Group Life, Disability, and Voluntary Benefits

Agency: City of Frederick
State: Maryland
Type of Government: State & Local
NAICS Category:
  • 524210 - Insurance Agencies and Brokerages
Posted Date: Jul 15, 2020
Due Date: Aug 13, 2020
Solicitation No: RFP 21-C
Bid Source: Please Login to View Page
Contact information: Please Login to View Page
Bid Documents: Please Login to View Page
Bid Number Bid Title Bid Type Bid Issue Date Bid Close Date/Time
RFP 21-C Group Life, Disability, and Voluntary Benefits RFP Purchasing 7/15/2020 8/13/2020 03:00:00 PM (ET)

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RFP 21-C
Group Life, Disability, and Voluntary Benefits
Issue Date: 7/15/2020
Questions Deadline: 8/3/2020 03:00 PM (ET)
Response Deadline: 8/13/2020 03:00 PM (ET)
Contact Information
Contact: Keisha Brown Purchasing Manager
Address: 111 Airport Drive East
Frederick, MD 21701
Phone: (301) 600-1194
Email: klbrown@cityoffrederick.com
Page 1 of 6 pages
Deadline: 8/13/2020 03:00 PM (ET)
RFP 21-C
Event Information
Number:
RFP 21-C
Title:
Group Life, Disability, and Voluntary Benefits
Type:
Request for Proposal
Issue Date:
7/15/2020
Question Deadline: 8/3/2020 03:00 PM (ET)
Response Deadline: 8/13/2020 03:00 PM (ET)
Notes:
The City of Frederick (“the City”) is soliciting proposals from qualified vendors with in-depth
knowledge and expertise in providing Group Basic Life and AD&D, Supplemental Life,
Dependent Life, Retiree Life, Long Term Disability and Short-Term Disability Insurance. The
City is also soliciting proposals for the following Voluntary Benefits:
· Permanent Whole Life Insurance with Long Term Care Rider
· Critical Illness
· Accident
· Hospital Indemnity (will likely be added year two but proposals will be
considered).
All proposals must be submitted online through this system.
Ship To Information
Address: 111 Airport Drive East
Frederick, MD 21701
Phone: (301) 600-1440
Bid Attachments
Affirmative Action Data Form.pdf
Collect demographic info
163136 Claim.pdf
Claims Report
163136 ExpRpt.pdf
Exception Report
163136 Monthly Report.pdf
Monthly Report
Request for Census Data.pdf
Form to request data
Billing Information
Address: 111 Airport Drive East
Frederick, MD 21701
Phone: (301) 600-1440
Download
Download
Download
Download
Download
Page 2 of 6 pages
Deadline: 8/13/2020 03:00 PM (ET)
RFP 21-C
Policy Information.zip
LTD, STD, and Life Info
Download
Requested Attachments
Affirmative Action Data Form
(Attachment required)
Proposal
(Attachment required)
Bid Attributes
1 Anti-Bribery Statement
I HEREBY CERTIFY that:
(1) I am a duly authorized representative of the firm of and that I possess the legal authority to make this affidavit on
behalf of myself and the firm for which I am acting.
(2) Except as described in Paragraph (3) below, neither I, nor to the best of my knowledge, the firm, nor any of its
officers, directors, partners, employees, or agents directly involved in obtaining contracts with the City of any
County, Bi-County Agency, or Subdivision of the State have been convicted of, or have pleaded nolo contendre to a
charge of, or have during the course of an official investigation or other proceeding admitted in writing or under oath
acts or omissions committed after July 1, 1977 which constitute bribery, attempted bribery, or conspiracy to bribe
under the laws of any state or federal government.
(3) Except as described in Paragraph (4) below, neither I, nor to the best of my knowledge, the firm, nor any of its
officers, directors, partners, employees, or agents has made payment to or provided loans, services, gifts, food or
entertainment to any City official or employee with the intent to influence that person in the performance of his
official duties. I further acknowledge and understand that it is unlawful to make payment or to provide loans,
services, gifts, food or entertainment to any City official or employee with the intent to influence that person in the
performance of his official duties and that violation of this provision is a misdemeanor punishable by a fine of not
more than four hundred dollars ($400.00), or imprisonment for not more than ninety (90) days, or both.
(4) Attach a list of any conviction, plea, or admission described in Paragraphs (2) and (3) above, with the date,
court, official, or administrative body; and the sentence or disposition (if any):
I acknowledge that this affidavit is to be furnished to the requesting agency.
