26-HR09 RFP Form G.PDF
PDF 135 KB Posted
- Attached to
- HEALTH INSURANCE AND BENEFIT BROKER
- Solicitation number
- 26-HR09
- Issued by
- Dane County, Wisconsin
About this file
This is a Sustainability Questionnaire (Form G) for a health insurance and benefits broker solicitation (RFP #26-HR09) issued by the City of Wisconsin for the 2027-2029 contract period. The form must be completed and submitted as part of the proposal response. The questionnaire evaluates proposers across three sustainability categories: emissions and resource consumption reduction related to the product or service provided, including electricity, fuel, water, materials, and food waste (0-6 points); organizational commitment to sustainability through initiatives such as purchasing policies, employee engagement programs, greenhouse gas reduction targets, hazardous substance reduction, and community impact (0-2 points); and industry best practice or sustainability-related certifications including GRI, LEED, SASP, ENERGY STAR, ISO series, and environmental conservation recognition associated with staff, facilities, or the organization (0-2 points).
Proposers may expand responses beyond the form space provided by using the same table formats and attaching additional pages with proper cross-references to corresponding form sections. The scoring framework indicates that evaluation is influenced by the relative impact of resource consumption to the service being provided, overall positive community impact, and the pursuit, progress toward, and quantity of relevant certifications and sustainability recognition. This sustainability questionnaire represents a significant evaluation component of the overall proposal for the health insurance and benefits broker services contract.
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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 RFP Form F.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 | ||
| Census Data.xlsx | XLSX spreadsheet |
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Text version
This form must be returned with your response.
Complete the Questionnaire in the form set out below. Should more space be required, the proposer may use the same table formats and attach separately to the Proposal Form ensuring that such additional pages correctly reference each corresponding section of this form.
1. Please describe how your company strives to reduce emissions and/or resource consumption associated with your product/service. This could include but isn’t limited to: electricity, fuel, water, materials, food waste; responses should be framed by the impact of the resource relative to the product/service being provided. (0-6 points).
2. Please describe your companies’ commitment to sustainability through initiatives or stated goals.
These could include but are not limited to: purchasing policies, employee engagement programs, setting an organizational GHG-reduction target, hazardous substance/chemical reduction, continuous improvement processes, and improved experiences for employees, communities, and customers. This category considers impacts both internal and external to your organization. Scoring is influenced by overall positive impact to the community (0-2 points).
Form G: Sustainability Questionnaire
RFP #: 26-HR09
3. Please list all industry best practice or sustainability-related certifications. These could include but are not limited to: GRI, LEED, SASP, ISSP, ENERGY STAR, EMS, SA8000, environmental conservation recognition, ISO series, JUST label, and could be associated with staff, facilities, or the organization itself. Scoring is influenced by pursuit of, progress to, and quantity of certifications and recognition (0- 2 points).
File details come from the government source that posted it. Updated .