5-FORM B – PRICING AND SERVICE AFFIRMATION.pdf
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- Attached to
- Manor ISD - 2026 Medical RFP
- Solicitation number
- 26-010RFP – RE-ISSUED
- Issued by
- Travis County, Texas
About this file
This is a Pricing and Service Affirmation form (Form B) submitted by a proposer to Manor Independent School District (MISD) in response to an RFP for Self-Funded Medical and Prescription Drug Plans, Fully Insured Medical and Prescription Drug Plans, and Stop Loss Products. The form requires proposers to confirm their understanding of the District's specifications and requirements, commit to providing the products and services as outlined in the RFP, and certify that all pricing and promotional offers represent their final proposal. The District notes that it makes no guarantee regarding the volume, amount, or type of products or services that may be purchased under any resulting agreement.
Proposers must submit all-inclusive pricing with no separate or additional charges, fees, handling costs, or incidental expenses beyond those disclosed in the proposal. The standard payment terms are net 30 days from invoice receipt, and proposers must indicate any prompt payment discount they are willing to provide. The form requires a corporate officer's signature, printed name, title, and date of submission. All proposals must be submitted electronically through Euna only, with no hard copies accepted, addressed to Chrissie Bryant, Purchasing Coordinator, at Manor Independent School District. The District has rejected all prior proposals on this re-issued solicitation and is re-soliciting to ensure best value and adequate competition.
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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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