Attachment_3_-_Acceptance_of_Short_Form_Agreement_Terms.docx
DOCX document 25 KB Posted
- Solicitation number
- 0000036101
- Issued by
- San Bernardino County, San Bernardino City, California
About this file
This document is an Attachment 3 for a Request for Proposal (RFP) related to Flexible Spending Accounts, COBRA, and Retiree Billing, with the RFP number 25-04. The attachment is a standard form requiring bidders to indicate their acceptance of the Court's Services-Short Form Agreement Terms by checking a box and providing an authorized signature. The document provides space for the company name, authorized signature, printed name and title of the signing individual, and the date of signing.
The attachment appears to be a formal acknowledgment and agreement form that potential vendors must complete as part of their proposal submission. While the document does not provide specific details about pricing, service requirements, or contract scope, it represents a critical procedural step in the procurement process, requiring bidders to formally accept the predetermined agreement terms before being considered for the contract opportunity.
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| Exhibit_C1_-_P_A_FSA_Brochure.pdf | ||
| Attachment_5_-_Good_Standing_Form.docx | DOCX document | |
| Attachment_7B_-_DVBE_Declaration.docx | DOCX document | |
| Attachment_1_-_Administrative_Rules.docx | DOCX document | |
| Exhibit_E_-_2025_Benefit_Fair_Locations.xlsx | XLSX spreadsheet | |
| Exhibit_C2_-_P_A_Agreement.pdf | ||
| Exhibit_A_-USIMarketingLetterRFP25-04FSACOBRARetireeBill.pdf | ||
| Attachment_2_-_Services_-_Short_Form_Agreement_Terms.docx | DOCX document | |
| Attachment_4_-_General_Certifications_Form.docx | DOCX document | |
| Exhibit_B_-_Payment_Provisions.docx | DOCX document | |
| RFP_25-04_Flexible_Spending_Accounts_COBRA_Retiree_Billing.docx | DOCX document | |
| Exhibit_C3_-_P_A_Flexible_Benefits_Plan_Summary.pdf | ||
| Attachment_6_-_Darfur_Contracting_Act_Certification.docx | DOCX document | |
| Attachment_7A_-_Bidder_Declaration.docx | DOCX document | |
| Exhibit_D_-_FSA_RFP_25-04_Matrix_-_MUST_COMPLETE.xls | XLS spreadsheet |
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Text version
RFP Title: Flexible Spending Accounts COBRA Retiree Billing RFP Number: 25-04
ATTACHMENT 3
ACCEPTANCE OF SHORT FORM AGREEMENT TERMS
Please check box and sign:
| Bidder accepts Court’s standard Services-Short Form Agreement Terms |
| (“Attachment 2”). |
COMPANY NAME
BY (Authorized Signature)
PRINTED NAME AND TITLE OF PERSON SIGNING
DATE SIGNED
File details come from the government source that posted it. Updated .