2-Proposal Form Signature Page.pdf
PDF 111 KB Posted
- Attached to
- Property Insurance
- Solicitation number
- 26-22RFP
- Issued by
- Collin County, Texas
About this file
This document is a Request for Proposals (RFP No. 26-22RFP) issued by the City of McKinney, Texas, for Medical/TPA, Pharmacy Benefit Management (PBM), Dental, Vision, and Employee Assistance Program (EAP) services. The RFP includes a proposal form signature page that allows potential vendors to submit their proposals for these comprehensive healthcare and wellness services. The document provides an opportunity for other governmental entities to potentially participate in the contract through a piggyback clause under Chapter 791 of the Texas Government Code.
The signature page requires vendors to affirm that they have not colluded with other offerors and have not been involved in any price-controlling agreements for the past six months. Vendors must complete the form with their company details, including entity name, address, contact information, and signature of an authorized representative. The document also includes space for acknowledging any addenda to the RFP and provides a mechanism for vendors to indicate their willingness to allow other governmental entities to use the same contract terms if awarded.
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Other files
| File | Type | Posted |
|---|---|---|
| 3-Statement of Values.xlsx | XLSX spreadsheet | |
| 4-26-22RFP Property Insurance.pdf | ||
| 1-Submission Forms.pdf |
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Text version
RFP No. 26-22RFP
Medical/TPA, PBM, Dental, Vision and EAP
PROPOSAL FORM SIGNATURE PAGE
As permitted under Chapter 791 of the Texas Government Code, other governmental entities may wish to participate under the same terms and conditions contained in this contract (i.e. piggyback).
In the event any other entity participates, all purchase orders will be issued directly from and shipped directly to the entity requiring supplies/services. The City of McKinney shall not be held responsible for any orders placed, deliveries made or payment for supplies/services ordered by another entity. Each entity reserves the right to determine their participation in this contract. Would offeror be willing to allow other governmental entities to piggyback off this contract, if awarded, under the same terms and conditions?
Yes No
The undersigned agrees, if the best and final proposal is accepted, to furnish any and all items upon which prices are offered, at the price and upon the terms and conditions contained in the Request for Proposals, General Conditions, Terms of Contract, and Specifications and all other items made a part of the accepted contract.
The undersigned affirms that they are duly authorized to execute the contract, that this company, corporation, firm, partnership or individual has not prepared this proposal in collusion with any other offeror, and that the contents of this proposal as to prices, terms or conditions of said proposal have not been communicated by the undersigned nor by any employee or agent to any other offeror or to any other person(s) engaged in this type of business prior to the official opening of this proposal. And further, that neither the offeror nor their employees nor agents have been for the past six (6) months directly nor indirectly concerned in any pool or agreement or combination to control the price of goods or services on, nor to influence any person to propose or not to propose thereon.
Offeror (Entity Name) Signature
Street & Mailing Address Print Name of Signator
City, State and Zip Title of Signator
Telephone No. Mobile No.
E-mail Address Date Signed
If not the same as above, indicate the city and state that your principal place of business is located:
Acknowledgment of Addenda (if any):
Addendum 1 Date Received Addendum 2 Date Received Addendum 3 Date Received
File details come from the government source that posted it. Updated .