REQUEST FOR PROPOSALS
FOR BENEFIT CONSULTING SERVICES
Sealed proposals endorsed “BENEFIT CONSULTING SERVICES”, will be received at the Office of the City Clerk, 151 Martin Street, PO Box 3001, Birmingham, Michigan, 48012; until after which time bids will be publicly opened and read.
The City of Birmingham, Michigan is accepting sealed bid proposals from qualified professional firms to provide Benefit Consulting Services. This work must be performed as specified in accordance with the specifications contained in the Request for Proposals (RFP).
The RFP, including the Specifications, may be obtained online from the Michigan Inter-governmental Trade Network at http://www.mitnI.info or at the City of Birmingham, 151 Martin St., Birmingham, Michigan, ATTENTION: Joseph Lambert, Human Resources Manager.
The acceptance of any proposal made pursuant to this invitation shall not be binding upon the City until an agreement has been executed.
Submitted to MITN: September 24, 2021
Deadline for Submissions: October 15, 2021 by 2:00 PM
Contact Person: Joseph Lambert, Human Resources Manager
P.O. Box 3001, 151 Martin Street
Birmingham, MI 48012-3001
Phone: 248-530-1824
Email: hr@bhamgov.org
REQUEST FOR PROPOSALS
FOR BENEFIT CONSULTING SERVICES
Contents
INTRODUCTION ........................................................................................................... 3
SCOPE OF WORK ....................................................................................................... 3
INVITATION TO SUBMIT A PROPOSAL...................................................................... 4
SUBMISSION REQUIREMENTS .................................................................................. 4
INSTRUCTIONS TO BIDDERS .................................................................................... 5
TERMS AND CONDITIONS .......................................................................................... 6
CONSULTANT’S RESPONSIBILITIES ......................................................................... 7
CITY RESPONSIBILITY................................................................................................ 7
SETTLEMENT OF DISPUTES ...................................................................................... 7
CONTINUATION OF COVERAGE ................................................................................ 7
EXECUTION OF CONTRACT ...................................................................................... 8
INDEMNIFICATION ...................................................................................................... 8
CONFLICT OF INTEREST ............................................................................................ 8
EXAMINATION OF PROPOSAL MATERIALS .............................................................. 8
PROJECT TIMELINE (ANTICIPATED) ........................................................................ 8
ATTACHMENT A - AGREEMENT…………………………………………………………..9
ATTACHMENT B - BIDDER’S AGREEMENT ............................................................ 18
ATTACHMENT C - COST PROPOSAL...................................................................... 19
ATTACHMENT D - IRAN SANCTIONS ACT VENDOR CERTIFICATION FORM ..... 20
INTRODUCTION The City of Birmingham, Michigan is located approximately halfway between the City of Detroit and the City of Pontiac, in Oakland County. Easily accessible to all major freeways and the airport, Birmingham is also bordered by Bloomfield Hills, Bloomfield Township, Beverly Hills, Royal Oak and Troy. Birmingham is vibrant and prosperous, with a population of approximately 20,000. Covering only 4.73 square miles, our community is able to maintain the feel of a small town, while experiencing the benefits and amenities of an affluent urban area. The City currently employs approximately 166 staff members who are eligible for employee benefits.
For purposes of this request for proposals the City of Birmingham will hereby be referred to as “City” and the private consulting firm or firms will hereby be referred to as “Consultant.”
The City of Birmingham, Michigan is seeking a Consultant to review all aspects of the City’s Employee Benefit programs and to provide ongoing advice, counsel and recommendations in the areas of legal and regulatory compliance, benefit plan design, market benchmarks, and best practices. The Consultant shall analyze past experience; make recommendations for changes in plan design and service providers; compare projected costs of self-insurance to fully insured care and make other recommendations which are expected to maintain/reduce the cost of benefits. The Consultant shall provide ongoing management education on industry trends and legal updates, and act as a resource to management in employee training.
The ideal Consultant will combine a depth of knowledge and breadth of services with a high level of intuition and human insight to identify potential solutions and guide competing interests to reach common goals.
