Attachment D 12L Compliance_1.docx

DOCX document 35 KB Posted

Attached to
DPH | Institutional Master Plan Consulting Service
Solicitation number
SFGOV-0000011940
Issued by
California

About this file

This is a compliance request form for Attachment D Administrative Code Chapter 12L related to a Request for Proposals issued by the San Francisco Department of Public Health (DPH) for Institutional Master Plan Consulting Services (SFGOV-0000011940). The RFP was published on September 9, 2026, with a pre-proposal conference scheduled for September 18, 2026, and a deadline for questions set for September 25, 2026. An estimated Q&A addendum will be posted on October 2, 2026, with proposals due by October 13, 2026 at 2:00 PM PT. The estimated announcement of award is November 2026, with a Health Commission presentation scheduled for May 2027 and an estimated contract start date of June 1, 2027. The consulting services will support DPH's review of hospital Institutional Master Plans and require qualified, experienced firms to provide professional health planning services to the City.

The Chapter 12L 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 criterion must complete the form, which requires two items: a statement describing efforts to comply with public access provisions regarding meetings and records, and a summary of all substantiated complaints filed with the City within the last two years concerning Chapter 12L compliance, or a statement confirming no such complaints were filed. The form must be included with Electronic File #2 as part of the proposal submission. Failure to comply with Chapter 12L reporting requirements or material misrepresentation in submissions constitutes grounds for proposal rejection and potential agreement termination.

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Other files

File Type Posted
DPH___Institutional_Master_Plan_Consulting_Service.xml XML file
Attachment B Non-Collusion Affidavit Form_1.docx DOCX document
Attachment C Reference Form.docx DOCX document
Attachment C Reference Form_1.docx DOCX document
Attachment A Contact Information Cover Sheet.docx DOCX document
RFP_11940_IMP_Consulting_Services_Addendum.pdf PDF
Attachment I Cost Proposal Form_1.xlsx XLSX spreadsheet
Attachment N COI Acknowledgement Form_1.docx DOCX document
DPH___Institutional_Master_Plan_Consulting_Service.pdf PDF
Attachment D 12L Compliance.docx DOCX document
Attachment H First Source.pdf PDF
Attachment H First Source_1.pdf PDF
Attachment E CMD LBE Form 2A_1.pdf PDF
Attachment B Non-Collusion Affidavit Form.docx DOCX document
Attachment I Cost Proposal Form.xlsx XLSX spreadsheet
Attachment F MCO Declaration Form.pdf PDF
Attachment A Contact Information Cover Sheet_1.docx DOCX document
Attachment G HCAO Declaration Form.pdf PDF
Attachment G HCAO Declaration Form_1.pdf PDF
Attachment M City's Contract Terms.pdf PDF
Attachment M City's Contract Terms_1.pdf PDF
Attachment N COI Acknowledgement Form.docx DOCX document
Attachment E CMD LBE Form 2A.pdf PDF
RFP_11940_Institutional_Master_Plan_Consulting_Services_v2.pdf PDF
Attachment F MCO Declaration Form_1.pdf PDF
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Text version

Attachment D Administrative Code Chapter 12L Compliance 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.

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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File details come from the government source that posted it. Updated .