260220_Attachment_E_-_Deviations-Exceptions-FINAL.pdf

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Attached to
SPECIFIC STOP LOSS INSURANCE
Solicitation number
260220
Issued by
Pima County, Arizona

About this file

This is an Attachment E deviations/exceptions form for Proposal No. 260220 issued by the City of Tucson's Business Services Department, Shared Services Procurement Division, under the management of Procurement Manager Troy Tombough, CPPB. The form is designed for offerors to clearly document and explain any deviations or exceptions from the requested services, contract terms, or insurance language specified in the Request for Proposal (RFP) for specific stop loss insurance coverage. The City seeks stop loss insurance for its 4,508 covered employees and retirees, effective July 1, 2026, with plan paid medical and prescription drug claims totaling approximately $43.5 million over the most recent 12-month period. The requested coverage will include both medical and prescription drug benefits, with Blue Cross Blue Shield of Arizona serving as the medical TPA/network provider and OptumRx as the PBM partner.

Offerors submitting proposals are required to provide explicit explanations of any deviations from the RFP specifications, terms, and conditions in the designated format, referencing the specific RFP page number or question number and providing a detailed explanation of each proposed deviation. Failure to complete this form or indicate deviations will result in the assumption that the proposal matches all specifications, terms, and conditions exactly, regardless of any contradictory language included elsewhere in the proposal submission. The form instructs offerors to mark "N/A" if no deviations exist and to use additional pages as necessary to fully document all proposed variations from the requested scope.

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Text version

CITY OF TUCSON PROPOSAL NO.260220

BUSINESS SERVICES DEPARTMENT Page 1 of 1

SHARED SERVICES PROCUREMENT DIVISION PROCUREMENT MANAGER: TROY TOMBOUGH, CPPB

255 W. ALAMEDA, 6TH FLOOR, TUCSON, AZ 85701 EMAIL: Troy.Rombough@tucsonaz.gov

ATTACHMENT E

DEVIATIONS/EXCEPTIONS

Directions: Indicate all areas where your proposal may differ from the requested services or contract and insurance language. Do not refer the reader to “see proposal” or include your standard contract and expect the City to determine where differences exist. The City needs to thoroughly understand any differences you are proposing. If you do not have any deviations please mark N/A. If nothing is indicated on this form, then it will be assumed your proposal matches the specifications, terms and conditions exactly even if you include material that states differently. Use additional pages as necessary.

Offeror Company Name:

Authorized Signature:

Date:

Deviations/Exceptions

Reference in RFP

(Page #/Question #) Explanation of Deviation mailto:Troy.Rombough@tucsonaz.gov

File details come from the government source that posted it. Updated .