Attachment D 12L Compliance.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 for the Department of Public Health (DPH) in San Francisco, California, related to the 503A Sterile Compounding Pharmacy Services solicitation. The RFP seeks qualified firms to provide sterile compounding pharmacy services, specifically preparing and delivering patient-specific Total Parenteral Nutrition (TPN) solutions for neonatal, pediatric, and adult patients at Zuckerberg San Francisco General Hospital on a seven-days-per-week, 365-days-per-year basis. Key solicitation dates include the pre-proposal conference on September 21, 2026, the deadline for questions on September 28, 2026, and the proposal submission deadline of October 12, 2026 at 2:00 PM PST. Estimated short-listing notifications will occur on November 9, 2026, with demonstrations scheduled for November 12-20, 2026, and the announcement of award anticipated on December 2, 2026. The estimated contract start date is March 1, 2027, with a Health Commission presentation possible in February 2027.

Non-profit entities receiving a cumulative total of at least $1,000,000 annually in City funds or City-administered funds must complete this compliance form and demonstrate adherence to Chapter 12L provisions regarding public access to meetings and records, as well as disclose any substantiated complaints filed with the City in the previous two years. Failure to comply with Chapter 12L reporting requirements or material misrepresentation in submissions shall be grounds for proposal rejection and/or contract termination. For-profit entities and non-profits below the $1,000,000 threshold are not subject to these compliance requirements.

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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:

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