Franklin Township Board of Education



Franklin Township Board of EducationRequest for Proposal(RFP)Health Benefits Insurance BrokerSubmission Deadline:February 29, 201211:00 A.M. Prevailing TimeFRANKLIN TOWNSHIP BOARD OF EDUCATIONRequest for Proposal for School District Health Insurance Broker ServicesNOTICE is hereby given that the Franklin Township Board of Education, County of Somerset, will receive sealed proposals for School District Health Insurance Broker Services. Packages are available at the Board of Education’s Business Office, 1755 Amwell Road, Somerset, New Jersey, 08873 Monday through Friday between the hours of 8:30 am and 3:30 pm.Proposals must be submitted in a sealed envelope with “Request for Proposals for School District Health Insurance Broker Services” clearly marked on the outside of the envelope to: the Business Office of the Franklin Township Board of Education, 1755 Amwell Road, Somerset, New Jersey 08873; ATTENTION: John Calavano, Assistant Superintendent for Business / Board Secretary, up to 11:00 a.m., prevailing time on WEDNESDAY, FEBRUARY 29, 2012. The Franklin Township Board of Education takes no responsibility for the punctual receipt of mailed proposals. The Board of Education advises all contractors to take notice and be aware that it reserves the right to reject any or all proposals if it is in the interest of the Board to do so.The Board intends to award the contract pursuant to N.J.S.A.18A:18A-37.If you have any questions, please contact the Business Office at (732) 873-2400.John Calavano, RSBA Assistant Superintendent for Business/ Board Secretary District InformationFranklin Township Public Schools are a Somerset County-based Pre-Kindergarten to 12th Grade school district. The district consists of six Pre-K to 4th grade schools, one 5th to 6th grade school, one middle school and one high school. In addition it occupies a building for central office staff, one maintenance building and one temporary structure, which houses transportation staff. Current student enrollment is approximately 8000 and a work force of approximately 1200. The general fund budget for the 2011-2012 fiscal year is approximately $131,000,000. Additional information can be found at .Scope of ServicesPurpose:The purpose of this Request for Proposal (RFP) is to obtain information for Health Insurance Broker Services. All respondents shall be licensed and authorized by the State of New Jersey, Department of Insurance, to do business in the State of New Jersey and have a favorable record with State of New Jersey Department of Insurance. Term:The term of the Health Benefits Insurance Broker services will begin on May 1, 2012 or soon thereafter. Health Benefits Insurance Broker shall be appointed annually at the Board of Education’s re-organization meeting. Either party has the right to terminate the relationship with 60 days advanced written notice.Current Health Benefit Coverages and Carriers:The majority of the district’s employees medical and prescription coverage is with Horizon under three different plan structures: PPO, POS and HMO. The district also offers a Cigna medical and prescription plan. The district offers two dental plans, Horizon Dental PPO and Horizon Dental Option plan. The district HFSA and DCFSA and COBRA plans are administered by Discovery benefits. Interested Brokers should not seek quotes from these or other providers, the purpose of this request is to select a Health Benefits Insurance Broker. Services that shall be provided will include, but are not limited to, the following:Broker must be responsible for negotiating annual renewals of existing coverage.Broker will prepare all bid specifications for marketing the coverage and evaluate all bids as received.Broker will assist district administration in resolving all disputes with providers.Broker will provide reasonably accurate preliminary renewal figures during the district’s budget process.Broker will attend district meetings as requested.Broker will either arrange with carriers or provide employee presentations as requested by pliance With Laws:The successful proposal shall comply with all local, state, and federal directives, orders and laws applicable to this request.Pertinent Company Information Required In RFP:All qualifications must be clear and concise. Elaborate brochures or other presentations are not necessary. Submission of a proposal to this RFP acts as acknowledgement that the Broker has read, understands and agrees to be bound by the terms and conditions. The Franklin Township Board of Education reserves the right to reject any and all proposals. Any departures from the specifications must be noted in writing with your proposal. The RFP is a request for Broker services and not premium renewals for 2012-2013. The following must be included in your proposal:Brief description of company background.Resumes of company personnel that will be assigned to handle the district’s account. Please include a copy of the broker’s New Jersey Health Insurance License.Provide a reference