PRIME-SUB_FORM_for_Contractors_rev._01.15.2025_(lock_before_publishing).xls

XLS spreadsheet 38 KB Posted

Attached to
Benefit Administrative Services
Solicitation number
26-P-66TF
Issued by
Volusia County, Florida

About this file

This is a Prime/Subcontractor Form for the County of Volusia, Florida's Request for Proposals (RFP) for benefit administrative services under Contract No. C-2014, ITB No. 25-B-##XX. Bidders are required to complete and submit this form disclosing all proposed subcontractors and their respective scopes of work, with failure to complete and return the form resulting in a non-responsive bid. The form requires bidders to identify the prime contractor's dollar value and percentage of work performed, followed by detailed listings of all subcontractors by discipline (such as electrical, HVAC, plumbing, and landscaping), their dollar values, and percentages of work. The total bid price must match the amount listed on the bid price sheet, and all green-shaded cells must be completed with dollar values that total 100% when combined. The RFP solicits proposals for comprehensive benefit administration services including Medical and Dependent Care Flexible Spending Accounts with debit card functionality, Health Reimbursement Arrangements, COBRA administration, and retiree billing and premium collection administration. Proposals must be submitted electronically by April 15, 2026, at 3:01 p.m., with technical questions due by April 1, 2026. The contract term spans five years (2027-2031) with one optional five-year renewal contingent upon mutual written agreement and County Council approval.

The prime contractor is responsible for ensuring all subcontractors maintain appropriate licenses, and any changes to proposed subcontractors during project completion require prior approval from the County Project Manager. The County reserves the right to seek clarification regarding subcontractors but will not permit changes to the total submitted base bid pricing. The form will also be used to determine local preference in accordance with Section 2.8, D of the solicitation. The current benefit administrator is Chard Snyder. Evaluation criteria include firm qualifications (10%), project methodology and approach (25%), functional performance (30%), total cost (20%), experience and references (10%), and financial stability and litigation (5%). The current participant population includes approximately 3,300 eligible employees, 3 HRA participants, 7 COBRA participants, and 615 enrolled retirees, with FSA account balances totaling approximately $724,576 as of March 2026. Contractors must maintain comprehensive insurance coverage including Workers' Compensation, Commercial General Liability of $1,000,000 per occurrence/$2,000,000 aggregate, Professional Liability of $1,000,000 per claim/$2,000,000 aggregate, Cyber Insurance of $2,000,000, and Fidelity insurance of $2,000,000, with payment terms established at 45 business days from invoice receipt.

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PRIME-SUB_FORM_for_Contractors_rev._01.15.2025_(lock_before_publishing).xls XLS spreadsheet
PRIME-SUB_FORM_for_Contractors_rev._01.15.2025_(lock_before_publishing).xls XLS spreadsheet
PRIME-SUB_FORM_for_Contractors_rev._01.15.2025_(lock_before_publishing).xls XLS spreadsheet
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Text version

Sheet1

Contract No. C-2014ITB No. 25-B-##XX
PRIME/SUBCONTRACTOR FORM
FAILURE TO COMPLETE AND RETURN THIS FORM MAY RESULT IN A NON-RESPONSIVE BID
Bidders are to list ALL Subcontractors that he/she proposed to perform scope of work for this project. The bidder hereby states that he/she proposes, if awarded the contract to hire the following Subcontractor(s) for this project. Prime Contractor is responsible for ensuring that all Subcontractors hold the appropriate license(s). Any change to the Subcontractors during the completion of this project shall receive prior approval from the County Project Manager. The County reserves the right to seek clarification regarding subcontractors but will not allow change to the total submitted base bid pricing.
TOTAL BID$ - 0This number should match the Total Bid Price

(inclusive of performance/payment bond, if applicable) as listed on Bid Form/Exhibit ?/Attachment ? - Bid Price Sheet

PRIME CONTRACTORCompany name and complete addressDollar Value performed by Prime Contractor% of Work performed by Contractor
$ - 00.00%
List appropriate sub contractors to be used for each displine listed below, if prime is self performing note self performing in the box under company name and address and submit $0.00 to equal 0 % as this should be included in the green box above. If additional subcontractors are required and their discipline is not listed below they may be added in the blank rows. This form will also be used to determine local preference in accordance with Section 2.8, D. Local Bid Preference in the solicitation.
Anticipated Subcontractor Disciplines required for this project.Company name and complete addressDollar Value performed by Subcontractor(s)% of Work performed by Subcontractor
(Examples: Electrical, HVAC, Plumbing,
Landscaping, etc. for your project)$ - 00.00%
$ - 00.00%
$ - 00.00%
$ - 00.00%
$ - 00.00%
$ - 00.00%
$ - 00.00%
$ - 00.00%
$ - 00.00%
$ - 00.00%
$ - 00.00%
$ - 00.00%
$ - 00.00%
$ - 00.00%
Bidders shall complete the areas shaded in GREEN, which shall be the dollar values assigned to each Contractor (Prime and Subs). All other cells shall be automatically calculated. The total listed in the GREY cell must equal 100%$ - 00%

Sheet2

Sheet3

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