Attachment C Reference Form.pdf
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- Solicitation number
- SFGOV-0000012029
- Issued by
- California
About this file
This is a Reference Form attachment (Attachment C) for a Request for Proposals issued by the City and County of San Francisco's Department of Public Health (DPH) seeking qualified firms to provide 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. The deadline for submittal questions is September 28, 2026, at 5:00 PM PST, with a Q&A addendum to be posted on October 7, 2026. Proposals are due by October 19, 2026, at 2:00 PM PST. Short-listing notifications for interviews are estimated for November 16, 2026, followed by demonstrations scheduled between November 23 and December 11, 2026. The estimated award announcement is December 21, 2026, with a Health Commission presentation potentially occurring in April 2027 and an estimated contract start date of May 1, 2027.
The Reference Form requires proposers to provide three professional references documenting prior experience providing similar products or services. For each reference, proposers must submit the name of the firm that provided the services, the client organization name, a contact person with title, email and phone number, the effective and end dates of the contract, the contract value, and a detailed description of the products or services provided. This form must be completed in its entirety and submitted as part of Electronic File #2 of the proposal package. No pricing terms, set-asides, incumbent information, or funding amounts are specified in this reference form document.
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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 .