7-Attachment D - RFP References Template.pdf

PDF 207 KB Posted

Attached to
2027 Stop Loss Insurance Policy
Solicitation number
RFP 200-27 MRH
Issued by
Orange County, Texas

About this file

This is a References Template attachment for the City of Amarillo's 2027 Stop Loss Insurance Policy RFP located in Texas. The document provides a standardized format for bidders to submit references demonstrating successful experience with similar projects. Bidders are required to provide three references from governmental agencies or regional districts, with each reference entry requesting the company name, street address, city, state, and ZIP code, along with the contact person's title, email address, and telephone number. Additionally, bidders must include a brief description of services provided and the date of service for each reference submitted.

The template does not contain specific pricing information, contract terms, renewal options, set-asides, or funding details. Rather, it serves as a submission requirement to verify that prospective vendors have demonstrated capability in providing comparable insurance services to public sector entities. The format is designed to facilitate verification of bidder qualifications and past performance through direct contact with reference agencies.

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Other files

File Type Posted
2-2. Stop Loss RFP for 2027 Scope of Work.pdf PDF
9-Attachment L - 2025 ACTIVE MEDICAL PLAN 1 BOOKLET.PDF PDF
20-Attachment R - CoA 2026 Stop Loss Policy.pdf PDF
10-01. RFP 200-27 MRH Notice to Bidders.pdf PDF
17-Attachment K - 2025 ACTIVE MEDICAL PLAN 2 SCHEDULE OF BENEFITS.PDF PDF
19-Attachment F - CoA MedRx Claims Experience 08-2026.pdf PDF
1-Attachment A - Respondent Information and Signature Page.pdf PDF
13-Attachment O - 2025 RETIREES MEDICAL PLAN 2 BOOKLET.PDF PDF
6-Attachment J - 2025 ACTIVE MEDICAL PLAN 1 SCHEDULE OF BENEFITS.PDF PDF
21-Attachment Q - CoA De-ID High-Cost Claimants 08-2026.pdf PDF
12-Attachment I - 2025 RETIREES SCHEDULE OF BENEFITS MEDICAL PLAN 2.PDF PDF
5-Attachment E - COA Medical Membership 09-24-2026.xlsx XLSX spreadsheet
15-Attachment M - 2025 ACTIVE MEDICAL PLAN 2 BOOKLET.PDF PDF
14-Attachment H - 2025 RETIREES SCHEDULE OF BENEFITS MEDICAL PLAN 1.PDF PDF
8-Attachment B - City of Amarillo Vendor Acknowledment Form.pdf PDF
4-Attachment S - Certificate of Insurance Requirements Sample.pdf PDF
11-08. Attachment C - CEP List Revised 10.03.2024 .pdf PDF
18-Attachment P - PRESCRIPTION BENEFIT COVERAGE 01.01.2026.pdf PDF
3-Attachment G - CoA Stop Loss Questionnaire 2027 Locked.xlsx XLSX spreadsheet
16-Attachment N - 2025 RETIREES MEDICAL PLAN 1 BOOKLET.PDF PDF
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REFERENCES

Provide references for similarly successful projects from three governmental agencies (or regional districts), including the name of the agency, address, contact name, telephone number and a brief description of services provided:

1.

COMPANY NAME

STREET ADDRESS CITY STATE ZIP

CONTACT PERSON TITLE

EMAIL TELEPHONE NUMBER

SERVICES PROVIDED DATE OF SERVICE

2.

3.

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