1-RFP 2026-01 RFP Document.pdf

RFP #2026-01 – Third Party Administration Services for Tax Sheltered Annuities and Optional Insurance Policies

Conejo Valley Unified School District Request for Proposals

RFP #2026-01 – Third Party Administration Services for Tax Sheltered Annuities and Optional Insurance Policies

RFP ISSUED: Wednesday, March 4, 2026

PUBLISHED RFP ADVERTISEMENTS: Wednesday, March 4, 2026 and Wednesday, March 11, 2026

DEADLINE FOR RFP QUESTIONS: Wednesday, March 25, 2026 at 2:00 PM (PT)

RFP DEADLINE: Wednesday, April 1, 2026 at 2:00 PM (PT)

RFP #2026-01 – Third Party Administration Services for Tax Sheltered Annuities and Optional Insurance Policies

Notice is hereby given that the Conejo Valley Unified School District (CVUSD), hereinafter referred to as the “District,” invites proposals from qualified Service Providers for third party administration services for tax sheltered annuities and optional insurance policies for District employees. The District’s 457(b) and 403(b) programs are funded exclusively from voluntary salary reduction agreements made by the District’s employees. Optional insurance policies currently offered to District employees include Disability Income Protection, Life Insurance, Accident Protection (Section 125 eligible), Cancer Protection (Section 125 eligible), Hospital Assist Protection (Section 125 eligible), Group Critical Illness Protection, etc.

SUMMARY OF REQUEST

The District is requesting proposals from qualified Service Providers for third party administration services for tax sheltered annuities and optional insurance policies for District employees for an initial three (3) year contract term period effective July 1, 2026 until June 30, 2029. The initial contract term period may be unilaterally extended by the District for up to two (2) optional one-year extension terms.

Any agreement and/or contract resulting from this Request for Proposals (RFP) may be negotiated separately from, and consequent to, this RFP.

SUBMISSION OF PROPOSALS

Proposals must be submitted electronically within the District’s Euna Procurement Portal (https://conejousd.bonfirehub.com/portal/?tab=openOpportunities) by no later than 2:00 PM (PT) on Wednesday, April 1, 2026. All electronic file submittals shall reference “RFP #2026-01 – Third Party Administration Services for Tax Sheltered Annuities and Optional Insurance Policies,” and addressed to:

Tony Frutos Director of Purchasing Conejo Valley Unified School District 750 Mitchell Road Newbury Park, CA 91320

The District reserves the right to reject any or all proposals or to waive any irregularities therein.

https://conejousd.bonfirehub.com/portal/?tab=openOpportunities

RFP #2026-01 – Third Party Administration Services for Tax Sheltered Annuities and Optional Insurance Policies

TABLE OF CONTENTS

Page

I. Information and General Conditions 4

II. Statement of Services 6

III. Proposal Requirements 7

IV. Exhibits 9

A. No-Proposal Form B. Signature and Acknowledgements Form (Required Form) C. Reference Form (Required Form) D. Certification Regarding Debarment, Suspension or Other Ineligibility (Required Form) E. Non-Collusion Declaration (Required Form) F. Certification Regarding Iran Contracting Act (Required Form) G. Workers Compensation Certificate (Required Form) H. Certificate of Non-Discrimination (Required Form) I. Criminal Background Investigation / Fingerprinting Certification (Required Form) J. Drug-Free Workplace Certification (Required Form) K. Tobacco-Free Environment Certification (Required Form) L. Independent Contractor / Professional Services Agreement (Example Only)

RFP #2026-01 – Third Party Administration Services for Tax Sheltered Annuities and Optional Insurance Policies

I. INFORMATION AND GENERAL CONDITIONS

1. BRIEF DESCRIPTION OF THE DISTRICT

The District is located in the City of Thousand Oaks, County of Ventura, and State of California. The District provides services to twenty-seven (27) local schools and several out-of-district schools, serving more than fifteen thousand (15,000) students. The District is governed by a five (5) member Board of Education.

