Okaloosa County BOCC — August 19, 2014 — RFP #44-14 -Dental Insurance - MetLife Proposed Contract

CONTRACT & LEASE INTERNAL COORDINATION SHEET Contract/Lease Number: Tracking Number:_/046 - /# Contractor/Lessee Name: TY\ot Lob Purpose otha ~ Sen U Date/Term: lofi [ue- 9/30] 1S uJ Alnonmis 1, | GREATER THAN $50,000 Amount: 2. L] GREATER THAN $25,000 Grant Funded: YES NOX, Department: KM 3. L] $25,000 or Less Dept. Monitor Name: Thkebarean | Avec Document has been reviewed and includes any attachments or exhibits. Purchasing Review Procurement requireménts are met: we 5 ihe Date: 7-30 - ih Purchiing Djrectof or Designee Joanne Kublik Risk Management Review Approved as written: 7 — Date: 4] 30 vy Risk M reeroreesaype Lyna Hoshihars / TF County Attorney Review Approved as written: ae Date: Lt 30 [1 4 CountySttorney > Gregon LL Stewart Lynn Hos hihor, Following Okaloosa County approval: Contracts & Grants Document has been received: Date: Contracts & Grants Manager CONTRACT This agreement, executed in Crestview, Florida this day of 2014 between the County of Okaloosa, Florida, the Owner, hereinafter called the Party of the First Part, and Metropolitan Life Insurance Company (“Contractor”) or its successors, executors, administrators and assigns, hereinafter called the Party of the Second Part. WITNESSETH: That for and in consideration of payments, hereinafter mentioned, to be made by the Party of the First Part, the Party of the Second Part agrees to furnish Dental Insurance, Dental Option #3 in strict conformity with the provisions of this Contract, the Contractor’s response to RFP #44-14 (the “Proposal”), attached hereto as Exhibit A, as amended, and agrees to enter into a policy consistent with the terms as described in Exhibits A and B (negotiated Dental Option #3). The said Proposal, and the negotiated Dental Option #3, including the Policy that will be issued to the Owner is hereby made a part of this agreement as fully and to the same effect as if the same had been set forth at length in the body of this agreement. The parties agree that all matters of insurance are governed by the terms and conditions of the Policy and in the event of any conflict with this contract, the Policy shall control. in consideration of the foregoing promises, the Party of the First Part agrees to pay to the Party of the Second Part such unit prices for the insurance as are set out in the proposal in the manner provided in the Proposal beginning October 1, 2014. This contract shall be for a one (1) year period beginning October 1, 2014 and running through September 30, 2015. This contract may be renewed for one (1) additional one (1) year period with a maximum of a five (5) percent rate increase, and may be renewed for three (3) additional one (1) year periods at a rate agreed upon by both parties. Renewal notice is to be provided to the County of Okaloosa, Florida at least ninety (90) calendar days prior to the Anniversary Date. Either party may terminate this Agreement on the Anniversary Date, by giving the other party at least ninety (90) calendar days prior written notice of such termination. REPRESENTATIVES: The authorized representative of the County shall be: Kay Godwin, Human Resources Director 601-B North Pearl St Crestview, FL 32536 850-689-5870 Email: kgodwin@co.okaloosa.fl.us \ The authorized representative for Metlife shall be: Cynthia Coverson Regional Vice President Metlife- Group Benefit Sales 770-407-2542 FAX 866-277-9313 All notices required by this agreement shall be in writing to the representative listed above with a courtesy copy to the following: Joanne Kublik Contracts & Leases Coordinator Okaloosa County Purchasing Department 602 C North Pearl St Crestview, FL 32536 850-689-5960/ 850-689-5998 (FAX) Email: JKublik@co.okaloosa.fl.us IN WITNESS WHEREOF, the Chairman of the Board of County Commissioners, by authority vested in him, has hereunto subscribed his name on behalf of the County of Okaloosa, Florida, the Owner, and the said has hereto fixed his signature, the day and year above written. WITNESS CONTRACTO Cynthia Coverson Regional Vice President Arsocttuelylacl e (VA up i rT | BY WITNESS COUNTY OF OKALOOSA, FLORIDA Charles K. Windes, Jr., Chairman STATE OF FLORIDA COUNT Y OF OKALOOSA This contract is accepted this day of 2014 and is effective on the 1* day of October 2014. ATTEST: COUNTY OF OKALOOSA, FLORIDA Charles K. Windes, Jr., Chairman