4-Attachment 7 - Respondent Information Sheet.pdf
PDF 205 KB Posted
- Solicitation number
- RFP-2026-004
- Issued by
- Milwaukee County, Mattoon Village, Wisconsin
About this file
This is a Respondent Information Sheet for Milwaukee County's Request for Proposal to provide Basic Life Insurance and Optional Life Insurance Program coverage and administrative services in Wisconsin. The RFP seeks qualified and experienced firms to deliver comprehensive insurance coverage and full administrative services for the County's life insurance programs. Milwaukee County intends to award a contract for an initial three-year term with renewal options available to the selected respondent. Willis Towers Watson Midwest, Inc. serves as the County's Broker of Record for this procurement.
The Respondent Information Sheet requires all proposing firms to submit completed documentation identifying the respondent company's legal name, address, phone number, and fax number. Respondents must designate three key individuals: a primary contact responsible for answering clarification questions regarding the proposal; the person who prepared the proposal; and the respondent's authorized representative empowered to make binding commitments on behalf of the firm. All designated individuals must provide their names, titles, email addresses, and phone numbers, with the authorized representative's section requiring a signature and date. This form ensures the County has clear points of contact and understands the decision-making authority within each proposing organization.
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Text version
ATTACHMENT 7
RESPONDENT INFORMATION SHEET
This form must be completed and submitted with the proposal. It is intended to provide the
County with information on the Respondent’s company name and address and the specific persons who were responsible for preparation of the vendor’s response. Each Respondent must also designate a specific contact person who will be responsible for responding to the County if any clarification of the vendor’s response should become necessary.
Respondent Company's Legal Name:
Company Address:
Phone Number: FAX:
Primary Contact for questions regarding the Proposal:
Name: __________________________________________________Title: _________________________
Email Address: _________________________________________________________________________
Phone Number: _________________________________________________________________________
Proposal Prepared By:
Name: __________________________________________________Title: _________________________
E-mail Address: ________________________________________________________________________
Phone Number: _____________________________________________________________________
Respondent’s authorized Representative:
The person identified shall be empowered to make binding commitments for the Respondent.
Name: __________________________________________________Title: _________________________
E-mail Address: ________________________________________________________________________
Phone Number: _____________________________________________________________________
Signature: Date:
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