2. TENTATIVE SCHEDULE OF EVENTS

RFP Item Date (and time, if applicable) RFP Issued March 4, 2026 Published RFP Advertisements March 4, 2026 and March 11, 2026 Deadline for RFP Questions Wednesday, March 25, 2026 at 2:00 PM (PT) RFP Deadline Wednesday, April 1, 2026 at 2:00 PM (PT) Tentative RFP Finalist(s) Interviews (if needed) The week of April 6, 2026 Tentative Contract Award April 15, 2026 Start Date of Services July 1, 2026

3. EVALUATION CRITERIA

Proposals will be evaluated by a review committee of District staff using the evaluation criteria described below.

No. Evaluation Criteria Total Points

Available

1 Overall satisfaction of the RFP requirements 40

2 Service provider history, background, and experience 25

3 Proposed pricing & fee schedule 20

4 References 15

Total Points 100

4. AWARD OF CONTRACT

It is the intent of the District to have a Service Provider for the contract duration; however, the District reserves the right to award multiple contracts if it is in the best interest of the District.

RFP #2026-01 – Third Party Administration Services for Tax Sheltered Annuities and Optional Insurance Policies

5. NEWS RELEASE

News releases pertaining to any award resulting from this Request for Proposals (RFP) shall not be made without prior written approval of the District.

6. COMMUNICATION

Service Providers or their agents shall not make any personal contacts with any member of the District’s staff or Board of Education prior to selection and award of a contract for this work, except as provided for in this RFP.

7. RFP QUESTIONS

Service Providers must submit written RFP questions electronically within the District’s Euna Procurement Portal (https://conejousd.bonfirehub.com/portal/?tab=openOpportunities) on or before 2:00 PM (PT) on March 25, 2026. Any questions which, in the opinion of the District, warrant a reply or material changes to the scope of services or proposal procedures will only be transmitted in writing to the parties receiving this RFP. RFP questions received after the specified date and time will not be accepted.

8. COMPLETION OF PROPOSALS

Proposals shall be completed in all respects as required by this RFP. A proposal may be rejected if it is incomplete or non-responsive. A proposal will be rejected if, in the opinion of the District, the information contained therein was intended to erroneously and fallaciously mislead the District in the evaluation of any proposal submitted in response to this RFP.

9. ERRORS IN PROPOSAL

The Service Provider shall be bound by the terms and conditions of the proposal, notwithstanding the fact that errors are contained therein. However, if material errors are found in a proposal, the District will notify the Service Provider that the proposal, as submitted, appears to contain errors and require the Service Provider to correct the errors.

10. SIGNATURES

All proposals must include a signature of an authorized officer of the firm submitting the proposal. The name and title of the person shall be included following the signature. Failure to provide signatures on required forms shall result in rejection of proposal.

11. INDEPENDENT CONTRACTOR

While performing services here under, the Service Provider is an independent contractor and not an officer, agent, or employee of the District.

12. ASSIGNMENT

The work or any interest therein may not be assigned without the prior written consent of the District.

Any attempted reassignment shall render the contract void at the option of the District.

13. COMPLIANCE WITH LAWS

The Service Provider agrees to comply with all applicable federal, state, and local laws, rules, regulations, ordinances, policies, and procedures in the conduct of the services as specified herein.

https://conejousd.bonfirehub.com/portal/?tab=openOpportunities

RFP #2026-01 – Third Party Administration Services for Tax Sheltered Annuities and Optional Insurance Policies

14. CANCELLATION OF SOLICITATION

The District may cancel this solicitation at any time.

15. POSTPONEMENT OF OPENING

The District reserves the right to postpone the RFP Deadline and opening of proposals any time before the date and time announced in the Request for Proposals or subsequent addenda.

16. PUBLIC RECORDS

All materials submitted in response to this RFP shall immediately become the property of the District and shall not be returned. Subsequent to opening of the proposals, the proposals shall become public records, subject to disclosure under the California Public Records Act (Government Code Sections 6250, et seq.)