list with a minimum of five (5) current Board of Education clients having at least 250 employees. Please provide a contact name, title and telephone number.Relationship with the district’s current providers.Relationship with other insurance providers.Specific compensation requirements for each type of coverage.Description of how your company will provide the services listed in section four (4).Description of other services your company will provide at no additional cost to the BOE.Description of other services available to the BOE for additional compensation. Description of the claims administration services that will be provided by your company. The Broker must successfully demonstrate in house expertise in the handling of all claims and enrollment issues.Selection Process:Three (3) printed copies of the proposal and one (1) copy on disk are to be received at the Board of Education Office to the attention of:Franklin Township Board of Education c/o John CalavanoAssistant Superintendent for Business/Board Secretary1755 Amwell RoadSomerset, NJ 08873Proposals are due by February 29, 2012 at 11:00 A.M. prevailing time and must be delivered via professional delivery, USPS, or hand-delivered. Proposals forwarded by facsimile or e-mail are not valid and will not be accepted. No proposal will be considered unless filed timely. The Board of Education reserves the right to reject any proposal, to waive informalities, and to accept any proposal which is in the best interest of the district. All proposals shall remain firm for a period of sixty (60) days after the date specified for receipt of proposals. The Board may appoint the successful firm at its April 5, 2012 meeting, with a tentative effective date of May 1, 2012.The proposals will be reviewed by the Human Resources office. Upon review of the proposals an interview may be scheduled. Please note that submission of a proposal does not guarantee an interview.All questions regarding this RFP should be directed to Mr. John Calavano, Assistant Superintendent for Business/Board Secretary via e-mail only to jcalavano@. Validity:The proposal will not be considered valid unless the following are also included:A. Pay-to-Play DisclosureIn accordance with c. 271, L. 2005, the firm must complete the required Pay-to-Play forms (See Appendix A) including a list of political contributions (as defined below) made by the firm (including certain company officials and their spouses) during the preceding 12 month period, along with the date and amount of each contribution and the name of the recipient of each contribution. The attached forms must include all contributions made to any State, county, or municipal committee of any political party; to any legislative leadership committee; to any candidate committee of a candidate for, or holder of, an elective office of this Board of Education and of any other public entity located in Somerset County or in the 17th Legislative District.The firm is also obligated to file an annual disclosure statement of political contributions with the New Jersey Election Law Enforcement commission if the CONTRACTOR receives contracts in excess of $50,000 from public entities in a calendar year. It is the CONTRACTOR’S responsibility to determine if such a filing is necessary.Important: If the firm fails to sign this Agreement and attach a copy of one of the required affirmative action forms, a New Jersey Business Registration Certificate and a Pay-to-Play disclosure list within seven (7) days of being awarded this contract, the BOARD may reject or rescind the award of this contract.B. EQUAL EMPLOYMENT OPPORTUNITY LANGUAGEThe contractor shall sign and return the Mandatory Equal Employment Opportunity Language Statement and Americans with Disabilities Act of 1990 Statement (See Exhibit A and Appendix B).C. AFFIRMATIVE ACTION EVIDENCEAll successful bidders are required to submit evidence of appropriate affirmative action compliance. The vendor/contractor shall submit to the Franklin Township Board of Education prior to the execution of the contract. Contractors shall complete and submit an Employee Information Report Form AA-302 upon notification of award. Proper completion and submission of this report shall constitute evidence of the contractor’s compliance with the regulations. Failure to submit this form may result in the contract being terminated. Contractor shall sign and return a statement agreeing to supply required forms if awarded the contract (See Appendix C). D. STOCKHOLDER’S DISCLOSUREAll contractors are hereby notified that every corporation and partnership, according to the provisions of Chapter 33, Laws of 1977 of the State of New Jersey, must submit a statement prior to the receipt of the bid or accompanying the bid, setting forth the names and addresses of all stockholders in the corporation or partnership who own 10% or more of its stock, of any class or of all partners in the partnership, who own 10% or greater interest therein, as the case may be. If one or more such stockholder or partner is