2-Attach G-Subcontractors-SnapCare.pdf
PDF 126 KB Posted
- Attached to
- Registry Staffing for the Arizona State Hospital
- Solicitation number
- BPM006391
- Issued by
- Maricopa County, Phoenix City, Arizona
About this file
This is a subcontractor disclosure form (Attachment G) submitted by SnapMedTech, Inc., DBA SnapCare in response to the Arizona Department of Health Services' Request for Proposal No. BPM006391 for Registry Staffing Services at the Arizona State Hospital. The solicitation seeks contract(s) to provide Behavioral Health Technicians (BHTs) and Registered Nurses (RNs) on an as-needed basis, with the hospital's primary requirement of approximately twenty (20) Registry BHTs per shift across all shifts. SnapMedTech, Inc. DBA SnapCare indicated that it will not subcontract any portion of the work and will perform all services using its own personnel. The proposal responses were due by March 10, 2025, and the Arizona Department of Health Services anticipated engaging multiple contractors to ensure an adequate candidate pool for the facility's staffing needs.
The form serves as a certification document where the offeror confirms its commitment to direct service delivery without utilizing external subcontractors. SnapMedTech, Inc. DBA SnapCare's decision to perform all work in-house eliminates the requirement to provide subcontractor information, including names, contact details, small business designations, work descriptions, quality assurance/quality control measures, and percentage allocations. The Arizona Department of Health Services reserves the right to demand additional information about proposed subcontractors as a precondition of contract award. No specific pricing terms, set-asides, incumbent vendors, or funding amounts are disclosed in this attachment, as the document functions solely as a subcontracting intent declaration.
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Text version
ATTACHMENT G
Subcontractors
ARIZONA DEPARTMENT OF
HEALTH SERVICES
REQUEST FOR PROPOSAL
No.: BPM006391
150 North 18th Avenue, Suite 530 Phoenix, AZ 85007
REGISTRY STAFFING FOR THE ARIZONA
STATE HOSPITAL
Solicitation Attachment – Proposed Subcontractors | Revision No. 1 | Revised 11-22
Contractor Name: SnapMedTech, Inc. DBA SnapCare
Check “NO” if you WILL NOT subcontract any portion of the Work and will therefore be performing all of the Work with your own personnel.
☐ NO, the Offeror will not subcontract any portion of the Work.
If you WILL subcontract any portion of the Work, check “YES” below and list the name(s) of persons or companies you propose to use as Subcontractors.
1. Fill in the information for each significant Subcontractor – indicate the type of work the Subcontractor will perform under the
Contract and their approximate percentage of the total Contract work;
2. Provide copies of relevant certifications each person or firm possesses attached to this form; AND
3. Provide a description of quality assurance (QA) and quality control (QC) measures that you will use to ensure that
Subcontractor’s work meets the Contract requirements.
State may demand additional information about proposed Subcontractors as a precondition of Award.
☐ YES, the Offeror will use the Subcontractors listed below:
No. Name and contact information Small business Work to be performed and QA/QC measures %
1. [Name]
[Contact information]
Yes or
No
[Work to be performed]
[QA/QC measures]
X
2. [Name]
[Contact information]
Yes or
No
[Work to be performed]
[QA/QC measures]
X
3. [Name]
[Contact information]
Yes or
No
[Work to be performed]
[QA/QC measures]
X
4. [Name]
[Contact information]
Yes or
No
[Work to be performed]
[QA/QC measures]
X
5. [Name]
[Contact information]
Yes or
No
[Work to be performed]
[QA/QC measures]
X
File details come from the government source that posted it. Updated .