(the “CPRA”). The District shall not provide advice to Service Provider regarding the applicability of the CPRA to their respective proposals. By submitting a proposal, Service Providers are deemed to understand and accept that their proposals may be subject to disclosure under the CPRA. Service Providers submit proposals at their sole expense and risk. In no event shall the District be liable to any interested party, including, but not limited to, any Service Provider, for the disclosure of any information set forth in any proposal, regardless of whether the disclosure is required by law or court order, or occurs through the inadvertence, mistake, or negligence of the District or its officers, employees, contractors, or consultants. Service Providers shall be solely responsible and liable for prosecuting or defending any action concerning disclosure of information in their respective proposals under the CPRA and shall hold the District harmless from all costs and expenses, including, but not limited to, attorneys’ fees in connection with any such action. In accordance with applicable law and District policy, the District may eventually destroy or otherwise dispose of proposals without prior notice and without any right of recourse to a Service Provider.

II. STATEMENT OF SERVICES

District will consider various proposals and methods of providing the service(s) outlined in this document. Services proposed must be at least equivalent to the existing Service Providers’ (OMNI Financial Group, Inc. and American Fidelity Assurance Company) services.

The selected Service Provider’s representatives shall at all times adhere to District policies and procedures when visiting the District’s sites. In addition, the selected Service Provider’s representatives shall:

1. Obtain District pre-approval to be on-site and immediately report representative's presence to the District's site administration office;

2. Not cause any interference with the educational process;

3. Obtain District’s pre-approval of all commercial material displayed or distributed;

4. Not request, or expect, to be given speaking opportunities during District staff meetings;

5. Be respectful of all District staff and not disturb disinterested individuals; and

6. Set appointments to speak with interested individuals only during non-work hours.

RFP #2026-01 – Third Party Administration Services for Tax Sheltered Annuities and Optional Insurance Policies

III. PROPOSAL REQUIREMENTS

1. Provide a brief description of the Service Provider, as well as any other organizations joining with Service Provider to provide administration services for tax sheltered annuities and optional insurance policies to the District. This description should include a history of the Service Provider, number of employees, organizational structure of the Service Provider, and Service Provider’s experience and history with providing the required services to large-scale organizations.

2. Provide a statement of qualifications and strengths the Service Provider believes will single out the Service Provider as the best candidate to accomplish the project services and goals.

3. Identify the Service Provider’s staff capabilities and provide resumes of key personnel who will be working with the District, including the name and title of our dedicated account manager and their corresponding contact information.

4. List and describe the State and Federal licenses, certificates, and legal authorizations the Service Provider holds that allows the provision of third party administration services for tax sheltered annuities and optional insurance policies requested in this RFP. Service Provider is required to provide District with copies of actual licenses and certificates held (NOTE: District needs assurance that the Service Provider is licensed to perform and render all services as prescribed and required within this

RFP).

5. Indicate the amount of time the Service Provider has been providing third party administration services for tax sheltered annuities and optional insurance policies.

6. Provide the total number of the Service Provider’s third party administration clients for tax sheltered annuities, including the total number of individual accounts in the Service Provider’s portfolio and total annual charge volume.

7. Provide a list of public agency clients lost and new public agency clients gained in the pass three (3) years.

8. Submit Service Provider’s most recent credit ratings and reports on both short-term deposits and debt from a national rating agency.

9. Provide two years of audited financial statements or audited profit-and-loss statements.

10. Provide a list of all pending litigation and/or outstanding claims against the Service Provider including but not limited to bankruptcy or other financial problems, pending litigation, planned office closures, and/or impending merger.

11. Provide evidence that the Service Provider has a “Bankers Blanket Bond” or

“Financial Institution Bond” in force and effect.

RFP #2026-01 – Third Party Administration Services for Tax Sheltered Annuities and Optional Insurance Policies

12. Detail the Service Provider’s policies, procedures, data encryption, and technical measures to prevent unauthorized access or alteration, fraud, theft, misuse, or physical damage to hardware, software, communications networks, and data.

13. Describe the Service Provider’s system back-up, security, and disaster recovery procedures. Please indicate if files are archived and stored at an off-site location, and whether or not the off-site location is secured.

14. Describe the Service Provider’s approach to transitioning from the existing Service

Providers (OMNI Financial Group, Inc. and American Fidelity Assurance Company) to a new system(s). Describe how the Service Provider will communicate this transition to District staff, or support District administrators in these communications.

15. Provide a proposed pricing & fee schedule that is all-inclusive and for the full range of services detailed in the Service Provider’s proposal.

