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RFP EAP Services 2009

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RFP EAP Services 2009 Powered By Docstoc
					                                                                                                                     RFP #2

                                                                 WILLIAMSON COUNTY
                                                             PURCHASING DEPARTMENT
                                                            301 SE INNER LOOP - SUITE 106
                                                             GEORGETOWN, TEXAS 78626

                                                      http://www.williamson-county.org/Procurement



                                          REQUEST FOR PROPOSAL
                                         HEALTH RELATED SERVICES
                                          FOR WILLIAMSON COUNTY
                                       PROPOSAL NUMBER: 10WCAP123
PROPOSALS MUST BE RECEIVED ON OR BEFORE: JUNE 16, 2009– 1:30 PM
   PROPOSALS WILL BE PUBLICLY ACKNOWLEDGED: JUNE 16, 2009– 2:00 PM
                                 EMPLOYEE ASSISTANCE PROGRAM (EAP) SERVICES


          PROPOSAL SUBMISSION                                    REFERENCES: Williamson County requires proposer to
DEADLINE: Proposals must be received in the                      supply with this proposal, a list of at least five (5)
Williamson County Purchasing Department on or before             references where like services have been supplied by
1:30 PM on Tuesday, June 16, 2009. Proposals will                their firm. Include name of firm, address, telephone
be publicly acknowledged at 2:00 pm or soon                      number and name of representative.
thereafter in the Williamson County Purchasing Dept.,
301 SE Inner Loop-Suite 106, Georgetown, Texas.                  LEGIBLITY: Proposals must be legible and of a quality
                                                                 that can be reproduced.
METHODS: Sealed proposals (CD’s in sealed envelopes
will be accepted) may be hand-delivered or mailed to the         FORMS: All proposals must be submitted on the forms
Williamson County Purchasing Department, Attn: Barry             provided in this proposal document. Changes to
Becker, Suite 106, Williamson County Inner Loop Annex,           proposal forms made by proposers shall disqualify the
301 SE Inner Loop, Georgetown, Texas 78626.                      proposal. Proposals cannot be altered or amended after
                                                                 submission deadline. All information required by the
FAX/EMAIL: Facsimile and electronic mail transmittals            proposal form must be furnished or the proposal may be
will not be accepted.                                            deemed non-responsive. Where there is an error in the
                                                                 extension of price, the unit price will govern.
       PROPOSAL REQUIREMENTS                                     LATE PROPOSAL: Proposals received after submission
SUBMITTAL: All proposals must be bound (or burned                deadline will not be opened and will be considered void
onto a CD) in some fashion. All proposals must be                and unacceptable. Williamson County is not responsible
submitted as follows: one (1) original proposal set and          for lateness of mail, courier service, etc.
seven (7) copies or eight (8) CDs. The proposal sets
shall be marked “original” or “copy”. A “proposal set”           RESPONSIBILITY: A prospective proposer must
consists of the COMPLETED AND SIGNED Proposal                    affirmatively demonstrate proposer’s responsibility. A
Form and any other required documentation. All copies            prospective proposer must meet the following
must have the same attachments as the original.                  requirements:
                                                                          a) have adequate financial resources, or the
SEALED: All proposals must be returned in a sealed                            ability to obtain such resources as required;
envelope with the proposers name, address, proposal                       b) be able to comply with the required or
name, number, opening date, and time clearly marked                           proposed delivery schedule;
on the outside. If an overnight delivery service is                       c) have a satisfactory record of performance;
used, the proposers name, address, proposal name,                         d) be otherwise qualified and eligible to receive
number, opening date and time must be clearly marked                          an award.
on the outside of the delivery service envelope.

