3-02 - Conflict of Interest Questionnaire.pdf

PDF 167 KB Posted

Attached to
RFP 2026-015 Dental & Vision Insurance Benefits
Solicitation number
RFP 2026-015
Issued by
Johnson County, Texas

About this file

This is a Conflict of Interest Questionnaire form (Appendix D) associated with RFP 2026-015 for Dental & Vision Insurance Benefits procurement in Texas. The document serves as a formal notification mechanism for firms that have elected not to submit a proposal for this insurance benefits opportunity. The questionnaire is designed to be completed and submitted by organizations choosing to decline participation in the procurement process. The procurement covers dental and vision insurance coverage for all eligible full-time employees, retirees, and their dependents.

No additional pricing, set-aside information, incumbent details, contract terms, renewal options, funding sources, or other salient procurement conditions are specified within this particular form document. The questionnaire functions primarily as an administrative notification tool rather than as a substantive project description or terms document.

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6-D6 - City of Burleson 906435 - ODSCR-02B - Dental Experience ASO - Service CurMo thru 2025-12.pdf PDF
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23-V5 - City of Burleson 906435 - OVMCR-20B - Vision Membership by Tier Product - Membership 36Mo thru 2025-11.xlsx XLSX spreadsheet
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10-D10 - City of Burleson 906435 - ODSCR-01A - Dental Dashboard - Service 24Mo thru 2025-11.xlsx XLSX spreadsheet
7-D7 - City of Burleson 906435 - ODSCR-08B - Dental Membership by Tier Product - Membership 36Mo thru 2025-11.xlsx XLSX spreadsheet
11-D5 - City of Burleson 906435 - ODSCR-02B - Dental Experience ASO - Service 36Mo thru 2025-11.xlsx XLSX spreadsheet
19-V4 - City of Burleson 906435 - OVMCR-20A - Vision Membership by Tier - Membership YTD thru 2025-12.pdf PDF
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Text version

Appendix D – No Intent to Submit Form

If your firm has chosen not to submit a proposal for this procurement, please complete this form and submit to:

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