Common use of Delivery of Protests Clause in Contracts

Delivery of Protests. All protests must be received by the due date. If a protest is mailed, the protestor bears the risk of non-delivery within the deadlines specified herein. Protests should be transmitted by a means that will objectively establish the date the City received the protest. Protests or notice of protests made orally (e.g., by telephone) will not be considered. Protests may be delivered in person to the following address: In lieu of personal delivery, protests may be mailed to the following address: Before the City can award any contract to a contractor, that contractor must file three standard City forms (items 1-3 on the chart). Because many contractors have already completed these forms, and because some informational forms are rarely revised, the City has not included them in the RFQ package. Instead, this Appendix describes the forms, where to find them on the Internet (see bottom of page 2), and where to file them. If a contractor cannot get the documents off the Internet, the contractor should call (▇▇▇) ▇▇▇-▇▇▇▇ or e-mail Purchasing (▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇▇) and Purchasing will fax, mail or e-mail them to the contractor. If a contractor has already filled out items 1-3 (see note under item 3) on the chart, the contractor should not do so again unless the contractor’s answers have changed. To find out whether these forms have been submitted, the contractor should call Vendor File Support in the Controller’s Office at (▇▇▇) ▇▇▇-▇▇▇▇. Item Form name and Internet location Form Description Return the form to; For more info 1. Request for Taxpayer Identification Number and Certification ▇▇▇.▇▇▇▇▇.▇▇▇/▇▇▇/▇▇▇▇▇▇▇▇▇▇/▇▇▇▇▇.▇▇▇ ▇▇▇.▇▇▇.▇▇▇/▇▇▇/▇▇▇-▇▇▇▇/▇▇▇.▇▇▇ W-9 The City needs the contractor’s taxpayer ID number on this form. If a contractor has already done business with the City, this form is not necessary because the City already has the number. Controller’s Office Vendor File Support City Hall, Room ▇▇▇ ▇▇▇ ▇▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ (▇▇▇) ▇▇▇-▇▇▇▇ 2. Business Tax Declaration ▇▇▇.▇▇▇▇▇.▇▇▇/▇▇▇/▇▇▇▇▇▇▇▇▇▇/▇▇▇▇▇.▇▇▇ P-25 All contractors must sign this form to determine if they must register with the Tax Collector, even if not located in San Francisco. All businesses that qualify as “conducting business in San Francisco” must register with the Tax Collector. Controller’s Office Vendor File Support City Hall, Room ▇▇▇ ▇▇▇ ▇▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ (▇▇▇) ▇▇▇-▇▇▇▇ 3. S.F. Administrative Code Chapters 12B & 12C Declaration: Nondiscrimination in Contracts and Benefits ▇▇▇.▇▇▇▇▇.▇▇▇/▇▇▇/▇▇▇▇▇▇▇▇▇▇/▇▇▇▇▇.▇▇▇ – In Vendor Profile Application HRC-12B-101 Contractors tell the City if their personnel policies meet the City’s requirements for nondiscrimination against protected classes of people, and in the provision of benefits between employees with spouses and employees with domestic partners. Form submission is not complete if it does not include the additional documentation asked for on the form. Other forms may be required, depending on the answers on this form. Contract-by-Contract Compliance status vendors must fill out an additional form for each contract. Human Rights Comm. ▇▇ ▇▇▇ ▇▇▇▇, #▇▇▇ ▇▇▇ ▇▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇-6059 (▇▇▇) ▇▇▇-▇▇▇▇ Where the forms are on the Internet Homepage: ▇▇▇.▇▇▇▇▇.▇▇▇/▇▇▇/ Purchasing forms: Click on “Required Vendor Forms” under the “Information for Vendors and Contractors” banner. HRC’s homepage: ▇▇▇.▇▇▇▇▇.▇▇▇ Equal Benefits forms: Click on “Forms” under the “Equal Benefits” banner near the bottom. This Agreement is made this [insert day] day of [insert month], 20 [insert year], in the City and County of San Francisco, State of California, by and between: [insert name and address of contractor], hereinafter referred to as “Contractor,” and the City and County of San Francisco, a municipal corporation, hereinafter referred to as “City,” acting by and through its Director of the Office of Contract Administration or the Director’s designated agent, hereinafter referred to as “Purchasing.”

