Okaloosa County BOCC — August 5, 2014 — RFP #44-14 -Dental Insurance - MetLife Proposed Contract — reading text

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, Floridathis__ day of 2014 between the County of Okaloosa, Florida, the Owner, hereinafter called the Party of the First Part, and Standard 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 provide Life Insurance, Accidental Death and Dismemberment Insurance (AD&D) and Long Term Disability Insurance (LTD) in strict conformity with the provisions of this Contract, and the Contractor’s response to RFP #44-14 (the “Proposal’’) approved by the Owner and attached hereto as Exhibit A. Eligible retirees may continue to participate in the group term life insurance plan as outlined in Exhibit B attached hereto. The said Proposal, including the form of Life, AD&D, and LTD policies attached thereto 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. 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 set out in the Proposal in the manner provided in the Proposal, and in Exhibit B attached hereto, beginning October 1, 2014. This contract shall be for a three (3) year period beginning October 1, 2014 and running through September 30, 2017 at the rates stated in the Proposal. Further, the contract maybe renewed for two (2) additional one (1) year terms at a rate agreed upon by both parties. Renewal notice is to be provided to 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 Standard Insurance Company shall be: Marty Klinkhammer 2™4 VP Customer Support, EB Customer Service 920 SW 6" Ave Portland, OR 97204 Email: Marty.Klinkhammer@standard.com 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. Kut 1. WY — WITNESS WITNESS STATE OF FLORIDA COUNT Y OF OKALOOSA This contract is accepted this day of October 2014. ATTEST: vw MD KA | = CONTRACTOR Marty Klinkhammer 24 VP Customer Support, EB Customer Service TITLE BY COUNTY OF OKALOOSA, FLORIDA Charles K. Windes, Jr., Chairman 2014 and is effective on the 1* day of COUNTY OF OKALOOSA, FLORIDA Charles K. Windes, Jr., Chairman