itself a corporation or partnership, the stockholders holding 10% or more of that corporation’s stock, or the individual partners owning 10% of greater interest in that partnership, as the case may be, shall also be listed. The disclosure shall be continued until names and addresses of every non-corporate stockholder, and individual partner, exceeding the 10% ownership criteria established in this act, has been listed. The contractor must complete and sign The Stockholder’s Disclosure Form (See Appendix D).E. PROOF OF BUSINESS REGISTRATION CERTIFICATEAll business organizations that do business with a local contracting agency, including Boards of Education as defined in the Public School Contracts Law, are required to be registered with the State and provide proof of that registration to the contracting agency before the contracting agency may enter into a contract with that rmation on how to secure a Business Registration Certificate is available on the following web site: . 52:32-44 imposes the following requirements on contractors and all subcontractors that knowingly provide goods or perform services for a contractor fulfilling this contract: 1) the contractor shall provide written notice to its subcontractors to submit proof of business registration to the contractor; 2) prior to receipt of final payment from a contracting agency, a contractor must submit to the contracting agency an accurate list of all subcontractors or attest that none was used; 3) during the term of this contract, the contractor and its affiliates shall collect and remit, and shall notify all subcontractors and their affiliates that they must collect and remit to the Director, New Jersey Division of Taxation, the use tax due pursuant to the Sales and Use Tax Act, (N.J.S.A. 54:32B-1 et seq.) on all sales of tangible personal property delivered into this State.A contractor, subcontractor or supplier who fails to provide proof of business registration or provides false business registration information shall be liable to a penalty of $25 for each day of violation, not to exceed $50,000 for each business registration not properly provided or maintained under a contract with a contracting agency. F. NON-COLLLUSIONThe contractor shall sign and return the Affidavit of Non-Collusion with their proposal (See Appendix E). G. LICENSEApplicant must provide a copy of firm’s license issued by the Department of Insurance. EXHIBIT AMANDATORY EQUAL EMPLOYMENT OPPORTUNITY LANGUAGEN.J.S.A. 10:5-31 et seq. (P.L. 1975, C. 127)N.J.A.C. 17:27GOODS, PROFESSIONAL SERVICE AND GENERAL SERVICE CONTRACTSDuring the performance of this contract, the contractor agrees as follows:The contractor or subcontractor, where applicable, will not discriminate against any employee or applicant for employment because of age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, nationality or sex. Except with respect to affectional or sexual orientation and gender identity or expression, the contractor will ensure that equal employment opportunity is afforded to such applicants in recruitment and employment, and that employees are treated during employment, without regard to their age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, nationality or sex. Such equal employment opportunity shall include, but not be limited to the following: employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided by the Public Agency Compliance Officer setting forth provisions of this nondiscrimination clause.The contractor or subcontractor, where applicable will, in all solicitations or advertisements for employees placed by or on behalf of the contractor, state that all qualified applicants will receive consideration for employment without regard to age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, nationality or sex.The contractor or subcontractor will send to each labor union, with which it has a collective bargaining agreement, a notice, to be provided by the agency contracting officer, advising the labor union of the contractor's commitments under this chapter and shall post copies of the notice in conspicuous places available to employees and applicants for employment.The contractor or subcontractor, where applicable, agrees to comply with any regulations promulgated by the Treasurer pursuant to N.J.S.A. 10:5-31 et seq., as amended and supplemented from time to time and the Americans with Disabilities Act.The contractor or subcontractor agrees to make good faith efforts to meet targeted county employment goals established in accordance with N.J.A.C. l7:27-5.2.The contractor or subcontractor agrees to inform in writing its appropriate recruitment agencies including, but not limited to, employment agencies, placement bureaus, colleges, universities, and labor unions, that it does not discriminate on the basis of age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, nationality or sex, and that it will discontinue the use of any recruitment agency which engages in direct or indirect discriminatory practices. The contractor or