Appears in 1 contract

Sources: Request for Qualifications

Delivery of Protests. All protests must be received by the due date. If a protest is mailed, the protestor bears the risk of non-delivery within the deadlines specified herein. Protests should be transmitted by a means that will objectively establish the date the City received the protest. Protests or notice of protests made orally (e.g., by telephone) will not be considered. Protests may must be delivered in person to the following addressto: In lieu of personal delivery, protests may be mailed to the following address: The requirements described in this Appendix are separate from those described in Appendix A. Before the City can award any contract to a contractor, that contractor must file three standard City forms (items 1-3 on the chart). Because many contractors have already completed these forms, and because some informational forms are rarely revised, the City has not included them in the RFQ RFP package. Instead, this Appendix describes the forms, where to find them on the Internet (see bottom of page 2), and where to file them. If a contractor cannot get the documents off the Internet, the contractor should call (▇▇▇) ▇▇▇-▇▇▇▇ or e-mail Purchasing (▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇▇) and Purchasing will fax, mail or e-mail them to the contractor. If a contractor has already filled out items 1-3 (see note under item 3) on the chart, the contractor should not do so again unless the contractor’s answers have changed. To find out whether these forms have been submitted, the contractor should call Vendor File Support in the Controller’s Office at (▇▇▇) ▇▇▇-▇▇▇▇. If a contractor would like to apply to be certified as a local business enterprise, it must submit item 4. To find out about item 4 and certification, the contractor should call Human Rights Commission at (▇▇▇) ▇▇▇-▇▇▇▇. Item Form name and Internet location Form Description Return the form to; For more info 1. Request for Taxpayer Identification Number and Certification ▇▇▇.▇▇▇▇▇.▇▇▇/▇▇▇/▇▇▇▇▇▇▇▇▇▇/▇▇▇▇▇.▇▇▇ ▇▇▇.▇▇▇.▇▇▇/▇▇▇/▇▇▇-▇▇▇▇/▇▇▇.▇▇▇ W-9 The City needs the contractor’s taxpayer ID number on this form. If a contractor has already done business with the City, this form is not necessary because the City already has the number. Controller’s Office Vendor File Support City Hall, Room ▇▇▇ ▇▇▇ ▇▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ (▇▇▇) ▇▇▇-▇▇▇▇ 2. Business Tax Declaration ▇▇▇.▇▇▇▇▇.▇▇▇/▇▇▇/▇▇▇▇▇▇▇▇▇▇/▇▇▇▇▇.▇▇▇ P-25 All contractors must sign this form to determine if they must register with the Tax Collector, even if not located in San Francisco. All businesses that qualify as “conducting business in San Francisco” must register with the Tax Collector. Controller’s Office Vendor File Support City Hall, Room ▇▇▇ ▇▇▇ ▇▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ (▇▇▇) ▇▇▇-▇▇▇▇ 3. S.F. Administrative Code Chapters 12B & 12C Declaration: Nondiscrimination in Contracts and Benefits ▇▇▇.▇▇▇▇▇.▇▇▇/▇▇▇/▇▇▇▇▇▇▇▇▇▇/▇▇▇▇▇.▇▇▇ – In Vendor Profile Application HRC-12B-101 Contractors tell the City if their personnel policies meet the City’s requirements for nondiscrimination against protected classes of people, and in the provision of benefits between employees with spouses and employees with domestic partners. Form submission is not complete if it does not include the additional documentation asked for on the form. Other forms may be required, depending on the answers on this form. Contract-by-Contract Compliance status vendors must fill out an additional form for each contract. Human Rights Comm. ▇▇ ▇▇▇ ▇▇▇▇, #▇▇▇ ▇▇▇ ▇▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇-6059 (▇▇▇) ▇▇▇-▇▇▇▇ Where the forms are on the Internet Homepage: ▇▇▇.▇▇▇▇▇.▇▇▇/▇▇▇/ Purchasing forms: Click on “Required Vendor Forms” under the “Information for Vendors and Contractors” banner. HRC’s homepage: ▇▇▇.▇▇▇▇▇.▇▇▇ Equal Benefits forms: Click on “Forms” under the “Equal Benefits” banner near the bottom. This Agreement is made this [insert day] day of [insert month], 20 [insert year], in the City and County of San Francisco, State of California, by and between: [insert name and address of contractor], hereinafter referred to as “Contractor,” and the City and County of San Francisco, a municipal corporation, hereinafter referred to as “City,” acting by and through its Director of the Office of Contract Administration or the Director’s designated agent, hereinafter referred to as “Purchasing.”info

