2-Attachment 3 - Cost Proposal.xlsx

XLSX spreadsheet 14 KB Posted

Attached to
Salt Lake City Request for Proposals SLCI26001 Claims Adjustment Services
Solicitation number
SLCI26001
Issued by
Salt Lake County, Salt Lake City, Utah

About this file

This is a Cost Proposal form for Salt Lake City Corporation's Request for Proposals SLCI26001 for Claims Adjustment Services. The document serves as the pricing submission template that offerors must complete to bid on claims adjustment services. The proposal requires detailed cost breakdowns across multiple service categories, with all costs necessary to perform contracted services mandated to be included on the form. The format is mandatory, and any deviation may result in proposal disqualification. The form emphasizes that technical requirements and cost proposals must align, and any costs not provided on this form will not be allowed into the resulting contract.

The cost proposal is structured into four primary categories: Category #1 addresses Property Damage Claims (scored), with a specific scenario involving a basement flood in Taylorsville, Utah with estimated contents damage of $50,000; Category #2 covers Vehicle Accident Claims (scored), using a 2026 Lexus GX valued at $200,000 damaged by flood and tree branch as the reference scenario; Category #3 requires hourly rates for Time and Expense Adjustments across various specialties including property/casualty adjusting, construction defect, medical malpractice, and origin and cause investigations; and Category #4 specifies Office Expenses, Mileage, and Evidence Retention costs including clerical services, file setup, photocopies, postage, photographs, travel, and storage fees. Categories #1a and #2a provide additional cost line items for specialized services not applicable to the primary scenarios but potentially applicable to other similar situations. All yellow-highlighted cells require offeror input, while blue boxes auto-populate based on entered data.

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Other files

File Type Posted
1-Confidential+and+Proprietary+Info+Declaration+Form.pdf PDF
3-Attachment 4 - Score Sheet.xls XLS spreadsheet
4-Attachment 2 - Scope of Work.docx DOCX document
6-SLCI26001.docx DOCX document
5-Attachment 1 - Sample Agreement.docx DOCX document

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Text version

Cost Proposal

ATTACHMENT 3 - COST PROPOSAL
Offeror Name:
1All cells in yellow require an input. Boxes in Blue will auto populate.
2Technical Requirements and Cost Proposals must be reflective of one another. All costs necessary to perform the services under this contract must be included on this form.
3If zero is entered for any cell or if any cell is left blank, the City will assume that the related services are either provided at no cost or built into another cost item. If a cost category is not applicable, enter N/A.
4Any cost not provided on this Cost Proposal, will not be allowed into the resulting contract. If you identify a cost that cannot be properly captured in this Cost Proposal, then provide suggestions for modifying this Cost Proposal during the question and answer period for this solicitation.
5The costs provided in Category #1 must be reflected in Category #1a. Provide any additional costs in 1a that would not apply to this scenario but could apply to other similar scenarios.
6The costs provided in Category #2 must be reflected in Category #2a. Provide any additional costs in 2a that would not apply to this scenario but could apply to other similar scenarios.
7Any deviation from this format may result in disqualification of Offeror's proposal.
Category #1: Property Damage ClaimsCost
Description: Provide a breakdown of costs and fees for a General Claim Assignment for a basement flood. A landside damaged a fence, yard (landscaping), finished basement flooded with mud with estimated contents of $50,000 in Taylorsville, Utah.
1$ - 0
2$ - 0
3$ - 0
4$ - 0
5$ - 0
6List any other fees that could apply toward property damage claims. Offeror may add additional lines.$ - 0
Total Cost for Category #1: Points for Category #1 determined by this amount.$ - 0
Category #1a: Property Damage Claims (Not Scored)Cost
1Property/Casualty$ - 0
2General/Large Loss Adjuster$ - 0
3Construction Defect$ - 0
4Heavy Equipment/Cargo$ - 0
5Origin and Cause Investigations$ - 0
6List any other fees that could apply toward property damage claims. Offeror may add additional lines.$ - 0
Category #2: Vehicle Accident ClaimsCost
Description: Provide a breakdown of costs and fees for a vehicle accident, property was damaged by flood and a tree branch fell on a vehicle. The vehicle is not a total loss. Vehicle is a brand new 2026 Lexus GX valued at $200,000.00.
1$ - 0
2$ - 0
3$ - 0
4$ - 0
5$ - 0
6List any other fees that could apply toward vehicle accident claims. Offeror may add additional lines.$ - 0
Total Cost for Category #2: Points for Category #2 determined by this amount.$ - 0
Category #2a: Vehicle Accident Claims (Not Scored)Cost
1Appraisal Metro - Salt Lake City (Rate includes vehicles in the Adatex database, includes digital photographs, file setup, the first twenty (20) miles of travel, and all office/clerical charges except those specifically listed in one of the cost categories. If an accident report is requested to be obtained, the corresponding charge will be on a time and expenses basis, according to the rates outlined below and is not considered an included portion of the automobile appraisal fee.)$ - 0
2Flat Travel Fee for Appraisals from Ogden to Provo, Utah.$ - 0
3Condition Report Request$ - 0
4Autosource Actual Cash Value (ACV) Report (Standard Vehicles)$ - 0
5Obtaining Actual Cash Value Report$ - 0
6Obtaining Salvage Bids (3)$ - 0
7Hourly Rate for drive time charged on vehicles outside of parameters listed in item 1 above based on Google maps.$ - 0
8Rate per mile charged on vehicles outside of parameters listed in item 1 above based on Google maps.$ - 0
9Cost per printed photograph$ - 0
10Cost per low impact photograph$ - 0
11Cost per long distance telephone (1/10th per hour)$ - 0
12List any other fees that could apply toward property damage claims. Offeror may add additional lines.$ - 0
Category #3: Time and Expense Adjustment ScheduleCost per Hour
1Property/Casualty$ - 0
2General/Large Loss Adjuster$ - 0
3Construction Defect$ - 0
4Heavy Equipment/Cargo$ - 0
5Medical Malpractice$ - 0
6Origin and Cause Investigations$ - 0
7Origin and Cause Litigated File Consult$ - 0
8Mediation/Legal Assistance$ - 0
9Nurse Case Management$ - 0
10Claims Assistant$ - 0
11List any other fees that could apply toward property damage claims. Offeror may add additional lines.$ - 0
Blended Hourly Rate for Category #3: Points for Category #3 determined by this amount.$ - 0
Category #4: Office Expenses, Mileage, and Evidence RetentionCost
1Hourly Rate for Clerical Services$ - 0
2File Set Up (Does not apply to automobile appraisals)$ - 0
3Cost per long distance telephone (1/10th per hour)$ - 0
4Telephone Base (Does not apply to automobile appraisals)$ - 0
5Photocopies (per page over 25 pages)$ - 0
6Postage ($0.50 base plus cost)$ - 0
7Cost per Photograph (not to exceed $20.00)$ - 0
8Base Travel$ - 0
9Over 20 miles, per mile$ - 0
10Travel Time - Per Google Maps$ - 0
11Evidence Retention per month - Small Storage$ - 0
12Evidence Retention per month - All Other Storage$ - 0
13List any other fees that could apply toward property damage claims. Offeror may add additional lines.$ - 0
Total Cost for Category #4: Points for Category #4 determined by this amount.$ - 0

File details come from the government source that posted it. Updated .