7-RFQ 26-1-14601 Solicit Offer and Award Form.pdf
PDF 2 MB Posted
- Attached to
- Cafeteria Plan Administration Services
- Solicitation number
- 26-1-14601
- Issued by
- Madison County, Illinois
About this file
This is a Solicit Offer and Award Form for RFQ 26-1-14601 issued by the Agency for Community Transit in Illinois for cafeteria plan administration services. The Agency seeks qualified organizations to provide third-party administration and management of two employee flexible benefits plans designed to qualify as "Cafeteria Plans" under Section 125(d) of the Internal Revenue Code. The solicitation requests comprehensive administration services for both plans, including timely management and compliance with federal regulations. The specific response deadline, award date, contract term, and any renewal options are to be determined based on the submission requirements outlined in the formal RFQ documentation.
The pricing structure, set-aside provisions, incumbent contractor information, and detailed funding requirements and amounts are detailed within the RFQ document itself. Additional salient information regarding evaluation criteria, required qualifications of responding organizations, insurance and bonding requirements, and specific service level expectations would be specified in the complete solicitation package accompanying this form.
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Text version
SOLICITATION, OFFER AND AWARD FORM
SOLICITATION
1. Request for Quotes (RFQ) 2. Issued Date:
3. Bid Title and No.:
4. Submit Offer to: Instructions provided in Volume 2 "Bid Submittal Instructions”.
5. Bid Deadline: (please advise if additional time is needed to submit a bid):
6. Submit with Offer: Forms and documents listed in Volume 2 “Bid Submittal Instructions”.
7. Offers will not be publicly opened and read out loud.
8. Firm Offer Period: Offers submitted shall remain firm for a period of calendar days from the final due date for bids.
9. NOTE: “Offer” and “offeror” mean “bid” and “bidder”.
10. This solicitation and any resulting contract, respectively, consists of this Form, the Table of Contents volumes, sections, attachments, and exhibits listed on page 2, solicitation addenda (if any), and any contract modifications.
11. Deadline for questions and variance requests: At close of business day on
OFFER
(to be completed by Bidder)
12. Bidder/Contractor Name:
13. Mailing Address: 14. Telephone Number:
15. City - State - Zip 16. Fax Number:
17. Organization is: (check one)
Corporation Sole Proprietorship Partnership Quasi-Public Agency
Public Agency Joint Venture
LLC
Other, specify_______________
18. Bidder’s annual gross receipts:
Less than $500,000 $500,000 - $1,000,000 $1,000,000 – $2,000,000 $2,000,000 – $5,000,000 More than $5,000,000
19. Number of people employed on a regular basis:
20. Number of years in business
21. SAM.gov unique entity
ID
22. Dun and Bradstreet # (DUNS)
23. Is the bidder presently certified as a Disadvantaged Business Enterprise (DBE) by the Illinois Unified Certification Program (UCP) according to the type of work/services called for in this solicitation? YES NO
24. Bidder acknowledges receipt of the following addenda to the solicitation:
Addendum # and Date of Issue Addendum # and Date of Issue
25. The undersigned agrees, if this offer is accepted by the Agency for Community Transit, to furnish any or all items and provide the services upon which a price is offered, and to deliver the items, perform the services, and complete the work within the time specified.
26. Total Bid Price:
Do not enter price here. Use the Bid
Price Form (electronic bid table).
27. Reserved 28. Reserved 29. Reserved
30. E-Mail Address of Bid Contact Person:
31. Name of Authorized Signer: (Type or print) 32. Title:
33. Signature of Authorized Representative: 34. Date:
AWARD
(to be completed by Agency for Community Transit)
35. Accepted as to:
36. By: Steven J. Morrison, Executive Director 37. Date
Agency for Community Transit Cafeteria Plan Administration 26-1-14601
TABLE OF CONTENTS
Solicitation Offer and Award Form (2 Pages) Volume 1 Instructions to Bidders (5 Pages) Volume 2 Bid Submittal Instructions (2 Pages)
Volume 3 Special Provisions (1 Pages)
Volume 4 State of Illinois Provisions (6 Pages)
Volume 5 General Terms and Conditions (4 Pages)
Volume 6 Scope of Work (3 Pages)
Volume 7 Bid Submittal Forms (___ Pages)
Attachment A - Bidder’s Technical Response
TABLE OF CONTENTS
| 1 Bid Title: Cafeteria Plan Administration Services No. 26-1-14601 |
| 3 Issue Date: June 30, 2026 |
| 4 Bid Deadline: July 21, 2026, 11 AM Central Time |
| 11 Deadline for questions and variance requests At close of business day on: July 9, 2026, 5 PM Central Time |
| 30 EMail Address of Bid Contact Person: |
| 35 Accepted as to: |
| 36 By Steven J Morrison Executive Director: |
| 37 Date: |
| 8 Bid Validity: 90 |
| 6 BidderContractor Name: |
| 7 Mailing Address: |
| 8 Telephone Number: |
| 9 City State Zip: |
| 10 Fax Number: |
| 13 Number of people employed on a regular basis: |
| 14 Number of years in business: |
| 15 SAMgov unique entity ID: |
| 16 Dun and Bradstreet DUNS: |
| Addendum and Date of Issue18 Bidder acknowledges receipt of the following addenda to the solicitation: |
| Addendum and Date of Issue18 Bidder acknowledges receipt of the following addenda to the solicitation_2: |
| Addendum and Date of Issue18 Bidder acknowledges receipt of the following addenda to the solicitation_3: |
| Addendum and Date of Issue18 Bidder acknowledges receipt of the following addenda to the solicitation_4: |
| Addendum and Date of Issue18 Bidder acknowledges receipt of the following addenda to the solicitation_5: |
| Addendum and Date of Issue18 Bidder acknowledges receipt of the following addenda to the solicitation_6: |
| Other specify: |
| Check Box11-5: Off |
| Check Box11-6: Off |
| Check Box11-7: Off |
| Check Box11-8: Off |
| Check Box12-1: Off |
| Check Box12-2: Off |
| Check Box12-3: Off |
| Check Box12-4: Off |
| Check Box12-5: Off |
| Check Box17-1: Off |
| Check Box17-2: Off |
| Check Box11-1: Off |
| Check Box11-2: Off |
| Check Box11-3: Off |
| Check Box11-4: Off |
| 22 Name of authorized signer Type or print: |
| 23 Title: |
| 25 Date: |
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