2. Historically Underutilized Business (HUB) HUB Subcontracting Plan

3. In accordance with Texas Government Code (TGC) §2161.252 and Texas Administrative Code (TAC) title 1, part 5, chapter 111, subchapter B, rule §111.14, each state agency (including institutions of higher education) as defined by TGC §2151.002 that considers entering into a contract with an expected value of $100,000 or more shall, before the agency solicits bids, proposals, offers, or other applicable expressions of interest, determine whether subcontracting opportunities are probable under the contract. INTRODUCTION

4. HUB Subcontracting Plan (HSP) In accordance with Govt Code §2161.252, the contracting agency has determined that subcontracting opportunities are probable under this contract. Therefore, respondents, including State of Texas certified Historically Underutilized Businesses (HUBs), must complete and submit a State of Texas HUB Subcontracting Plan (HSP) with their solicitation response. NOTE: Responses that do not include a completed HSP shall be rejected pursuant to Govt Code § 2161.252(b).

5. SECTION ONE RESPONDENT NAME STATE OF TEXAS VID NUMBER POINT OF CONTACT PHONE NUMBER IS YOUR COMPANY A STATE OF TEXAS CERTIFIED HUB? YES/NO SOLICITATION # ON THE RFP

6. SECTION 2 SUBCONTRACTING INTENTIONS X Yes, I will be subcontracting portion(s) of the contract. (If Yes, in the spaces provided below, list the portions of work you will be subcontracting, and go to page 2.) ____ No, I will not be subcontracting any portion of the contract, and will be fulfilling the entire contract with my own resources. (If No, complete SECTION 9 and 10. )

7. Line Item # - Subcontracting Opportunity Description (#1) EDUCATIONAL SERVICES (#2) ADVERTSING SERVICES (#3) EDUCATION AND TRAINING COUNSULTING (#4) PROFESSIONAL MEDICAL SERVICES If necessary additional pages are available at http://www.tbpc.state.tx.us/hub/forms/index.html

8. Page 2 Important: You must complete a copy of this page for each subcontracting opportunity you listed in Section 2. You may photocopy this page or download copies at http:www.tbpc.state.tx.us.hubforms/index.html.

9. SECTION 3 SUBCONTRACTING OPPORTUNITY Enter the line item number and description of the subcontracting opportunity you listed in SECTION 2.

10. Page 2 Line item #__1 Description: Educational Services Important: You must complete a copy of this page for each subcontracting opportunity you listed in Section 2. You may photocopy this page or download copies at : http:www.tbpc.state.tx.us.hubforms/index.html.

11. SECTION 4 MENTOR-PROTÉGÉ PROGRAM If respondent is participating as a Mentor in a State Mentor Protégé Program, submitting their Protégé (Protégé must be a State of Texas Certified HUB) as a subcontractor to perform the portion of work (subcontracting opportunity) listed in SECTION 3, constitutes Good Faith Effort towards that specific portion of work. Will you be subcontracting the portion of work listed in SECTION 3 to your Protégé? ____Yes (If yes, complete SECTIONS 8 and 10. X No/Not Applicable (If No or Not Applicable, go to Section 5.) Page 2

12. SECTION 5 PROFESSIONAL SERVICES CONTRACT ONLY This section applies to Professional Services Contracts only. All other contracts go to Section 6. Does your HSP contain subcontracting of 20% or more with HUB(s)? ___Yes (If Yes, complete SECTION 8 and 10.) X No / Not Applicable (If No or Not Applicable, go to SECTION 6.)

13. SECTION 6 NOTIFICATION OF SUBCONTRACTING OPPORTUNITY Complying with A, B and C of this section constitutes Good Faith Effort towards the portion of work listed in SECTION 3. After performing the requirements of this section, complete SECTION 7, 8 and 10. A. Provide written notification of the subcontracting opportunity listed in SECTION 3 to three (3) or more HUBs. Note: Attach supporting documentation (letters, phone logs, fax transmittals, electronic mail, etc.) demonstrating evidence of the good faith effort performed.

