11-RFP-26-00262 Attachment B - Samples.pdf
PDF 7 MB Posted
- Solicitation number
- RFP-26-00262
- Issued by
- Hillsborough County, Florida
About this file
This is an attachment of sample documents related to a request for proposal (RFP) issued by Hillsborough County, Florida, specifically for the Water Resources Department (WRD). The attachment contains representative examples of customer communications and billing documentation that would be generated under the proposed Customer Billing, Payment, and Engagement Solution contract. The samples include marketing materials for the Cooking Oil Recycling Effort (CORE) program in both English and Spanish, sample customer correspondence such as late notices, delinquent bills, final bills, and severance notices, and representative billing documents showing water and sewer service charges. The materials demonstrate the scope of customer interaction and billing documentation that the selected contractor would need to manage and produce. The contract is anticipated to have a five-year term and encompasses an estimated project value of $26,314,792.80.
The sample documents illustrate the volume and variety of billing transactions the contractor must process, as evidenced by the sample invoice from First Data Government Solutions showing thousands of transactions across multiple payment channels including IVR, recurring payments, web-based payments, kiosks, credit cards, and ACH transactions. The billing samples display typical service charges including customer service charges, water and sewer base charges, usage charges, purchase water pass-through charges, reclaimed water charges, and late payment charges. These representative documents establish baseline expectations for the contractor's ability to handle diverse customer billing scenarios, multiple payment processing methods, and customer communication requirements across the Water Resources Department's customer base.
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Text version
To find your closest Cooking Oil Recycling Effort station and other customer programs, visit
HCFL.gov/CORE or call (813) 272-5977
Keep your home and neighborhood clog-free by recycling your oil.
Fight Holiday FOG Fats, Oil, Grease (FOG) can clog pipes
Don’t flush that pan full of fats, oil, or grease down your sink.
• Cool it.
• Seal it.
• Recycle it.
• Protect your pipes.
Help prevent costly backups:
Use your local CORE station.
Sample Insert
Para encontrar la estación de reciclaje de aceite de cocina más cercana y otros programas para clientes, visite
HCFL.gov/CORE o llame al (813) 272-5977.
Mantenga su hogar y vecindario libre de obstrucciones reciclando su aceite.
Durante las festividades las grasas y aceites pueden obstruir las tuberías.
No tires esa sartén llena de grasa y aceite de cocina por el fregadero.
• Enfriarlo
• Sellarlo
• Reciclarlo
• Protege las tuberías
Ayude a evitar reparaciones costosas de tuberías:
Use su estación CORE local.
Sample Envelope
Sample Letter
Sample Late Notice
Sample Delinquent Bill
Sample Final Bill
Sample Severance Notice
INVOICE
FIRST DATA GOVERNMENT SOLUTIONS
Billing Address
ATTN: MILDRED ANGUEIRA FRANCESCHI
HILLSBOROUGH CO WATER DE
PO BOX 1110
TAMPA FL 33601-1110
Billing Inquiries fdgsarhelpdesk@fiserv.com
Invoice No. PO No. Terms Billing Period Customer No. Invoice Date Net 30 days Oct 2025 11/07/2025
Description Tax Quantity UoM Unit Price Amount
HCWRS IVR N 3.00 EA 0.00 0.00
Administration Site Transactions
HCWRS IVR N 11,351.00 EA 0.07000 794.57
Credit Card Transactions
HCWRS IVR N 1,544.00 EA 0.11000 169.84
ACH Transactions
HCWRS Recurring N 6.00 EA 0.00 0.00 Administration Site Transactions
HCWRS Recurring N 33,313.00 EA 0.07000 2,331.91 Credit Card Transactions
HCWRS Recurring N 42,750.00 EA 0.11000 4,702.50 ACH Transactions
HCWRS Web N 18.00 EA 0.00 0.00 Administration Site Transactions
HCWRS Web N 42,742.00 EA 0.07000 2,991.94 Credit Card Transactions
HCWRS Web N 16,284.00 EA 0.11000 1,791.24 ACH Transactions
Kiosks N 614.00 EA 0.07000 42.98 Credit Card Transactions
Kiosks N 30.00 EA 0.11000 3.30
Page 1 of 2 Contract Number: 40180586
Sample Merchant processing Statement
INVOICE
Billing Inquiries fdgsarhelpdesk@fiserv.com
Invoice No. PO No. Terms Billing Period Customer No. Invoice Date Net 30 days Oct 2025 11/07/2025
Description Tax Quantity UoM Unit Price Amount ACH Transactions
Total Net 12,828.28
Tax 0.00
Total USD 12,828.28
"Unit Price" represents the effective rate when the "Amount" (contract price times Quantity, rounded to the nearest penny) is divided by the "Quantity."
