Attachment C Reference Form_1.pdf
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- Solicitation number
- SFGOV-0000012029
- Issued by
- California
About this file
This is a Reference Form attachment for a Request for Proposals issued by the Department of Public Health (DPH) in California to procure a Cost Accounting and Decision Support system. The solicitation was published on September 8, 2026, with a pre-proposal conference scheduled for September 21, 2026, at 10:00 AM PST and a deadline for questions on September 28, 2026, at 5:00 PM PST. Proposals are due on October 19, 2026, at 2:00 PM PST, with short-listing notifications estimated for November 16, 2026, and demonstrations scheduled between November 23 and December 11, 2026. The award announcement is estimated for December 21, 2026, with a Health Commission presentation potentially occurring in April 2027 and an estimated contract start date of May 1, 2027.
Attachment C requires proposers to provide three professional references detailing prior experience providing similar products or services. For each reference, proposers must supply the firm name, the client organization name, a contact person with title, email address, phone number, contract effective and end dates, contract value, and a description of the products or services provided. This reference information must be completed and submitted as part of Electronic File #2 and is mandatory for proposal evaluation.
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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: Cost Accounting and Decision Support system |
| 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: 0000012029 |
File details come from the government source that posted it. Updated .