22-84131514-ITB Crime Insurance 2023 Attachment B Price Sheet Final.xlsx
XLSX spreadsheet 45 KB Posted
- Attached to
- Government Crime Insurance
- Solicitation number
- ITB-03255
- Issued by
- Leon County, Florida
About this file
This document is a Price Sheet and Instructions for a solicitation by the State of Florida Department of Management Services for government crime insurance. The solicitation, Solicitation No. 22-84131514-ITB, requests pricing for an insurance policy with coverage requirements such as employee theft, forgery and alteration, and inside and outside the premises. Bidders are required to provide annual premiums for three policy periods, from January 1, 2023 to January 1, 2026. The Price Sheet provides detailed instructions on how to input pricing, including requirements for consecutive policy periods, assessments and fees, and the calculation of discounted and calculated premiums. The insurance policy is for various state agencies and universities with a total of approximately 95,535 employees.
The Price Sheet also includes a detailed schedule of coverage limits and deductibles for locations across the state, with inside money and securities coverage up to $50,900,000 and outside the premises coverage up to $52,939,991. Bidders are not allowed to include terrorism risk insurance coverage, and the state will not assess surplus lines tax fees. The selected broker will not be able to impose any fees not listed in the Price Sheet unless required by statute.
View the file
Other files
Show all 11
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Price Sheet Instructions
| Solicitation No. 22-84131514-ITB |
| Government Crime Insurance |
| Attachment B |
tc={50813810-3ED7-4EE4-9D41-4F6DECD99142}: [Threaded comment]
Your version of Excel allows you to read this threaded comment; however, any edits to it will get removed if the file is opened in a newer version of Excel. Learn more: https://go.microsoft.com/fwlink/?linkid=870924
Comment:
@Soderberg, Jill - is it attachment G or B?
Price Sheet Instructions
1. Brokers will download the Microsoft® Excel file Attachment B, Price Sheet. Review and follow these instructions and the general information as provided in the Price Sheet.
2. Brokers are required to supply accurate and complete information. Pricing must be based upon the coverage outlined in the ITB and current market rates.
3. The Price Sheet is locked and will move automatically to the areas highlighted in yellow where information is requested.
4. The input of Premiums and assessments and/or fees by a Bidder for Policy Periods 1, 2 and 3 must be as described in these instructions
| 5. A Bidder may provide pricing for either Policy Period 1; Policy Periods 1 and 2; or Policy Periods 1, 2, and 3. No other combination of Policy Periods will be accepted or scored |
| by the Department. Failure to provide consecutive pricing will result in the Bid being deemed non-responsive. |
| 6. For each Policy Period bid, Brokers will provide an annual premium for each of the insuring agreements listed below. | ||
| Insuring Agreement | Coverage Requirements | Pricing Requirement |
| 1 | Employee Theft - All Employees Blanket Coverage | Annual Premium |
| applies to 1 above | Excess Employee Theft | Annual Premium (rate per person if applicable) |
| applies to 1 above | Faithful Performance of Duty | Annual Premium (rate per person if applicable) |
| 3 | Forgery and Alteration | Annual Premium |
| 4, 5 and 6 | Inside the Premises M&S; Inside Robbery & Safe; Outside Premises | Annual Premium |
7. The Premium Subtotal is the auto-calculated total of all Premiums for the coverage requirements identified on the Price Sheet for a Policy Period.
| 8. If there are any assessments or fees associated with the proposed Insurance Policy, they must be identified as follows: | |
| a. If any statutorily required and authorized assessments are to be included, identify the name of that assessment, and its applicable percentage of the premium subtotal | |
| associated with the applicable Policy Period. The Price Sheet will auto-calculate the associated cost for the assessment for that Policy Period. | |
| b. Any other fee shall be identified by name; and Broker will input the total annual cost of that fee for the Policy Period quoted. | |
| c. For an inspection fee, if applicable, a Broker must input the associated total annual cost for the Policy Period quoted. | |
| d. In accordance with subsection 626.932(4), Florida Statutes, surplus lines tax fees shall not be assessed. |
9. Brokers should not include Terrorism Risk Insurance (TRIA) premium pricing, as this coverage is not required on this policy.
