Attachment C Reference Form.pdf
PDF 976 KB Posted
- Attached to
- DPH | 503A Sterile Compounding Pharmacy Services
- Solicitation number
- SFGOV-0000011956
- Issued by
- California
About this file
Attachment C Reference Form for the Department of Public Health's 503A Sterile Compounding Pharmacy Services RFP outlines the framework for qualified proposers responding to the City of San Francisco's solicitation for sterile compounding pharmacy services at Zuckerberg San Francisco General Hospital. 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 to be posted on October 5, 2026. Proposals must be submitted by October 12, 2026, at 2:00 PM PST. Short-listing notifications for interviews are estimated for November 9, 2026, followed by demonstrations scheduled for November 12-20, 2026. The award announcement is anticipated on December 2, 2026, with a Health Commission presentation potentially occurring in February 2027. The contract is estimated to begin on March 1, 2027, and will require the selected proposer to provide 503A sterile compounding pharmacy services, specifically preparing and delivering patient-specific Total Parenteral Nutrition (TPN) solutions for neonatal, pediatric, and adult patients seven days a week, 365 days per year.
The reference form serves as a standardized tool for evaluating proposer qualifications and experience relevant to the delivery of complex pharmaceutical compounding services. The document establishes evaluation criteria and reference requirements to assess proposers' ability to meet the City's operational and clinical standards for continuous sterile compounding pharmacy services. No specific pricing terms, set-asides, or funding amounts are detailed within this attachment, as it functions primarily as a qualification assessment document rather than a pricing or contract terms document.
View the file
Other files
Show all 22
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-
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 .