The District reserves the right to reject any and all proposals, to waive any irregularities in any proposal, and to accept the proposal which is deemed to be in the best interest of the District based upon the complete evaluation of the criteria listed in this RFP. The District reserves the right to negotiate with the selected Service Provider to modify scope and cost of contract.

RFP #2026-01 – Third Party Administration Services for Tax Sheltered Annuities and Optional Insurance Policies

IV. EXHIBITS

An exhibit labeled as “(Required Form)” must be completed and returned with proposal. Proposals received without all required forms completed may be considered non-responsive.

Exhibit

A. No-Proposal Form B. Signature and Acknowledgements Form (Required Form) C. Reference Form (Required Form) D. Certification Regarding Debarment, Suspension or Other Ineligibility (Required Form) E. Non-Collusion Declaration (Required Form) F. Certification Regarding Iran Contracting Act (Required Form) G. Workers Compensation Certificate (Required Form) H. Certificate of Non-Discrimination (Required Form) I. Criminal Background Investigation / Fingerprinting Certification (Required Form) J. Drug-Free Workplace Certification (Required Form) K. Tobacco-Free Environment Certification (Required Form) L. Independent Contractor / Professional Services Agreement (Example Only)

RFP #2026-01 – Third Party Administration Services for Tax Sheltered Annuities and Optional Insurance Policies

EXHIBIT A.

NO-PROPOSAL FORM

Please return this form only if you are not submitting a proposal for RFP #2026-01 – Third Party Administration Services for Tax Sheltered Annuities and Optional Insurance Policies.

In accordance with applicable law and policies, CVUSD aims to procure the best supplies, equipment and services at the lowest possible prices. In furtherance of its competitive solicitation goals, CVUSD encourages feedback from Service Providers that elect not to respond to RFPs. This feedback helps CVUSD improve future solicitations for commodities and services. CVUSD requests all Service Providers that elect not to propose on this RFP to please complete the below form and return it to CVUSD by the RFP Deadline. Thank you in advance for your cooperation in this endeavor.

Service Provider’s Official Business Name:

Address:

Authorized Representative (Name and Title):

Phone:

Email:

Reasons for not submitting a proposal at this time:

Print Name

Signature

Date

RFP #2026-01 – Third Party Administration Services for Tax Sheltered Annuities and Optional Insurance Policies

EXHIBIT B.

SIGNATURE AND ACKNOWLEDGEMENTS FORM

(Required Form)

TO: Conejo Valley Unified School District (“CVUSD”)

FROM: (“Service Provider”)

The undersigned hereby certifies to CVUSD, subject to penalty of perjury pursuant to the laws of the State of California, that all the following is true and correct:

A. Service Provider is duly authorized to conduct business in the State of California, and County of Ventura, and is in good standing with the State of California. As of the date of this Proposal, Service Provider has the following licenses, all of which are in full force and effect, and in the classifications appropriate to allow Service Provider to perform the work contemplated under this RFP.

B. Service Provider hereby represents and warrants that Service Provider is familiar with the terms of the Contract, the local conditions affecting the performance of the Contract, and the cost of the work at the place where the work is to be done. Service Provider hereby further represents and warrants that Service Provider is sufficiently experienced and qualified to conduct the work under the Contract, will timely obtain the required insurance coverages with the requisite limits if awarded the Contract, and has sufficient financial and other resources to perform and complete the work in strict conformance with the Contract, including, but not limited to, the General Conditions.

C. Pursuant to and in compliance with this RFP and other documents relating thereto, Service Provider hereby proposes and agrees to perform, within the time stipulated, the Contract, including all of its component parts, and everything required to be performed, and to provide and furnish any and all of the labor, materials, tools, equipment, expendable equipment, and all utilities necessary to perform the Contract and all of the work required in connection with providing

Third Party Administration Services for Tax Sheltered Annuities and Optional Insurance Policies all in strict conformity with the RFP Document and other Contract Documents, including Addenda, as issued, all on file with CVUSD, for amounts set forth herein.

D. As specified in the Instructions, CVUSD reserves the right to accept or reject any or all proposals or to waive any irregularities or informalities in any proposals, or any portion thereof, and in the RFP process.

