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, ZipContact Person, Title
Phone NumberLocal

or

Non-LocalScope of WorkValue of Work
($)Participation
$ - 0ERROR:#DIV/0!
$ - 0ERROR:#DIV/0!
$ - 0ERROR:#DIV/0!
$ - 0ERROR:#DIV/0!
$ - 0ERROR:#DIV/0!
$ - 0ERROR:#DIV/0!
$ - 0ERROR:#DIV/0!
$ - 0ERROR:#DIV/0!
$ - 0ERROR:#DIV/0!
Total Contract Amount$ - 0ERROR:#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, ZipContact Person, Title
Phone NumberMonth/Year
of ProjectTotal Contract AmountSubcontracting Goal (%)Project Name/
Contract TypeActual Subcontractor Participation ($)Actual Subcontractor Participation (%)
$ - 0$ - 0ERROR:#DIV/0!
$ - 0$ - 0ERROR:#DIV/0!
$ - 0$ - 0ERROR:#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 ClassificatonTotal Nunber of EmployeesWhiteBlackHispanicOther
MaleFemaleMaleFemaleMaleFemaleMaleFemaleMaleFemale
Administrative/Managerial
Professional
Technical
Office/Clerical
Skilled
Semiskilled
Unskilled
Seasonal
Totals0000000000
No. of Employees Living in Dallas
Total % of Employees Living in DallasERROR:#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 .