4-Schedule A Certification of Proposal Form APSD (4).pdf

This is a Schedule A Certification of Proposal Form for the Aspen Peaks School District's Request for Statements of Qualifications (RFSQ) for Insurance Brokerage Services for Benefits Consulting. The Alpine School District's Department of Purchasing is the issuing procurement unit, while the Aspen Peaks School District's Human Resources Department is conducting the procurement. The District seeks an insurance brokerage firm to provide professional services including planning, developing, designing, consulting, negotiating, and monitoring employee benefit programs. The procurement is being conducted under Utah Procurement Code 63G-6a Part 15 for the purchase of Professional Service Providers and Consultants, with the vendor receiving the highest ranking selected to negotiate a contract at fair and reasonable compensation. If negotiations with the highest-ranked vendor cannot be completed, the District may proceed with negotiations with the next highest-ranked vendor.

The certification form requires respondents to confirm they have read and understand the RFSQ, possess adequate personnel and resources to fulfill requirements, are properly licensed to conduct business in Utah, and commit to submitting all schedules as part of a legally binding response. Respondents must certify that no contact, discussion, or negotiations have occurred with District contacts since receiving the RFSQ, and any such contact could result in disqualification. Notably, the RFSQ explicitly states that pricing should not be included in qualification submissions, as the compensation will be determined through negotiation with the selected vendor based on fair and reasonable criteria.