10. The Total Premium (TP) is the auto-calculated total of the Premium Subtotal for a Policy Period, plus any amounts for assessments and/or fees bid for that Policy Period.
| 11. The price sheet automatically calculates the Discounted Premium (DP) and Calculated Premium (CP) are automatically calculated on the Price Sheet based on information input |
| by a Bidder. The DP and CP are for scoring of the Bidder’s Price Sheet only and will not become part of any resulting awarded Contract. |
| 12. The DP for a Policy Period is calculated using the following formulas: | |
| DP for Policy Period 1 (PP1) = TP for PP1 | |
| DP for Policy Period 2 (PP2) = TP for PP2 ÷ (1 + R) | |
| DP for Policy Period 3 (PP3) = TP for PP3 ÷ (1 + R)2 | |
| Where: | |
| R = The most recent ten-year inflation rate from the most recent Survey of Professional Forecasters. Percentages are expressed as decimals for calculation purposes |
| https://www.philadelphiafed.org/research-and-data/real-time-center/survey-of-professional-forecasters/historical-data/inflation-forecasts |
| 2022 Q2 2.80% |
| To calculate the CP for a Bid for Policy Period 1 only, the CP is equal to the DP. |
| To calculate the CP for a Bid for multiple Policy Periods, the CP is the AVERAGE of the DP’s for Policy Periods 1, 2 and 3, as submitted by the Bidder. |
13. The selected Broker will not be allowed to impose any fee not listed in the Price Sheet for a Policy Period, unless required by statute.
| 14. Other than providing the requested quotation information within the Price Sheet, the responding Broker may not alter the information, specifications, or contents of the Price Sheet, |
| as created by the Department. Any such alteration of the Price Sheet specifications or contents may result in the Brokers's quotation not being considered. Brokers are reminded that |
| only one Price Sheet should be submitted with the quotation. |
15. Upload this completed Microsoft Excel file within the Sourcing application. Do not convert the Price Sheet to a PDF or any other format.
16. If there is a conflict between this Instructions Tab and the Price Sheet Tab, then the Instructions Tab will control.
https://www.philadelphiafed.org/research-and-data/real-time-center/survey-of-professional-forecasters/historical-data/inflation-forecasts Price Sheet
| Solicitation No. 22-84131514-ITB | ||||||||||
| Government Crime Insurance | ||||||||||
| Attachment B | ||||||||||
| Price Sheet | ||||||||||
| Broker Name: | ||||||||||
| Policy Period → | 1 | 2 | ||||||||
| The most recent ten-year inflation rate from the Survey of Professional Forecasters (R) → | 2.80% | 2.80% | ||||||||
| Policy Period 1 1/1/23-1/1/24 | Policy Period 2 1/1/24-1/1/25 | Policy Period 3 1/1/25-1/1/26 | ||||||||