SCOPE OF WORK
Provide ongoing assistance in formulating benefit plan objectives and analyzing existing plan design; review market trends; recommend plan design changes and conduct cost analysis.
Generate reports and analyze health and dental benefit utilization.
o Analyze areas of high utilization.
o Provide ongoing monthly, quarterly and annual utilization reports. Prepare comparisons to same period in previous years. Prepare trend analysis.
o Perform annual medical individual and aggregate stop loss RFP and analysis.
Prepare comprehensive written recommendations for changes projected to reduce the cost of health and dental benefits. Specifically address economic and human impact projections.
o Recommend change options for plan design
Consider multiple tier health, drug, and dental plan designs.
Consider revised levels of co-pays, office visit charges, and other out-of-pocket employee contributions.
Consider and recommend retiree program changes.
This outline is not necessarily all-inclusive, and the consultant shall include in the proposal any other tasks and services deemed necessary.
INVITATION TO SUBMIT A PROPOSAL
Proposals shall be submitted no later than October 15, 2021 by 2:00 PM to:
City of Birmingham
Attn: City Clerk
151 Martin Street
Birmingham, Michigan 48009
One (1) electronic copy and five (5) hard copies of the proposal must be submitted. The proposal should be firmly sealed in an envelope, which shall be clearly marked on the outside, “BENEFIT CONSULTING SERVICES”. Any proposal received after the due date cannot be accepted and will be rejected and returned, unopened, to the proposer. Proposer may submit more than one proposal provided each proposal meets the functional requirements of this RFP.
SUBMISSION REQUIREMENTS
Companies are being asked to submit evidence of their qualifications to provide healthcare and benefits consulting services, perform comprehensive analysis of our current programs, and to recommend and facilitate future changes
All proposals that wish to be considered must provide the following:
Cover letter
Brief company history demonstrating a minimum 10 years of experience providing healthcare consulting services in the Michigan municipal market or with other related agencies/authorities/commissions.
A detailed organizational chart of the proposed team members who would be supporting the City of Birmingham, including their credentials, years of total experience and years of experience with your firm. Please also outline any supporting resources for the account team.
Turnover statistics for employees who will be managing the account.
Respondents must have current healthcare broker/consulting clients that are Michigan municipalities, or are other related agencies/authorities/ commissions. Provide references, complete with contact name, title, municipality name, phone number, and email address.
A) Describe your depth of experience working with Michigan municipalities in the following areas:
o Collective bargaining
o Litigation and/or 312 arbitration support
o Retiree healthcare
o Public Acts 152, 202, and others
o Multi-year strategic planning
o Wellness programs
o Budgeting and financial analysis
o RFPs
o Funding reviews and recommendations (self- funding, insured, hybrid)
o Employee/retiree communications
o Federal compliance assistance
o Carrier negotiations
o Pharmacy initiatives
o Ancillary services, including dental, vision, life, disability, FSA, COBRA, FMLA, and voluntary benefits
o Assisting with enrollment/eligibility
B) Include the following:
o Signed Contract (Attachment A)
o Bidders Agreement (Attachment B)
o Cost Proposal (Attachment C)
o Iran Sanctions Act (Attachment D)
C) Provide a confirmation statement as to whether you serve as an independent consultant/broker. Disclose any affiliation with any insurance company, third party administrator, or provider network.
D) Describe your method of compensation for your services. Discuss how your method of compensation will be transparent and reported to our team. Include:
1) Compensation schedule and/or fees;
2) A statement of any pending claims, suits, legal or administrative action that may jeopardize your ability to provide services;
3) A disclosure if your company accepts any carrier “overrides”.
4) If on a commission basis, would your company be taking any form of compensation beyond the commission built into our premium rates?
5) If selected, what are your methods for disclosing compensation to the City and the frequency of that disclosure?
INSTRUCTIONS TO BIDDERS
1. Any and all forms requesting info from the bidder must be completed on attached forms included herein.
2. Any request for clarification of this RFP shall be made in writing and delivered to: Joseph Lambert, Human Resource Manager, 151 Martin Street, Birmingham, MI, or via email to hr@bhamgov.org. Such request for clarification shall be delivered, in writing, no later than 5 days prior to the deadline for submissions.
