Attachment E CMD LBE Form 2A_1.pdf

PDF 277 KB Posted

Attached to
DPH | Cost Accounting and Decision Support System
Solicitation number
SFGOV-0000012029
Issued by
California

About this file

This is a Contract Monitoring Division (CMD) Form 2A submission document for the City and County of San Francisco used in Architecture, Engineering, and Professional Services contracts. The form requires proposers to disclose all participation by the prime contractor, joint venture partners, subconsultants, and vendors, along with their respective work scopes and percentages. The solicitation pertains to the Department of Public Health's Cost Accounting and Decision Support System RFP, with a proposal deadline of October 19, 2026, at 2:00 PM PST. A pre-proposal conference is scheduled for September 21, 2026, with questions due by September 28, 2026. The estimated award announcement is December 21, 2026, with an anticipated contract start date of May 1, 2027. The form must be submitted with all proposals or the proposal may be deemed non-responsive and rejected.

The document establishes Local Business Enterprise (LBE) subparticipation requirements that must be met by all proposers and joint ventures. Rating bonuses are available based on contract value and LBE participation levels, ranging from 0.5% to 13% depending on the contract size and type of LBE involvement, including Micro, Small, SBA, Neighborhood, and Zip Code LBE categories. For contracts exceeding $400,000 but not exceeding $10,000,000, rating bonuses of 5% to 10% are available for qualifying LBE participation. The form requires detailed information on all participating firms, including vendor numbers, Federal ID numbers, and service descriptions. Proposers must declare under penalty of perjury the accuracy of all listed participants and their respective work allocations, with the total work allocation equaling 100%.

View the file

Other files

Show all 22

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

- 11 -

11/01/2025

CITY AND COUNTY OF SAN FRANCISCO

CONTRACT MONITORING DIVISION

CHAPTER 14B

CMD ATTACHMENT 2

Architecture, Engineering, and Professional Services

FORM 2A: CMD CONTRACT PARTICIPATION FORM

Section 1: This form must be submitted with the proposal or the proposal may be deemed non-responsive and rejected. Proposer, each Joint Venture partner, Subconsultants, Vendors, and lower sub tiers must be listed on this form. The RFP/RFQ will state which LBE size category (e.g., Micro, Small, and/or SBA-LBE) can be used to meet the LBE sub participation requirement(s). All LBE Proposers/JVs with LBE participation must meet the LBE sub participation requirement(s). Any LBE Proposer/JV with LBE participation may not count its participation towards meeting the LBE sub participation requirement(s). Be sure to check the appropriate box for Rating Bonus under Section 2. If more space is needed for Section 1, attach additional copies of this form.

*Type: Identify if Prime (P), JV partner (J), Subconsultant (S), or Vendor (V)

TY

PE

Firm

Portion of Work

(Describe Scope(s) of

Work)

% of Work

Indicate LBE or Non-LBE. If LBE, Micro, Small, or

SBA.

% of LBE Subwork (Carry-Over from % OF

Work Column)

Micro Small SBA

Total % of Work: 100% Total LBE Sub Participation: % % %

I declare, under penalty of perjury under the laws of the State of California, that I am utilizing the above Consultants for the portions of work and amounts as reflected in the proposal for this Contract.

Owner/Authorized Representative (Signature): _____________________ Date: _________________________

Print Name and Title: _____________________________________________________________________________

** See CMD website: http://www.sfgov.org/cmd for each firm’s status

Contract No.:

Contract Title: LBE SUBPARTICIPATION REQUIREMENT(S)

Firm: Micro and Small-LBE Sub Requirement – ___%

Contact Person: Micro, Small, SBA-LBE Sub Requirement – ___%

Address: Micro-LBE Sub Requirement - ___%

City/ZIP: Small-LBE Sub Requirement – ___%

Phone, Email: SBA-LBE Sub Requirement – ___% http://www.sfgov.org/cmd

- 12 -

Section 2. Rating Bonus

Check applicable boxes.

A. NO Rating Bonus Requested 0%

B. Contracts with an Estimated Cost in Excess of $400,000 and Less Than or Equal to $10,000,000. See instructions in Sections 2.01 and 2.02.

Micro or Small-LBE 10%

Joint Venture 7.5%

Joint Venture 5%

Joint Venture (Micro or Small-LBEs only) 10%

SBA-LBE 5%

C. Contracts with an Estimated Cost in Excess of the Delegated Purchasing Amount ($20,000 as of July 1, 2024) and Less Than or Equal to $10,000,000. The below rating bonuses DO NOT apply to Chapter 21 contracts and only apply to Chapter 6 contracts, including Chapter 6.40. See instructions in Section

2.01 for details. This Neighborhood/Zip Code LBE Program shall apply to projects located within the jurisdictional boundary of San Francisco. The program shall not apply to Job Order Contracts (JOC), As- Needed contracts, or other contracts where no specific project location is specified at the time of proposal. The RFP/RFQ will clearly state whether the Pilot Neighborhood/Zip Code LBE Program is applicable to the specific project. A Proposer may receive up to a maximum rating bonus of 13% depending on the particular application.