Employee Assistance Program (EAP) Services Proposal                                   Page 1   of 15
                                                                                                                  RFP #2

Williamson County may request representation and              and conditions remaining the same. The total period of
other information sufficient to determine proposer's          this contract, including all extensions will not exceed a
ability to meet these minimum standards listed above.         maximum combined period of thirty-six (36) months.
                                                              The extension of this contract is contingent on the
                         AWARD                                appropriation of necessary funds by the Commissioner’s
ONE HUNDRED TWENTY DAYS: Awards should be                     Court for the fiscal year in question. Upon the failure of
made no later than one hundred twenty (120) days after        the Commissioner’s Court to so appropriate in any year,
the proposal opening date. Therefore all proposed rates       the vendor may elect to terminate this agreement, with
or fees must be guaranteed for that period. Results may       no additional liability to the County. The County and the
be obtained by contacting the Consultant.                     vendor agree that termination will be the vendor’s sole
                                                              remedy under this circumstance.
REJECTION OR ACCEPTANCE: No more than one
proposal will be awarded for any item, single department                      BID CONTACTS
or area. Proposals may be rejected for some items,            PURCHASING CONTACT:
departments or areas, even though awards are made for              Barry Becker, Assisting Purchasing Agent
others. The County reserves the right to make partial              301 SE Inner Loop – Suite 106
awards. The convenience of having a single source for              Georgetown, TX 78626
similar items will be taken into consideration together            (512) 943-1607
with price in determining the lowest and best proposal.            wmsncntybids@wilco.org
It is understood that the Commissioner’s Court of
Williamson County, Texas, reserves the right to accept        TECHNICAL CONTACT (SECONDARY):
or reject any and/or all proposals for any or all materials         Lisa R. Zirkle, SPHR/CCP
and/or services covered in this proposal request, and to            Associate Director of Human Resources
waive informalities or defects in the proposal or to accept         301 SE Inner Loop – Suite 108
such proposal it shall deem to be in the best interest of           Georgetown, TX 78626
Williamson County.                                                  (512) 943-1533 or
                                                                    (512) 943-1534
CONTRACT: This Proposal, when properly accepted by                  Fax: (512) 943-1535
Williamson County, shall constitute a contract equally              lzirkle@wilco.org
binding between the successful proposer and Williamson
County.
                                                                             MISCELLANEOUS
The successful proposer may be required to sign an            FOB DESTINATION: All of the items listed are to be
additional agreement containing terms necessary to            Free On Board to final destination (FOB Destination)
ensure compliance with the proposal.                          with all transportation charges if applicable to be
CONTRACT ADMINISTRATION: Under this contract,                 included in the price, unless otherwise specified in the
Lisa R. Zirkle, SPHR/CCP, Associate Director of Human         Request for Proposal. The title and risk of loss of the
Resources, Williamson County, shall be the contract           goods shall not pass to the County until receipt and
administrator with designated responsibility to ensure        acceptance takes place at the FOB point.
compliance with contract requirements, such as but not
limited to, acceptance, inspection and delivery. The          FIRM PRICING: All of the items listed are to be on a
contract administrator will serve as liaison between          "per unit" basis, stating a firm price per unit or unit
Williamson County Commissioner’s Court and the                quantity of each item. This price must be good from the
successful proposer.                                          date of proposal opening for a fixed period of time.
                                                              Unless the Proposal expressly states otherwise, this
CONTRACT PERIOD(S): The Initial Contract Period is            period shall be until the end of Williamson County’s
October 1, 2009 through September 30, 2010.                   current fiscal year on September 30, 2010. Proposals
Possible extensions include:                                  which do not state a fixed price, or which are subject to
                                                              change without notice, will not be considered. The Court
         October 1, 2010 through September 30, 2011           may award a contract for the period implied or expressly
         October 1, 2011 through September 30, 2012           stated in the lowest and best proposal, but for no longer
                                                              than the current fiscal year.
CONTRACT EXTENSIONS: At the end of the first plan             ESTIMATED QUANTITIES: The estimated quantity (i.e.,
year, the Commissioner’s Court and the Williamson             number of participants) of each item listed in the notice
County Benefits Committee reserves the right to extend        is only an estimate -- the actual quantity to be purchased
this contract, by mutual agreement of both parties, as it     may be more or less. The County is not obligated to
deems to be in the best interest of the county. This          purchase any minimum amount, and the County may
extension will be in twelve (12) month increments for up      purchase any reasonable amount greater than the
to an additional twenty-four (24) months with the terms
Employee Assistance Program (EAP) Services Proposal                                Page 2   of 15
                                                                                                                 RFP #2

estimate for the same unit price. Any limit on quantities   As of January 1, 2006 Vendor’s are responsible for
available must be stated expressly in the proposal.         complying with Local Government Code Title 5, Subtitle
                                                            C, Chapter 176. Additional information may be obtained
FUNDING: Funds for payment have been provided               from the County Website at the following link:
through the Williamson County budget approved by            http://www.wilco.org/purchasing/conflctofinterest.
Commissioners Court for the October 1, 2009 thru
September 30, 2010 fiscal year.                             ETHICS: The proposer shall not accept or offer gifts or
                                                            anything of value nor enter into any business
SALES TAX: Williamson County is by statute, exempt          arrangement with any employee, official or agent of
from the State Sales Tax and Federal Excise Tax.            Williamson County.