3. All proposals must be submitted following the RFP format as stated in this document and shall be subject to all requirements of this document including the instruction to respondents and general information sections. All proposals must be regular in every respect and no lineation, exclusions, or special conditions shall be made or included in the RFP format by the respondent.
4. The contract will be awarded by the City to the most responsive and responsible bidder and the contract will require the completion of work pursuant to those documents.
5. Each respondent shall include in their proposal, in the format requested, the cost of performing the work.
6. Each respondent shall include in their proposal the following information: Firm name, address, city, state, zip code, telephone number, and fax number. The company shall also provide the name, address, telephone number and e-mail address of an individual in their organization to whom notices and inquiries by the City should be directed as part of their proposal.
TERMS AND CONDITIONS
1. The City reserves the right to reject any or all proposals received, waive informalities, or accept any proposal, in whole or in part, it deems best. The City reserves the right to award the contract to the next most qualified Consultant if the successful Consultant does not execute a contract within ten (10) days after the award of the proposal.
2. The City reserves the right to request clarification of information submitted and to request additional information of one or more Consultants.
3. The City reserves the right to terminate the contract at its discretion should it be determined that the services provided do not meet the specifications contained herein. The City may terminate this Agreement at any point in the process upon notice to Consultant sufficient to indicate the City’s desire to do so.
4. Any proposal may be withdrawn up until the date and time set above for the opening of the proposals. Any proposals not so withdrawn shall constitute an irrevocable offer, for a period of ninety (90) days, to provide the services set forth in the proposal.
5. The cost of preparing and submitting a proposal is the responsibility of the Consultant and shall not be chargeable in any manner to the City.
6. Payment will be made within thirty (30) days after invoice. Acceptance by the City is defined as authorization by the designated City representative to this project that all the criteria requested under the Scope of Work contained herein have been provided. Invoices are to be rendered each month following the date of execution of an Agreement with the City.
7. The Consultant will not exceed the timelines established for the completion of this project.
8. The successful bidder shall enter into and will execute the contract as set forth and attached as Attachment A.
CONSULTANT’S RESPONSIBILITIES
Each bidder shall provide the following as part of their proposal:
1. Complete and sign all forms requested for completion within this RFP.
a. Bidder’s Agreement (Attachment B)
b. Cost Proposal (Attachment C)
c. Iran Sanctions Act Vendor Certification Form (Attachment D)
d. Agreement (Attachment A – only if selected by the City).
2. Meet all submission requirements listed herein.
CITY RESPONSIBILITY
The City will provide a designated representative to work with the Consultant to coordinate both the City’s and Consultant’s efforts and to review and approve any work performed by the Consultant.
SETTLEMENT OF DISPUTES
The successful bidder agrees to certain dispute resolution avenues/limitations. Please refer to paragraph 17 of the Agreement attached as Attachment A for the details and what is required of the successful bidder.
INSURANCE
The successful bidder is required to procure and maintain certain types of insurances. Please refer to paragraph 12 of the Agreement attached as Attachment A for the details and what is required of the successful bidder.
CONTINUATION OF COVERAGE
The Consultant also agrees to provide all insurance coverages as specified. Upon failure of the Consultant to obtain or maintain such insurance coverage for the term of the agreement, the City may, at its option, purchase such coverage and subtract the cost of obtaining such coverage from the contract amount. In obtaining such coverage, Birmingham shall have no obligation to procure the most cost effective coverage but may contract with any insurer for such coverage.
EXECUTION OF CONTRACT
The bidder whose proposal is accepted shall be required to execute the contract and to furnish all insurance coverages as specified within ten (10) days after receiving notice of such acceptance. Any contract awarded pursuant to any bid shall not be binding upon the City until a written contract has been executed by both parties. Failure or refusal to execute the contract shall be considered an abandonment of all rights and interest in the award and the contract may be awarded to another. The successful bidder agrees to enter into and will execute the contract as set forth and attached as Attachment A.
