2-RFP 22-033 Business Insurance Broker Services - EXHIBIT 13 - Price Proposal Form.xlsx
XLSX spreadsheet 14 KB Posted
- Attached to
- Business Insurance Broker Services
- Solicitation number
- S-KS2410-00004698
- Issued by
- Marion County, Oregon
About this file
This document is the Price Proposal Form for RFP #22-033 for Business Insurance Broker Services issued by the Salem Area Mass Transit District (SAMTD) in Oregon. The RFP seeks proposals for business insurance broker services with an initial 3-year base term and four 1-year option years, covering the period from January 1, 2023, through December 31, 2029. The Price Proposal Form requires bidders to provide their proposed unit and total costs for the base term and option years.
The pricing in the form must include all wages, supplies, profit, and overhead. Bidders must complete the form and submit it in a sealed envelope marked "RFP 22-033 Business Insurance Broker Services." The solicitation involves the jurisdictions of Marion County and the City of Salem, Oregon.
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Sheet1
| EXHIBIT 13 |
| RFP #22-033 - BUSINESS INSURANCE BROKER SERVICES |
| PRICE PROPOSAL FORM |
| Instructions: Please complete this form to provide your proposed price for the criteria listed in the specification attachment to this solicitation, in a sealed envelope marked "RFP 22-033 Business Insurance Broker Services". |
| Note: Please add additional lines to the Proposal Form as needed. |
| **ALL PRICING MUST INCLUDE ALL WAGES, SUPPLIES, PROFIT AND OVERHEAD** | ||||
| BASE TERM | ||||
| Description | Unit | Quantity | Unit Cost | Total Cost |
| Business Insurance Broker Services:01/01/2023 - 12/31/2023 (Year 1) | Year | 1 | $ - 0 | |
| Business Insurance Broker Services:01/01/2024 - 12/31/2024 (Year 2) | Year | 1 | $ - 0 | |
| Business Insurance Broker Services:01/01/2025 - 12/31/2025 (Year 3) | Year | 1 | $ - 0 | |
| Total Cost to SAMTD For Base Term….. | $ - 0 |
| OPTION YEARS 1-4 | ||||
| Description | Unit | Quantity | Unit Cost | Total Cost |
| Business Insurance Broker Services:01/01/2026 - 12/31/2026 (Year 4) | Year | 1 | $ - 0 | |
| Business Insurance Broker Services:01/01/2027 - 12/31/2027 (Year 5) | Year | 1 | $ - 0 | |
| Business Insurance Broker Services:01/01/2028 - 12/31/2028 (Year 6) | Year | 1 | $ - 0 | |
| Business Insurance Broker Services:01/01/2029 - 12/31/2029 (Year 7) | Year | 1 | $ - 0 |
Total Cost to SAMTD for Option years 1-4 ….. $ - 0
| Total Cost to SAMTD For 7 years….. | $ - 0 | |
| Proposer understands and agrees that, by his/her signature, if awarded the contract for the project, he/she is entering into a contract with SAMTD that incorporates the terms and conditions of the entire Request For Proposal package. | ||
| The person signing this Proposal Pricing Exhibit in response to the RFP certifies that he/she is authorized by the Proposer to sign on the Proposer's behalf, and that the Proposer shall be bound contractually by that signature. |
The documents enclosed with this proposal shall be made a part of the contract if the contract is awarded to this proposer. This proposal is made without connection with any other person, firm, or corporation making a proposal for the same contract, and is in all respects fair and without collusion or fraud.
Contractor Name Fed. ID No.
Signature of Authorized Representative Date
Printed Name
Title / Position
&"Arial,Regular"&9SALEM AREA MASS TRANSIT DISTRICT (SAMTD) Business Insurance Broker Services &"Arial,Regular"&9RFP# 22-033
Page &P of &N
File details come from the government source that posted it. Updated .