subcontractor agrees to revise any of its testing procedures, if necessary, to assure that all personnel testing conforms with the principles of job-related testing, as established by the statutes and court decisions of the State of New Jersey and as established by applicable Federal law and applicable Federal court decisions. In conforming with the targeted employment goals, the contractor or subcontractor agrees to review all procedures relating to transfer, upgrading, downgrading and layoff to ensure that all such actions are taken without regard to age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, nationality or sex, consistent with the statutes and court decisions of the State of New Jersey, and applicable Federal law and applicable Federal court decisions.The contractor shall submit to the public agency, after notification of award but prior to execution of a goods and services contract, one of the following three documents: Letter of Federal Affirmative Action Plan ApprovalCertificate of Employee Information ReportEmployee Information Report Form AA302 (electronically provided by the Division and distributed tothe public agency through the Division’s website at state.nj.us/treasury/contract_compliance)The contractor and its subcontractors shall furnish such reports or other documents to the Division of Public Contracts Equal Employment Opportunity Compliance as may be requested by the office from time to time in order to carry out the purposes of these regulations, and public agencies shall furnish such information as may be requested by the Division of Public Contracts Equal Employment Opportunity Compliance for conducting a compliance investigation pursuant to Subchapter 10 of the Administrative Code at N.J.A.C. 17:27._______________________________ ________________________________________NAMECOMPANY_______________________________________________________________________SIGNATURE DATEAPPENDIX AC. 271 POLITICAL CONTRIBUTION DISCLOSURE FORMContractor InstructionsBusiness entities (contractors) receiving contracts from a public agency that are NOT awarded pursuant to a “fair and open” process (defined at N.J.S.A. 19:44A-20.7) are subject to the provisions of P.L. 2005, c. 271, s.2 (N.J.S.A. 19:44A-20.26). This law provides that 10 days prior to the award of such a contract, the contractor shall disclose contributions to: any State, county, or municipal committee of a political partyany legislative leadership committee*any continuing political committee (a.k.a., political action committee)any candidate committee of a candidate for, or holder of, an elective office:of the public entity awarding the contractof that county in which that public entity is locatedof another public entity within that countyor of a legislative district in which that public entity is located or, when the public entity is a county, of any legislative district which includes all or part of the countyThe disclosure must list reportable contributions to any of the committees that exceed $300 per election cycle that were made during the 12 months prior to award of the contract. See N.J.S.A. 19:44A-8 and 19:44A-16 for more details on reportable contributions.N.J.S.A. 19:44A-20.26 itemizes the parties from whom contributions must be disclosed when a business entity is not a natural person. This includes the following:individuals with an “interest” ownership or control of more than 10% of the profits or assets of a business entity or 10% of the stock in the case of a business entity that is a corporation for profitall principals, partners, officers, or directors of the business entity or their spousesany subsidiaries directly or indirectly controlled by the business entityIRS Code Section 527 New Jersey based organizations, directly or indirectly controlled by the business entity and filing as continuing political committees, (PACs).When the business entity is a natural person, “a contribution by that person’s spouse or child, residing therewith, shall be deemed to be a contribution by the business entity.” [N.J.S.A. 19:44A-20.26(b)] The contributor must be listed on the disclosure.Any business entity that fails to comply with the disclosure provisions shall be subject to a fine imposed by ELEC in an amount to be determined by the Commission which may be based upon the amount that the business entity failed to report.The enclosed list of agencies is provided to assist the contractor in identifying those public agencies whose elected official and/or candidate campaign committees are affected by the disclosure requirement. It is the contractor’s responsibility to identify the specific committees to which contributions may have been made and need to be disclosed. The disclosed information may exceed the minimum requirement.The enclosed form, a content-consistent facsimile, or an electronic data file containing the required details (along with a signed cover sheet) may be used as the contractor’s submission and is disclosable to the public under the Open Public Records Act.The contractor must