435505-W25-FME1679-03 Exhibit 2 SAMPLE Engagement Letter.docx.pdf
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- Attached to
- Consultant Services
- Contract number
- 435505-W25-FME1679-00
- Issued by
- Wisconsin
About this file
This document is a sample Engagement Letter template for consultant services between the Wisconsin Department of Health Services and contractors operating under Consultant Services Contract 435505-W25-FME1679-0X. The engagement letter serves as a mechanism for authorized users within the Department of Health Services to engage specific contractors for individual projects while operating under the broader consultant services contract framework. The template includes placeholder fields (marked as XXXX) for project-specific information including contractor details, authorized user information, and project parameters.
The engagement letter structure references a Statement of Work (SoW) that defines project deliverables, scope, key personnel, project management approach, and fee structure, though specific pricing details are not provided in this template. The engagement operates with defined start and end dates with possibility for extension, and remains effective only while the underlying consultant services contract is in force. Contact information provisions allow for 30-day written notice to modify communication details, and the engagement requires authorized representative signatures from both the Wisconsin Department of Health Services and the contractor to commence services. The template emphasizes that all terms and conditions from the primary consultant services contract apply to individual engagements executed under this framework.
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Text version
Exhibit 2 – Sample Engagement Letter
Consultant Services Supplier Engagement Letter
This Engagement Letter (EL) is between the Department of Health Services, Division of XXXX (the “Authorized
User”) and XXXX (the “Contractor”). Capitalized terms not otherwise defined herein shall have the meaning given to them in the Consultant Services Contract 435505-W25-FME1679-0X.
Project Title –
Project Overview - See Statement of Work (SoW) - Background and Objectives
Project Deliverables - See SoW – Scope
Contracted Personnel – See SoW – Key Personnel
Authorized User’s Key Staff –
Change Control –
Reporting and Monitoring – See SoW – Project Management Approach
Funding and Payments – See SoW – Fees
Term of the Agreement – This Engagement Letter will be in effect XXXX, through XXXX, with the possibility of extension.
This Engagement Letter is only effective to the extent the current Consultant Services Contract – 435505-W25-
FME1679-0X is in effect.
Upon the termination of this engagement for any reason, or upon engagement’s expiration, each party shall be released from all obligations to the other party arising after the date of termination or expiration, except for the parties’ respective termination obligations set forth in Section 35 of the Contract and those that by their terms survive such termination or expiration.
Engagement
All terms and conditions outlined in the Contract for Services by and between State of Wisconsin Department of
Health Services and XXXX (the “Contractor”) for the Consultant Services Contract apply to Authorized Users and its RFS, Contractor, and this Engagement Letter.
Such Consultant Services Contract is incorporated into this Engagement Letter.
Contact Information
Communications to either Contractor or Authorized User shall be provided in the manner(s) indicated herein. The parties reserve the right to make changes to the contact information by giving thirty (30) days’ written Notice to the other.
Contractor Name: XXXX
Title: XXXX
Address: XXXX
Phone: XXXX
Docusign Envelope ID: 63D55E23-CE35-4572-8289-068D9238BD78
E-mail: XXXX
Authorized User Name: XXXX
Title: XXXX
Address: XXXX
Phone: XXXX
E-mail: XXXX
With the signatures affixed below, Contractor is granted written authorization to proceed with the engagement and commence with the requested services.
As per Section 4 of the Contract, the Engagement Letter and SOW will serve as the contractual instrument for this specific engagement. The services performed under this Engagement Letter shall provide the Authorized User with the identified deliverables.
Approvals
State of Wisconsin Contractor
Department of Health Services
Contractor Name:
Authorized Representative Authorized Representative
Name:
Name:
Title: Title:
Signature: Signature:
Date: Date:
Docusign Envelope ID: 63D55E23-CE35-4572-8289-068D9238BD78
| 2025-02-07T06:08:53-0800 | |
| Digitally verifiable PDF exported from www.docusign.com |
File details come from the government source that posted it. Updated .