INDEMNIFICATION
The successful bidder agrees to indemnify the City and various associated persons. Please refer to paragraph 13 of the Agreement attached as Attachment A for the details and what is required of the successful bidder.
CONFLICT OF INTEREST
The successful bidder is subject to certain conflict of interest requirements/restrictions. Please refer to paragraph 14 of the Agreement attached as Attachment A for the details and what is required of the successful bidder.
EXAMINATION OF PROPOSAL MATERIALS
The submission of a proposal shall be deemed a representation and warranty by the Consultant that it has investigated all aspects of the RFP, that it is aware of the applicable facts pertaining to the RFP process and its procedures and requirements, and that it has read and understands the RFP. Statistical information which may be contained in the RFP or any addendum thereto is for informational purposes only.
PROJECT TIMELINE (ANTICIPATED)
Evaluate Respondents October 2021
Interview Consultants October-November 2021
Award Contract November 2021
ATTACHMENT A AGREEMENT
AGREEMENT
For Healthcare Consulting Services
This AGREEMENT, made this day of , 2021, by and between CITY OF BIRMINGHAM, having its principal municipal office at 151 Martin Street, Birmingham, MI (hereinafter called "City"), and , Inc., having its principal office at (hereinafter called "Healthcare Consultant"), provides as follows:
WITNESSETH:
WHEREAS, the City of Birmingham, through its Human Resources Department, is desirous of having professional healthcare consulting services done for the City of Birmingham and Baldwin Public Library.
WHEREAS, the City has heretofore advertised for bids for the performance of healthcare consulting services required to provide financially responsible employee benefits, and in connection therewith has prepared a request for sealed proposals (“RFP”), which includes certain instructions to bidders, specifications, terms and conditions.
WHEREAS, the Healthcare Consultant has professional qualifications that meet the project requirements and has made a bid in accordance with such request for cost proposals to perform .
NOW, THEREFORE, for and in consideration of the respective agreements and undertakings herein contained, the parties agree as follows:
1. It is mutually agreed by and between the parties that the documents consisting of the Request for Proposal to professional healthcare and compliance contracting and reporting and the Healthcare Consultant’s cost proposal dated , 2021 shall be incorporated herein by reference and shall become a part of this Agreement (Attachment A). If any of the documents are in conflict with one another, this Agreement shall take precedence.
2. The City shall pay the Healthcare Consultant for the performance of this Agreement in an amount not to exceed the Healthcare Consultant’s cost proposal as set forth in Attachment C. Performance shall include all work detailed in the scope of work on pages 2-8 of the RFP.
3. This Agreement shall commence upon execution by both parties, unless the City exercises its option to terminate the Agreement in accordance with the Request for Proposals. The City retains the right to terminate the agreement unilaterally, with or without cause. The term of this agreement shall be for a three (3) year term. The parties may mutually agree to renew this agreement for one additional three year term, as provided in writing by addendum.
4. The Healthcare Consultant shall employ personnel of good moral character and fitness in performing all services under this Agreement.
5. The Healthcare Consultant and the City agree that the Healthcare Consultant is acting as an independent Healthcare Consultant with respect to the Healthcare Consultant's role in providing services to the City pursuant to this Agreement, and as such, shall be liable for its own actions and neither the Healthcare Consultant nor its employees shall be construed as employees of the City. Nothing contained in this Agreement shall be construed to imply a joint venture or partnership and neither party, by virtue of this Agreement, shall have any right, power or authority to act or create any obligation, express or implied, on behalf of the other party, except as specifically outlined herein. Neither the City nor the Healthcare Consultant shall be considered or construed to be the agent of the other, nor shall either have the right to bind the other in any manner whatsoever, except as specifically provided in this Agreement, and this Agreement shall not be construed as a contract of agency. The Healthcare Consultant shall not be entitled or eligible to participate in any benefits or privileges given or extended by the City, or be deemed an employee of the City for purposes of federal or state withholding taxes, FICA taxes, unemployment, workers' compensation or any other employer contributions on behalf of the City.