STATEMENTS: No oral statement of any person shall           DOCUMENTATION: Proposer shall provide with this
modify or otherwise change, or affect the terms,            proposal response, all documentation required by this
conditions, plans and/or specifications stated in the       proposal. Failure to provide this information may result
various     Proposal   Packages     and/or   Proposal       in rejection of the proposal.
Instructions/Requirements.
                                                            TERMINATION FOR DEFAULT: Williamson County
DELIVERY: The delivery time and location for the            reserves the right to enforce the performance of this
commodity and/or service covered by this proposal shall     contract in any manner prescribed by law or deemed to
be as stated in the various proposal packages.              be in the best interest of the County in the event of
                                                            breach or default of this contract. Non-Performance of
PURCHASE ORDER: If required by the Williamson               the proposer in terms of specifications shall be a basis
County Purchasing Department a purchase order(s) may        for the termination of the contract by the County. The
be generated to the successful proposer for products        County shall not pay for commodities/services which are
and/or services. If a purchase order is issued the          unsatisfactory. Vendors will be given a reasonable
purchase order number must appear on all itemized           opportunity before termination to correct the deficiencies.
invoices and/or requests for payment.                       This, however, shall in no way be construed as negating
                                                            the basis for termination for non-performance.
PAYMENT: Payment shall be made by check from the
County upon satisfactory completion and acceptance of       SILENCE OF SPECIFICATIONS: The apparent silence
items and submission of the Invoice to the ordering         of these specifications as to any detail or to the apparent
department for work specified by this Contract              omission from it of a detailed description concerning any
Document. All payments owed will be paid no later than      point, shall be regarded as meaning that only the best
thirty (30) days after the goods or services are received   practices are to prevail. All interpretations of these
OR the date that the invoice is received by the Auditor’s   specifications shall be made on the basis of this
Office whichever is later. As a minimum, invoices shall     statement.
include:
                                                            COMPLIANCE WITH LAWS: The successful proposer
(1) Name, address, and telephone number of Vendor           shall comply with all applicable federal, state and local
    and similar information in the event the payment is     laws and regulations pertaining to the practice of the
    to be made to a different address                       profession and the execution of duties under this
(2) County contract, Purchase Order, and/or delivery        proposal     including      the    TEXAS        HAZARD
    order number                                            COMMUNICATION ACT and THE WILLIAMSON
(3) Identification of items or service as outlined in the   COUNTY HAZARD COMMUNICATION PROGRAM
    contract                                                POLICY.
(4) Quantity or quantities, applicable unit prices, total
    prices, and total amount                                PROPRIETARY INFORMATION: All material submitted
(5) Any additional payment information which may be         to the County becomes public property and is subject to
    called for by the contract                              the Texas Open Records Act upon receipt. If a Proposer
                                                            does not desire proprietary information in the proposal to
Payment inquiries should be directed to the Auditor's       be disclosed, each page that is deemed proprietary must
Office, Donna Baker, (512) 943-1558 or Debbie Frazier,      be identified and marked as such at time of submittal.
(512) 943-1538.                                             Simply stating that the entire proposal is proprietary is
                                                            not allowed. The County will, to the extent allowed by
CONFLICT OF INTEREST: No public official shall have         law, endeavor to protect such information from
interest in a contract, in accordance with Vernon's Texas   disclosure. The final decision as to what information
Codes Annotated, Local Government Code Title 5,             must be disclosed, however, lies with the Texas Attorney
Subtitle C, Chapter 171.                                    General. Failure to identify proprietary information will
                                                            result in all unmarked sections being deemed non-
                                                            proprietary and available upon public request.
Employee Assistance Program (EAP) Services Proposal                               Page 3 of 15
                                                                           RFP #2

       WORKER’S COMPENSATION
This contract contemplates services that do not require
Worker’s Compensation insurance coverage. However,
if it becomes necessary that the proposer provide
services related to the project such as delivering
equipment or materials, an amended contract will be
executed which fully complies with the Texas Labor
Code and the Texas Worker’s Compensation
Commission requirements.




