Attachment C Reference Form.pdf
PDF 76 KB Posted
- Solicitation number
- SFGOV-0000012013
- Issued by
- San Francisco County, San Francisco City, 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) HIV Health Services division seeking qualified firms to provide HIV Hospice Care and Mental Health Services to the City. The RFP (SFGOV-0000012013) requires respondents to submit three professional references demonstrating relevant experience. The pre-proposal conference is scheduled for September 9, 2026, with a deadline for questions on September 16, 2026 and an estimated Q&A addendum posting on September 23, 2026. Proposals must be submitted by 2:00 PM PT on October 1, 2026, with an estimated award announcement in November 2026. The Health Commission presentation is scheduled for February 2027, with an estimated contract start date of March 1, 2027.
The Reference Form requires applicants to provide detailed information for three separate references, including the name of the firm that provided products or services, the client organization name, contact person and title, email and phone number, contract effective and end dates, contract value, and a description of products or services provided. This reference documentation must be included as part of Electronic File #2 of the proposal submission and serves as a mechanism for evaluating bidder qualifications and experience with HIV hospice care and mental health services delivery.
View the file
Other files
Show all 12
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Attachment C Reference Form
Request for Proposals SFGOV-0000012013 HIV Hospice Care and Mental Health Services
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): 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.
B. 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.
C. 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.
| A. Reference 1 |
| B. Reference 2 |
| C. Reference 3 |
File details come from the government source that posted it. Updated .