3-04 - OPS-FRM-640 -Team Make-Up and Local Workforce Form.xlsx

This is a Team Make-Up and Local Workforce Form (OPS-FRM-640) issued by the City of Dallas Office of Procurement Services for use in response to the Comprehensive Medical Review and Personal Injury Analysis Services solicitation. The form serves as a standardized submission document for firms bidding on this 5-year contract to provide medical peer review, billing audit evaluations, causation analysis, and biomechanical reconstruction services related to personal injury claims. Bidders must complete three primary sections: Team Make-Up/Schedule of Work, which requires disclosure of all team members and subcontractors with their respective scopes of work and participation percentages; Historical Utilization, which documents the firm's subcontracting performance on the last three projects completed with public sector agencies; and Local Workforce information, which captures employee demographics and the number of employees residing in Dallas.

The form emphasizes local and small business participation tracking through detailed breakdowns of work values, percentages, and subcontractor utilization rates. The Local Workforce section requests demographic data by employee classification across racial and gender categories, along with the total number of employees living in Dallas and the corresponding percentage. Completion of the Local Workforce section is voluntary unless the project is designated as a federal DBE or state HUB requirement, in which case the information would be used in evaluation and selection. The form auto-calculates key metrics such as participation percentages and subcontracting utilization ratios, with all entries requiring certification by the company's authorized official through signature and date.