Employee Assistance Program (EAP) Services Proposal       Page 4   of 15
                                                                                                   RFP #2
                                         PROPOSAL SPECIFICATIONS

                               HEALTH RELATED SERVICES FOR WILLIAMSON COUNTY


                               EMPLOYEE ASSISTANCE PROGRAM (EAP) SERVICES


                                                       Table of Contents
Section A                                    Scope of Proposal

Section B                                    Proposal Parameters

Section C                                    Other Information

Section D                                    History

Section E                                    Questionnaire
Section F                                    Enclosures & Document Availability




Employee Assistance Program (EAP) Services Proposal                               Page 5   of 15
                                                                                                           RFP #2


Section A: Scope of Proposal

Read this entire document carefully. Follow all instructions. You are responsible for fulfilling all
requirements and specifications. Failure to respond completely may result in disqualification.

Objectives

Williamson County is requesting sealed proposals from qualified firms for:

        Employee Assistance Program (EAP) Services

In addition to the services requested in this RFP, firms are encouraged to submit additional options for
consideration by Williamson County. Various options and associated costs should be provided.

The primary objectives of the Williamson County Benefits Plan are to:

   Attract and retain quality employees with a competitive benefits package,
   Ensure employees access to quality care and services,
   Maintain employee satisfaction by offering them a range of benefit plans and services,
   Provide long-term cost control,
   Simplify the pricing structure,
   Minimize administration costs by maintaining services under one entity, and
   Strive toward a long-term partnership with a responsive and progressive benefits plan provider.

General Instructions and Specifications

   Proposals should be prepared simply and economically.
   Your proposal should be based on the information contained in these specifications.
   Proposals should be “best and final” and the proposer should not assume that there will be another
    opportunity to “fine tune” the proposed rates.
   The first plan year of the Employee Assistance Program (EAP) will be 12 months, from October 1, 2009
    to September 30, 2010. Possible extension for an additional twelve (12) month cycle effective October
    1, 2010.

The program currently consists of the following:

   Confidential assistance for employees and their families in improving their health, mental well-being and
    work performance
   Assessment and referral
   Short-term therapy for individuals, couples and families (up to 6 visits per presenting concern per year)
   24 Hour crisis intervention
   Addiction screening and referral
   Critical incident stress management
   Management/Supervisory consults
   On-site educational training
   Addiction Counseling (Pending)
   Smoking Cessation (Pending)

Williamson County is sensitive to the importance of quality of care and access to care. It believes that
quality care and access to care ensure a proper balance between the welfare of its employees and the cost
of the program. Further, Williamson County recognizes that employee satisfaction is greatly influenced by
the perceived access to care and emphasizes the continued availability of current network providers.

Employee Assistance Program (EAP) Services Proposal                               Page 6   of 15
                                                                                                      RFP #2



Provider Selection

Each proposal will be evaluated according to a number of criteria that have been grouped into seven (7)
major categories and will be weighted equally:

        Ability to comply with the specifications
        Scope, responsiveness, and quality of services
        Geo-access percentage match of EAP providers to employee home addresses
        Financial arrangements
        General organization and experience of the proposing company
        Availability and frequency of utilization reports
        References from current, similarly situated clients
        Flexibility and willingness to accommodate specific requests by Williamson County


