Attachment Q Labor Form.docx

DOCX document 33 KB Posted

Attached to
DBM Billing and COBRA Administration System
Solicitation number
BPM057552
Issued by
Maryland

About this file

This is a Labor Resume Form template designed for state and local contract opportunities, specifically for documenting proposed personnel qualifications across various labor categories. The form requires bidders and offerors to submit one Labor Category Personnel Resume Summary for each proposed individual, comprehensively demonstrating how each candidate meets the minimum requirements outlined in the RFP. The document mandates that candidates' relevant work experience be listed in reverse chronological order with specific dates, and where time-based requirements exist (such as three months of experience), bidders must provide employment dates that demonstrate the candidate meets or exceeds the mandatory timeframe. Bidders are explicitly instructed not to submit alternative resume formats and not to reference external documents with the phrase "see resume."

The form requires detailed completion of multiple sections including education and training credentials with institution names, locations, degrees, certifications, and fields of study; relevant work experience organized by organization, title, period of employment, location, and contact information; complete employment history with start and end dates and reasons for leaving; and a minimum of three professional references with contact information. Each Labor Category Personnel Resume Summary must include a candidate relevant experience section that directly addresses the education, experience, and duties requirements specified in Section 2.4.4 of the RFP, with both the contractor representative and proposed individual required to sign and date the form attesting to the accuracy of the submitted information. The form was made effective as of July 2024.

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Other files

File Type Posted
DBM Billing and COBRA Administration RFP IT Supplemental FINAL.pdf PDF
Appendix 1 Abbreviations and Definitions.pdf PDF
Attachment D MBE-Forms.pdf PDF
Exhibit-1.-MBE-VSBE-and-SBR-Research-Factors-Template.pdf PDF
Attachment A Bid-Proposal-Affidavit.pdf PDF
Attachment E-VSBE Forms.pdf PDF
Attachment-Y.-Data-Usage-Agreement.pdf PDF
Appendix 5 VSBE Participation Goal.pdf PDF
Appendix 10 Explanations and Deviations Attachment.docx DOCX document
Exhibit-2-Sample-Contract .pdf PDF
Attachment M List-of-Current-or-Prior-State-Contracts.pdf PDF
Attachment B - Billing and COBRA RFP Financial Proposal.xlsx XLSX spreadsheet
Attachment S.-Non-Disclosure-Agreement-Contractor.pdf PDF
Amendment 2 DBM Cobra BPM057552 8.17.2026.pdf PDF
Attachment P. Prime Contractor List of ALL Subcontractors.xlsx XLSX spreadsheet
Attachment-O.-Payment-of-Employee-Healthcare-Expenses-Certification.pdf PDF
Attachment I Conflict-of-Interest-Affidavit.pdf PDF
Attachment-1.-No-Bid_Proposal-Notice_Vendor-Feedback-Form.docx DOCX document
Attachment K.-Location-of-the-Performance-of-Services-Disclosure.pdf PDF
RFP BPM DBM Billing and COBRA Administration 7.15.2026.pdf PDF
Attachment F Bidder-Offeror-Information-Sheet.pdf PDF
Appendix 6 Living Wage Requirements.pdf PDF
Attachment U.-Contract-Affidavit.pdf PDF
Amendment 3 DBM Cobra BPM057552 8.21.2026.pdf PDF
Attachment T.-HIPAA-Business-Associate-Agreement 07-08-26.pdf PDF
Attachment V.-DHS-Hiring-Agreement.pdf PDF
Attachment N.-Legal-Action-Summary.pdf PDF
Attachment L Reference-Checks.pdf PDF
Attachment R.-Corporate-Diversity-Addendum.pdf PDF
Amendment 1 DBM Cobra BPM057552 8.5.2026 FINAL.pdf PDF
Appendix 8 Economic Benefit Factors.pdf PDF
Appendix 4 MBE Participation Goal.pdf PDF
Attachment G Maryland-Living-Wage-Requirements-Affidavit-of-Agreement.pdf PDF
Attachment-2.-Pre-Bid_-Pre-Proposal-Conference-Response-Form.pdf PDF
Attachment-2.-Pre-Bid_-Pre-Proposal-Conference-Response-Form.pdf PDF
Attachment-2.-Pre-Bid_-Pre-Proposal-Conference-Response-Form.pdf PDF
Attachment-2.-Pre-Bid_-Pre-Proposal-Conference-Response-Form.pdf PDF
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Text version

Attachment Q. Labor Resume Form

INSTRUCTIONS:

1. For each person proposed, complete one Labor Category Personnel Resume Summary to document how the proposed person meets each of the minimum requirements.

For example: If you propose John Smith, who is your subcontractor, and you believe he meets the requirements of the Group Facilitator, you will complete the top section of the form by entering John Smith’s name and the subcontractor’s company name. You will then complete the right side of the Group Facilitator form documenting how the individual meets each of the requirements. Where there is a time requirement such as three months’ experience, you must provide the dates from and to, showing an amount of time that equals or exceeds mandatory time requirement; in this case, three months.

2. Additional information may be attached to each Labor Category Personnel Resume Summary that may assist a full and complete understanding of the individual being proposed.

Labor Classification Personnel Resume Summary

Instructions: Enter resume information in the fields below; do not submit other resume formats. Submit one resume for each proposed resource

Candidate Name:

Contractor:
(Bidder/OfferorCompanyName)

Education / Training

Institution Name / City / State
Degree / Certification
Year Completed
Field Of Study

<add lines as needed>

Relevant Work Experience Describe work experience relevant to the Duties / Responsibilities and Minimum Qualifications described in the RFP. Start with the most recent experience first; do not include non-relevant experience.

[Organization] [Title / Role] [Period of Employment / Work] [Location] [Contact Person (Optional if current employer)] Description of Work…

[Organization] [Title / Role] [Period of Employment / Work] [Location] [Contact Person] Description of Work…

<add lines as needed>

Employment History List employment history, starting with the most recent employment first

Start and End Dates
Job Title or Position
Organization Name
Reason for Leaving

<add lines as needed>

Personnel Resume Summary (Continued) *“Candidate Relevant Experience” section must be filled out. Do not enter “see resume” as a response.

References List persons the State may contact as employment references

Reference Name
Job Title or Position
Organization Name
Telephone / E-mail

<add lines as needed>

Proposed Individual’s Name/Company Name:
How does the proposed individual meet each requirement?
LABOR CATEGORY TITLE:
Bidder/Offeror to Enter the Labor Category Name
Requirement (See Section 2.4.4)
Candidate Relevant Experience *

Education:

[Insert the education description from Section 2.4.4 for the applicable labor category]

Education:

Experience:

[Insert the experience description from Section 2.4.4for the applicable labor category]

Experience:

Duties:

[Insert the duties description from Section 2.4.4 for the applicable labor category]

Duties:

The information provided on this form for this labor category is true and correct to the best of my knowledge:

Contractor Representative:

Proposed Individual:

Signature

Signature

Printed Name:

Printed Name

Date

Date

Sign each Form

Attachment Q. Labor Resume effective date: July 2024

File details come from the government source that posted it. Updated .