6. The Healthcare Consultant acknowledges that in performing services pursuant to this Agreement, certain confidential and/or proprietary information (including, but not limited to, internal organization, methodology, personnel and financial information, etc.) may become involved. The Healthcare Consultant recognizes that unauthorized exposure of such confidential or proprietary information could irreparably damage the City. Therefore, the Healthcare Consultant agrees to use reasonable care to safeguard the confidential and proprietary information and to prevent the unauthorized use or disclosure thereof. The Healthcare Consultant shall inform its employees of the confidential or proprietary nature of such information and shall limit access thereto to employees rendering services pursuant to this Agreement. The Healthcare Consultant further agrees to use such confidential or proprietary information only for the purpose of performing services pursuant to this Agreement.
7. This Agreement shall be governed by and performed, interpreted and enforced in accordance with the laws of the State of Michigan. The Healthcare Consultant agrees to perform all services provided for in this Agreement in accordance with and in full compliance with all local, state and federal laws and regulations.
8. If any provision of this Agreement is declared invalid, illegal or unenforceable, such provision shall be severed from this Agreement and all other provisions shall remain in full force and effect.
9. This Agreement shall be binding upon the successors and assigns of the parties hereto, but no such assignment shall be made by the Healthcare Consultant without the prior written consent of the City. Any attempt at assignment without prior written consent shall be void and of no effect.
10. The Healthcare Consultant agrees that neither it nor its employees will discriminate against any employee or applicant for employment with respect to hire, tenure, terms,
conditions or privileges of employment, or a matter directly or indirectly related to employment because of race, color, religion, national origin, age, sex, height, weight or marital status. The Healthcare Consultant shall inform the City of all claims or suits asserted against it by the Healthcare Consultant’s employees who work pursuant to this Agreement. The Healthcare Consultant shall provide the City with periodic status reports concerning all such claims or suits, at intervals established by the City.
11. The Healthcare Consultant shall not commence work under this Agreement until it has, at its sole expense, obtained the insurance required under this paragraph. All coverages shall be with insurance companies licensed and admitted to do business in the State of Michigan. All coverages shall be with carriers acceptable to the City of Birmingham.
12. The Healthcare Consultant shall maintain during the life of this Agreement the applicable types of insurance coverage and minimum limits as set forth below:
A. Workers' Compensation Insurance:
For Non-Sole Proprietorships: Healthcare Consultant shall procure and maintain during the life of this Agreement, Workers' Compensation Insurance, including Employers Liability Coverage, in accordance with all applicable statutes of the State of Michigan.
For Sole Proprietorships: Healthcare Consultant shall complete and furnish to the City prior to the commencement of work under this Agreement a signed and notarized Sole Proprietor Form, for sole proprietors with no employees or with employees, as the case may be.
B. Commercial General Liability Insurance: Healthcare Consultant shall procure and maintain during the life of this Agreement, Commercial General Liability Insurance on an "Occurrence Basis" with limits of liability not less than $1,000,000 per occurrence combined single limit, Personal Injury, Bodily Injury and Property Damage. Coverage shall include the following extensions: (A) Contractual Liability; (B) Products and Completed Operations; (C) Independent Healthcare Consultants Coverage; (D) Broad Form General Liability Extensions or equivalent; (E) Deletion of all Explosion, Collapse and Underground (XCU) Exclusions, if applicable.
C. Motor Vehicle Liability: Healthcare Consultant shall procure and maintain during the life of this Agreement Motor Vehicle Liability Insurance, including all applicable no-fault coverages, with limits of liability of not less than $1,000,000 per occurrence combined single limit Bodily Injury and Property Damage. Coverage shall include all owned vehicles, all non-owned vehicles, and all hired vehicles.
D. Additional Insured: Healthcare Consultant General Liability and Motor Vehicle Liability Insurance, as described above, shall include an endorsement stating the following shall be Additional Insureds: The City of Birmingham, including all elected and appointed officials, all employee and volunteers, all boards, commissions and/or authorities and board members, including employees and volunteers
thereof. This coverage shall be primary to any other coverage that may be available to the additional insured, whether any other available coverage by primary, contributing or excess.