E. Service Provider acknowledges and agrees that this proposal shall not be withdrawn for a period of one hundred eighty (180) days after proposal opening. Service Provider also acknowledges and agrees that the selected Service Provider for contract award through this RFP shall be required to enter into a written Contract with CVUSD within ten (10) calendar days, or as soon thereafter as reasonably demanded by CVUSD, from the date of receiving the Contract and provide all required insurance information.

Service Provider’s Official Business Name

Signature of Service Provider’s Authorized Representative

Typed or Printed Name of Service Provider’s Authorized Representative

Title of Service Provider’s Authorized Representative

RFP #2026-01 – Third Party Administration Services for Tax Sheltered Annuities and Optional Insurance Policies

EXHIBIT C.

REFERENCE FORM

(Required Form)

A minimum of three (3) references from public agency clients (references from public school districts are preferred) must be provided. All information must be current and verifiable.

1. Client’s Name:__________________________________________________________________ Client’s Main Business Address: ___________________________________________________ Contact Name and Title: __________________________________________________________ Contact’s E-mail:________________________________________________________________ Month and Year contract commenced and ended: _____________________________________ Type of work or service provided: __________________________________________________

2. Client’s Name:__________________________________________________________________

Contact Name and Title: __________________________________________________________ Contact’s E-mail:________________________________________________________________ Month and Year contract commenced and ended: _____________________________________ Type of work or service provided: __________________________________________________

3. Client’s Name:__________________________________________________________________

Contact Name and Title: __________________________________________________________ Contact’s E-mail:________________________________________________________________ Month and Year contract commenced and ended: _____________________________________ Type of work or service provided: __________________________________________________

RFP #2026-01 – Third Party Administration Services for Tax Sheltered Annuities and Optional Insurance Policies

EXHIBIT D.

CERTIFICATION REGARDING DEBARMENT, SUSPENSION OR OTHER INELIGIBILITY

(FEDERAL EXECUTIVE ORDER 12549)

By executing this document, Service Provider certifies to the best of its knowledge and belief that it and its principals:

A. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal department or agency;

B. Have not, within a three (3)-year period preceding the execution of this contractual instrument, been convicted of, or had a civil judgment rendered against them, for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public transaction (federal, state or local) or contract under a public transaction; or violation of federal or state antitrust statutes; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property;

C. Are not presently indicted for, or otherwise criminally or civilly charged by any government entity (federal, state or local), with commission of any of the offenses enumerated in Section B above; and, D. Have not, within a three (3)-year period preceding the execution of this contractual instrument, had one or more public transactions (federal, state or local) terminated for cause or default.

Printed Name of Service Provider’s Authorized Representative

RFP #2026-01 – Third Party Administration Services for Tax Sheltered Annuities and Optional Insurance Policies

EXHIBIT E.

NON-COLLUSION DECLARATION

(Public Contract Code Section 7106)

The undersigned hereby declares:

I am the (insert title) of (insert name of Service Provider), the party making the foregoing proposal. The proposal is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation. The proposal is genuine and not collusive or a sham. The Service Provider has not directly or indirectly induced or solicited any other Service Provider to put in a false or sham proposal. The Service Provider has not directly or indirectly colluded, conspired, connived, or agreed with any Service Provider or anyone else to put in a sham proposal, or to refrain from bidding. The Service Provider has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the proposal price of the Service Provider or any other Service Provider, or to fix any overhead, profit, or cost element of the proposal price, or that of any other Service Provider. All statements contained in the proposal are true. The Service Provider has not, directly or indirectly, submitted the proposal price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, to any corporation, partnership, company, association, organization, proposal depository, or to any member or agent thereof, to effectuate a collusive or sham proposal, and has not paid, and will not pay, any person or entity for such purpose.

Any person executing this declaration on behalf of a Service Provider that is a corporation, partnership, joint venture, limited liability company, limited liability partnership, or any other entity, hereby represents that he or she has full power to execute, and does execute, this declaration on behalf of the Service Provider.

I declare under penalty of perjury pursuant to the laws of the State of California that the foregoing is true and correct, and that this declaration is executed on , 2026, at (city), (state).