Appears in 1 contract

Sources: Request for Qualifications

Delivery of Protests. All protests must be received by the due date. If a protest is mailed, the protestor bears the risk of non-delivery within the deadlines specified herein. Protests should be transmitted by a means that will objectively establish the date the City received the protest. Protests or notice of protests made orally (e.g., by telephone) will not be considered. Protests may must be delivered in person to the following addressto: In lieu Director Office of personal deliveryEarly Care & Education P.O. Box 7988 San Francisco, protests may be mailed to the following address: CA 94120 Standard Forms Before the City can award any contract to a contractor, that contractor must file three standard City forms (items 1-3 on the chart). Because many contractors have already completed these forms, and because some informational forms are rarely revised, the City has not included them in the RFQ package. Instead, this Appendix describes the forms, where to find them on the Internet (see bottom of page 2), and where to file them. If a contractor cannot get the documents off the Internet, the contractor should call (▇▇▇) ▇▇▇-▇▇▇▇ or e-mail Purchasing (▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇▇) and Purchasing will fax, mail or e-mail them to the contractor. If a contractor has already filled out items 1-3 (see note under item 3) on the chart, the contractor should not do so again unless the contractor’s answers have changed. To find out whether these forms have been submitted, the contractor should call Vendor File Support in the Controller’s Office at (▇▇▇) ▇▇▇-▇▇▇▇. If a contractor would like to apply to be certified as a local business enterprise, it must submit item 4. To find out about item 4 and certification, the contractor should call Contract Monitoring Division at (▇▇▇) ▇▇▇-▇▇▇▇. Item Form name and Internet location Form Description Return the form to; For more info 1. Request for Taxpayer Identification Number and Certification ▇▇▇.▇▇▇▇▇.▇▇▇/▇▇▇/▇▇▇▇▇▇▇▇▇▇/▇▇▇▇▇.▇▇▇ ▇▇▇.▇▇▇.▇▇▇/▇▇▇/▇▇▇-▇▇▇▇/▇▇▇.▇▇▇ W-9 The City needs the contractor’s taxpayer ID number on this form. If a contractor has already done business with the City, this form is not necessary because the City already has the number. Controller’s Office Vendor File Support City Hall, Room ▇▇▇ ▇▇▇ ▇▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ (▇▇▇) ▇▇▇-▇▇▇▇ 2. Business Tax Declaration ▇▇▇.▇▇▇▇▇.▇▇▇/▇▇▇/▇▇▇▇▇▇▇▇▇▇/▇▇▇▇▇.▇▇▇ P-25 All contractors must sign this form to determine if they must register with the Tax Collector, even if not located in San Francisco. All businesses that qualify as “conducting business in San Francisco” must register with the Tax Collector. Controller’s Office Vendor File Support City Hall, Room ▇▇▇ ▇▇▇ ▇▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ (▇▇▇) ▇▇▇-▇▇▇▇ 3. S.F. Administrative Code Chapters 12B & 12C Declaration: Nondiscrimination in Contracts and Benefits ▇▇▇.▇▇▇▇▇.▇▇▇/▇▇▇/▇▇▇▇▇▇▇▇▇▇/▇▇▇▇▇.▇▇▇ – In Vendor Profile Application HRC-12B-101 Contractors tell the City if their personnel policies meet the City’s requirements for nondiscrimination against protected classes of people, and in the provision of benefits between employees with spouses and employees with domestic partners. Form submission is not complete if it does not include the additional documentation asked for on the form. Other forms may be required, depending on the answers on this form. Contract-by-Contract Compliance status vendors must fill out an additional form for each contract. Human Rights Comm. ▇▇ ▇▇▇ ▇▇▇▇, #▇▇▇ ▇▇▇ ▇▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇-6059 (▇▇▇) ▇▇▇-▇▇▇▇ Where the forms are on the Internet Homepage: ▇▇▇.▇▇▇▇▇.▇▇▇/▇▇▇/ Purchasing forms: Click on “Required Vendor Forms” under the “Information for Vendors and Contractors” banner. HRC’s homepage: ▇▇▇.▇▇▇▇▇.▇▇▇ Equal Benefits forms: Click on “Forms” under the “Equal Benefits” banner near the bottom. This Agreement is made this [insert day] day of [insert month], 20 [insert year], in the City and County of San Francisco, State of California, by and between: [insert name and address of contractor], hereinafter referred to as “Contractor,” and the City and County of San Francisco, a municipal corporation, hereinafter referred to as “City,” acting by and through its Director of the Office of Contract Administration or the Director’s designated agent, hereinafter referred to as “Purchasing.”info

