EXHIBIT 5 - PROPOSAL LETTER.pdf

PDF 103 KB Posted

Attached to
Third Party Administrator (TPA) Conflict Claims. Amendment 1 added. update 8/27
Solicitation number
PS143950
Issued by
California

About this file

This is a proposal letter for a Third Party Administrator (TPA) position serving the Metro agency in California to handle conflict claims administration. The proposal outlines the TPA's responsibility to deliver comprehensive administrative, operational, and compliance-related services in accordance with applicable laws, regulatory requirements, industry standards, and agreed-upon performance metrics. The selected vendor will manage defined services related to conflict claims processing and administration on behalf of Metro, with service delivery requirements aligned to established performance benchmarks and regulatory obligations.

The letter establishes the framework for the TPA engagement, emphasizing adherence to applicable legal and regulatory standards within the conflict claims management domain. The proposal documentation indicates that Amendment 1 has been added to the original contract opportunity, reflecting updates made as of August 27. The engagement requires the selected administrator to operate within Metro's compliance requirements while maintaining industry-standard operational practices for claims administration services.

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EXHIBIT 2A - SCHEDULE OF QUANTITIES AND PRICES.xlsx XLSX spreadsheet
EXHIBIT G - APPROVED SUBCONTRACTORS AND SUPPLIERS.pdf PDF
FORM 3 - SBE BUSINESS DATA SHEET.pdf PDF
EXHIBIT E-2 - PAYMENT CERTIFICATION (FINAL).pdf PDF
EXHIBIT 8 - ETHICS DECLARATION.pdf PDF
EXHIBIT A - SCOPE OF SERVICES.pdf PDF
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EXHIBIT C - WORK-COMPLETION_DELIVERABLE SCHEDULE (RESERVED).pdf PDF
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EXHIBIT G - APPROVED SUBCONTRACTORS AND SUPPLIERS (RESERVED).pdf PDF
EXHIBIT F - RELEASE OF CLAIMS.pdf PDF
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EXHIBIT 5 - PROPOSAL LETTER

HONORABLE CHAIRMAN AND MEMBERS OF THE BOARD

LOS ANGELES COUNTY METROPOLITAN TRANSPORTATION AUTHORITY

ONE GATEWAY PLAZA

LOS ANGELES, CA 90012-2952

SUBJECT: REQUEST FOR PROPOSAL NO.

In response to the above referenced Request for Proposals (RFP) and in accordance with the accompanying Instructions to Proposers and Submittal Requirements, the undersigned hereby offers to perform and complete the Scope of Services as required in the Contract Documents.

If recommended for contract award, the undersigned will provide to LACMTA all required Certificates of Insurance.

The Proposal submitted in response to subject RFP shall be in effect for

____ days after the Proposal due date.

Further, the undersigned agrees to execute the LACMTA prepared Contract within ten (10) calendar days after receipt of Notice of Award and provide to LACMTA all required Certificates of Insurance. The Proposer represents that the following person(s) are authorized to negotiate on its behalf with LACMTA in connection with this RFP and will provide appropriate evidence of authorization upon request:

Printed Name Title Phone

Printed Name Title Phone

Printed Name Title Phone

In addition to the formal certifications provided, the Proposer certifies that it has:

A. Examined and is fully familiar with all of the provisions of the RFP Documents and any exhibits and amendments thereto;

B. Satisfied itself as to the requirements of the Contract;

C. Carefully reviewed the accuracy of all statements made in this Proposal;

D. Examined the experience, skill and certification (if any) requirements specified in the Statement of Services and certifies that the entities (Contractor, Subcontractor, Supplier) performing the work fulfill the specified requirements;

E. Satisfied itself with respect to other matters pertaining to the RFP that in any way affect the performance of the Services; and

F. Unless otherwise noted within this letter, the Proposal has been submitted without exception and all of the terms and conditions of the LACMTA Contract Documents are acceptable to the Proposer. Noted exceptions will be evaluated for responsiveness and significance, and LACMTA may initiate discussions with the selected firm to clarify or resolve such exceptions.

It is understood that if it is not in the best interests of LACMTA to accept proposed exceptions, notice will be provided to the Proposer to accept the Terms and Conditions as stated in the RFP, or be eliminated for further consideration.

Exceptions (if any) - Use additional sheets if necessary:

Therefore, the undersigned hereby agrees that LACMTA will not be responsible for any errors and/or omissions in the Proposal.

The undersigned acknowledges receipt, understanding and full consideration of the following amendment(s) to the RFP Documents:

Amendment No(s):

The Proposer further certifies that:

A. The only persons, firms, corporations, joint ventures/partnerships, and/or other parties interested in the Proposal as principals are those listed as such in the Proposal Forms;

B. The Proposal is made without collusion with any other person, firm, corporation, joint venture/partnership, and/or other party;

C. Joint ventures/partnerships are to provide a signed copy of their agreement with their Proposal; and

D. Our firm is identifying itself as a MSZ-I or MSZ-II, as defined by Metro program guidelines, as stated in the Letter of Invitation Supplement, Section B, “Medium-Size Business Enterprise Program.

1. MSZ-I

2. MSZ-II

3. No

Proposer’s Name:

Business Address:

Contractor's License No.:

License Expiration Date:

Classification Type:

If the Work/Services require DIR Registration, per California Labor Code §1725.5, complete below:

a. DIR Registration No.:

b. DIR Registration Date:

Phone:

Fax:

E-mail address:

Signature of Authorized Representative

Type or Print Name

Title

Date

A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.

ACKNOWLEDGMENT

State of California

County of

On before me, (insert name and title of the officer) personally appeared , who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.

I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.

WITNESS my hand and official seal.

Signature (Seal)

REQUEST FOR PROPOSAL NO 1:
REQUEST FOR PROPOSAL NO 2:
days after the:
Printed Name:
Title:
Phone:
Printed Name_2:
Title_2:
Phone_2:
Printed Name_3:
Title_3:
Phone_3:
Exceptions if any Use additional sheets if necessary:
1:
2:
3:
4:
5:
6:
7:
8:
1_2:
2_2:
MSZI: Off
MSZII: Off
No: Off
Proposers Name:
Business Address 1:
Business Address 2:
undefined:
s License No:
License Expiration Date:
Classification Type:
a DIR Registration No:
b DIR Registration Date:
Phone_4:
Fax:
Email address:
Type or Print Name:
Title_4:
Date:
County of:
On:
before me:
personally appeared:

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