Attachment D 12L Compliance_1.pdf

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Attached to
DPH | 503A Sterile Compounding Pharmacy Services
Solicitation number
SFGOV-0000011956
Issued by
California

About this file

This is an Administrative Code Chapter 12L Compliance Request form submitted by the Department of Public Health (DPH) in San Francisco, California for the 503A Sterile Compounding Pharmacy Services solicitation. The RFP seeks qualified proposers to provide sterile compounding pharmacy services for Zuckerberg San Francisco General Hospital, specifically preparing and delivering patient-specific Total Parenteral Nutrition (TPN) solutions for neonatal, pediatric, and adult patients on a seven-day-per-week, 365-day-per-year basis. The solicitation timeline includes a pre-proposal conference on September 21, 2026, a questions deadline of September 28, 2026, proposal submission deadline of October 12, 2026 at 2:00 PM PST, estimated short-listing notification on November 9, 2026, demonstrations between November 12-20, 2026, award announcement on December 2, 2026, and an estimated contract start date of March 1, 2027.

The compliance form addresses Chapter 12L requirements applicable to non-profit entities receiving at least $1,000,000 in cumulative annual City funds or City-administered funds. Proposers must declare whether they are non-profit organizations subject to these requirements and, if applicable, provide statements describing compliance efforts regarding public access to meetings and records, and a summary of any substantiated complaints filed with the City in the prior two years concerning Chapter 12L compliance. Failure to comply with reporting requirements or material misrepresentation in Chapter 12L submissions may result in proposal rejection or contract termination. The form must be completed and submitted as part of Electronic File #2 with the proposal response.

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Attachment D

Administrative Code Chapter 12L Compliance

Request for Proposals SFGOV-

All fields are required. This form must be completed and included with Electronic File #2.

A. 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.

B. 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.

C. 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.

If you need more space for your explanation, please attach a separate document.

A. Non-Profit Entities
B. Item #1: Public Access to Meetings and Records
C. Item #2: Complaints and Disposition
Sourcing ID: 0000011956
Solicitation Title: 503A Sterile Compounding Pharmacy Services
Non Applicable Below Threshold: Off
Not Applicable Not a Non-Profit: Off
Item #1 Response:
Item #2 Response:

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