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Res 17-40 Awarding Health Dental Vision Insurance bids for 2018 TOWN OF WESTLAKE RESOLUTION 17-40 A RESOLUTION OF THE TOWN COUNCIL OF THE TOWN OF WESTLAKE,TEXAS, APPROVING RENEWAL OF UNITED HEALTH CARE AS THE TOWN'S HEALTH AND VISION INSURANCE CARRIER AND APPROVING RENEWAL OF METLIFE AS THE TOWN'S DENTAL INSURANCE CARRIER FOR THE 2018 CALENDAR YEAR. WHEREAS, Town of Westlake desires to maintain a comprehensive health and dental insurance benefits for its employees that is competitive to surrounding cities; and WHEREAS, the leaders of the Town of Westlake desire to exercise exceptional levels of stewardship with all financial resources; and, WHEREAS, the Town Council finds that the passage of this Resolution is in the best interest of the employees and citizens of the Town of Westlake. NOW, THEREFORE, BE IT RESOLVED BY THE TOWN COUNCIL OF THE TOWN OF WESTLAKE, TEXAS: SECTION 1: That, all matters stated in the recitals hereinabove are found to be true and correct and are incorporated herein by reference as if copied in their entirety. SECTION 2: That, the Westlake Town Council hereby approves United Health Care as the Town's health and vision insurance carrier for a twelve (12) month period, beginning January 1, 2018, with an estimated annual employer cost of$529,080. SECTION 3: That, the Westlake Town Council hereby approves the renewal of MetLife as the Town's dental insurance carrier for a twelve (12)month period, beginning January 1, 2018, with an estimated annual employer cost of$29,183. SECTION 4: If any portion of this resolution shall, for any reason, be declared invalid by any court of competent jurisdiction, such invalidity shall not affect the remaining provisions hereof and the Council hereby determines that it would have adopted this Resolution without the invalid provision. Resolution 17-40 Page 1 of 2 SECTION 5: That this Resolution shall become effective from and after its date of passage. PASSED AND APPROVED ON THIS 27TH DAY NOVEMBER,2017. ATTEST: Lau a Wheat, Mayor ftEdw KellSs, To!LvvmjSecretary Thomas E."BrT wnNfanager APPROVE AS T ODM: " OF WFS c9�m L,Atpn&n L wzy;T ttorney ✓� K Ts X A5 Resolution 17-40 Page 2 of 2 Ii THE14) TOWN OF WESTLAKE CHAPTER 2270 VERIFICATION I, Robert S. Mundlin, the undersigned Representative of Lifetime Benefits Insurance, LLP do hereby verify that the company named-above, under the provisions of Subtitle F, Title 10, Government Code Chapter 2270: 1. Does not boycott Israel currently; and 2. Will not boycott Israel during the term of the contract. Pursuant to Section 2270.001, Texas Government Code: 1. "Boycott Israel"means refusing to deal with, terminating business activities with, or otherwise taking any action that is intended to penalize, inflict economic harm on, or limit commercial relations specifically with Israel, or with a person or entity doing business in Israel or in an Israeli-controlled territory, but does not include an action made for ordinary business purposes; and 2. "Company"means a for-profit sole proprietorship, organization, association, corporation, partnership,joint venture, limited partnership, limited liability partnership, or any limited liability company, including a wholly owned subsidiary, majority-o ed sub: dia , parent company or affiliate of those entities or business ass•ciat'• tha -xist o make . • •fit. „_�►i t C. . //— 0- SI t�fri UR c COMPANY REPRESENTATIVE DATE Partner TITLE 1500 Solana Blvd., Bldg.7,Suite#7200 Westlake,TX 76262 CERTIFICATE OF INTERESTED PARTIES FORM 1295 1 of 1 Complete Nos. 1- 4 and 6 if there are interested parties. Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. OFFICE USE ONLY CERTIFICATION OF FILING Certificate Number: 2019-536120 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Lifetime Benefits Insurance, LLP Grapevine, TX United States Date Filed: 09/04/2019 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Town Of Westlake Date Acknowledged: 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. 2018 Group Health Ins. RFP Insurance broker services 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary Mundlin, Robert Grapevine, TX United States X Clark, John Grapevine, TX United States X Kidd, Connie Grapevine, TX United States X 5 Check only if there is NO Interested Patty. ❑ 6 UNSWORN DECLARATION My name is x DIS C / `-7 �ly�� �� L� �y and my date of birth is My address is SrL'7 / F- U ��- Cxe-S L % �C� U f Z lr� a L, l (street) (city) (state) (zip code) (country) I declare under penalty ofperjury that then foregoing is true and correct. _C �/ Executed in �� / ��ry County, State of / E� �, o tfie/�1day, 20� (year) e LIUEwN w�� Notary ID # 131995545 e�� 5ignat o orized age contracting business entity F-xplresApnl24, 2023 (Declarant) Forms provided by Texas Ethics Commission www.etnics.state.tx.us verswn vl,l,acanaatru CERTIFICATE OF INTERESTED PARTIES FORM 1295 1of1 Complete Nos, 1- 4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. CERTIFICATION OF FILING Certificate Number: 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. 2019-536120 Lifetime Benefits Insurance, LLP Grapevine, TX United States Date Filed: 09/04/2019 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Town Of Westlake Date Acknowledged: 09/04/2019 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. 2018 Group Health Ins. RFP Insurance broker services 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary Mundlin, Robert Grapevine, TX United States X Clark, John Grapevine, TX United States X Kidd, Connie Grapevine, TX United States X 5 Check only if there is NO Interested Party. ❑ 6 UNSWORN DECLARATION My name is and my date of birth Is My address is (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in County, State of on the day of , 20 (month) (year) Signature of authorized agent of contracting business entity (Declarant) Forms Drovlded by Texas Ethics Commission www_PthicsstatP tx us Varcinn \/1 1 RaRaaf7rl CHAPTER 2270 VERIFICATION I, Robert S. Mundlin, the undersigned Representative of Lifetime Benefits Insurance, LLP do hereby verify that the company named -above, under the provisions of Subtitle F, Title 10, Government Code Chapter 2270: 1. Does not boycott Israel currently; and 2. Will not boycott Israel during the term of the contract. Pursuant to Section 2270.001, Texas Government Code: 1. "Boycott Israel' means refusing to deal with, terminating business activities with, or otherwise taking any action that is intended to penalize, inflict economic harm on, or limit commercial relations specifically with Israel, or with a person or entity doing business in Israel or in an Israeli -controlled territory, but does not include an action made for ordinary business purposes; and 2. "Company" means a for -profit sole proprietorship, organization, association, corporation, partnership, joint venture, limited partnership, limited liability partnership, or any limited liability company, including a wholly owned subsidiary, majority-o ed sub dia , parent company or affiliate of those entities or business ass6biati6n§ tha xist o make aibrrbfit. Partner TITLE REPRESENTATIVE 1500 Solana Blvd., Bldg.7, Suite#7200 Westlake, TX 76262