Attachment D 12L Compliance_1.docx
DOCX document 35 KB Posted
- Attached to
- DPH | Radiology Registry
- Solicitation number
- SFGOV-0000012046
- Issued by
- San Francisco County, California
About this file
This is an Administrative Code Chapter 12L Compliance Request form for the San Francisco Department of Public Health's Radiology Registry RFP (SFGOV-0000012046). The RFP seeks qualified firms to provide professional temporary radiology technologists and radiology support staff to the San Francisco Health Network, including Zuckerberg San Francisco General Hospital & Trauma Center, Laguna Honda Hospital, Jail Health Services, and SFHN Ambulatory Care sites. The RFP was published on September 2, 2026, with a deadline for submitting questions by 5:00 PM PT on September 8, 2026. An estimated Q&A addendum will be posted on September 11, 2026, and proposals are due by 2:00 PM PT on September 16, 2026. The estimated award announcement is scheduled for October 2026, followed by a Health Commission presentation in December 2026, with an estimated contract start date of January 1, 2027.
This compliance form applies only to non-profit entities that receive a cumulative total of at least $1,000,000 per year in City funds or City-administered funds. Proposers meeting this threshold must complete all required fields and submit the form with Electronic File #2, demonstrating compliance with Chapter 12L provisions regarding public access to meetings and records and providing a summary and disposition of any substantiated complaints filed with the City within the last two years. Failure to comply with reporting requirements or material misrepresentation in Chapter 12L submissions constitutes grounds for proposal rejection and/or contract termination. All referred staff must be credentialed and competent, meeting specific requirements outlined in the Scope of Work.
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Attachment D Administrative Code Chapter 12L Compliance Request for Proposals SFGOV- 0000012046 Radiology Registry All fields are required. This form must be completed and included with Electronic File #2.
Non-Profit Entities If a Proposer is a non-profit entity that receives a cumulative total per year of at least $1,000,000 in City funds or City-administered funds and is a non-profit organization as defined in Chapter 12L of the S.F. Administrative Code, the Proposer must describe how Proposer will comply with Chapter 12L.
Failure to comply with the reporting requirements of Chapter 12L or material misrepresentation in Proposer’s Chapter 12L submissions shall be grounds for rejection of the Proposal and/or termination of any subsequent Agreement reached on the basis of the Proposal.
☐ This form is not applicable to my organization. My organization is a non-profit that does not receive a cumulative total per year of at least $1,000,000 in City funds or City-administered funds.
☐ This form is not applicable to my organization. My organization is not a non-profit.
Item #1: Public Access to Meetings and Records A statement describing its efforts to comply with the Chapter 12L provisions regarding public access to Proposer’s meetings and records.
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Item #2: Complaints and Disposition A summary and disposition of all complaints concerning the Proposer’s compliance with Chapter 12L that were filed with the City in the last two years and deemed by the City to be substantiated. If no such complaints were filed, the Proposer shall include a statement to that effect.
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