Appears in 1 contract

Sources: Request for Qualifications

Delivery of Protests. All protests must be received by the due date. If a protest is mailed, the protestor bears the risk of non-delivery within the deadlines specified herein. Protests should be transmitted by a means that will objectively establish the date the City received the protest. Protests or notice of protests made orally (e.g., by telephone) will not be considered. Protests may must be delivered in person to the following addressto: In lieu of personal deliverySan Francisco, protests may be mailed to the following address: CA 94120-7988 Before the City can award any contract to a contractor, that contractor must file three standard City forms (items 1-3 on the chart). Because many contractors have already completed these forms, and because some informational forms are rarely revised, the City has not included them in the RFQ RFP package. Instead, this Appendix describes the forms, where to find them on the Internet (see bottom of page 2), and where to file them. If a contractor cannot get the documents off the Internet, the contractor should call (▇▇▇) ▇▇▇-▇▇▇▇ or e-mail Purchasing (▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇▇) and Purchasing will fax, mail or e-mail them to the contractor. If a contractor has already filled out items 1-3 (see note under item 3) on the chart, the contractor should not do so again unless the contractor’s answers have changed. To find out whether these forms have been submitted, the contractor should call Vendor File Support in the Controller’s Office at (▇▇▇) ▇▇▇-▇▇▇▇. If a contractor would like to apply to be certified as a local business enterprise, it must submit item 4. To find out about item 4 and certification, the contractor should call Human Rights Commission at (▇▇▇) ▇▇▇-▇▇▇▇. Item Form name and Internet location Form Description Return the form to; For more info 1. Request for Taxpayer Identification Number and Certification ▇▇▇.▇▇▇▇▇.▇▇▇/▇▇▇/▇▇▇▇▇▇▇▇▇▇/▇▇▇▇▇.▇▇▇ ▇▇▇.▇▇▇.▇▇▇/▇▇▇/▇▇▇-▇▇▇▇/▇▇▇.▇▇▇ W-9 The City needs the contractor’s taxpayer ID number on this form. If a contractor has already done business with the City, this form is not necessary because the City already has the number. Controller’s Office Vendor File Support City Hall, Room ▇▇▇ ▇▇▇ ▇▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ (▇▇▇) ▇▇▇-▇▇▇▇ 2. Business Tax Declaration ▇▇▇.▇▇▇▇▇.▇▇▇/▇▇▇/▇▇▇▇▇▇▇▇▇▇/▇▇▇▇▇.▇▇▇ P-25 All contractors must sign this form to determine if they must register with the Tax Collector, even if not located in San Francisco. All businesses that qualify as “conducting business in San Francisco” must register with the Tax Collector. Controller’s Office Vendor File Support City Hall, Room ▇▇▇ ▇▇▇ ▇▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ (▇▇▇) ▇▇▇-▇▇▇▇ 3. S.F. Administrative Code Chapters 12B & 12C Declaration: Nondiscrimination in Contracts and Benefits ▇▇▇.▇▇▇▇▇.▇▇▇/▇▇▇/▇▇▇▇▇▇▇▇▇▇/▇▇▇▇▇.▇▇▇ – In Vendor Profile Application HRC-12B-101 Contractors tell the City if their personnel policies meet the City’s requirements for nondiscrimination against protected classes of people, and in the provision of benefits between employees with spouses and employees with domestic partners. Form submission is not complete if it does not include the additional documentation asked for on the form. Other forms may be required, depending on the answers on this form. Contract-by-Contract Compliance status vendors must fill out an additional form for each contract. Human Rights Comm. ▇▇ ▇▇▇ ▇▇▇▇, #▇▇▇ ▇▇▇ ▇▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇-6059 (▇▇▇) ▇▇▇-▇▇▇▇ 4. HRC LBE Certification Application ▇▇▇.