E. Professional Liability: Professional liability insurance with limits of not less than
$2,000,000 per claim if Healthcare Consultant will provide service that are customarily subject to this type of coverage.
F. Owners Healthcare Consultants Protective Liability: The Healthcare Consultant shall procure and maintain during the life of this contract, an Owners Healthcare Consultants Protective Liability Policy with limits of liability not less than $3,000,000 per occurrence, combined single limit, Personal Injury, Bodily Injury and Property Damage. The City of Birmingham shall be “Name Insured” on said coverage.
G. Cancellation Notice: Should any of the above described policies be cancelled before the expiration date thereof, notice will be delivered in accordance with the policy provisions.
H. Proof of Insurance Coverage: Healthcare Consultant shall provide the City of Birmingham at the time the Agreement is returned for execution, Certificates of Insurance and/or policies, acceptable to the City of Birmingham, as listed below.
1) Two (2) copies of Certificate of Insurance for Workers' Compensation Insurance;
2) Two (2) copies of Certificate of Insurance for Commercial General Liability Insurance;
3) Two (2) copies of Certificate of Insurance for Vehicle Liability Insurance;
4) Two (2) copies of Certificate of Insurance for Professional Liability Insurance;
5) If so requested, Certified Copies of all policies mentioned above will be furnished.
I. Coverage Expiration: If any of the above coverages expire during the term of this Agreement, Healthcare Consultant shall deliver renewal certificates and/or policies to the City of Birmingham at least (10) days prior to the expiration date.
J. Maintaining Insurance: Upon failure of the Healthcare Consultant to obtain or maintain such insurance coverage for the term of the Agreement, the City of Birmingham may, at its option, purchase such coverage and subtract the cost of obtaining such coverage from the Agreement amount. In obtaining such coverage, the City of Birmingham shall have no obligation to procure the most cost-effective coverage but may contract with any insurer for such coverage.
13. To the fullest extent permitted by law, the Healthcare Consultant and any entity or person for whom the Healthcare Consultant is legally liable, agrees to be responsible for any liability, defend, pay on behalf of, indemnify, and hold harmless the City of
Birmingham, its elected and appointed officials, employees and volunteers and others working on behalf of the City of Birmingham against any and all claims, demands, suits, or loss, including all costs and reasonable attorney fees connected therewith, and for any damages which may be asserted, claimed or recovered against or from the City of Birmingham, its elected and appointed officials, employees, volunteers or others working on behalf of the City of Birmingham, by reason of personal injury, including bodily injury and death and/or property damage, including loss of use thereof, which arises out of or is in any way connected or associated with this Agreement. Such responsibility shall not be construed as liability for damage caused by or resulting from the sole act or omission of its elected or appointed officials, employees, volunteers or others working on behalf of the City of Birmingham.
14. If, after the effective date of this Agreement, any official of the City, or spouse, child, parent or in-law of such official or employee shall become directly or indirectly interested in this Agreement or the affairs of the Healthcare Consultant, the City shall have the right to terminate this Agreement without further liability to the Healthcare Consultant if the disqualification has not been removed within thirty (30) days after the City has given the Healthcare Consultant notice of the disqualifying interest. Ownership of less than one percent (1%) of the stock or other equity interest in a corporation or partnership shall not be a disqualifying interest. Employment shall be a disqualifying interest.
15. If Healthcare Consultant fails to perform its obligations hereunder, the City may take any and all remedial actions provided by the general specifications or otherwise permitted by law.
