S.f. Administrative Code Chapters 12b And 14b Waiver Request Form (Cmd-201) Page 2

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CHECK LIST
You must complete each of the steps below before submitting this form:
Attempt to get the contractor to comply with Administrative Code Chapter 12B requirements.
(Applies to Chapter 12B waiver requests only.)
 Include a letter of justification explaining:
The purpose of the contract.
Why the contract fits the type of waiver being requested (for example, why it is a sole source).
Your department’s efforts to get the contractor to comply (for Chapter 12B waivers).
(Do not substitute the OCA waiver form or justification in place of the CMD waiver form and justification.)
Fill in all of the blanks in Sections 1-3.
 Indicate (in Section 4) which Administrative Code Chapter(s) need to be waived.
 Indicate (in Section 5) which waiver type is being requested.
 For waiver types D, E and F, submit a copy of this form to the Clerk of the Board of Supervisors and
indicate the date this was done in the blank provided on the form.
ADDITIONAL INFORMATION
Contract Duration: Contracts entered into pursuant to a Chapter 12B waiver should be constructed for the shortest
reasonable duration so that future contracts may be awarded to a Chapter 12B-compliant contractor.
Waiver Type B (Emergency): A copy of the formal Declaration of Emergency or letter from the department Commission
or Board must be submitted with the Form 201.
Chapter 14B Sole Source, Emergency and LBE Waivers: Only the bid discounts and departmental good faith outreach
efforts requirements of Chapter 14B may be waived. All other provisions of this Chapter will still be in force even if
this type of waiver has been granted.
Chapter 14B Subcontracting Waivers: Only the subcontracting goals may be waived. All other provisions of this Chapter
still will be in force even if this type of waiver has been granted.
Waiver Types D, E and F: These waiver types have additional requirements:
1. The contracting department must notify the Board of Supervisor’s that it has requested a waiver of this type.
2. Departments exercising waiver authority under one of these provisions must appear before a Board of
Supervisors committee and report on their use of such waiver authority.
All modifications to waived contracts that increase the dollar amount of the contract or extend the contract period must
have CMD and/or HRC approval prior to the expiration date on the original waiver form.
Additional copies of this form may be downloaded at the Documents Center on the City’s intranet at:
Read the Quick Reference Guide to Chapter 12B, Chapter 12C and Chapter 14B Waivers for more information.
Copies are available at the Documents Center on the City’s intranet at:
Send waiver requests to:
Contract Monitoring Division, 30 Van Ness Avenue, Suite 200, San Francisco, CA 94102 or
 For further assistance, contact the Contract Monitoring Division at 415-581-2310.
CMD-201 (June 2014)

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