Attachment H First Source_1.docx

DOCX document 27 KB Posted

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

About this file

This is a First Source Workforce Projection Form submission requirement document issued by the City and County of San Francisco, Department of Public Health, for Request for Proposals SFGOV-0000012046 regarding a Radiology Registry contract. 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 the Scope of Work requirements. The RFP was published on September 2, 2026, with a deadline for submission questions on September 8, 2026, an estimated Q&A addendum posting on September 11, 2026, and a proposal submission deadline of September 16, 2026 at 2:00 PM PT. The estimated award announcement is scheduled for October 2026, with a Health Commission presentation in December 2026 and an estimated contract start date of January 1, 2027.

Proposers are required to complete and submit the First Source Workforce Projection Form and Fact Sheet, with a confirmation email sent upon successful submission. A copy of the completed form must be included with Electronic File #2 as Attachment H to verify timely and correct submission. Registration with the San Francisco Office of Economic and Workforce Development's data system is not required during the solicitation process. Prospective bidders should visit the First Source Hiring Program website for additional information regarding these workforce requirements.

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Other files

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 F MCO Declaration Form.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
DPH___Radiology_Registry.pdf PDF
Attachment G HCAO Declaration Form.pdf PDF
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Text version

Attachment H First Source Workforce Projection Form and Fact Sheet Request for Proposals SFGOV- 0000012046 Radiology Registry Submission Instructions

1. Proposers must complete and submit the required First Source Workforce Projection Form and Fact Sheet.

2. Upon successful submission, Proposers will receive a copy of the completed form via email.

3. A copy of this form must be included with Electronic File #2 as Attachment H to verify that the form was submitted correctly and on time.

Registration with the San Francisco Office of Economic and Workforce Development’s data system is not necessary to submit the form and should not be completed during the solicitation process.

For more information, please visit the First Source Hiring Program website.

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