Section B: Proposal Parameters

The Employee Assistance Program (EAP) provider will be asked to:
    Provide counseling to employees, retirees and their dependents on a wide variety of interpersonal,
      lifestyle, and work-related issues
    Provide up to six sessions per family member per incident without additional cost
    Maintain a network of EAP providers who are geographically accessible to all eligible participants’
      home addresses.
    Provide assistance to managers and supervisors in dealing with workplace and employee
      performance issues
    Provide educational and promotional material to publicize the services and availability of the
      programs
    Conduct orientation sessions to introduce the benefits of the programs to managers, supervisors,
      and employees as requested. The site could be in any of the 5 main locations throughout Williamson
      County or at an offsite health fair location.
    Provide forums for participants on topics of general interest
    Provide services to employees and guidance and feedback to supervisors when employees are
      mandated to participate in the Employee Assistance Program
    Assist in return to work and monitoring of compliance for employees participating in return-to-work
      agreements
    Provide referrals to appropriately credentialed staff conveniently located (within 5 miles of home or
      work in urban and suburban areas and within 25 miles in rural areas) throughout Williamson County,
      Texas
    Meet urgent requests for service within 24 hours and non-urgent requests within seven days.
    On at least a quarterly basis, provide statistical reports showing number of requests for service and
      types of service provided
    On at least a quarterly basis provide customer satisfaction data. Provide a transition plan for
      services that are in progress at the time of change-over from the existing employee assistance
      provider to the new service provider
    Provide plan for transitioning services that are in process at the expiration or termination of the
      agreement awarded as a result of this RFP, as necessary
    Provide a proposed option for limited tax, legal, and financial counseling as well as referral for
      complex issues, if available
    Provide counseling to employees and their dependents regarding smoking cessation and drug
      and/or alcohol addiction.


Employee Assistance Program (EAP) Services Proposal                            Page 7   of 15
                                                                                                              RFP #2
The first contract period will be for 12 months beginning October 1, 2009 and ending September 30, 2010.
A minimum confirmed rate guarantee of twelve (12) months is required.
Section C: Other Information

        Provide a proposed option for limited tax, legal, and financial counseling as well as referral for
         complex issues, if available by your company

        Required Documentation

        The following is a list of actual and sample documents that are required in response to this RFP.

         Williamson    County    Proposal             Form   &   Sample Reports of EAP Usage by County
         Questionnaire Responses                                 Participants
                                                                 Implementation Timeline and Sample
         Contracts
                                                                 Communication Pieces

Section D: History

Current Coverage

Williamson County has provided Employee Assistance Program (EAP) Services for the eligible employees
and dependents of the County since 1997. Currently, we have approximately 1,615 eligible employees and
44 eligible retirees.


Plan Experience

October 2007 – September 2008

                   Oct-Dec Jan-March April-June July-Sept Yearly Total
Total Clients Seen   61        58        55         55       229
Total Sessions      135       139       140        143       557
Average Length       2.2      2.4       2.5        2.6        2.4

Type Of Clients
 Employee                    52            46         45         48          191
 Spouse                      13            13         15         11          52
 Dependent                   14            12         09         10          45

Referral Type
 Self-Referral               39            41         40         40          160
 Mngt Suggested              15            14         11         13          53
 Mngt Required               07            03         04         02          16

Tx Focus
 Chemical Dep                11            07         03         06          27
 Mental Health               43            46         39         36          164
 Family                      21            15         19         11          66
 Marital                     24            18         14         19          75
 Occupational                08            07         10         07          32
 Critical Incident           05            02         04         04          15

Mngt Consults                13            11         08         10          44

Employee Assistance Program (EAP) Services Proposal                                Page 8   of 15
                                                                                            RFP #2
CI Debriefs                  02            01         00   02        05


Plan Experience (continued)

October 2008 – September 2009

                         Oct-Dec Jan-March April-June July-Sept Yearly Total
Total Clients Seen         66        61                            127
Total Sessions            154       129                            283
Average Length             2.4      2.1                             2.2

Type Of Clients
 Employee                    53            49                        102
 Spouse                      11            16                        27
 Dependent                   15            14                        29

Referral Type
 Self-Referral               51            48                        99
 Mngt Suggested              09            07                        16
 Mngt Required               06            05                        11

Treatment Focus
 Chemical Dep                09            06                        15
 Mental Health               53            50                        103
 Family                      25            26                        51
 Marital                     24            19                        43
 Occupational                16            12                        28
 Critical Incident           05            04                         9

Mngt Consults                13            10                        23

CI Debriefs                  04            02                        06




Employee Assistance Program (EAP) Services Proposal                        Page 9   of 15
                                                                                                      RFP #2


Section E: Questionnaire

Please answer all items individually as noted. Do not address these items in a narrative or paragraph form
or with your standard marketing information. If you would like to receive an electronic version of this
questionnaire, please e-mail your request to Lisa Zirkle, SPHR, CCP at lzirkle@wilco.org .