Printed Name of Service Provider’s Authorized Representative

RFP #2026-01 – Third Party Administration Services for Tax Sheltered Annuities and Optional Insurance Policies

EXHIBIT F.

CERTIFICATION REGARDING IRAN CONTRACTING ACT

(Public Contract Code (“PCC”) Sections 2200, et seq.)

(Required Form)

The undersigned hereby certifies to CVUSD, subject to penalty for perjury pursuant to the laws of the State of California, that all of the following is true and correct:

1. I am a duly authorized representative of the Service Provider. As such, I have the full power to execute, and I hereby do execute, this certification on behalf of the Service Provider.

2. The appropriate box is checked immediately below and the statement relating to the Service Provider’s status in regard to the Iran Contracting Act of 2010 (PCC Code Sections 2200, et seq.) following such box is true and correct with respect to the Service Provider. (Check only one box.)

The Service Provider is not: identified on the current list of persons and entities engaging in investment activities in Iran prepared by the California Department of General Services in accordance with PCC Section 2203(b); or a financial institution that extends, for forty-five (45) days or more, credit in the amount of twenty million dollars ($20,000,000.00) or more to any other person or entity identified on the current list of persons and entities engaging in investment activities in Iran prepared by the California Department of General Services in accordance with PCC Section 2203(b), if that person or entity uses or will use the credit to provide goods or services in the energy sector in Iran.

CVUSD has exempted the Service Provider from the requirements of the Iran

Contracting Act of 2010 after making a public finding that, absent the exemption, CVUSD will be unable to obtain the goods and or services to be provided pursuant to the Contract.

The maximum total amount payable to the Service Provider in connection with the Contract, as of the date of this certification, does not exceed one million dollars ($1,000,000.00).

3. The Service Provider is aware and acknowledges that in accordance with PCC Section 2205, false certification of this form may result in civil penalties equal to the greater of two hundred fifty thousand dollars ($250,000.00) or twice the Contract amount, termination of the Contract, and/or ineligibility to bid on contracts for three (3) years.

Name of Service Provider

Printed Name and Title of Service Provider’s Authorized Representative

RFP #2026-01 – Third Party Administration Services for Tax Sheltered Annuities and Optional Insurance Policies

EXHIBIT G.

WORKERS COMPENSATION CERTIFICATE

(Labor Code Section 1861)

Agency: Conejo Valley Unified School District, 750 Mitchell Road, Newbury Park, CA 91320

Project: RFP #2026-01 – Third Party Administration Services for Tax Sheltered Annuities and Optional Insurance Policies

Service Provider (insert full legal name):

The undersigned hereby certifies to CVUSD, subject to penalty for perjury pursuant to the laws of the State of California, that all of the following is true and correct:

1. I am a duly authorized representative of Service Provider. As such, I have the full power to execute, and I hereby do execute this certification on behalf of Service Provider.

2. Service Provider is aware of the provisions of Labor Code Sections 3700, et seq., which require every employer to be insured against liability for workers’ compensation or to undertake self-insurance in accordance with the provisions of the Labor Code (including, but not limited to, by securing from the Director of Industrial Relations a certificate of consent to self-insure either as an individual employer, or as one employer in a group of employers) and Service Provider shall comply with such provisions before commencing the performance of the work for the Project, and maintain such compliance throughout the entirety of its performance of the work on the Project.

RFP #2026-01 – Third Party Administration Services for Tax Sheltered Annuities and Optional Insurance Policies

EXHIBIT H.

CERTIFICATE OF NON-DISCRIMINATION

Agency: Conejo Valley Unified School District, 750 Mitchell Road, Newbury Park, CA 91320

Insurance Policies

The undersigned hereby certifies to CVUSD, subject to penalty for perjury pursuant to the laws of the State of California, that all of the following is true and correct:

1. I am a duly authorized representative of Service Provider. As such, I have the full power to execute, and I hereby do execute this certification on behalf of Service Provider.

