Attachment C Reference Form.docx
DOCX document 38 KB Posted
- Solicitation number
- SFGOV-0000011940
- Issued by
- California
About this file
This is a Reference Form attachment for a Request for Proposals (SFGOV-0000011940) issued by the San Francisco Department of Public Health seeking Institutional Master Plan Consulting Services. The RFP was published on September 9, 2026, with a pre-proposal conference scheduled for September 18, 2026. The deadline for submitting questions is September 25, 2026 at 5:00 PM PT, followed by an estimated Q&A addendum posting on October 2, 2026. Proposals must be submitted by October 13, 2026 at 2:00 PM PT. The estimated announcement of award is November 2026, with a Health Commission presentation anticipated in May 2027 and an estimated contract start date of June 1, 2027. The department seeks qualified and experienced firms to provide professional health planning services to support DPH's review of hospital Institutional Master Plans.
The Reference Form requires bidders to submit three client references as part of their proposal (Electronic File #2). Each reference must include the name of the firm that provided products or services, the client organization name, contact information for a reference representative, the contract effective and end dates, contract value, and a description of the products or services provided. All fields on the form are mandatory for submission. The form does not specify pricing terms, set-asides, or funding sources in this document.
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Text version
Attachment C Reference Form Request for Proposals SFGOV-0000011940 Institutional Master Plan Consulting Services 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 .