2-[Registry Staffing for the Arizona State Hospital] BPM006391 Attac G _638763332585797852.pdf
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- 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 Subcontractors Attachment form (Attachment G) issued by the Arizona Department of Health Services (ADHS) for Request for Proposal No. BPM006391 regarding Registry Staffing Services for the Arizona State Hospital located in Phoenix, Arizona. The solicitation seeks contract(s) to provide Registry Staffing Services including Behavioral Health Technicians (BHTs) and Registered Nurses (RNs) on an as-needed, if-needed basis. The hospital's primary staffing need is for approximately twenty (20) Registry BHTs per shift across all operational shifts. Proposal responses were due by March 10, 2025, with the solicitation posted on February 24, 2025. The ADHS anticipates engaging multiple contractors to ensure an adequate candidate pool and does not guarantee a specific volume of service utilization.
Offerors are required to indicate whether they will subcontract any portion of the work or perform all work with their own personnel. If subcontracting is proposed, offerors must provide detailed information for each significant subcontractor, including the subcontractor's name and contact information, type of work to be performed, approximate percentage of total contract work, small business status, and a comprehensive description of quality assurance and quality control measures to ensure compliance with contract requirements. The state reserves the right to demand additional information about proposed subcontractors as a precondition of award. The form accommodates up to five proposed subcontractors and requires supporting documentation of relevant certifications for each proposed subcontractor firm.
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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: [Name]
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] or
3. [Name] or
4. [Name] or
5. [Name] or
LanceSoft Inc.
File details come from the government source that posted it. Updated .