| INSURING AGREEMENT 1 | EMPLOYEE THEFT - ALL EMPLOYEES BLANKET COVERAGE | Class 1 Employees | All Other Employees | Total Employees | Rate per Person (additional info only if avail) | Annual Premium (required) | Rate per Person (additional info only if avail) | Annual Premium (required) | Rate per Person (additional info only if avail) | Annual Premium (required) |
| 33,576 | 61,959.75 | 95,535.75 | $ - | $ - 0 | $ - | $ - 0 | $ - | $ - 0 | ||
| Insuring Agreement #1 - Employee Theft - Total | $ - 0 | $ - 0 | $ - 0 |
| NAMED INSURED | No. of Employees | COVERAGE LIMIT REQUESTED | Rate per Person (additional info only if avail) | Annual Premium (required) | Rate per Person (additional info only if avail) | Annual Premium (required) | Rate per Person (additional info only if avail) | Annual Premium (required) | |||
| Applies to Employee | |||||||||||
| Theft Insuring Agreement #1 | EXCESS EMPLOYEE THEFT | DEO | 20 | $ 2,000,000.00 | $ - | $ - 0 | $ - | $ - 0 | $ - | $ - 0 | |
| DOH | 5 | $ 300,000.00 | $ - | $ - 0 | $ - | $ - 0 | $ - | $ - 0 | |||
| Applies to Insuring Agreement #1 - Excess Employee Theft - Total | $ - 0 | $ - 0 | $ - 0 |
| NAMED INSURED | COVERAGE LIMIT REQUESTED | Rate per Person (additional info only if avail) | Annual Premium (required) | Rate per Person (additional info only if avail) | Annual Premium (required) | Rate per Person (additional info only if avail) | Annual Premium (required) | |||
| Applies to Employee Theft Insuring Agreement #1 | FAITHFUL PERFORMANCE OF DUTY (FPD) | DHSMV | 67 | $ 4,800,000.00 | $ - | $ - 0 | $ - | $ - 0 | $ - | $ - 0 |
| JAC (Process Servers) | 27 | $5,000 per employee | $ - | $ - 0 | $ - | $ - 0 | $ - | $ - 0 | ||
| JAC (Investigators) | 397.5 | $5,000 per employee | $ - | $ - 0 | $ - | $ - 0 | $ - | $ - 0 | ||
| DOH (Nurses) | 5 | $5,000 per employee | $ - | $ - 0 | $ - | $ - 0 | $ - | $ - 0 | ||
| Applies to Insuring Agreement #1 - FPD - Total | $ - 0 | $ - 0 | $ - 0 |
| INSURING AGREEMENT 3 | FORGERY AND ALTERATION | NAMED INSURED | LIMIT | Annual Premium (required) | Annual Premium (required) | Annual Premium (required) |
| DOE | $ 100,000.00 | $ - 0 | $ - 0 | $ - 0 | ||
| FAMU | $ 250,000.00 | $ - 0 | $ - 0 | $ - 0 | ||
| USF | $ 500,000.00 | $ - 0 | $ - 0 | $ - 0 | ||
| Insuring Agreement #3 - Forgery and Alteration - Total | $ - 0 | $ - 0 | $ - 0 |
| CONVERT TO SCHEDULE see TDD - Inside Outside Premises worksheet contained in this price sheet workbook | NAMED INSURED | ADDITIONAL LIMITS | Annual Premium (required) | Annual Premium (required) | Annual Premium (required) | |
| INSURING AGREEMENT 4 | INSIDE - MONEY AND SECURITIES | Refer to TDD - Inside Outside Premises | $ 50,900,000.00 | $ - 0 | $ - 0 | $ - 0 |
| INSURING AGREEMENT 5 | INSIDE ROBBERY | NCF, UNF and UWF ONLY | $ 1,500,000.00 | $ - 0 | $ - 0 | $ - 0 |
| INSURING AGREEMENT 6 | OUTSIDE THE PREMISES | Refer to TDD - Inside Outside Premises | $ 52,939,991.00 | $ - 0 | $ - 0 | $ - 0 |
| Insuring Agreements #4, #5, and #6 - Combined Total | $ - 0 | $ - 0 | $ - 0 |
