SE_11404_Attachment_2_-_Proposer_Questionnaire___References.docx

Sourcing Event 0000011404 Attachment 2 Proposer Questionnaire and References Part I Proposer Information Name of Firm:

Headquarter Address:

Phone No.:

Contact Name & Title:

E-mail:

SF Supplier ID:

Federal Tax ID:

Payment Terms:

Person Preparing Bid:

Local Representative Name and Number:

Warehouse Address:

Contact Information for Placing Orders:

Telephone:

Fax:

Email:

Website:

24-hour Emergency Number:

Part II Proposer Questionnaire

1. Do you certify that you have complied and will continue to comply with Section 13.5 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 Proposal?

Enter your Business Tax Registration ID here: __________________________________

5. Which LBE categories are you applying for?

Note: To qualify for any of these categories, you must be certified in the LBE certification category(ies) by the Proposal Due Date

EQ108 – Computer Hardware/Software/Peripheral Equipment GS109 – Computer Systems Services GS132 – Database Development & Analysis

6. Can you comply with the terms set forth in Attachment 1, City’s Contract Terms?

7. Have you submitted with your Proposal all the Minimum Qualification Documentation outlined in the accompanying solicitation document?

If you reply NO to any document, please explain.

8. Prior to any award, do you agree to provide all the Required Supporting Documentation outlined in the accompanying solicitation document? If you reply NO to any document, please explain.

9. Have you submitted with your Proposal a completed Attachment 4 (Minimum Qualification Response Template) that complies with the requirements of the accompanying solicitation document?

If you reply NO, please explain.

Part III Proposer References All proposers, including current Contractor, must provide references for at least three (3) organizations of the approximate size and volume comparable to commodities and/or 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.

Address (street, city, state, zip)

Contact Name

Phone No.

Email

Number of Years Providing Service

Address (street, city, state, zip)

Contact Name

Phone No.

Email

Number of Years Providing Service

Address (street, city, state, zip)

Contact Name

Phone No.

Email

Number of Years Providing Service

Part 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 Sourcing Event 0000011404 OCA|TC 99421 Tech Marketplace 3.0 mLBE Set-Asides 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

Part 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 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

P-690 (03-24): Attachment 2 Sourcing Event 0000011404 Proposer Questionnaire and References October 22, 2026