2. In accordance with applicable law, including, but not limited to, the California Fair Employment and Housing Act (Government Code Sections 12940, et seq.) and Labor Code Section 1735, and applicable CVUSD Policy, including, but not limited to, Board Policies No. 0410, 5145.3, 5145.7, and 5145.9, CVUSD is committed to equal opportunity for all individuals in education and notification consistent with applicable law. All CVUSD programs, activities, and practices shall be free from discrimination based on race, color, ancestry, national origin, ethnic group identification, age, religion, marital or parental status, physical or mental disability, sex, sexual orientation, gender, gender identity or expression, or genetic information; the perception of one or more of such characteristics; or association with a person or group with one or more of these actual or perceived characteristics. Moreover, CVUSD programs and facilities, viewed in their entirety, shall be in compliance with the Americans with Disabilities Act and any implementing standards and/or regulations.

3. Service Provider is aware of the above-referenced laws and CVUSD Board Policies (collectively, the “Non-Discrimination Policies”). For the entire duration of the Contract, Service Provider agrees to comply with the Non-Discrimination Policies to require compliance with the Non-Discrimination Policies by Service Provider’s employees who provide services in relation to the Contract.

RFP #2026-01 – Third Party Administration Services for Tax Sheltered Annuities and Optional Insurance Policies

EXHIBIT I.

CRIMINAL BACKGROUND INVESTIGATION / FINGERPRINTING CERTIFICATION

(Required Form)

Agency: Conejo Valley Unified School District (“CVUSD”)

Project: RFP #2026-01 – Third Party Administration Services for Tax Sheltered Annuities and Optional

The undersigned does hereby certify to the governing board of CVUSD as follows:

1. I am a representative of Service Provider; I am familiar with the facts herein certified; and I am authorized and qualified to execute this certificate on behalf of Service Provider.

2. Service Provider certifies that it has complied with the fingerprinting requirements of Education Code Section 45125.1 with respect to all Service Provider’s employees who may have contact with CVUSD pupils in the course of providing services pursuant to the Contract, and the California Department of Justice has determined that none of those employees has been convicted of a felony, as that term is defined in Education Code Section 45122.1.

3. Service Provider understands that Service Provider’s responsibility for background clearance extends to all of its employees coming into contact with CVUSD pupils regardless of whether those employees are officially designated as employees or acting as independent contractors of Service Provider.

4. A complete and accurate list of Service Provider’s employees who may come in contact with CVUSD pupils during the course and scope of the Contract is attached hereto.

5. Service Provider is aware, and agrees, that Service Provider’s failure to comply with this Certification for the entire term of the Contract may result in immediate termination of the Contract for cause.

Proper Name of Service Provider:

Signature:

Print Name:

Title:

Date:

RFP #2026-01 – Third Party Administration Services for Tax Sheltered Annuities and Optional Insurance Policies

EXHIBIT J.

DRUG-FREE WORKPLACE CERTIFICATION

Agency: Conejo Valley Unified School District (“CVUSD”)

This Drug-Free Workplace Certification form is required from the selected Service Provider pursuant to Government Code Sections 8350, et seq., the Drug-Free Workplace Act of 1990 (the “Act”). The Act requires that every person or organization awarded a contract or grant for the procurement of any property or service from any state agency must certify that it will provide a drug-free workplace by doing certain specified acts. In addition, the Act provides that each contract or grant awarded by a state agency may be subject to suspension of payments or termination of the contract or grant, and the Service Provider or grantee may be subject to debarment from future contracting, if the contracting agency determines that specified acts have occurred. CVUSD is not a “state agency” as defined in the applicable section(s) of the Government Code, but CVUSD is a local agency under California law and requires all Service Providers on CVUSD projects to comply with the provisions and requirements of the Drug-Free Workplace Act of 1990.

Service Provider shall certify that it will provide a drug-free and alcohol-free workplace by doing all of the following:

a. Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensation, possession, or use of a controlled substance is prohibited in the person’s or organization’s workplace and specifying actions which will be taken against employees for violations of the prohibition.

b. Establishing a drug-free awareness program to inform employees about all of the following:

i. The dangers of drug abuse in the workplace;

ii. The person’s or organization’s policy of maintaining a drug-free workplace;

iii. The availability of drug counseling, rehabilitation, and employee-assistance programs; and

iv. The penalties that may be imposed upon employees for drug abuse violations.

c. Requiring that each employee engaged in the performance of the contract or grant be given a copy of the statement required above, and that, as a condition of employment on the contract or grant, the

RFP #2026-01 – Third Party Administration Services for Tax Sheltered Annuities and Optional Insurance Policies employee agrees to abide by the terms of the statement. I, the undersigned, agree to fulfill the terms and requirements of Government Code Section 8355 listed above and will publish a statement notifying employees concerning (a) the prohibition of controlled substance at the workplace, (b) establishing a drug-free awareness program, and (c) requiring that each employee engaged in the performance of the Contract be given a copy of the statement required by Section 8355(a), and requiring that the employee agree to abide by the terms of that statement.

