5-FORM B – PRICING AND SERVICE AFFIRMATION.pdf
PDF 155 KB Posted
- Attached to
- Manor ISD - 2026 Medical RFP
- Solicitation number
- 26-008RFP
- Issued by
- Travis County, Texas
About this file
Form B is a Pricing and Service Affirmation document for Manor Independent School District's 2026 Medical RFP, which solicits proposals for Self-Funded Medical and Prescription Drug Plans, Fully Insured Medical and Prescription Drug Plans, and Stop Loss Products. The RFP allows MISD to award portions of work to different vendors, to a single vendor, or to make no award. All responses must be uploaded to Euna with no hard copies accepted and should be addressed to Chrissie Bryant, Purchasing Coordinator, at Manor Independent School District in Manor, Texas. The document references a separate Price Sheet (Form C) for detailed pricing information and requires proposers to certify that all specifications, requirements, and attachments have been carefully examined.
The pricing terms require proposers to quote final prices with no separate or additional charges, fees, handling, or incidental costs beyond those disclosed. MISD's standard payment terms are net 30 days from invoice receipt, and proposers must indicate any prompt payment discount they will provide. Proposers must certify that all quoted prices and promotions or rebates represent their final proposed offering for the initial RFP response and agree to all General Terms and Conditions outlined in the RFP. MISD makes no guarantee regarding the volume, amount, or type of products or services that may be purchased under any resulting agreement.
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Text version
FORM B – PRICING AND SERVICE AFFIRMATION
To: Manor Independent School District
RFP Number:
RFP Name:
Proposal of:
(Proposer Company Name)
Proposer will provide the product/services to the Manor Independent School District (“MISD”) and possibly other governmental agencies (through Interlocal-agreements). Additionally, the focus is on identifying all costs associated with the product/ services. NISD is looking to quantify all fees and work towards solutions that minimize costs, while maintaining or improving current service levels. Please see Price Sheet (Form C) to this RFP.
Having carefully examined all the specifications and requirements of this RFP and any attachments thereto, the undersigned proposes to furnish the products/services required pursuant to the above referenced RFP upon the terms quoted below.
1. Price and Products/Services Quotation: The prices quoted shall be NISD’s pricing for the product or service. There shall be no separate or additional charges, fees, handling or other incidental costs associated in the acquisition of the product/services not disclosed herein. Proposer understands that MISD makes no guarantee as to the volume, amount or type of product/services that may be purchased under any Agreement. Proposer certifies and agrees that all prices and any promotion or rebates quoted in the proposal have been reviewed and are the final proposed price and product/service offering for this initial RFP response.
2. NISD Payment Terms: MISD’s standard payment terms for services are “net 30 days” from receipt of the invoice. Indicate below the prompt payment discount that Proposer will provide to NISD:
3. General Terms and Conditions: Proposer agrees to the General Terms and Conditions and all other Terms and Conditions of this
RFP.
Prompt Payment Discount _____% ______days / net 30 days.
Respectfully submitted:
Company Name: __________________________________ By: _____________________________________________
(Corporate Officer’s Signature) Printed Name: ___________________________________ Title: ___________________________________________ Date: ___________________________________________
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