▇▇▇▇▇.▇▇▇/▇▇▇/▇▇▇▇▇▇▇▇▇▇/▇▇▇▇▇.▇▇▇ – In Vendor Profile Application Local businesses complete this form to be certified by HRC as LBEs. Certified LBEs receive a bid discount pursuant to Chapter 14B when bidding on City contracts. To receive the bid discount, you must be certified by HRC by the proposal due date. Human Rights Comm. ▇▇ ▇▇▇ ▇▇▇▇, #▇▇▇ ▇▇▇ ▇▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇-6059 (▇▇▇) ▇▇▇-▇▇▇▇ Where the forms are on the Internet Homepage: ▇▇▇.▇▇▇▇▇.▇▇▇/▇▇▇/ Purchasing forms: Click on “Required Vendor Forms” under the “Information for Vendors and Contractors” banner. HRC’s homepage: ▇▇▇.▇▇▇▇▇.▇▇▇ Equal Benefits forms: Click on “Forms” under the “Equal Benefits” banner near the bottom. This Agreement is made LBE certification form: Click on “Forms” under the “LBE” banner near the bottom NAME OF ORGANIZATION(S): __________________________________________ ADDRESS: __________________________________________ DIRECTOR: __________________________________________ PHONE/FAX#: __________________________________________ EMAIL: ___________________________________________ FEDERAL EMPLOYER #: __________________________________________ ANNUAL AMOUNT(s) REQUESTED: $_________________ I understand that the San Francisco Human Services Agency (SFHSA) reserves the right to modify the specifics of this [insert day] day application at the time of [insert month], 20 [insert year], in funding and/or during the City and County of San Francisco, State of California, by and between: [insert name and address of contractor], hereinafter referred to as “Contractor,” and the City and County of San Francisco, contract negotiation; that a municipal corporation, hereinafter referred to as “City,” acting by and through its Director contract may be negotiated for a portion of the amount requested; and that there is no contract until a written contract has been signed by both parties and approved by all applicable City Agencies. Signature of authorized representative(s): Name: ________________________ Title:__________________________ Signature:________________________ Date:__________________________ Name: ________________________ Title:__________________________ Signature:________________________ Date:__________________________ Submit an electronic (pdf) version and three (3) hard copies to: San Francisco Human Services Agency Office of Contract Administration or Management, G700 c/o ▇▇▇▇▇ ▇▇▇▇▇▇, ▇▇., MPA, Principal Administrative Analyst ▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇ ▇▇▇▇▇.▇▇▇▇▇▇@▇▇▇▇▇.▇▇▇ If you are certified as a MBE/WBE/LBE by the Director’s designated agentS.F. Human Rights Commission, hereinafter referred forward a copy of your certification letter to as “Purchasing.”the Human Rights Commission. Please refer also to Section III, Detailed Supporting Documentation. Submit three originals and one PDF copy of the following: _____ Table of Contents (use Appendix D) Cover Page and Executive Summary (use Appendix B) - Maximum of two (2) pages allowed Completion Checklist (use Appendix C) _____ Organization Qualifications and Capacity - Maximum of six (6) pages allowed, excluding References and Corrective Action Plans _____ Program Approach and Budget – Maximum of six (6) pages allowed, excluding required Budget documents This form is to assist the review panel in finding the information in the Proposal that corresponds to the evaluation criteria. For each item listed below, please list the page number(s) where the reviewer may find the answer(s) to the criteria. Criteria Page Number(s) A1 Does the agency meet the Minimum Qualifications?