I also understand that if CVUSD determines that I have either (a) made a false certification herein, or (b) violated this certification by failing to carry out the requirements of Section 8355, that the Contract awarded herein is subject to termination, suspension of payments, or both. I further understand that, should I violate the terms of the Act, I may be subject to debarment in accordance with the requirements of the Act.

I acknowledge that I am aware of the provisions of and hereby certify that I will adhere to the requirements of the Drug-Free Workplace Act of 1990.

RFP #2026-01 – Third Party Administration Services for Tax Sheltered Annuities and Optional Insurance Policies

EXHIBIT K.

TOBACCO-FREE ENVIRONMENT CERTIFICATION

Agency: Conejo Valley Unified School District (“CVUSD”)

Project: RFP #2026-01 – Third Party Administration Services for Tax Sheltered Annuities and Optional Insurance Policies

I am a duly authorized representative of Service Provider. On behalf of Service Provider, I, the undersigned, certify that Service Provider agrees that it will abide by and implement CVUSD’s Tobacco- Free Environment Policy, which is summarized below.

1. Pursuant to, without limitation, 20 U.S.C section 6083, Labor Code Sections 6400, et seq., Health and Safety Code Sections 104350, et seq., and CVUSD Board Policies 3513.3, 5131.6 and 5131.62, CVUSD’s Tobacco- Free Environment Policy prohibits the use of tobacco products and nicotine products at any time on CVUSD-owned or leased buildings, on CVUSD property and in vehicles used for CVUSD programs.

2. Tobacco products include, but are not limited to: (a) any product containing, made, or derived from tobacco or nicotine that is intended for human consumption, whether smoked, heated, chewed, absorbed, dissolved, inhaled, snorted, sniffed, or ingested by any other means, including, but not limited to, cigarettes, cigars, little cigars, chewing tobacco, pipe tobacco, or snuff; (b) an electronic device that delivers nicotine or other vaporized liquids to the person inhaling from the device, including, but not limited to, an electronic cigarette, cigar, pipe, or hookah; and (c) any component, part, or accessory of a tobacco product, whether or not sold separately. Smoking means inhaling, exhaling, burning, or carrying of any lighted or heated cigar, cigarette, pipe, tobacco, or plant product intended for inhalation, whether natural or synthetic, in any manner or form with and without nicotine, and includes the use of an electronic smoking device that creates aerosol or vapor or of any oral smoking device for the purpose of circumventing the prohibition of smoking.

3. Smoking or use of any tobacco-related product or disposal of any tobacco-related waste is prohibited within 25 feet of any playground, except on a public sidewalk located within 25 feet of the playground. Moreover, any form of intimidation, threat, or retaliation against a person for attempting to enforce this policy is prohibited.

Service Provider shall ensure that its employees, agents, independent Service Providers, and anyone else acting on its behalf complies with CVUSD’s tobacco-free policy throughout the entire term of the Contract.

I acknowledge that I am aware of CVUSD’s Tobacco-Free Environment Policy and hereby certify that I will adhere to the requirements of that policy and not permit any of Service Provider’s employees or agents to use tobacco and/or smoke on District facilities or any District site.

RFP #2026-01 – Third Party Administration Services for Tax Sheltered Annuities and Optional Insurance Policies

EXHIBIT L.

INDEPENDENT CONTRACTOR / PROFESSIONAL SERVICES AGREEMENT

(Example Only)

See Link.

END OF DOCUMENT AND END OF RFP

https://drive.google.com/file/d/13KuNMnM5ThXAkWsQ4tPqpIVoZ6VGG69O/view?usp=sharing

CERTIFICATE OF NON-DISCRIMINATION