2-Attachment A- Reference Sheet 2025.pdf
PDF 112 KB Posted
- Attached to
- EMPLOYEE HEALTH, DENTAL, AND VISION BENEFITS
- Solicitation number
- S26-014
- Issued by
- Williamson County, Texas
About this file
This document is an Attachment A Reference Sheet form for the City of Leander, Texas, soliciting proposals for employee health, dental, and vision benefits. The City is requesting fully insured Medical, Dental, and Vision Plans from a single provider for the benefit period January 1, 2027 through December 31, 2027. The City explicitly states it is not requesting the services of a Consultant/Agent/Broker, and notes that HUB International serves as the City's consultant/agent of record. Proposals are due by Friday, August 19, 2026 at 2:00 p.m. CST, with proposal documents available through the City of Leander's Bonfire website at https://leandertx.bonfirehub.com/projects.
Respondents must complete and submit the Reference Sheet with their solicitation response, providing the name, address, telephone number, and email of at least three valid municipal or government agencies or firms of comparable size that have utilized similar services within the last three years. References from the City of Leander are not applicable. The City reserves the right to check references prior to award, and failure to provide the required reference information or confirmation of references, as well as any negative reference responses, may result in automatic disqualification of the submittal from consideration for award.
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Text version
ATTACHMENT A
REFERENCE SHEET
PLEASE COMPLETE AND RETURN THIS FORM WITH THE SOLICITATION RESPONSE
SOLICITATION NUMBER:
RESPONDENT’S NAME: DATE:
Provide the name, address, telephone number and E-MAIL of at least three (3) valid Municipal, Government agencies or firms of comparable size that have utilized services that are similar in type and capacity within the last three (3) years. City of Leander references are not applicable. References may be checked prior to award. If references cannot be confirmed or if any negative responses are received it may result in the disqualification of submittal.
1. Company’s Name
Name of Contact
Title of Contact
E-Mail Address
Present Address
City, State, Zip Code
Telephone Number Fax Number:
2. Company’s Name
Name of Contact
Title of Contact
E-Mail Address
Present Address
City, State, Zip Code
Telephone Number Fax Number:
3. Company’s Name
Name of Contact
Title of Contact
E-Mail Address
Present Address
City, State, Zip Code
Telephone Number Fax Number:
FAILURE TO PROVIDE THE REQUIRED INFORMATION WITH THE SOLICITATION RESPONSE MAY
AUTOMATICALLY DISQUALIFY THE RESPONSE FROM CONSIDERATION FOR AWARD.
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