26-HR09 RFP Form F.PDF
PDF 159 KB Posted
- Attached to
- HEALTH INSURANCE AND BENEFIT BROKER
- Solicitation number
- 26-HR09
- Issued by
- Dane County, Wisconsin
About this file
This is a Fee Proposal Form (Form F) for RFP #26-HR09 issued by a Wisconsin city seeking a health insurance and benefits broker for the 2027-2029 contract period. The form requires vendors to submit an all-inclusive fee proposal that covers all direct and indirect necessary expenses for each section of work, with the understanding that project deliverables, all required meetings with City Council and related committees, boards, and commissions, and costs incurred by contractors and subcontractors are incorporated into the base fees. The RFP anticipates a contract term of three years (2027-2029) for health insurance and benefits brokerage services.
The Fee Proposal Form requires vendors to indicate their payment method preferences, specifically confirming acceptance of credit card payments without additional fees and Electronic Funds Transfer (EFT) payments, as well as willingness to allow piggybacking of the contract to other government agencies. Vendors must also provide hourly rates for all staff positions (such as Engineer Technician and Project Engineer) and applicable overhead rates that may be designated for additional services authorized in writing by the City's designated representative. All proposals must be signed by a person legally authorized to bind the company and must include the legal company name, signature, date, and printed name of the authorized signatory, with the proposer attesting to conformity with all RFP terms, conditions, and specifications.
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Other files
| File | Type | Posted |
|---|---|---|
| 26-HR09 RFP Form B.PDF | ||
| City of Sun Prairie 2026 Renewal Folder.pdf | ||
| 26-HR09 RFP Form D.PDF | ||
| 26-HR09 RFP.PDF | ||
| 26-HR09 Draft Contract.PDF | ||
| 26-HR09 Appendix A.PDF | ||
| 26-HR09 RFP Form E.PDF | ||
| 26-HR09 RFP Form C.PDF | ||
| 26-HR09 QA FORM.PDF | ||
| City of Sun Prairie 2025 Renewal Folder.pdf | ||
| 26-HR09 RFP Form A.PDF | ||
| 26-HR09 RFP Form G.PDF | ||
| Census Data.xlsx | XLSX spreadsheet |
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Text version
This form must be returned with your response.
Prepare the Fee Proposal to include the following:
1. All Inclusive – Covers all direct and indirect necessary expenses for each section.
2. Will Vendor accept credit card for payment with no additional fees?
________ Yes _______ No
3. Will Vendor accept payment via Electronic Funds Transfer (EFT)?
________ Yes _______ No
4. Will Vendor allow Piggybacking of this contract to other government agencies?
________ Yes _______ No
The above fees shall be compensation for all the services provided pursuant to this agreement. The cost for project deliverables shall be included as part of the costs above.
This fee includes all necessary meetings with the City Council and such Committees, Boards, and Commissions as required. All costs incurred by the contractors and all sub-contractors are included herein.
Any additional services over and above the services described in this agreement shall be provided only when authorized in writing by the City’s designated representative. For additional services, provide the hourly rate for all staff positions (ie – Engineer Technician, Project Engineer, etc.) that may be designated for this project and any overhead rates that would apply:
Form F: Fee Proposal
RFP #: 26-HR09
The undersigned, submitting this Proposal, herby agrees with all the terms, conditions, and specifications required by the City in this Request for Proposal, declares that the pricing is in conformity therewith, and attests to the truthfulness of all submissions in response to this solicitation.
Proposers shall provide the information requested below. Include the legal name of the Proposers and signature of the person(s) legally authorized to bind the Proposers to a contract.
COMPANY NAME
SIGNATURE DATE
PRINT NAME OF PERSON SIGNING
J:/Finance/RFP/Form F Fee Proposal.doc
File details come from the government source that posted it. Updated .