Appears in 1 contract

Sources: Request for Proposals

Delivery of Protests. All protests must be received by the due date. If a protest is mailed, the protestor bears the risk of non-delivery within the deadlines specified herein. Protests should be transmitted by a means that will objectively establish the date the City received the protest. Protests or notice of protests made orally (e.g., by telephone) will not be considered. Protests may must be delivered in person to the following addressto: In lieu of personal deliveryExecutive Director Human Services Agency P.O. Box 7988 San Francisco, protests may be mailed to the following address: CA 94120 Standard Forms Before the City can award any contract to a contractor, that contractor must file three standard City forms (items 1-3 on the chart). Because many contractors have already completed these forms, and because some informational forms are rarely revised, the City has not included them in the RFQ RFP package. Instead, this Appendix describes the forms, where to find them on the Internet (see bottom of page 2), and where to file them. If a contractor cannot get the documents off the Internet, the contractor should call (▇▇▇) ▇▇▇-▇▇▇▇ or e-mail Purchasing (▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇▇) and Purchasing will fax, mail or e-mail them to the contractor. If a contractor has already filled out items 1-3 (see note under item 3) on the chart, the contractor should not do so again unless the contractor’s answers have changed. To find out whether these forms have been submitted, the contractor should call Vendor File Support in the Controller’s Office at (▇▇▇) ▇▇▇-▇▇▇▇. If a contractor would like to apply to be certified as a local business enterprise, it must submit item 4. To find out about item 4 and certification, the contractor should call Human Rights Commission at (▇▇▇) ▇▇▇-▇▇▇▇. Item Form name and Internet location Form Description Return the form to; For more info 1. Request for Taxpayer Identification Number and Certification ▇▇▇.▇▇▇▇▇.▇▇▇/▇▇▇/▇▇▇▇▇▇▇▇▇▇/▇▇▇▇▇.▇▇▇ ▇▇▇.▇▇▇.▇▇▇/▇▇▇/▇▇▇-▇▇▇▇/▇▇▇.▇▇▇ W-9 The City needs the contractor’s taxpayer ID number on this form. If a contractor has already done business with the City, this form is not necessary because the City already has the number. Controller’s Office Vendor File Support City Hall, Room ▇▇▇ ▇▇▇ ▇▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ (▇▇▇) ▇▇▇-▇▇▇▇ 2. Business Tax Declaration ▇▇▇.▇▇▇▇▇.▇▇▇/▇▇▇/▇▇▇▇▇▇▇▇▇▇/▇▇▇▇▇.▇▇▇ P-25 All contractors must sign this form to determine if they must register with the Tax Collector, even if not located in San Francisco. All businesses that qualify as “conducting business in San Francisco” must register with the Tax Collector. Controller’s Office Vendor File Support City Hall, Room ▇▇▇ ▇▇▇ ▇▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ (▇▇▇) ▇▇▇-▇▇▇▇ 3. S.F. Administrative Code Chapters 12B & 12C Declaration: Nondiscrimination in Contracts and Benefits ▇▇▇.▇▇▇▇▇.▇▇▇/▇▇▇/▇▇▇▇▇▇▇▇▇▇/▇▇▇▇▇.▇▇▇ – In Vendor Profile Application HRC-12B-101 Contractors tell the City if their personnel policies meet the City’s requirements for nondiscrimination against protected classes of people, and in the provision of benefits between employees with spouses and employees with domestic partners. Form submission is not complete if it does not include the additional documentation asked for on the form. Other forms may be required, depending on the answers on this form. Contract-by-Contract Compliance status vendors must fill out an additional form for each contract. Human Rights Comm. ▇▇ ▇▇▇ ▇▇▇▇, #▇▇▇ ▇▇▇ ▇▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇-6059 (▇▇▇) ▇▇▇-▇▇▇▇ Where 4. HRC LBE Certification Application ▇▇▇.▇▇▇▇▇.▇▇▇/▇▇▇/▇▇▇▇▇▇▇▇▇▇/▇▇▇▇▇.