15-10. OFFER AND ACCEPTANCE FORM.docx

DOCX document 58 KB Posted

Attached to
Medical and Pharmacy Benefits
Solicitation number
26001
Issued by
Maricopa County, Scottsdale City, Arizona

About this file

This document is an Offer and Acceptance Form from Scottsdale Unified School District #48 for RFP #26001, seeking Medical and Pharmacy Benefits services. The Request for Proposal (RFP) is due on October 15, 2025, with a proposed contract effective date in 2026. The document outlines a competitive solicitation process for comprehensive medical and pharmacy benefit services, with the primary purpose of evaluating the current health benefit program's structure, cost competitiveness, service capabilities, and potential for increased employee satisfaction.

The solicitation includes several critical compliance requirements, such as adherence to federal immigration laws, E-Verify protocols, and specific Arizona state statutes regarding purchasing restrictions. Vendors must certify they are not in violation of various legal provisions, including export administration regulations, Israel boycott restrictions, and prohibitions on using forced labor. The contract appears to be structured as a potential multi-year agreement, with careful consideration given to vendor qualifications, ethical standards, and regulatory compliance. Prospective bidders must demonstrate full transparency and meet stringent legal and operational standards to be considered for the medical and pharmacy benefits contract.

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Text version

Scottsdale Unified School District #48 Offer and Acceptance Form

Purchasing Department 9313 N. 95th Way Scottsdale, AZ 85258 480-484-6151

RFP#: 26001

PROJECT: MEDICAL AND PHARMACY BENEFITS

Company Name

For Clarification of this Offer, contact:

Unique Entity ID (formerly DUNS Number)

Name

Federal Employer Identification No.

Phone

Street Address

Fax

City

E-mail

State

Zip

Signature of Person Authorized to Sign Offer

Printed Name of Person Authorized to Sign Offer

Title

CERTIFICATION

By signature in the Offer section above, the bidder certifies:

1. The submission of the offer did not involve collusion or other anti-competitive practices. And bidder has taken steps and exercised due diligence to ensure that no Violation of A.R.S. § 15-213(O), A.A.C. R7-2-1003 (J) and A.A.C. R7-2-1042 (A.1.l) have occurred.

2. The offeror shall not discriminate against any employee or applicant for employment in violation of State Executive Order 99-4, 2000-4 or A.R.S. § 41-1461 through 1465.

3. The offeror has not given, offered to give, nor intends to give at any time hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor, or service to a public servant in connection with the submitted offer. Failure to provide a valid signature affirming the stipulations required by this clause shall result in rejection of the offer. Signing the offer with a false statement shall void the offer, any resulting contract and may be subject to legal remedies provided by law.

4. The offeror warrants that it and all proposed subcontractors will maintain compliance with the Federal Immigration and Nationality Act (FINA), A.R.S. § 41-4401 and A.R.S. § 23-214 and all other Federal immigration laws and regulations related to the immigration status of its employees which requires compliance with federal immigration laws by employers, contractors, and subcontractors in accordance with the E-Verify Employee Eligibility Verification Program.

5. In accordance with A.R.S. § 35-392, the District is prohibited from purchasing from a company that is in violation of the Export Administration Act.

6. In accordance with A.R.S. § 35-393, the District is prohibited from purchasing from a company that is in violation of the Israel Boycott Divestments.

7. In Accordance with A.R.S. § 35-394, the bidder is not currently and for the duration of the contract will not use the forced labor of ethnic Uyghurs in the People's Republic of China including goods, services, contractors, subcontractors, or suppliers thereof

8. In accordance with A.R.S. §15-512, the offeror shall comply with fingerprinting requirements as identified in Uniform Instructions

9. By submission of this Bid, that neither it nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency.

10. By submission of this Bid, that no Federal appropriated funds have been paid or will be paid by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a member of Congress in connection with the awarding of a Federal contract, the making of a Federal grant, the making of a Federal loan, the entering into a Cooperative Agreement, and the extension, continuation, renewal, amendment, or modification of a Federal contract, grant, loan, or cooperative agreement.

ACCEPTANCE OF OFFER

The offer is hereby accepted.

The Contractor is now bound to sell the materials or services listed by the attached contract and based upon the solicitation, including all terms, conditions, specifications, amendments, etc., and the Contractor’s Offer as accepted by the School District.

This contract shall henceforth be referred to as Contract No. 26001

Contract Effective Date , 2026.

The Contractor is cautioned not to commence any billable work or to provide any material or service under this contract until Contractor receives purchase order, contract release document, or written notice to proceed.

Awarded this day of , 2026.

Authorized Signature of the District

RFP #: 26001 Page 1 of 1 Due: October 15, 2025 image1.png

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