RFP 24-037 Appendix B Sample Contract.pdf
PDF 140 KB Posted
- Attached to
- Healthcare Brokerage Services
- Solicitation number
- S-KS2410-00011682
- Issued by
- Marion County, Oregon
About this file
This document is a sample contract for Healthcare Brokerage Services Contract No. 24-037 between the Salem Area Mass Transit District (SAMTD) and an unnamed contractor. The contract term is from 2025 to 2027, with an option for SAMTD to renew for up to three additional years. The contract includes a Scope of Services outlined in Exhibit A and a Compensation schedule in Exhibit B. The contract also incorporates by reference the SAMTD RFP 24-037 and the contractor's proposal.
The total contract compensation shall not exceed a specified amount. The contractor must certify that they are not in violation of any tax laws described in ORS 305.380(4). The contract includes standard General Terms & Conditions in Appendix C.
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Text version
Salem Area Mass Transit District (SAMTD) CONTRACT NO. 24-XXX
APPENDIX B
**SAM PLE ONLY -- DO NOT INCLUDE WITH PROPOSAL**
FOR
HEALTHCARE BROKERAGE SERVICES
CONTRACT No. 24-037
This Contract is by and between Salem Area Mass Transit District ("SAMTD") and _______________________________ ("Contractor").
1. Term
Unless terminated sooner under the provisions of this Contract, the term of the Contract shall be from _____, 2025 to ____, 2027. SAMTD may, at its sole option, renew the contract for three (3) additional years in the increments it determines to be in its best interest. The total term of the Contract will not exceed five (5) years.
2. Contract Provisions
All provisions of the documents below are incorporated in this contract by reference. Any conflict between or among any of the documents listed below shall be resolved in accordance with the order of precedence set forth below.
A. Written contract modifications executed by the parties after contract award, B. This contract form, C. Scope of Services as set forth in Exhibit A, D. Compensation as set forth in Exhibit B
E. General Terms & Conditions as set forth in Appendix C, F. SAMTD RFP 24-037 and Amendments.
G. Contractor’s Proposal
3. Scope of Services
Contractor shall perform the tasks identified in the Scope of Services set forth in Exhibit A, within the time frame and budget stated.
Salem Area Mass Transit District (SAMTD) CONTRACT NO. 24-XXX
4. Compensation
Provided that Contractor fully and faithfully performs its obligations under this Agreement, SAMTD agrees to compensate Contractor in accordance with the rates set forth in Exhibit 5. Total contract compensation shall not exceed $_____________.
5. Tax Certification
Contractor hereby certifies, under penalty of perjury, that Contractor is, to the best of its knowledge, not in violation of any tax laws described in ORS 305.380(4).
CONTRACTOR SALEM AREA MASS TRANSIT DISTRICT
By: By:
(signature) (signature)
Name: Name: Allan Pollock
Title: Title: General Manager / CEO
Date: __________________________________ Date: __________________________________
Approved as to form
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