16. All notices required to be sent pursuant to this Agreement shall be mailed to the following addresses:
City of Birmingham Attn: Joseph Lambert 151 Martin Street
Birmingham, MI 48009
(248) 530-1824
HEALTHCARE CONSULTANT
(Insert Healthcare Consultant Information)
15
17. Any controversy or claim arising out of or relating to this Agreement, or the breach thereof, shall be settled either by commencement of a suit in Oakland County Circuit Court, the 48th District Court or by arbitration. If both parties elect to have the dispute resolved by arbitration, it shall be settled pursuant to Chapter 50 of the Revised Judicature Act for the State of Michigan and administered by the American Arbitration Association with one arbitrator being used, or three arbitrators in the event any party’s claim exceeds
$1,000,000. Each party shall bear its own costs and expenses and an equal share of the arbitrator’s and administrative fees of arbitration. Such arbitration shall qualify as statutory arbitration pursuant to MCL§600.5001 et. seq., and the Oakland County Circuit Court or any court having jurisdiction shall render judgment upon the award of the arbitrator made pursuant to this Agreement. The laws of the State of Michigan shall govern this Agreement, and the arbitration shall take place in Oakland County, Michigan. In the event that the parties elect not to have the matter in dispute arbitrated, any dispute between the parties may be resolved by the filing of a suit in the Oakland County Circuit Court or the 48th District Court.
18. FAIR PROCUREMENT OPPORTUNITY: Procurement for the City of Birmingham will be handled in a manner providing fair opportunity for all businesses. This will be accomplished without abrogation or sacrifice of quality and as determined to be in the best interest of the City of Birmingham.
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IN WITNESS WHEREOF, the said parties have caused this Agreement to be executed as of the date and year above written.
WITNESSES: HEALTHCARE CONSULTANT
_______________________________ By:_____________________________
Its:
(STATE OF MICHIGAN) ss: COUNTY OF OAKLAND
On this day of , 2021, before me personally appeared
, who acknowledged that with authority on behalf of
to do so he/she signed this Agreement.
Notary Public
County, Michigan
Acting in County,
Michigan
My commission expires:
CITY OF BIRMINGHAM
_______________________________ By:_____________________________
Pierre Boutros
Its: Mayor
_______________________________ By:_____________________________
Alexandria Bingham
Its: City Clerk
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Approved:
________________________________
Joseph Lambert, Human Resources Manager
(Approved as to substance)
________________________________
Mary Kucharek, City Attorney
(Approved as to form)
________________________________
Mark Gerber, Director of Finance
(Approved as to financial obligation)
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ATTACHMENT B - BIDDER’S AGREEMENT
In submitting this proposal, as herein described, the Consultant agrees that:
1. They have carefully examined the specifications, terms and Agreement of the Request for Proposal and all other provisions of this document and understand the meaning, intent, and requirement of it.
2. They will enter into a written contract and furnish the item or items in the time specified in conformance with the specifications and conditions contained therein for the price quoted by the proponent on this proposal.
PREPARED BY
(Print Name)
DATE
TITLE
DATE
AUTHORIZED SIGNATURE
E-MAIL ADDRESS
COMPANY
ADDRESS
PHONE
NAME OF PARENT COMPANY
PHONE
ADDRESS
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ATTACHMENT C - COST PROPOSAL
In order for the bid to be considered valid, this form must be completed in its entirety. The cost for the services provided by the Healthcare Consultant shall come with corresponding services offered. Disclose preferences toward and itemization of commissions or a fee structure.
Firm Name
Authorized signature__________________________________ Date______________
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ATTACHMENT D - IRAN SANCTIONS ACT VENDOR CERTIFICATION FORM
Pursuant to Michigan Law and the Iran Economic Sanction Act, 2012 PA 517 (“Act”), prior to the City accepting any bid or proposal, or entering into any contract for goods or services with any prospective Vendor, the Vendor must certify that it is not an “Iran Linked Business”, as defined by the Act.
By completing this form, the Vendor certifies that it is not an “Iran Linked Business”, as defined by the Act and is in full compliance with all provisions of the Act and is legally eligible to submit a bid for consideration by the City.
PREPARED BY
(Print Name)
DATE
TITLE
DATE
AUTHORIZED SIGNATURE
E-MAIL ADDRESS
COMPANY
ADDRESS
PHONE
NAME OF PARENT COMPANY
PHONE
ADDRESS
TAXPAYER I.D.#