I acknowledge that, if the representations set forth in this affidavit are not true and correct, the City may terminate
any contract awarded and take any other appropriate action. I further acknowledge that I am executing this
affidavit in compliance with Section 160 of Article 78A of the Annotated Code of Maryland, which provides that
certain persons who have been convicted of, or have admitted to, bribery, attempted bribery, or conspiracy to
bribe may be disqualified, either by operation of law or after a hearing, from entering into contracts with the state
or any of its agencies or subdivisions.
I do solemnly declare and affirm under the penalties of perjury that the contents of this affidavit are true and
correct.
Acknowledge and Agree
(Required: Check if applicable)
Page 3 of 6 pages
Deadline: 8/13/2020 03:00 PM (ET)
RFP 21-C
2 Bidder/Proposer Certification
I have carefully examined all documents accompanying or made a part of this solicitation.
I hereby propose to furnish the goods or services specified therein. I agree that my bid/proposal will remain firm for
a period of up to 120 days in order to allow the City adequate time to evaluate the information submitted.
I verify that all information contained in this bid/proposal is truthful to the best of my knowledge and belief. I further
certify that I am duly authorized to submit this bid/proposal on behalf of the firm as its act and deed and that the firm
is ready, willing and able to perform if awarded the contract.
I further certify, under oath, that this bid/proposal is made without prior understanding, agreement, connection,
discussion, or collusion with any other person, firm or corporation submitting a bid/proposal for the same product or
service; no officer, employee or agent of The City of Frederick or any other proposer is interested in said
bid/proposal; and with full knowledge and understanding of the matters contained and that I was duly authorized to
do so.
I have read and agree.
(Required: Check if applicable)
3 Disadvantaged Business Enterprise (DBE) Plan
REGULATION
The bidder/proposer shall make good faith efforts to subcontract a portion of the prime contract to small business
concerns owned and controlled by socially and economically disadvantaged individuals (i.e. DBEs). In the event
that the bidder/proposer for this solicitation qualifies as a DBE, this effort shall be deemed to have been met.
Individuals who are unquestionably presumed to be socially and economically disadvantaged include Women,
African-Americans, Hispanics, Native Americans, Asian-Pacific Americans, and Asian-Indian Americans. The
submitter will be required to provide information concerning the DBEs who will participate in this contract. The
information will include the name and address of each DBE, a description of the work to be performed by each
named firm, and the dollar value of that contract. If the bidder/proposer fails to provide DBE participation in the
contract, documentation will be require from the bidder/proposer demonstrating that good faith efforts were
attempted. A submission that fails to meet these requirements could be considered non-responsive.
I have read and agree.
(Required: Check if applicable)
4 DBE/MBE Status
Is your business a DBE or MBE?
No Yes
(Required: Check only one)
5 Local Preference - City
Is your business located within the limits of The City of Frederick?
No Yes
(Required: Check only one)
6 Local Preference - State
Is your business located within the State of Maryland?
No Yes
(Required: Check only one)
7 Year Business Established in The City of Frederick
(Optional: Numbers only)
Page 4 of 6 pages
Deadline: 8/13/2020 03:00 PM (ET)
RFP 21-C
8 Year Business Established in the State of Maryland
(Optional: Numbers only)
9 Business and Property Tax
Was the local business required to pay business and/or real property tax for the most recent tax year?
No Yes
(Required: Check only one)
1 City of Frederick Tax
0 Did the local business pay any of this tax to The City of Frederick?
No Yes
(Required: Check only one)
1 Subcontractors
1 Will subcontractors be utilized on this project?
No Yes
(Required: Check only one)
1 Subcontractor Names and Dollar Amounts
2 List subcontractors and dollar amount of their participation.
(Optional: Maximum 1000 characters allowed)
1 Sub DBE/MBE Classification
3 Are any of the subcontractors MBE/DBE?
No Yes
(Optional: Check only one)
Page 5 of 6 pages
Deadline: 8/13/2020 03:00 PM (ET)
RFP 21-C

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