14. SECTION 6 NOTIFICATION OF SUBCONTRACTING OPPORTUNITY B. Provide written notification of the subcontracting opportunity listed in SECTION 3 to a minority or women trade organization or development center to assist in identifying potential HUBs by disseminating the subcontracting opportunity to their members/participants. Note: Attach supporting documentation (letters, phone logs, fax transmittals, electronic mail, etc.) demonstrating evidence of the good faith effort performed. C.Written notifications should include the scope of the work, information regarding the location to review plans and specifications, bonding and insurance requirements, required qualifications, and identify a contact person.

15. SECTION 7 HUB FIRMS CONTACTED FOR SUBCONTRACTING OPPORTUNITY List three (3) State of Texas certified HUBs you notified regarding the portion of work (subcontracting opportunity) listed in SECTION 3. Specify the vendor ID number, date you provided notice, and if you received a response. Note: Attach supporting documentation (letters, phone logs, fax transmittals, electronic mail, etc.) demonstrating evidence of the good faith effort performed. Company Name VID Notice Date Was Response Received We Are Learned 1234567890 09/26/05 X Yes _____No EDU INC1234567777 09/26/05 X Yes _____No Teach me Lab1234567888 09/26/05 X Yes _____No

16. SECTION 8 SUBCONTRACTOR SELECTION List the subcontractor(s) you selected to perform the portion of work (subcontracting opportunity) listed in SECTION 3. Also, specify the expected percentage of work to be subcontracted, the approximate dollar value of the work to be subcontracted, and indicate if the company is a Texas certified HUB. Company Name VID# Expected % Approx.Amt Texas Certified of Contract HUB We are Learned1234567890 10%5000.00 X Yes __No* EDU INC 1234567777 5%2500.00 X Yes __No* *If the subcontractor(s) you selected is not a Texas certified HUB, provide written justification of your selection process below. _____________________________________________________________

17. Section 9 SELF PERFORMANCE JUSTIFICATION If you responded No to SECTION 2, you must complete 9 and 10) Does your response/proposal contain and explanation demonstrating how your company will fulfill the entire contract with its own resources? ___Yes: If Yes, in the space provided below. List the specific page/section of your proposal which identifies how your company will perform the entire contract with its own equipment, supplies, materials and/or employees. ___No: If No, on the space provided below, explain how your company will perform the entire contract with its own equipment, supplies, materials, and/or employees.___________________________________________________________

18. SECTION 10 AFFIRMATION As evidenced by my signature below, I affirm that I am an authorized representative of the respondent listed in SECTION 1, and that the information and supporting documentation submitted with the HSP are true and correct. Respondent understands and agrees that, if awarded any portion of the solicitation. The respondent must submit monthly compliance reports (Prime Contractor Progress Assessment Report – PAR) to the contracting agency, verifying their compliance with the HSP, including the use/expenditures they have made to subcontractors. (The PAR is available at: http://www.tbpc.state.tx.us/hubbid/forms/index.html)

19. SECTION 10 AFFIRMATION The respondent must seek approval from the contracting agency prior to making any modifications to their HSP. If the HSP is modified without the contracting agencys prior approval, respondent may be subject to debarment pursuant to Govt Code §2161.253(d). The respondent must, upon request, allow the contracting agency to perform on-site reviews of the companys headquarters and/or work-site where services are to be performed and must provide documents regarding staff and other resources. __________________ ______________ ______________ ________ Signature Printed Name Title Date

20. Summary Since it is expected that at least one of the contracts awarded through this solicitation will be $100,000 or more, ALL the applicants have to submit HSPs. The applicant must complete the HSP for each activity that will be subcontracted. If an applicant has a current contract for an activity that is identified as a probable HUB subcontracting opportunity, the fact that the applicant already has a contract for that activity does not remove the requirement for the applicant to give the required notices and complete the HSP. The applicant is not required to terminate the existing contract.

21. Summary (cont.) The applicant may contract with a HUB for performance of the contract awarded under this solicitation or may elect to amend a current contract to include performance under this solicitation or may elect to perform all of the contract activities with its own resources. The applicant even may choose to subcontract with a subcontractor that is not a Texas Certified HUB. Whatever the decision, the proper documentation must be completed, written justification provided and submitted with the applicants response.

22. CONTACT INFORMATION All communications concerning this RFP shall be addressed in writing by either fax or email to: Pam Ferguson Client Services Contracting Unit Fax (512) 458-7351 Email: Pam.ferguson@dshs.state.tx.us@dshs.state.tx.us

23. Thank You The Department of State Health Services HUB Program