General Information and Services

1) List the account management team you propose to assign to the Williamson County account. Include
   each individual’s name, location, title and a brief description of their responsibilities and career
   history/experience.

2) Provide a brief corporate history with regard to the following:
    In the last five (5) years, has your business entity been involved in a merger?
    In the last five (5) years, has your business entity had a change of ownership?
    In the last five (5) years, has your business entity had a change of name?

3) Describe any organizational structure/operational changes that may occur within the next eighteen (18)
   months.

4) Provide an estimate of the number of clients, employees, and members for whom you currently provide
   services.

5) Provide references for three (3) employers of similar situated public entity employers in terms of
   geographic dispersion of employees, number of employees, and type of EAP services offered. Include
   the name, contact person, title, address and phone number, group size, and contract period.

6) For billing purposes, would you be able to send an electronic copy of your monthly bill?

7) Describe the services provided to employees, retirees and dependents.

8) Describe your company’s experience as the mental health services gatekeeper for an employer’s
   medical and prescription plans, if applicable.

9) Describe any additional services offered to departments or groups of employees such as critical incident
   debriefing, grief counseling, and conflict resolution. Address whether such services are included in the
   basic fee or, if additional, how fees are calculated.

10) Describe the communication program between the service provider and the eligible participants.
    Describe what media would be used and how a budget would be developed.

11) Provide a geo-access report for in-network providers in comparison to our participant’s home addresses.
    Describe the options available to a member seeking an in-office consultation when a service provider is
    not available within a 20-mile radius of the employee’s home address.

12) Provide samples of typical communication material used to educate members about the benefits and
    remind members of their benefits.


Implementation

1) Please provide a work plan for the implementation of the services proposed which specifies the key
   activities and critical information required from Williamson County to complete the implementation,
   assigns accountability, indicates the anticipated time frame for completion and outlines the success
Employee Assistance Program (EAP) Services Proposal                           Page 10   of 15
                                                                                                                  RFP #2
     factors necessary for an effective, timely implementation. Please include samples of any
     communication materials that will be utilized.

2) What eligibility and other information would you need to implement Williamson County (specify format
   required).


Quality of Services

1)    Provide a description of the credentialing process used to evaluate potential counselors for the
     program. Provide the number and percentage of counselors on staff whose highest credential is
     licensed clinical social worker (L.C.S.W.), marriage and family therapist (M.F.T.), psychologist,
     psychiatrist, certified public accountant (C.P.A.), if applicable, attorney (J.D.), if applicable, and any
     other pertinent license or educational experience.

2) Describe the method used to continually improve and update counselors’ skill and knowledge.

3) Provide an overview of your corporate approach to quality assurance (QA). How is your program
   designed? What corporate resources are made available to support the provision of quality services?

4) Provide samples of periodic statistical reports including customer satisfaction data.

5) Provide copies of any license(s) or certification(s) your organization has been granted to operate as an
   Employee Assistance Program in the state of Texas.


Technology

1) Do you provide an employer accessible Internet site? If so, what is available and accessible on it?

2) Describe the ongoing method of keeping eligibility updated with data elements, frequency, and method
   of data transfer specified.

3) Please provide any other relevant information concerning electronic capabilities that you currently have
   in operation. Please provide reference information for current clients that are utilizing these capabilities.

4) Provide any additional information regarding service capabilities supporting your company as the firm
   best able to meet the needs of Williamson County which have not been previously detailed. Give
   particular attention to capabilities which are currently under development which will position your firm in
   the future to provide the innovative solutions which are technologically advanced and serve to reduce
   the administrative burden on the employer. Include in your description any associated fees anticipated.


Financial and Contractual Issues

1) Provide your organization’s fees per employee per month for the initial term and each optional term. It is
   expected that all service providers responding to this RFP will offer the service provider’s government
   rate or comparably favorable rate.

2) Please detail any additional charges that will be imposed for any services considered out of the scope of
   the per employee per month fee.

