200000000042.pdf

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Attached to
Department of Insurance and Financial Service MI|MA200000000042
Contract number
MA200000000042
Issued by
Michigan

About this file

This is a State of Michigan contract with Actuarial & Technical Solutions, Inc. for captive insurance company actuarial examination services. The contract is administered by the Michigan Department of Insurance and Financial Services (DIFS), with David Piner serving as the Program Manager and Matt Torok as the Contract Administrator for the State. Kristine M. Fitzgerald serves as the authorized contractor representative. The contract number is 200000000042, and it operates as an indefinite delivery vehicle with a pre-qualification pool structure for services issued through purchase orders and requests for quotes.

The contract provides actuarial examination services for Michigan-licensed captive insurance companies, with an initial three-year term from November 1, 2019, through October 31, 2022, and two two-year renewal options available at the State's discretion. Change Notice 2, executed effective November 21, 2023, exercises the final two-year option, extending the contract expiration to October 31, 2026. The estimated aggregate contract value is $60,000. Pricing is structured on hourly rates: credentialed actuaries at $220.00 per hour, actuarial analysts at $100.00 per hour, and administrative support at $50.00 per hour. The contract requires contractors to maintain appropriate professional affiliations and insurance certifications, comply with Michigan insurance laws, and submit work products and examination findings to DIFS. Contractors must be available for meetings, hearings, and administrative proceedings related to examinations and are subject to background checks and security procedures.

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Text version

Revised 2/2019

CONTRACT CHANGE NOTICE

Change Notice Number 2.

to Contract Number 200000000042.

C O

N

TR

A C

TO

R

Actuarial & Technical Solutions, Inc.

ST

A

TE

Pr og ra m M an ag er

David Piner DIFS

1767 Veterans Memorial Highway, Ste 16 517-284-8759

Islandia, New York 11749 pinerd@michigan.gov

Kristine M. Fitzgerald

C on tra ct

Ad m in is tra to r Drew Simon DIFS

631-471-8655 517-930-7725 kfitzgerald@actuarialsolutions.com Simond13@michigan.gov

CV0002074

STATE OF MICHIGAN PROCUREMENT

Department of Insurance and Financial Services

530 W Allegan St., Lansing MI 48933

CONTRACT SUMMARY

DESCRIPTION: Captive Insurance Company Actuarial Examinations

INITIAL EFFECTIVE DATE INITIAL EXPIRATION DATE

INITIAL AVAILABLE

OPTIONS

EXPIRATION DATE BEFORE

CHANGE(S) NOTED BELOW

11-01-2019 10-31-2022 2, two-year options 10-31-2024

PAYMENT TERMS DELIVERY TIMEFRAME

Net 45

ALTERNATE PAYMENT OPTIONS EXTENDED PURCHASING

☐ P-card ☐ Payment Request (PRC) ☐ Other ☐ Yes ☒ No

MINIMUM DELIVERY REQUIREMENTS

DESCRIPTION OF CHANGE NOTICE

OPTION LENGTH OF OPTION EXTENSION LENGTH OF

EXTENSION REVISED EXP. DATE

☒ 2 years ☐ 10-31-2026

CURRENT VALUE VALUE OF CHANGE NOTICE ESTIMATED AGGREGATE CONTRACT VALUE

$60,000.00 $0.00 $60,000 DESCRIPTION: Effective 11-21-2023, this Contract is exercising the last two-year option. The revised contract expiration date is 10-31-2026.

The Contract Administrator for the State has been updated to the following:

Drew Simon 517-930-7725 SimonD13@michigan.gov

All other terms, conditions, specifications, and pricing remain the same. Per contractor and agency

Revised 2/2019

CHANGE NOTICE NO. 2 TO CONTRACT NO. 200000000042

FOR THE CONTRACTOR:

ACTUARIAL & TECHNICAL SOLUTIONS, INC.

Company Name

Authorized Agent Signature

Kristine Fitzgerald Authorized Agent (Print or Type)

Date

FOR THE STATE:

Signature

Megan Ramos, CFO and Budget Director Name & Title

MI Department of Insurance and Financial Services Agency

Date agreement, and DTMB Central Procurement Services approval.

File details come from the government source that posted it. Updated .