Attachment C Reference Form.docx
DOCX document 37 KB Posted
- Attached to
- DPH | Ending HIV Epidemic Intensive Case Mgmt
- Solicitation number
- SFGOV-0000011852
- Issued by
- San Francisco County, San Francisco City, California
About this file
This is a Reference Form attachment for a Request for Proposals (SFGOV-0000011852) issued by the San Francisco Department of Public Health for an Ending the HIV Epidemic Intensive Case Management program. The solicitation seeks qualified and experienced firms to operate an intensive case management program serving people with HIV who face complex behavioral health issues and unstable housing that impede viral suppression, care engagement, and community stability. The RFP was published on August 10, 2026, with a pre-proposal conference scheduled for August 17, 2026, at 11:00 AM PT via Microsoft Teams. The deadline for submitting questions is August 24, 2026, at 5:00 PM PT, with a Q&A addendum posting estimated for September 2, 2026. Proposals are due by September 9, 2026, at 2:00 PM PT. Short-listing notifications for interviews are estimated for October 2026, with interviews and award announcements also anticipated in October 2026. A Health Commission presentation is estimated for November 2026, and the contract is scheduled to commence on March 1, 2027.
The Reference Form requires all bidders to submit three completed references as part of Electronic File #2, with each reference documenting a prior firm (prime or subcontractor) that provided similar products or services. Required reference information includes the firm name, organization name, contact person and title, email, phone number, contract effective and end dates, contract value, and a description of products or services provided. The form contains no information regarding pricing terms, set-asides, incumbents, or funding amounts and sources.
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Text version
Attachment C Reference Form Request for Proposals SFGOV-0000011852 Ending the HIV Epidemic Intensive Case Management All fields are required. This form must be completed and included with Electronic File #2.
Reference 1 Name of Firm that Provided Products/Services to Reference (Prime or Subcontractor's Name): Click or tap here to enter text.
Organization Name: Click or tap here to enter text.
Contact Name and Title: Click or tap here to enter text.
Email: Click or tap here to enter text.
Phone Number: Click or tap here to enter text.
Effective Date of Contract: Click or tap here to enter text.
End Date of Contract: Click or tap here to enter text.
Value of Contract: Click or tap here to enter text.
Description of Products/Services Provided: Click or tap here to enter text.
Reference 2 Name of Firm that Provided Products/Services to Reference (Prime or Subcontractor's Name): Click or tap here to enter text.
Organization Name: Click or tap here to enter text.
Contact Name and Title: Click or tap here to enter text.
Email: Click or tap here to enter text.
Phone Number: Click or tap here to enter text.
Effective Date of Contract: Click or tap here to enter text.
End Date of Contract: Click or tap here to enter text.
Value of Contract: Click or tap here to enter text.
Description of Products/Services Provided: Click or tap here to enter text.
Reference 3 Name of Firm that Provided Products/Services to Reference (Prime or Subcontractor's Name): Click or tap here to enter text.
Organization Name: Click or tap here to enter text.
Contact Name and Title: Click or tap here to enter text.
Email: Click or tap here to enter text.
Phone Number: Click or tap here to enter text.
Effective Date of Contract: Click or tap here to enter text.
End Date of Contract: Click or tap here to enter text.
Value of Contract: Click or tap here to enter text.
Description of Products/Services Provided: Click or tap here to enter text.
File details come from the government source that posted it. Updated .