also complete the attached Stockholder Disclosure Certification. This will assist the agency in meeting its obligations under the law. NOTE: This section does not apply to Board of Education contracts. N.J.S.A. 19:44A-3(s): “The term "legislative leadership committee" means a committee established, authorized to be established, or designated by the President of the Senate, the Minority Leader of the Senate, the Speaker of the General Assembly or the Minority Leader of the General Assembly pursuant to section 16 of P.L.1993, c.65 (C.19:44A-10.1) for the purpose of receiving contributions and making expenditures.”C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORMRequired Pursuant To N.J.S.A. 19:44A-20.26This form or its permitted facsimile must be submitted to the local unit no later than 10 days prior to the award of the contract.Part I – Vendor InformationVendor Name:Address:City:State:Zip:The undersigned being authorized to certify, hereby certifies that the submission provided herein represents compliance with the provisions of N.J.S.A. 19:44A-20.26 and as represented by the Instructions accompanying this form._________________________ _____________________________________________________SignaturePrinted NameTitlePart II – Contribution DisclosureDisclosure requirement: Pursuant to N.J.S.A. 19:44A-20.26 this disclosure must include all reportable political contributions (more than $300 per election cycle) over the 12 months prior to submission to the committees of the government entities listed on the form provided by the local unit.Check here if disclosure is provided in electronic form.Contributor NameRecipient NameDateDollar Amount$Check here if the information is continued on subsequent page(s)Continuation PageC. 271 POLITICAL CONTRIBUTION DISCLOSURE FORMRequired Pursuant To N.J.S.A. 19:44A-20.26Page ___ of ______Vendor Name: Contributor NameRecipient NameDateDollar Amount$Check here if the information is continued on subsequent page(s)List of Agencies with Elected Officials Required for Political Contribution DisclosureN.J.S.A. 19:44A-20.26County Name: State: Governor, and Legislative Leadership CommitteesLegislative District #s: State Senator and two members of the General Assembly per district.County: FreeholdersCounty ClerkSheriff{County Executive}SurrogateMunicipalities (Mayor and members of governing body, regardless of title):USERS SHOULD CREATE THEIR OWN FORM, OR DOWNLOAD FROM WWW.DCA/LGS/P2P A COUNTY-BASED, CUSTOMIZABLE FORM.APPENDIX BAMERICANS WITH DISABILITIES ACT OF 1990Equal Opportunity for Individuals with DisabilityThe contractor and the Franklin Township Board of Education, (hereafter “owner”) do hereby agree that the provisions of Title 11 of the Americans With Disabilities Act of 1990 (the "Act") (42 U.S.C. S121 01 et seq.), which prohibits discrimination on the basis of disability by public entities in all services, programs, and activities provided or made available by public entities, and the rules and regulations promulgated pursuant there unto, are made a part of this contract. In providing any aid, benefit, or service on behalf of the owner pursuant to this contract, the contractor agrees that the performance shall be in strict compliance with the Act. In the event that the contractor, its agents, servants, employees, or subcontractors violate or are alleged to have violated the Act during the performance of this contract, the contractor shall defend the owner in any action or administrative proceeding commenced pursuant to this Act. The contractor shall indemnify, protect, and save harmless the owner, its agents, servants, and employees from and against any and all suits, claims, losses, demands, or damages, of whatever kind or nature arising out of or claimed to arise out of the alleged violation. The contractor shall, at its own expense, appear, defend, and pay any and all charges for legal services and any and all costs and other expenses arising from such action or administrative proceeding or incurred in connection therewith. In any and all complaints brought pursuant to the owner’s grievance procedure, the contractor agrees to abide by any decision of the owner which is rendered pursuant to said grievance procedure. If any action or administrative proceeding results in an award of damages against the owner, or if the owner incurs any expense to cure a violation of the ADA which has been brought pursuant to its grievance procedure, the contractor shall satisfy and discharge the same at its own expense.The owner shall, as soon as practicable after a claim has been made against it, give written notice thereof to the contractor along with full and complete particulars of the claim, If any action or administrative proceeding is brought against the owner or any of its agents, servants, and employees, the owner shall expeditiously forward or have forwarded to the contractor every demand, complaint, notice, summons, pleading, or other process received by the owner or its representatives.It is expressly agreed and understood that any