3-03 - OPS-FRM-640 -Team Make-Up and Local Workforce Form.xlsx
XLSX spreadsheet 19 KB Posted
- Attached to
- Family Medical Leave Assistance
- Solicitation number
- BYZ25 - 00028078
- Issued by
- Dallas County, Texas
About this file
The document is a City of Dallas Office of Procurement Services Team Make-Up and Local Workforce Form (OPS-FRM-640), associated with the Family Medical Leave Assistance solicitation. The form is designed to capture detailed information about vendor team composition, subcontractor participation, and workforce demographics for a proposed contract to provide full-service leave and wellness benefits administration for approximately 13,000 city employees.
The form includes three primary sections: Team Make-Up/Schedule of Work, which requires vendors to list subcontractors and their scope of work and participation percentages; Historical Utilization, requesting details on the vendor's previous three public sector projects; and Local Workforce, capturing employee demographic information by classification, gender, and race. While completion of the workforce section is voluntary, the form appears to be part of the City of Dallas's procurement process to encourage transparency in team composition and local workforce representation. The solicitation seeks competitive sealed proposals with detailed pricing for leave and wellness benefits administration services, with the potential for contract award based on individual service quotes.
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Text version
Sheet1
CITY OF DALLAS
Office of Procurement Services - Business Enterprise Hub Team Make-Up and Local Workforce Form (OPS-FRM-640)
| Solicitation Number: Project Name: Company Name: |
| Company Address: Telephone Number: Email Address: |
| Section I: Team Make-Up/Schedule of Work | |
| Company Name | |
| Address, City, State, Zip | Contact Person, Title |
| Phone Number | Local |
or
| Non-Local | Scope of Work | Value of Work |
| ($) | Participation |
| $ - 0 | ERROR:#DIV/0! | ||
| $ - 0 | ERROR:#DIV/0! | ||
| $ - 0 | ERROR:#DIV/0! | ||
| $ - 0 | ERROR:#DIV/0! | ||
| $ - 0 | ERROR:#DIV/0! | ||
| $ - 0 | ERROR:#DIV/0! | ||
| $ - 0 | ERROR:#DIV/0! | ||
| $ - 0 | ERROR:#DIV/0! | ||
| $ - 0 | ERROR:#DIV/0! | ||
| Total Contract Amount | $ - 0 | ERROR:#DIV/0! | |
| Include all subcontractors who will be performing on this project. This section should include the Prime Contractor’s value of work, and the total contract amount will auto populate. |
| Section II: Historical Utilization | ||||||
| Entity Name | ||||||
| Address, City, State, Zip | Contact Person, Title | |||||
| Phone Number | Month/Year | |||||
| of Project | Total Contract Amount | Subcontracting Goal (%) | Project Name/ | |||
| Contract Type | Actual Subcontractor Participation ($) | Actual Subcontractor Participation (%) | ||||
| $ - 0 | $ - 0 | ERROR:#DIV/0! | ||||
| $ - 0 | $ - 0 | ERROR:#DIV/0! | ||||
| $ - 0 | $ - 0 | ERROR:#DIV/0! | ||||
| Include historical subcontracting utilization for the last three projects completed ONLY. Not limited to City of Dallas contracts, but should only include projects performed with public sector agencies. |
| Section III: Local Workforce | ||||||||||
| Employee Classificaton | Total Nunber of Employees | White | Black | Hispanic | Other | |||||
| Male | Female | Male | Female | Male | Female | Male | Female | Male | Female |
| Administrative/Managerial | ||||||||||
| Professional | ||||||||||
| Technical | ||||||||||
| Office/Clerical | ||||||||||
| Skilled | ||||||||||
| Semiskilled | ||||||||||
| Unskilled | ||||||||||
| Seasonal | ||||||||||
| Totals | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| No. of Employees Living in Dallas | ||||||||||
| Total % of Employees Living in Dallas | ERROR:#DIV/0! | |||||||||
| Unless this is a federal DBE or state HUB required project, completion of this section is voluntary and the City will not use such information in any evaluation, decision-making, and/or selection criteria. |
Typed or Printed Name of Company's Certifying Official Signature Date
BID-FRM-640 Page &P of &N Rev. 1 - 6.30.2025 image1.png
File details come from the government source that posted it. Updated .