IFB_11625_Attachment_2_-_Bidder_Questionnaire_and_References.pdf
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- Solicitation number
- SFGOV-0000011625
- Issued by
- San Francisco County, California
About this file
This is a Bidder Questionnaire and References attachment related to an Invitation for Bids (IFB) issued by the San Francisco Department of Public Health (DPH) for Non-Emergency Wheelchair-Accessible Transportation (NEWAT) services. The solicitation seeks qualified suppliers to provide wheelchair-accessible transportation for patients and residents at Zuckerberg San Francisco General Hospital, Laguna Honda Hospital, and DPH-operated or contracted clinics throughout San Francisco. The pre-bid conference is scheduled for September 11, 2026, at 1:00 PM PT via Microsoft Teams. The deadline for written questions is September 15, 2026, at 5:00 PM PT, with bids due on September 24, 2026, at 2:00 PM PT. Bid opening and Notice of Intent to Award are both scheduled for September 28, 2026.
The bidder questionnaire and references document serves as an evaluation tool to assess the qualifications, experience, and capability of prospective contractors. This attachment requires bidders to provide detailed information about their organization, relevant experience with similar transportation services, financial stability, insurance and licensing documentation, and references from previous clients. The questionnaire ensures that only qualified vendors with demonstrated capability to deliver reliable, safe, and compliant wheelchair-accessible transportation services are considered for this contract award.
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P-695 (03-24): Attachment 2 1 Sourcing Event SFGOV-0000011625 Bidder Questionnaire and References September 4, 2026
Sourcing Event SFGOV-0000011625 Attachment 2
Bidder Questionnaire and References
Part I
Bidder Information Firm’s Legal Entity Name:
Headquarter Address:
Phone No.:
Contact Name & Title:
E-mail:
SF Supplier ID:
Federal Tax ID:
Payment Terms:
Contact Information for Placing Orders:
Telephone:
Fax:
Email:
Website:
P-695 (03-24): Attachment 2 2 Sourcing Event SFGOV-0000011625
Part II Bidder Questionnaire
Question Yes No
1. Do you certify that you have complied and will continue to comply with Section 11.5 of this Solicitation entitled “Limitation on Communications During Solicitation?
2. Have you registered as a Bidder or Supplier, through the Supplier Portal (https://sfcitypartner.sfgov.org/)?
If yes, what is your Bidder ID or Supplier ID? _________________
3. Has your company enrolled with Paymode-X to receive electronic payments from the City?
https://www.sf.gov/get-paid-your-vendor-services
4. Have you registered your business with the San Francisco Treasurer & Tax Collector as required prior to submission of any Bid?
Enter your Business Tax Registration ID here: __________________________________
5. Are you claiming LBE preference on this solicitation per Chapter 14B?
To claim LBE preference for this solicitation, you must be certified in one or more of the following LBE certification category/categories by the Bid Due Date:
Micro-LBE Small-LBE
SBA-LBE
6. Can you comply with the terms set forth in Attachment 1, City’s Proposed Agreement Terms?
7. Have you submitted with your Bid all the Minimum Qualification Documentation outlined in the accompanying solicitation document?
If you reply NO to any document, please explain.
8. Have you submitted with your Bid all the Required Supporting Documentation outlined in the accompanying solicitation document?
9. Have you submitted with your Bid a Bid Sheet that complies with the requirements of the accompanying solicitation document?
https://sfcitypartner.sfgov.org/?
https://www.sf.gov/get-paid-your-vendor-services
P-695 (03-24): Attachment 2 3 Sourcing Event SFGOV-0000011625
Part III Bidder References
All Bidders, including current Contractor, must provide references for at least one (1) organizations of the approximate size and volume comparable to commodities and/or services described in this Solicitation. Upon request, successful Bidder(s) may also be required to submit a letter of reference from each reference listed within five (5) days of notification. Failure to do so may result in rejection of Bid.
1. Name of Company
Address (street, city, state, zip)
Contact Name
Phone No.
Number of Years Providing
Service
P-695 (03-24): Attachment 2 4 Sourcing Event SFGOV-0000011625
Part IV Bidder Release of Liability for References
The undersigned hereby fully and forever release, exonerate, discharge and covenant not to sue the City, its commissions and boards, officers and employees, and all individuals, entities and firms providing information, comments, or conclusions ("Reference Information") in response to inquiries that the City may make regarding the qualifications or experience of a Prime Bidder, proposed joint venture partner, proposed subconsultant or proposed key/lead team member in connection with the selection process for SFGOV-0000011625 Non-Emergency Wheelchair-Accessible Transportation from and for any and all claims, causes of action, demands, damages, and any and all liabilities of any kind or description, in law, equity, or otherwise arising out of the provision of said Reference Information. This Release and Waiver is freely given and will be applicable whether or not the responses by said individuals, entities or firms are accurate or not, or made willfully or negligently.
Company Name
Signature of Authorized Representative of Company Date
Print Name and Title
P-695 (03-24): Attachment 2 5 Sourcing Event SFGOV-0000011625
Part V.
Bidder Certification of Truth, Accuracy, and Completeness
I certify that based on information and belief formed after reasonable inquiry, the statements and information contained in this document are true, accurate, and complete. Additionally, by submitting this bid/proposal, I attest that I have reviewed and accepted all terms found in this solicitation, any and all addenda issued to this solicitation, and City’s contract terms.
Company Name
Signature of Authorized Representative of Company Date
Print Name and Title
| Part I |
| Part II |
| Part III |
| Part IV |
| Part V. |
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