2-Exhibit H - Cost Sheet.pdf

PDF 90 KB Posted

Attached to
Broker/ Commercial Insurance Coverages
Solicitation number
2026-088
Issued by
New Jersey

About this file

This is a Cost Sheet Exhibit for a Request for Proposals issued by the New Jersey Housing and Mortgage Finance Agency to procure broker and commercial insurance coverage services. The Agency seeks a qualified insurance broker to secure comprehensive insurance coverages and provide related brokerage services through insurance companies authorized to conduct business in New Jersey with a minimum Financial Strength Rating of A- and Financial Size Category of VIII per A.M. Best Company. The RFP document establishes that upon acceptance of a responsive submission by the Agency, the proposal and submission shall constitute a binding contract for the services requested for the term specified in the RFP, with potential renewal options as indicated.

Bidders must submit an annual flat fee for services on this cost sheet form and confirm whether the existing facilities are acceptable as-is without mandatory requirements. The Agency encourages cash discounts for expedited payment, though such discounts will not be factored into the lowest bid determination. Bidders must sign and attest that they have read and understand all RFP terms, conditions, and specifications including all addenda, and agree to hold prices and meet all other contractual terms for the contract duration. Failure to accept the contract within the specified timeframe or failure to maintain pricing and performance standards may result in suspension or debarment from future Agency bidding.

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Text version

NEW JERSEY HOUSING AND MORTGAGE FINANCE AGENCY

REQUEST FOR PROPOSALS

FOR

BROKER/COMMERCIAL INSURANCE COVERAGES

COST SHEET

EXHIBIT H

Annual flat fee for services: $___________________________________ (amount in numbers)

(amount in words)

Please confirm that the facilities are acceptable “as is” and that there are no mandatory requirements.

YES _________ NO _________

CASH DISCOUNTS – Bidders are encouraged to offer cash discounts based on expedited payment by the

Agency. The Agency will make efforts to take advantage of discounts, but discounts will not be considered in determining the lowest bid.

__________discount (% or dollar amount), if paid within ____________days.

Signature of the Bidder attests that the Bidder has read, understands, and agrees to all terms, conditions, and specifications set forth in the Request for Proposals (RFP) including all addenda. Furthermore, signature by the

Bidder signifies that the RFP and the responsive submission constitutes a Contract immediately upon notice of acceptance of the submission by the New Jersey Housing and Mortgage Finance Agency for any and all of the services requested and for the length of time indicated in the Request for Proposals. Failure to accept the Contract within the time period indicated or failure to hold prices or to meet any other terms and conditions as defined in the Request for Proposals during the term of the Contract, shall constitute a breach and may result in suspension or debarment from further Agency bidding.

Name of Firm (Please print or type) Address

Phone Number Fax Number

Name (Please print or type) Title

Signature E-mail

Date

amount in numbers:
amount in words:
YES:
NO:
discount or dollar amount if paid within:
days:
Name of Firm:
Please print or type:
Address:
Phone Number:
Fax Number:
Name:
Please print or type_2:
Title:
Email:
Date:

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