Prime Neighborhood/Zip Code LBE rating bonus:

Prime Neighborhood LBE (or a JV where the Neighborhood LBE JV partner(s)’ participation is at least 40%) 1%

OR

Prime Zip Code LBE (or a JV where the Prime Zip Code LBE JV partner(s)’ participation is at least 40%) 1.5%

Subconsulting Neighborhood/Zip Code LBE rating bonus:

Sub Neighborhood LBE 0.5%

OR

Sub Zip Code LBE 1.5%

D. Contracts in Excess of $10,000,000 and Less Than or Equal to $20,000,000. See instructions in Section 2.01.

Micro, Small, or SBA-LBE 2%

E. Mentor-Protégé Program Bid Discount/Rating Bonus. The Mentor Protégé rating bonus is not applicable to professional services contracts. However, for this CMD Attachment 2, the Mentor Protégé rating bonus/bid discount is applicable for Design-Build and/or CM/GC projects only. See instructions in Section 2.01.

Mentors of the Mentor-Protégé Program 1%

- 13 -

Section 3. Proposer, Joint Venture Partners, Subconsultant, and Vendor Information

Provide information for each firm listed in Section 1 of this form. Firms which have previously worked on City contracts may already have a vendor number. Vendor numbers of LBE firms are located on the CMD LBE website at http://www.sfgov.org/cmd. Use additional sheets if necessary.

FIRM NAME: VENDOR #:

ADDRESS: FEDERAL ID #:

CITY, ST, ZIP: PHONE: EMAIL:

SERVICE:

CITY, ST, ZIP: PHONE: EMAIL:

SERVICE:

http://www.sfgov.org/cmd

Contract No:
Contract Title:
Firm:
Contact Person:
Address:
CityZIP:
Phone Email:
Micro and SmallLBE Sub Requirement: Off
Text30:
Micro Small SBALBE Sub Requirement: Off
Text31:
MicroLBE Sub Requirement: Off
Text32:
SmallLBE Sub Requirement: Off
Text33:
SBALBE Sub Requirement: Off
Text34:
Text201:
FirmRow1:
Portion of Work Describe Scopes of WorkRow1:
Text205:
Indicate LBE or NonLBE If LBE identify MBE WBE or OBE AND Micro Small or SBA:
Text35:
Text39:
Text45:
Text202:
FirmRow2:
Portion of Work Describe Scopes of WorkRow2:
Text206:
Indicate LBE or NonLBE If LBE identify MBE WBE or OBE AND Micro Small or SBA_2:
Text36:
Text40:
Text46:
Text203:
FirmRow3:
Portion of Work Describe Scopes of WorkRow3:
Text207:
Indicate LBE or NonLBE If LBE identify MBE WBE or OBE AND Micro Small or SBA_3:
Text37:
Text41:
Text47:
Text204:
FirmRow4:
Portion of Work Describe Scopes of WorkRow4:
Text208:
Indicate LBE or NonLBE If LBE identify MBE WBE or OBE AND Micro Small or SBA_4:
Text38:
Text43:
Text48:
Text42:
Text44:
Text49:
Text1:
Date:
Print Name and Title:
NO Rating Bonus Requested 0: Off
Micro or SmallLBE 10: Off
Joint Venture 75: Off
Joint Venture 5: Off
Joint Venture Micro or SmallLBEs only 10: Off
SBALBE 5: Off
Prime Neighborhood LBE or a JV where the Neighborhood LBE JV partners participation is at: Off
Prime Zip Code LBE or a JV where the Prime Zip Code LBE JV partners participation is at least: Off
Sub Neighborhood LBE 05: Off
Sub Zip Code LBE 15: Off
Micro Small or SBALBE 2: Off
Mentors of the MentorProtégé Program 1: Off
FIRM NAME:
Text50:
ADDRESS:
Text51:
Text53:
Text54:
Text52:
Text55:
FIRM NAME_2:
Text56:
ADDRESS_2:
Text57:
Text71:
Text76:
Text58:
Text81:
FIRM NAME_3:
Text59:
ADDRESS_3:
Text60:
Text72:
Text77:
Text61:
Text82:
FIRM NAME_4:
Text62:
ADDRESS_4:
Text63:
Text73:
Text78:
Text64:
Text83:
FIRM NAME_5:
Text65:
ADDRESS_5:
Text66:
Text74:
Text79:
Text67:
Text84:
FIRM NAME_6:
Text68:
ADDRESS_6:
Text69:
Text75:
Text80:
Text70:
Text85:

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