RFP_APD2026-02_Attachment_2_Questionnaire_and_References.pdf

PDF 248 KB Posted

Attached to
EXT ADP | Batterers’ Intervention Programs
Solicitation number
SFGOV-0000012143
Issued by
San Francisco County, California

About this file

This is a Proposer Questionnaire and References form for Sourcing Event 0000012143, issued by the City and County of San Francisco for BIP Audit and Shelter-Based Training Services. The document serves as Attachment 2 to the solicitation and requires proposers to provide firm information, certify compliance with solicitation requirements, and submit up to three professional references demonstrating at least two years of experience within the past five years providing comparable services. Proposers must confirm completion of all registration requirements, including registration as a bidder or supplier on the San Francisco City Partner portal, enrollment in Paymode-X for electronic payments, registration with the San Francisco Treasurer & Tax Collector, and submission of all required documentation including minimum qualifications, supporting materials, price proposals, and written proposals.

The questionnaire includes a comprehensive certification section requiring proposers to attest to the truth, accuracy, and completeness of all submitted information and to confirm acceptance of all solicitation terms, addenda, and the City's contract terms. Proposers must also execute a Release of Liability form, exonerating the City and all individuals or entities providing reference information from claims arising from the provision of such information, whether accurate or not. The successful proposer may be required to submit letters of reference from each listed reference within five business days of notification, with failure to do so potentially resulting in proposal rejection.

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Sourcing Event 0000012143 Attachment 2: Proposer Questionnaire and References

BIP Audit and Shelter-Based Training Services Sourcing Event 0000012143 Attachment 2: Proposer References 1 of 4 October 15, 2026

I. PROPOSER INFORMATION

Name of Firm:

Headquarter Address:

Phone No.:

Contact Name & Title:

E-mail:

SF Supplier ID:

Federal Tax ID:

Person Preparing Bid:

II. PROPOSER QUESTIONNAIRE

Question Yes No Do you certify that you have complied and will continue to comply with 14.5 of this Solicitation entitled “Limitation on Communications during Solicitation”?

Have you registered as a Bidder or Supplier at (https://sfcitypartner.sfgov.org/)?

Enter your Bidder ID or Supplier ID:

Have you enrolled with Paymode-X to receive electronic payments from the City at https://www.sf.gov/get-paid-your-vendor-services?

Have you registered with the San Francisco Treasurer & Tax Collector as required prior to submission of any Proposal?

Enter your Business Tax Registration ID:

Can you comply with the terms set forth in Attachment 1, City’s Proposed Agreement Terms? If you reply NO, you must submit a redline copy of any proposed changes.

Have you submitted with your Proposal all the Minimum Qualification Documentation outlined in the accompanying solicitation document? If NO, please explain:

Have you submitted with your Proposal all the Required Supporting Documentation outlined in the accompanying solicitation document? If NO, please explain:

Have you submitted with your Proposal a Price Proposal that complies with the requirements of the accompanying solicitation document? If NO, please explain:

Have you submitted with your Proposal a Written Proposal that complies with the requirements of the accompanying solicitation document? If NO, please explain:

https://sfcitypartner.sfgov.org/?

https://www.sf.gov/get-paid-your-vendor-services

BIP Audit and Shelter-Based Training Services Sourcing Event 0000012143 Attachment 2: Proposer References 2 of 4 October 15, 2026

III. PROPOSER REFERENCES

Provide up to 3 references that demonstrate at least 2 years of experience within the last 5 years providing services comparable to the services described in this Solicitation. Upon request, successful proposer(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 proposal.

1. Name of Company Address (street, city, state, zip) Contact Name Phone No.

Email Number of Years Providing Service

Description of Services

2. Name of Company

Address (street, city, state, zip)

Contact Name

Phone No.

Email

Number of Years Providing Service

Description of Services

3. Name of Company

Address (street, city, state, zip)

Contact Name

Phone No.

Email

Number of Years Providing Service

Description of Services

Attachment 2: Proposer References 3 of 4 October 15, 2026

IV. PROPOSER 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 proposer, proposed joint venture partner, proposed subconsultant or proposed key/lead team member in connection with the selection process for 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

Attachment 2: Proposer References 4 of 4 October 15, 2026

V. PROPOSER 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

I. Proposer Information
II. Proposer Questionnaire
III. Proposer References
IV. Proposer Release of Liability for References
V. Proposer Certification of Truth, Accuracy, and Completeness
Headquarter Address:
Address street city state zip:
undefined_8:
undefined_9:
undefined_10:
Number of Years Providing Service:
undefined_11:
undefined_12:
Address street city state zip_2:
undefined_13:
undefined_14:
undefined_15:
Number of Years Providing Service_2:
undefined_16:
undefined_17:
Address street city state zip_3:
undefined_18:
undefined_19:
undefined_20:
Number of Years Providing Service_3:
undefined_21:
Company Name:
Date:
Print Name and Title:
Company Name_2:
Date_2:
Print Name and Title_2:
Name of Firm:
Phone:
Contact Name and Title:
E-mail:
S:
F:
Supplier ID:
Federal Tax ID:
Person Preparing Bid:
Yes:
1:
0:
1:
0:
1:
3:
4:
2:
0:
1:

0:

No:
1:
0:
1:
0:
1:
3:
4:
2:
0:
1:

0:

Bidder or Supplier ID:
Business Tax Registration ID:
Explain:
Name of Reference:

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