approval by the owner of the services provided by the contractor pursuant to this contract will not relieve the contractor of the obligation to comply with the Act and to defend, indemnify, protect, and save harmless the owner pursuant to this paragraph. It is further agreed and understood that the owner assumes no obligation to indemnify or save harmless the contractor, its agents, servants, employees and subcontractors for any claim which may arise out of their performance of this Agreement. Furthermore, the contractor expressly understands and agrees that the provisions of this indemnification clause shall in no way limit the contractor’s obligations assumed in this Agreement, nor shall they be construed to relieve the contractor from any liability, nor preclude the owner from taking any other actions available to it under any other provisions of the Agreement or otherwise at law._________ _________________________ ____________________________________ DATE SIGNATURE COMPANY APPENDIX CEMPLOYEE INFORMATION REPORTFORM AA-302I attest that I have read and agree to comply with the Affirmative Action – Exhibit A, mandatory affirmative action language for Goods, Professional Service and General Service Contracts included in these bid specifications. I further agree to complete an Affirmative Action Employee Information Report Form AA-302 as required. The AA-302 form & instructions are available at this web site: to this section of the page and click where applicable. If you do not have Adobe Acrobat Reader you must download this program to view the forms (it’s free – just click on Adobe Acrobat Reader).Forms?? Project Workforce Report - Construction (AA-201) (5 kb) Project Workforce Report - Construction (AA-201) Instructions (7 kb)?? Project Workforce Report (AA-202) (12 kb) Project Workforce Report (AA-202) instructions (30 kb) Information Report (AA-302) (NV kb)?? Information Report (AA-302) Instructions (12 kb)?? Activity Summary Report (3 kb)??? ?Signature Date APPENDIX DSTOCKHOLDER’S DISCLOSURESection I or II must be completed and filed in the office of the Franklin Township Board of Education before any contractual agreement can be entered with any vendor.SECTION II do hereby certify that is not a corporation or Name of Vendorpartnership. Authorized SignatureSECTION III, (Name and designation of authorized officer)of (Name of Corporation)ORI, of (Name of Partnership)hereby certify that the following is a list of names and addresses of all stockholders in the corporation, or any person or persons, having an interest in the partnership who own 10% or more of its stock of any class or of all individual partners in the partnership who own 10% or greater interest therein. And, I further certify that if one or more of such stockholders or partners is itself a corporation or partnership, that there is also set forth herein the names and addresses of the stockholders holding 10% or more of the corporation’s stock or the individual partners owning a 10% or greater interest in that partnership, as the case may be.NAME ADDRESSINTEREST APPENDIX EAFFIDAVIT OF NON-COLLUSIONSTATE OF NEW JERSEY, COUNTY OF , I, of the of in the County of _____________________,State of , of full age, being duly sworn according to law on my oath, depose and say that:I am of the firm of , The Contractor making the Proposal for the above named projects, and that I executed the said Proposal with full authority to do so; that said Contractor has not, directly or indirectly, entered into any agreement, participated in any collusion, or otherwise taken any action in restraint of free, competitive contracting in connection with the above project; and that all statements contained in said Proposal and in this affidavit are true and correct, and made with full knowledge that the State of New Jersey relies upon the truth of the statement contained in said Proposal and in the statements contained in this affidavit in awarding the contract for the said project.I further warrant that no person or selling agency has been employed or retained to solicit or secure such contract upon an agreement or understanding for a commission, percentage, brokerage, or contingent fee, except bona fide employees or bona fide established, commercial or selling agencies maintained by Name of Contractor(N.J.S.A. 52:32-15)(Authorized Signature)Subscribed and sworn before methis day of , 200_____(Seal) Notary Public of N.J.My commission expires:, 20.And, I further certify that this statement is complete and continued unto the names and addresses of every non-corporate stockholder and individual partner exceeding the 10% ownership criteria has been listed.And, I further certify this statement is made in compliance with Chapter 33, Laws of New Jersey of 1977. (Signature and designation of corporate office or partner)If there are questions concerning this form or its completion, refer to Statute (P.L. 1977, ch.33) N.J.S.A. 52:25-2.42.ATTESTED TO: (Affix Corporate Seal) ................
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