▇▇▇ – In Vendor Profile Application Local businesses complete this form to be certified by HRC as LBEs. Certified LBEs receive a bid discount pursuant to Chapter 14B when bidding on City contracts. To receive the forms are on bid discount, you must be certified by HRC by the Internet proposal due date. Human Rights Comm. ▇▇ ▇▇▇ ▇▇▇▇, #▇▇▇ ▇▇▇ ▇▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇-6059 (▇▇▇) ▇▇▇-▇▇▇▇ Homepage: ▇▇▇.▇▇▇▇▇.▇▇▇/▇▇▇/ Purchasing forms: Click on “Required Vendor Forms” under the “Information for Vendors and Contractors” banner. HRC’s homepage: ▇▇▇.▇▇▇▇▇.▇▇▇ Equal Benefits forms: Click on “Forms” under the “Equal Benefits” banner near the bottom. This Agreement is made LBE certification form: Click on “Forms” under the “LBE” banner near the bottom San Francisco Human Services Agency RFP Checklist Please refer also to Section III, Detailed Supporting Documentation. Submit three originals and one PDF copy of the following: _____ Table of Contents Cover Page and Executive Summary _____ Minimum Qualifications Narrative Past or Current Relevant Contracts Statement Program Narrative (20 pages maximum) Budget (Excel format. Please budget for one year only) _____ Budget Narrative _____ Page Number Form San Francisco Human Services Agency RFP Cover Page NAME OF ORGANIZATION(S): __________________________________________ ADDRESS: __________________________________________ DIRECTOR: __________________________________________ PHONE/FAX#: __________________________________________ EMAIL: ___________________________________________ FEDERAL EMPLOYER #: __________________________________________ ANNUAL AMOUNT(s) REQUESTED: $_________________ By my signature above, I certify that I am an official authorized to bind the Respondent to this [insert day] day Request for Proposals. I understand that the Human Services Agency (HSA) reserves the right to modify the specifics of [insert month]this application at the time of funding and/or during the contract negotiation; that no officer, 20 [insert year], in employee or agent of the City and County of San Francisco, State exercising any function or responsibility in connection with the proposed services contract or with planning or carrying out any agreement relative to this proposal HSA any personal financial interest, direct or indirect, in the operation of Californiathe Respondent; that a contract may be negotiated for a portion of the amount requested; and that there is no contract until a written contract HSA been signed by both parties and approved by all applicable City Agencies. This proposal is a firm offer for a specified period of not less than one hundred sixty (160) days. Signature of authorized representative(s): Name: ________________________ Title:__________________________ Signature:________________________ Date:__________________________ Name: ________________________ Title:__________________________ Signature:________________________ Date:__________________________ Submit an electronic and three (3) copies to: San Francisco Department of Human Services Office of Contract Management, by and between: [insert name and address of contractor]G390 c/o ▇▇▇▇▇▇ ▇▇▇▇▇▇▇, hereinafter referred to as “Contractor,” and the City and County of Contract Manager ▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇ San Francisco, CA 94103 ▇▇▇▇▇▇.▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇▇ If you are certified as a municipal corporationMBE/WBE/LBE by the S.F. Human Rights Commission, hereinafter referred forward a copy of your certification letter to as “City,” acting by the Human Rights Commission. San Francisco Human Services Page Number Form This form is to assist the review panel in finding the information in the Proposal that corresponds to the evaluation criteria. For each item listed below, please list the page number(s) where the reviewer may find the answer(s) to the criteria. Evaluation Criteria and through its Director of the Office of Contract Administration or the Director’s designated agent, hereinafter referred to as “Purchasing.”Selection Criteria Page Number(s)

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Sources: Request for Proposals