3) Provide copies of your organization’s audited financial statements for the last three (3) fiscal years.

4) Provide a sample of your contract for any and all services being proposed.
Employee Assistance Program (EAP) Services Proposal                                 Page 11   of 15
                                                                                                         RFP #2


5) Is your organization involved in any pending legal action relative to the delivery of proposed services to
   your clients?


Audits

1)   Does an outside firm perform a routine audit of your services? If so, how often and by whom is the
     audit conducted? Are these audit results shared with your clients? Please provide audit results, if
     available.


Renewal

1) Williamson County requires renewal rates by July 1st each year. Can you meet these requirements?




Employee Assistance Program (EAP) Services Proposal                            Page 12   of 15
                                                                                                                 RFP #2



                               WILLIAMSON COUNTY PROPOSAL FORM
                             EMPLOYEE ASSISTANCE PROGRAM (EAP)
                                  FOR WILLIAMSON COUNTY
                                     PROPOSAL NUMBER: 10WCAP123


NAME OF PROPOSER: __________________________________________________________________________


Mailing Address: ________________________________________________________________________________


City: __________________________________________________ State: __________ Zip:____________________


Email Address: _________________________________________________________________________________


Telephone: (________) _______________________________ Fax: (________) ____________________________




By signing this form:
     The bidder confirms that he/she has read the entire document and agrees to the terms herein.
     The bidder is acknowledging the Conflict of Interest Clause; pg3 and agrees to follow necessary requirements

The undersigned, by his/her signature, represents that he/she is authorized to bind the bidder to fully comply with the
terms and conditions of the attached Invitation for Bid, Specifications, and Special Provisions for the amount(s) shown
on the accompanying bid sheet(s).



___________________________________________________________ Date of PROPOSAL: ________________
Signature of Person Authorized to Sign Proposal


Printed Name and Title of Signer:___________________________________________________________________




                         DO NOT SIGN OR SUBMIT WITHOUT READING ENTIRE DOCUMENT

                 THIS FORM MUST BE COMPLETED, SIGNED, AND RETURNED WITH PROPOSAL



Employee Assistance Program (EAP) Services Proposal                                  Page 13   of 15
                                                                                                       RFP #2

Section F: Enclosures & Document Availability

The following documentation is enclosed for your review or is noted where it can be obtained:

        A census of currently eligible participants may be obtained by contacting Lisa Zirkle, SPHR, CCP at
         lzirkle@wilco.org.




Employee Assistance Program (EAP) Services Proposal                           Page 14   of 15
                                                                                                        RFP #2

                                         Williamson County
                                     INTENT TO PROPOSE FORM
  (THE COMPLETION OF THIS FORM IS REQUESTED BUT NOT MANDATORY)
                                 Please forward on or before June 10, 2009
           Please send the form to lzirkle@wilco.org (e-mail) or 512.943.1535 (fax)
                                                                             Coverage or Services
                                                                                Being Quoted
           Proposal Number:

               Company Name

       Representative Name

                Phone Number                                                    Employee Assistance
                                                                                Program


                         Address


                Email Address


                                                 PROPOSAL AGREEMENT

A prospective proposer must affirmatively demonstrate Proposer’s responsibility. A prospective proposer
must have adequate financial resources, or the ability to obtain such resources as required, be able to
comply with the required or proposed delivery schedule, have a satisfactory record of performance and be
otherwise qualified and eligible to receive an award. Williamson County may request representation and
other information sufficient to determine Proposer’s ability to meet these minimum standards listed above.
Before submitting a proposal, each Proposer shall carefully consider the amount and character of the work
to be done as well as the difficulties involved in its proper execution. Proposer shall provide with their
proposal response, all documentation required by the proposal. Failure to provide this information may
result in rejection of the proposal.

It is understood that the Commissioners Court of Williamson County, Texas, reserves the right to accept or
reject any and/or all proposals for any or all materials and/or services covered in this proposal request, and
to waive informalities or defects in the proposal or to accept such proposal it shall deem to be in the best
interest of Williamson County.



 Company Officer Signature                                                          Date


 Printed Name




Employee Assistance Program (EAP) Services Proposal                            Page 15   of 15

				
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