Attachment 07_Proposed Subcontractors.docx

DOCX document 38 KB Posted

Attached to
Statewide Mobile Diagnostic Imaging Services
Solicitation number
BPM007086
Issued by
Arizona

About this file

This is a Proposed Subcontractors attachment form for solicitation BPM007086, issued by the Arizona Department of Administration State Procurement Office for Statewide Mobile Diagnostic Imaging Services. The document serves as a template for offerors to disclose their subcontracting plans for providing mobile diagnostic imaging services, including X-Ray, Ultrasound, and Echocardiogram services to Arizona state agencies, universities, boards, commissions, and participating purchase cooperative members. Offerors must indicate whether they will perform all work with their own personnel or will engage subcontractors. If subcontractors are used, the offeror must provide detailed information for each significant subcontractor, including their name, contact information, the specific work to be performed, the approximate percentage of total contract work, small business certification status, and a description of quality assurance and quality control measures that will be implemented to ensure compliance with contract requirements.

The form provides space for up to five subcontractors to be listed with complete documentation requirements. Offerors are required to attach copies of all relevant certifications held by proposed subcontractors and must demonstrate their quality assurance and quality control processes. The state explicitly reserves the right to demand additional information about proposed subcontractors as a precondition of contract award. This attachment is part of the broader statewide procurement process with a proposal submission deadline of October 3, 2025, and represents a significant contracting opportunity for vendors capable of delivering comprehensive mobile diagnostic imaging services across multiple state entities.

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Other files

File Type Posted
BPM007086_Solicitation_Instructions_to_Offerors.pdf PDF
Attachment 09_References.docx DOCX document
Attachment 01_Offer and Acceptance.docx DOCX document
Attachment 04_Key Personnel.docx DOCX document
Attachment 06_Organization Profile.docx DOCX document
Attachment 10_Method of Approach.docx DOCX document
Solicitation_Amendment__1.pdf PDF
Attachment 08_Experience and Capacity Questionnaire.docx DOCX document
Attachment 05_Letter of Insurability.docx DOCX document
Attachment 11_Business Associates Addendum (HIPAA).docx DOCX document
BPM007086_Solicitation_Requirements.pdf PDF
Exhibit_A_Utilization_Report.xlsx XLSX spreadsheet
Attachment 02_Confidential Info Designation.docx DOCX document
Attachment 12_Pricing.xlsx XLSX spreadsheet
Attachment 03_Conformance Statements.xlsx XLSX spreadsheet
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Text version

Attachment 07 – Proposed Subcontractors

Contractor Name: [Name]

Check “NO” if you WILL NOT subcontract any portion of the Work and will therefore be performing all of the Work with your own personnel.

☐
NO, the Offeror will not subcontract any portion of the Work.

If you WILL subcontract any portion of the Work, check “YES” below and list the name(s) of persons or companies you propose to use as Subcontractors.

1. Fill in the information for each significant Subcontractor – indicate the type of work the Subcontractor will perform under the Contract and their approximate percentage of the total Contract work;

2. Provide copies of relevant certifications each person or firm possesses attached to this form; AND

3. Provide a description of quality assurance (QA) and quality control (QC) measures that you will use to ensure that Subcontractor’s work meets the Contract requirements.

State may demand additional information about proposed Subcontractors as a precondition of Award.

☐
YES, the Offeror will use the Subcontractors listed below:

Request for Proposal

Solicitation No. BPM007086

Statewide Mobile Diagnostic Imaging Services Arizona Department of Administration State Procurement Office

Solicitation Attachment – Proposed Subcontractors | Revision No. 1 | Revised 11-22

No.
Name and contact information
Small business
Work to be performed and QA/QC measures
%
1.
[Name]

[Contact information] Yes or No [Work to be performed]

[QA/QC measures] X

2.
[Name]

[Contact information] Yes or No [Work to be performed]

[QA/QC measures] X

3.
[Name]

[Contact information] Yes or No [Work to be performed]

[QA/QC measures] X

4.
[Name]

[Contact information] Yes or No [Work to be performed]

[QA/QC measures] X

5.
[Name]

[Contact information] Yes or No [Work to be performed]

[QA/QC measures] X

Solicitation Attachment – Method of Approach | Revision No. 1 | Revised 11-22 image1.jpg

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