Premium Sub-Total → $ - 0 $ - 0 $ - 0
| ASSESSMENTS OR FEES | |||||||||||
| (as applicable) | Assessment (insert name of Assessment & Statute) | 0% | $ - 0 | 0% | $ - 0 | 0% | $ - 0 | ||||
| Assessment (insert name of Assessment & Statute) | 0% | $ - 0 | 0% | $ - 0 | 0% | $ - 0 | |||||
| Assessment (insert name of Assessment & Statute) | 0% | $ - 0 | 0% | $ - 0 | 0% | $ - 0 | |||||
| Policy Fee (if applicable) | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||
| Inspection Fee (if applicable) | $ - 0 | $ - 0 | $ - 0 | ||||||||
| Fees (insert name of Fee) | $ - 0 | $ - 0 | $ - 0 |
Total Premium (TP) → $ - 0 $ - 0 $ - 0
Discounted Premium (DP) → $ - 0 NO BID NO BID
Calculated Premium (CP) → $ - 0
TDD - Inside Outside Premises
| 2023-2024 CONVERT TO SCHEDULE COVERAGE | ||||||
| Address of the Premises | # of Locations | Inside M&S | Inside Robbery | Outside the Premises | ||
| Limit | Deductible | Limit/Deductible | Limit | Deductible | ||
| ALL LOCATIONS | $ 500,000 | $ 10,000 | Not Covered | $ 500,000 | $ 10,000 | |
| APD | 4 | $ 500,000 | $ 500,000 | Not Covered | $ 192,000 | $ 500,000 |
| DACS | 50 | $ 500,000 | $ 500,000 | Not Covered | $ 9,000,000 | $ 500,000 |
| DBPR | 21 | $ 500,000 | $ 500,000 | Not Covered | $ 465,000 | $ 500,000 |
| DOE | 95 | $ 10,000,000 | $ 500,000 | Not Covered | N/A | $ 500,000 |
| HSMV | 55 | $ 500,000 | $ 500,000 | Not Covered | $ 1,690,000 | $ 500,000 |
| DMA | 55 | $ 500,000 | $ 500,000 | Not Covered | N/A | $ 500,000 |
| DOR | 9 | $ 10,000,000 | $ 500,000 | Not Covered | $ 10,000,000 | $ 500,000 |
| DOS | 4 | $ 2,000,000 | $ 500,000 | Not Covered | $ 3,731,000 | $ 500,000 |
| DOT | 16 | $ 500,000 | $ 500,000 | Not Covered | N/A | $ 500,000 |
| DVA | 11 | $ 500,000 | $ 500,000 | Not Covered | N/A | $ 500,000 |
| FAMU | 4 | $ 900,000 | $ 500,000 | Not Covered | $ 975,000 | $ 500,000 |
| FAU | 4 | $ 700,000 | $ 500,000 | Not Covered | $ 810,000 | $ 500,000 |
| FDLE | 1 | $ 6,500,000 | $ 500,000 | Not Covered | $ 6,500,000 | $ 500,000 |
| FGCU | 4 | $ 900,000 | $ 500,000 | Not Covered | $ 1,115,000 | $ 500,000 |
| FSDB | 1 | $ 500,000 | $ 500,000 | Not Covered | $ 120,000 | $ 500,000 |
| FSU | 3 | $ 3,000,000 | $ 500,000 | Not Covered | $ 2,525,000 | $ 500,000 |
| NCF | 1 | $ 1,000,000 | $ 500,000 | $500,000/$10,000 | $ 1,005,000 | $ 500,000 |
| PSC | 1 | $ 4,000,000 | $ 500,000 | Not Covered | $ 4,000,200 | $ 500,000 |
| SBA | 1 | $ 1,000,000 | $ 500,000 | Not Covered | $ 1,250,000 | $ 500,000 |
| UF | 1 | $ 2,500,000 | $ 500,000 | Not Covered | $ 7,200,000 | $ 500,000 |
| UNF | 12 | $ 900,000 | $ 500,000 | $500,000/$10,000 | $ 975,000 | $ 500,000 |
| USF | 13 | $ 2,500,000 | $ 500,000 | Not Covered | $ 226,791 | $ 500,000 |
| UWF | 3 | $ 1,000,000 | $ 500,000 | $500,000/$10,000 | $ 1,160,000 | $ 500,000 |
$ 50,900,000 $ 1,500,000 $ 52,939,991
File details come from the government source that posted it. Updated .