Request for Service Form.docx
DOCX document 37 KB Posted
- Attached to
- EXPIRED - Non-IT Temporary Help Services
- Contract number
- 505ENT-M21-TEMPHELPSV-00
- Issued by
- Wisconsin
About this file
This is a Request for Services (RFS) Form for Non-IT Temporary Help Services under State of Wisconsin Contract #505ENT-M21-TEMPHELPSV-00. The document serves as a standardized form for authorized users within Wisconsin state agencies, campuses, and municipalities to request temporary staffing services from contracted providers. The form establishes the framework for sub-agreements between authorized users and contractors, requiring completion and signatures from both parties before work commences, with the state making efforts to notify contractors of selection decisions within 20 business days of the response due date.
The contract covers non-IT temporary help services with detailed specifications including job classifications referenced in Appendix B, staffing requirements, work schedules (first, second, third, or rotating shifts), and project timelines. Pricing is structured around regular and overtime hourly rates for temporary staff, with contractors responsible for providing qualified applicants based on specified duties, skills, and certifications. The service includes mandatory criminal background checks through the Wisconsin Department of Justice at no charge to contractors, with additional background checks and drug testing requirements determined by individual agencies. All temporary workers must meet facility security requirements such as photo-ID badges, and the arrangement operates as a sub-agreement under the master state contract with terms and conditions that cannot be altered without written approval from the State Bureau of Procurement.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Non-IT Temp Help Contact List - 1.12.22.xlsx | XLSX spreadsheet | |
| Appendix A- Counties By Region.pdf | ||
| Appendix B- Descriptions of Job Classifications.pdf | ||
| Contractor Cost by Region - Effective 10-27-23.xlsx | XLSX spreadsheet | |
| How to Acquire Services Guide - Revised 2.11.22.docx | DOCX document | |
| RFB_DOCUMENT_-_NITHS_RFB_-_28332-BD.pdf |
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Text version
Request for Services (RFS) Form Non-IT Temporary Help Services Contract # 505ENT-M21-TEMPHELPSV-00 Directions:
1. Section 1 will be completed with the initial RFS, but Authorized User may complete Sections 1 and 2 with the initial RFS.
2. Before work commences, Sections 1 and 2 will be completed and signed by both parties.
3. Authorized User will put forth their best effort to notify Contractor(s) of their intent to contract services no more than 20 business days from the RFS Response Due Date so the applicants not chosen can be recruited elsewhere.
SECTION 1- INITIAL RFS REQUEST
AUTHORIZED USER CONTACT INFORMATION
| Agency/Campus/Municipality |
| Contact Name |
| Phone Number and E-Mail Address |
DATES
| Contractor Confirmation of Seeking Resumes Due Date |
| Contractor Resume Submittal Due Date |
| Estimated Project Start Date |
| Estimated Project End Date |
PROJECT SPECIFICATIONS
| Job Classification (See Appendix B for Classifications) |
| Number of Staff Required |
Description of Duties/Specifications Identify duties, any special skills, knowledge, or certifications required; give enough background information so Contractor(s) can provide the most qualified applicant and recommend a better suited job classification if applicable.
| What is prompting the need for services (e.g. Year End Close, Vacancies)? |
| Location of Assignment |
SCHEDULE
| Shift (First, Second, Third, Rotating) |
| Start Time |
| End Time |
| Days of Week |
Indicate whether services are required on weekdays, State Holidays, weekends, special events, etc..
SECTION 2- BEFORE WORK COMMENCES
REPORTING AND TRAINING
| Who will the applicant report to? |
| If an orientation is required before work commences, provide the estimated number of days and location of the orientation. The State shall not be charged for orientations. |
ADDITIONAL BACKGROUND CHECKS
Criminal arrest and conviction records from the Wisconsin Department of Justice will be obtained for all applicants before work commences. If additional background checks are required, attach the pertinent background/conviction record form with this request. Additional background checks shall be performed by the Agency at no charge to the Contractor.
|_| Yes, I have attached applicable forms. |_| No, not applicable.
| Is a drug test required before work commences? |
| |_| Yes |_| No |
SECURITY REQUIREMENTS
What are the security requirements at your facility (e.g. visible photo-ID badge, valid driver’s license, etc.)?
BILLING
| Applicant’s Regular and Overtime Hourly Rates |
| Where are the invoices sent (e.g. Authorized User e-mail, building address with floor number and ATTN to)? |
Authorized User and Contractor agree to the terms herein and understand this agreement is a sub-agreement of State of Wisconsin Contract #505ENT-M21-TEMPHELPSV-00 and therefore is subject to the terms and conditions of said contract. Terms and conditions of the contract cannot be altered without prior approval from the State Bureau of Procurement in writing.
Authorized User Representative Contractor Representative
Name: Name:
Title: Title:
Signature: Signature:
Date: Date:
Page 2 is the signature page
File details come from the government source that posted it. Updated .