Worksheet_for_Quote_form_revised_for_5_years.xlsx

XLSX spreadsheet 26 KB Posted

Attached to
FMLA Administrator Services
Solicitation number
GD 26-20
Issued by
Montgomery County, Ohio

About this file

This is a quote form worksheet for RFQ 23-05 issued by the Greater Dayton Regional Transit Authority (RTA) in Dayton, Ohio, soliciting quotes for FMLA Administrator Services. The RTA is requesting pricing for administrative services to manage Family and Medical Leave Act (FMLA) compliance and employee leave administration. The contract is structured as a five-year agreement with an approximate employee population of 600 employees throughout the contract term. Bidders are required to provide a unit price per employee per month, with pricing evaluated on an annual basis for each of the five contract years. The quote form requires bidders to complete contact information, including name, email address, telephone numbers, city, state, and zip code, along with an authorized signature and date.

Pricing shall be submitted on a per-employee, per-month basis, with monthly invoices calculated on the actual number of active employees per month. Bidders must provide pricing for each of the five contract years separately, with the worksheet calculating totals for price per employee per year and total price per year. An initial one-time set-up fee is requested separately from the annual service pricing. All administrative fees must be included in the quoted pricing. Specifications for the services are maintained on file at the RTA's Procurement office located at 4 South Main Street, Dayton, Ohio 45402, and bidders are expected to review and acknowledge familiarity with these specifications as part of their bid submission.

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Other files

File Type Posted
FMLA_Administrator_Services.pdf PDF
RTA_General_Terms_and_Conditions.docx DOCX document

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Text version

Sheet1

RFQ 23-05 FMLA ADMINISTRATOR SERVICES
ATTACHMENT 1
Instructions: Please enter unit price amount per employee, per month in the blank box provided.
YEARDESCRIPTIONApprox # of
employeesUnit price
per emp/monthTotal Price
per emp/yearTotal Price

per year

1Price per employee, per month600$0.00$ - 0$ - 0
2Price per employee, per month600$0.00$ - 0$ - 0
3Price per employee, per month600$0.00$ - 0$ - 0
4Price per employee, per month600$0.00$ - 0$ - 0
5Price per employee, per month600$0.00$ - 0$ - 0
TOTAL$ - 0
INITIAL SET-UP FEE (ONE-TIME)$ - 0
GRAND TOTAL$ - 0
NOTE:
Monthly invoices will be paid on actual number of active employees per month. Administrative fees shall be included in above totals

The undersigned hereby agrees to provide the goods/services/equipment as listed and in accordance with the specifications on file at the office of the Director of Procurement, Greater Dayton Regional Transit Authority, 4 S Main St., Dayton, OH 45402, which have been carefully examined and which are incorporated herein and made part of the bid documentation.

Name of Individual, Partner or Corporation Email

AddressCity, State and Zip Code
( )( )
Office Telephone NumberMobile Telephone Number

Printed Name & Title Date Authorized Signature image1.png

File details come from the government source that posted it. Updated .