRC and CMD (as applicable) may investigate claims of discrimination or non-compliance with either San Francisco Labor and Employment Code Article 131 (formerly known as Administrative Code Chapter 12B) or Chapter 14B.
3. I acknowledge and agree that any monetary penalty assessed against my firm by the Director of the CMD shall be payable to the City and County upon demand. I further acknowledge and agree that any monetary penalty assessed may be withheld from any monies due to my firm on any Contract with the City and County of San Francisco.
4. I declare and swear under penalty of perjury under the laws of the State of California that the foregoing statements are true and correct and accurately reflect my intentions.
Signature of Owner/Authorized Representative:
Owner/Authorized Representative (Print)
Name of Firm (Print)
Title and Position
Address, City, ZIP
Federal Employer Identification Number (FEIN):
Date:
11/01/2025
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File details come from the government source that posted it. Updated .