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<br />IX t H fA L -rH P "AN <br /> <br />BID <br /> <br />JANIS X.WOMACK <br />city Secretary, city Of San Marcos <br />630 East Hopkins Street <br />San Marcos, Texas 78666 <br /> <br />To Janis Womack: <br /> <br />~ <br /> <br />U.M.O. <br /> <br />The undersigned, in compliance with your Notice to Bidders for the <br />City of San Marcos Group Insurance Plan hereby proposes to offer the <br />city of San Marcos insurance coveraqes with <br />Texas ØealthPlans. Inc. <br /> <br />at the monthly rates as follows: <br /> <br />*Term Life Insurance <br /> <br />$ 5,000 <br />Additional based on annual salary <br /> <br />$ <br /> <br />Monthly Premium <br /> <br />RIA <br /> <br />RIA <br /> <br />*Accidental Death & DismAmherment <br /> <br />$ 5,000 <br />Additional based on annual salary <br /> <br />* Attach any appropriate schedule <br /> <br />B-1 <br /> <br />Monthly Premium <br /> <br />$ <br />$ <br /> <br />RIA <br />N/A <br />