Please remit to:
PO Box 934057 Atlanta, GA 31193-4057 USA
Wire Information:ACH Information:
Sample Regulatory-County Event
Sample Single-Premise - Front/Back
Sample Multi-Premise Bill
M-Page 2 of 131
CUSTOMER NAME ACCOUNT NUMBER BILL DATE DUE DATE
04/26/2024 05/17/2024
Service Address:
METER
NUMBER
PREVIOUS
DATE
PREVIOUS
READ
PRESENT
DATE
PRESENT
READ
CONSUMPTION READ
TYPE
METER
DESCRIPTION
02/29/2024 20866 04/01/2024 20976 11000 GAL ACTUAL WATER
Service Address Charges
Customer Service Charge $5.63
Purchase Water Pass-Thru $33.22
Water Base Charge $11.70
Water Usage Charge $20.76
Sewer Base Charge $18.91
Sewer Usage Charge $48.72
Total Service Address Charges $138.94
M-Page 2 of 131
CUSTOMER NAME ACCOUNT NUMBER BILL DATE DUE DATE
04/26/2024 05/17/2024
Service Address:
METER
NUMBER
PREVIOUS
DATE
PREVIOUS
READ
PRESENT
DATE
PRESENT
READ
CONSUMPTION READ
TYPE
METER
DESCRIPTION
03/08/2024 8582 04/05/2024 8637 5500 GAL ACTUAL WATER
Service Address Charges
Customer Service Charge $5.63
Purchase Water Pass-Thru $16.61
Water Base Charge $11.70
Water Usage Charge $6.13
Sewer Base Charge $18.91
Sewer Usage Charge $33.50
Late Payment Charge $5.87
Total Service Address Charges $98.35
M-Page 4 of 131
CUSTOMER NAME ACCOUNT NUMBER BILL DATE DUE DATE
04/26/2024 05/17/2024
Service Address:
METER
NUMBER
PREVIOUS
DATE
PREVIOUS
READ
PRESENT
DATE
PRESENT
READ
CONSUMPTION READ
TYPE
METER
DESCRIPTION
03/01/2024 7461 04/01/2024 7492 3100 GAL ACTUAL WATER
Service Address Charges
Customer Service Charge $5.63
Purchase Water Pass-Thru $9.36
Water Base Charge $11.70
Water Usage Charge $2.98
Sewer Base Charge $18.91
Sewer Usage Charge $18.88
Late Payment Charge $2.07
Total Service Address Charges $69.53
M-Page 4 of 131
CUSTOMER NAME ACCOUNT NUMBER BILL DATE DUE DATE
04/26/2024 05/17/2024
Service Address:
METER
NUMBER
PREVIOUS
DATE
PREVIOUS
READ
PRESENT
DATE
PRESENT
READ
CONSUMPTION READ
TYPE
METER
DESCRIPTION
03/07/2024 8838 04/04/2024 8886 4800 GAL ACTUAL WATER
Service Address Charges
Customer Service Charge $5.63
Purchase Water Pass-Thru $14.50
Water Base Charge $11.70
Water Usage Charge $4.61
Sewer Base Charge $18.91
Sewer Usage Charge $29.23
Late Payment Charge $6.35
Total Service Address Charges $90.93
M-Page 6 of 131
CUSTOMER NAME ACCOUNT NUMBER BILL DATE DUE DATE
04/26/2024 05/17/2024
Service Address: 6150 SKYLARKCREST DR
METER
NUMBER
PREVIOUS
DATE
PREVIOUS
READ
PRESENT
DATE
PRESENT
READ
CONSUMPTION READ
TYPE
METER
DESCRIPTION
03/06/2024 8333 04/03/2024 8354 2100 GAL ACTUAL WATER
Service Address Charges
Customer Service Charge $5.63
Purchase Water Pass-Thru $6.34
Water Base Charge $11.70
Water Usage Charge $2.02
Sewer Base Charge $18.91
Sewer Usage Charge $12.79
Reclaimed Water Charge $9.00
Late Payment Charge $3.62
Total Service Address Charges $70.01
M-Page 6 of 131
CUSTOMER NAME ACCOUNT NUMBER BILL DATE DUE DATE
04/26/2024 05/17/2024
Service Address:
METER
NUMBER
PREVIOUS
DATE
PREVIOUS
READ
PRESENT
DATE
PRESENT
READ
CONSUMPTION READ
TYPE
METER
DESCRIPTION
03/04/2024 6768 04/02/2024 6834 6600 GAL ACTUAL WATER
Service Address Charges
Customer Service Charge $5.63
Purchase Water Pass-Thru $19.93
Water Base Charge $11.70
Water Usage Charge $9.06
Sewer Base Charge $18.91
Sewer Usage Charge $40.19
Late Payment Charge $4.80
Total Service Address Charges $110.22
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