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Request for Proposal
Solicitation No. BPM007086
Statewide Mobile Diagnostic Imaging Services Arizona Department of Administration State Procurement Office
Attachment 04 – Key Personnel
Answer all questions thoroughly in the spaces provided. Complete this form in full for each one of the key personnel proposed to be involved in performing the Services. Insert or attach a separate resume as applicable, but any attached resumes are supplemental to this form and do not substitute for this form. If there are more than three (3) Key Personnel, please utilize the same form for each additional Personnel by making copies of this page as needed.
| Length of employment with the company: |
| X years |
| Length of time in current role: |
| X years |
| Proposed percentage of overall time to be dedicated to the Services: |
| X % |
| If applicable, length of time in related experience with large local, state or federal government agencies: |
| X years |
| Proposed position with regard to the Services: |
| X |
| Proposed primary responsibilities with regard to the Services: |
| X |
| Describe experience in performing Services similar to those that are to be assigned: |
| X |
| List job-related certifications, training, and education: |
| X |
Attachment XX – Key Personnel
Answer all questions thoroughly in the spaces provided. Complete this form in full for each one of the key personnel proposed to be involved in performing the Services. Insert or attach a separate resume as applicable, but any attached resumes are supplemental to this form and do not substitute for this form. If there are more than three (3) Key Personnel, please utilize the same form for each additional Personnel by making copies of this page as needed.
| Length of employment with the company: |
| X years |
| Length of time in current role: |
| X years |
| Proposed percentage of overall time to be dedicated to the Services: |
| X % |
| If applicable, length of time in related experience with large local, state or federal government agencies: |
| X years |
| Proposed position with regard to the Services: |
| X |
| Proposed primary responsibilities with regard to the Services: |
| X |
| Describe experience in performing Services similar to those that are to be assigned: |
| X |
| List job-related certifications, training, and education: |
| X |
Attachment XX – Key Personnel
Answer all questions thoroughly in the spaces provided. Complete this form in full for each one of the key personnel proposed to be involved in performing the Services. Insert or attach a separate resume as applicable, but any attached resumes are supplemental to this form and do not substitute for this form. If there are more than three (3) Key Personnel, please utilize the same form for each additional Personnel by making copies of this page as needed.
| Length of employment with the company: |
| X years |
| Length of time in current role: |
| X years |
| Proposed percentage of overall time to be dedicated to the Services: |
| X % |
| If applicable, length of time in related experience with large local, state or federal government agencies: |
| X years |
| Proposed position with regard to the Services: |
| X |
| Proposed primary responsibilities with regard to the Services: |
| X |
| Describe experience in performing Services similar to those that are to be assigned: |
| X |
| List job-related certifications, training, and education: |
| X |
Solicitation Attachment – Key Personnel | Revision No. 1 | Revised 11-22 image1.jpg