Attachment C Reference Form_1.pdf
PDF 976 KB Posted
- Attached to
- DPH | 503A Sterile Compounding Pharmacy Services
- Solicitation number
- SFGOV-0000011956
- Issued by
- California
About this file
This is a Reference Form attachment for a Request for Proposals issued by the San Francisco Department of Public Health (DPH) for 503A Sterile Compounding Pharmacy Services. The solicitation seeks qualified firms to provide sterile compounding pharmacy services for Zuckerberg San Francisco General Hospital, specifically preparing and delivering patient-specific Total Parenteral Nutrition (TPN) solutions for neonatal, pediatric, and adult patients on a seven-day-a-week, 365-day-per-year basis. The RFP was published on September 8, 2026, with a pre-proposal conference scheduled for September 21, 2026, at 1:00 PM PST. The deadline for submitting questions is September 28, 2026, at 5:00 PM PST, with a Q&A addendum posting on October 5, 2026. Proposals are due by October 12, 2026, at 2:00 PM PST. Short-listing notifications for interviews are estimated for November 9, 2026, with demonstrations scheduled between November 12-20, 2026. The estimated award announcement is December 2, 2026, with a Health Commission presentation potentially occurring in February 2027 and an estimated contract start date of March 1, 2027.
The Reference Form requires proposers to provide three professional references with detailed information about firms that have previously provided similar products or services. Each reference entry must include the name of the firm (prime or subcontractor), organization name, contact person and title, email, phone number, contract effective and end dates, contract value, and a description of products or services provided. This form is mandatory and must be submitted as part of Electronic File #2 of the proposal package. All fields on the form are required to be completed.
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Text version
Attachment C Reference Form
Request for Proposals SFGOV-
All fields are required. This form must be completed and included with Electronic File #2.
A. Reference 1
Name of Firm that Provided Products/Services to Reference (Prime or Subcontractor's
Name):
Organization Name:
Contact Name and Title:
Email:
Phone Number:
Effective Date of Contract:
End Date of Contract:
Value of Contract:
Description of Products/Services Provided:
B. Reference 2
Name of Firm that Provided Products/Services to Reference (Prime or Subcontractor's
Name):
Organization Name:
Contact Name and Title:
Email:
Phone Number:
Effective Date of Contract:
End Date of Contract:
Value of Contract:
Description of Products/Services Provided:
C. Reference 3
Name of Firm that Provided Products/Services to Reference (Prime or Subcontractor's
Name):
Organization Name:
Contact Name and Title:
Email:
Phone Number:
Effective Date of Contract:
End Date of Contract:
Value of Contract:
Description of Products/Services Provided:
| Attachment C Reference Form |
| Request for Proposals SFGOV-___________ |
| A. Reference 1 |
| B. Reference 2 |
| C. Reference 3 |
| Solicitation Title: 503A Sterile Compounding Pharmacy Services |
| Reference 1 Name: |
| Reference 1 Organization Name: |
| Reference 1 Contact Name and Title: |
| Reference 1 Email: |
| Reference 1 Phone Number: |
| Reference 1 Effective Date of Contract: |
| Reference 1 End Date of Contract: |
| Reference 1 Value of Contract: |
| Reference 1 Description of Products or Services Provided: |
| Reference 2 Description of Products or Services Provided: |
| Reference 3 Description of Products or Services Provided: |
| Reference 2 Name: |
| Reference 2 Organization Name: |
| Reference 2 Contact Name and Title: |
| Reference 2 Email: |
| Reference 2 Phone Number: |
| Reference 2 Effective Date of Contract: |
| Reference 2 End Date of Contract: |
| Reference 2 Value of Contract: |
| Reference 3 Name: |
| Reference 3 Organization Name: |
| Reference 3 Contact Name and Title: |
| Reference 3 Email: |
| Reference 3 Phone Number: |
| Reference 3 Effective Date of Contract: |
| Reference 3 End Date of Contract: |
| Reference 3 Value of Contract: |
| Sourcing ID: 0000011956 |
File details come from the government source that posted it. Updated .