435505-W25-FME1679-05 Exhibit 2 SAMPLE Engagement Letter.docx.pdf
PDF 570 KB Posted
- Attached to
- Consultant Services
- Contract number
- 435505-W25-FME1679-00
- Issued by
- Wisconsin
About this file
This document is a sample Consultant Services Supplier Engagement Letter template between the State of Wisconsin Department of Health Services and a contractor under Consultant Services Contract 435505-W25-FME1679-0X. The engagement letter serves as a subsidiary agreement that allows authorized users within the Department of Health Services to engage specific contractors for individual projects while operating under the umbrella of the master consultant services contract. The document includes placeholder fields (marked as XXXX) for contractor information, project details, and contact information, indicating this is a standardized template used across multiple engagements.
The engagement letter covers consultant services with key project elements referenced in an accompanying Statement of Work (SoW), including project overview, deliverables, key personnel requirements, and project management approach. Funding and payment terms are detailed in the SoW's fee structure, while the engagement operates under a defined term with possibility of extension. The agreement incorporates all terms and conditions from the master consultant services contract, with communications requiring 30-day written notice for contact information changes. The document requires signatures from authorized representatives of both the State of Wisconsin Department of Health Services and the contractor to authorize commencement of services, with the engagement letter and SoW serving as the contractual instrument for the specific project engagement.
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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: 20F5CEC7-ED73-4EB4-B7C7-CD76FEB24D0E
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: 20F5CEC7-ED73-4EB4-B7C7-CD76FEB24D0E
| 2025-02-12T13:36:02-0800 | |
| Digitally verifiable PDF exported from www.docusign.com |
File details come from the government source that posted it. Updated .