Attachment F MCO Declaration Form.pdf

PDF 223 KB Posted

Attached to
DPH | Radiology Registry
Solicitation number
SFGOV-0000012046
Issued by
San Francisco County, California

About this file

This is a Minimum Compensation Ordinance (MCO) Declaration Form issued by the City and County of San Francisco's Office of Labor Standards Enforcement in conjunction with the Department of Public Health's Radiology Registry Request for Proposals. The form establishes compliance requirements for contractors and subcontractors performing work for the City. The RFP seeks qualified firms to provide professional temporary radiology technologists and radiology support staff to the San Francisco Health Network, including Zuckerberg San Francisco General Hospital & Trauma Center, Laguna Honda Hospital, Jail Health Services, and SFHN Ambulatory Care sites. All referred staff must be credentialed and competent according to Section 4 specifications. Key dates include the RFP publication on September 2, 2026, a question deadline of September 8, 2026 at 5:00 PM PT, an estimated Q&A addendum posting on September 11, 2026, a proposal submission deadline of September 16, 2026 at 2:00 PM PT, an estimated award announcement in October 2026, a Health Commission presentation in December 2026, and an estimated contract start date of January 1, 2027.

The MCO Declaration Form requires that contractors and subcontractors with at least $25,000 in cumulative annual business with a City department and more than five employees comply with minimum compensation requirements, including a minimum hourly wage and 12 compensated and 10 uncompensated days off per year. Contractors must sign and submit the declaration via San Francisco's centralized vendor portal at sfcitypartnersupport@sfgov.org or contact the Supplier Support Desk at 415-944-2442, Extension 1. Contractors unable to assure compliance with MCO requirements may request an approved exemption or waiver from the Office of Labor Standards Enforcement through the contracting department. The minimum wage rate may change annually, requiring contractors to remain informed of current requirements.

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File Type Posted
Attachment G HCAO Declaration Form_1.pdf PDF
Attachment A Contact Information Cover Sheet.docx DOCX document
Attachment M City's Contract Terms_1.pdf PDF
Attachment H First Source.docx DOCX document
Attachment B Non-Collusion Affidavit Form_1.docx DOCX document
Attachment C Reference Form_1.docx DOCX document
DPH___Radiology_Registry.xml XML file
Attachment D 12L Compliance_1.docx DOCX document
Attachment D 12L Compliance.docx DOCX document
RFP_12046_Radiology_Registry.pdf PDF
Attachment B Non-Collusion Affidavit Form.docx DOCX document
Attachment E CMD LBE Form 2A.pdf PDF
Attachment I Cost Proposal Form_1.xlsx XLSX spreadsheet
Attachment I Cost Proposal Form.xlsx XLSX spreadsheet
Attachment E CMD LBE Form 2A_1.pdf PDF
Attachment C Reference Form.docx DOCX document
Attachment M City's Contract Terms.pdf PDF
Attachment F MCO Declaration Form_1.pdf PDF
Attachment N Performance Improvement Plan and Performance Measure Grid.pdf PDF
Attachment A Contact Information Cover Sheet_1.docx DOCX document
Attachment N Performance Improvement Plan and Performance Measure Grid_1.pdf PDF
Attachment H First Source_1.docx DOCX document
DPH___Radiology_Registry.pdf PDF
Attachment G HCAO Declaration Form.pdf PDF
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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

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