Attachment C- Subcontracting.pdf
PDF 77 KB Posted
- Attached to
- EMPLOYEE HEALTH, DENTAL, AND VISION BENEFITS
- Solicitation number
- S26-014
- Issued by
- Williamson County, Texas
About this file
This is a Subcontractor Information Form attachment from the City of Leander, Texas, for the procurement of fully insured Medical, Dental, and Vision Benefits from a single provider for the benefit period January 1, 2027 through December 31, 2027. The form requires respondents to indicate whether they intend to use subcontractors on the contract and, if so, to provide detailed information for each subcontractor including name, contact person, email address, physical address, telephone and fax numbers, description of work to be performed, and the percentage of contract work the subcontractor will perform. Proposals are due August 21, 2026 at 2:00 p.m. CST, with a question deadline of August 6, 2026. The contract term is twelve months from award with options for up to four one-year renewals.
Respondents must submit the completed Subcontractor Information Form with their proposal response. The form accommodates multiple subcontractors with space to add additional pages as needed. All subcontractors must be clearly identified with complete contact and scope information to ensure transparency regarding the proposed project team structure and work allocation. Vendors selected must be firms with experience providing these benefits to Texas municipalities and must maintain Professional E&O Liability insurance of at least $1,000,000. Proposals will be evaluated on cost (40 points), claims processing and management (40 points), integrated systems and technology (10 points), and employee systems and engagement (10 points).
View the file
Other files
Show all 17
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
ATTACHMENT C
SUBCONTRACTOR INFORMATION FORM
COMPLETE AND RETURN THIS FORM WITH THE SOLICITATION RESPONSE
SOLICITATION NUMBER:
RESPONDENT’S NAME: DATE:
CIRCLE ONE - NO, I WILL NOT USE SUBCONTRACTORS ON THIS CONTRACT NO
YES, I INTEND TO USE SUBCONTRACTORS ON THIS CONTRACT YES
If yes complete the information below
1. Subcontractor Name
Name of Contact
E-Mail Address
Address
City, State, Zip Code
Telephone Number Fax Number:
Describe work to be performed Percentage of contract work to be performed
2. Subcontractor Name
Name of Contact
Title of Contact
E-Mail Address
Address
City, State, Zip Code
Telephone Number Fax Number:
Describe work to be performed Percentage of contract work to be performed
Add additional pages as needed
| SOLICITATION NUMBER: |
| RESPONDENTS NAME: |
| DATE: |
| Subcontractor Name 1: |
| Subcontractor Name 2: |
| 1: |
| 2: |
| City State Zip Code: |
| undefined: |
| undefined_2: |
| Subcontractor Name 1_2: |
| Subcontractor Name 2_2: |
| Subcontractor Name 3: |
| Subcontractor Name 4: |
| Subcontractor Name 5: |
| City State Zip Code_2: |
| undefined_3: |
| Phone 1: |
| Fax 1: |
| Phone 2: |
| Fax 2: |
| %1: |
| %2: |
File details come from the government source that posted it. Updated .