Attachment F MCO Declaration Form_7.23.2026.pdf
PDF 214 KB Posted
- Attached to
- DPH | Regulatory & Policy Consulting Services
- Solicitation number
- SFGOV-0000011831
- Issued by
- San Francisco County, San Francisco City, California
About this file
This is an MCO (Managed Care Organization) Declaration Form related to a Regulatory & Policy Consulting Services RFP issued by the Behavioral Health Services division of the Department of Public Health (DPH) in California. The City of California seeks proposals from experienced consulting firms to provide professional staff support for regulatory consulting, policy analysis, program development, project management, data analysis, training, and interagency coordination to implement behavioral health policies and strengthen system operations. The solicitation includes a pre-proposal conference scheduled for 10:00 AM PT on August 24, 2026, via Microsoft Teams. The deadline for submitting questions is 5:00 PM PT on August 31, 2026, with a Q&A addendum estimated to post on September 8, 2026. Proposals are due by 2:00 PM PT on September 22, 2026, with an estimated award announcement on October 30, 2026, and an estimated contract start date of July 1, 2027.
The declaration form serves as a compliance document for Managed Care Organizations responding to this RFP. No specific pricing information, set-asides, incumbent details, or funding amounts are detailed in this particular form. The document functions as a certification or attestation requirement that MCO bidders must complete and submit as part of their proposal package to demonstrate their status and eligibility as a managed care organization participating in the procurement process.
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Text version
CITY AND COUNTY OF SAN FRANCISCO
GENERAL SERVICES AGENCY
OFFICE OF LABOR STANDARDS ENFORCEMENT
PATRICK MULLIGAN, DIRECTOR
SF OFFICE OF LABOR STANDARDS ENFORCEMENT, CITY HALL ROOM 430 MCO/HCAO TEL (415) 554-7903 • FAX (415) 554-6291
1 DR. CARLTON B. GOODLETT PLACE • SAN FRANCISCO, CA 94102 WWW.SFGOV.ORG/OLSE
Minimum Compensation Ordinance (MCO) Declaration
What the Ordinance does. The Minimum Compensation Ordinance (MCO) became effective October 8, 2000, and was later amended by the Board of Supervisors, with an effective date for the amendments of October 14, 2007. The MCO requires City contractors and subcontractors to pay Covered Employees a minimum hourly wage and to provide 12 compensated and 10 uncompensated days off per year. The minimum wage rate may change from year to year and Contractor is obligated to keep informed of the then-current requirements.
The MCO applies only if you have at least $25,000 in cumulative annual business with a City department or departments and have more than 5 employees, including employees of any parent, subsidiaries and subcontractors.
The City may require contractors to submit reports on the number of employees affected by the MCO.
Effect on City contracting. For contracts and amendments signed on or after October 8, 2000 the MCO will have the following effect:
In each contract, the contractor will agree to abide by the MCO and to provide its employees the minimum benefits the MCO requires, and to require its subcontractors subject to MCO to do the same.
If a contractor does not agree to provide the MCO’s minimum benefits, the City will award a contract to that contractor only if the contractor has received an approved exemption or waiver under MCO from the Office of Labor Standards Enforcement (OLSE) through the contracting Department. The contract will not contain the agreement to abide by the MCO if there is an exemption or waiver on file.
What this form does. If you can assure the City now that, beginning with the first City contract or amendment you receive after October 8, 2000 and until further notice, you will provide the minimum benefit levels specified in the MCO to your covered employees, and will ensure that your subcontractors also subject to the MCO do the same, this will help the City’s contracting process.
If you cannot make this assurance now, please do not return this form.
For more information, (1) see our Website, including the complete text of the ordinance: www.sfgov.org/olse, (2) e-mail us at: MCO@sfgov.org, (3) Phone us at (415) 554-7903.
Where to Send this Form. Submit this form via San Francisco’s centralized vendor portal sfcitypartnersupport@sfgov.org or call the Supplier Support Desk at 415-944-2442, Ext 1
Declaration
In order to be a certified vendor with the City and County of San Francisco, this company will provide, if applicable, the minimum benefit levels specified in the MCO to our Covered Employees, and will ensure that our subcontractors also subject to the MCO do the same, until further notice. This company will give such notice as soon as possible.
I declare under penalty of perjury under the laws of the State of California that the above is true and correct.
Signature Date
Print Name Bidder/Supplier # - if known
Company Name Phone Federal Employer ID #
ATTACHMENT F
mailto:MCO@sfgov.org https://sfcitypartner.sfgov.org/ mailto:sfcitypartnersupport@sfgov.org?Subject=Question%20to%20User%20Support
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