4ADC54F2-C74F-3F02-B4900398FFBEE5A5.xlsx

This is a subcontractor disclosure form for the Franklin County Cooperative's RFP 2026-06-04 for Cancer Concierge/Navigation Services. The document requires bidders to identify all subcontractors that will deliver services to the County during the contract period. Respondents must provide comprehensive information for each subcontractor, including the subcontractor's name, principal location, specific services to be performed, the location where services will be delivered, and the location where any data will be stored, maintained, or tested. Additionally, bidders must document the length of their relationship with each subcontractor and confirm whether an active Business Associate Agreement (BAA) is in place with the subcontractor or vendor.

The form includes a sample entry demonstrating the required format, listing a genetic testing subcontractor based in New York, New York, with a ten-year relationship history and an active BAA. This disclosure mechanism ensures transparency regarding service delivery partners and establishes accountability for data security and compliance with healthcare privacy regulations, which is critical given the sensitive nature of cancer-related patient information and navigation services.