22-84131514-ITB Crime Insurance 2023 Attachment H Broker Information Final.pdf

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Attached to
Government Crime Insurance
Solicitation number
ITB-03255
Issued by
Leon County, Florida

About this file

This document is an attachment (Attachment H Broker Information) to an Invitation to Bid (ITB) for government crime insurance issued by the State of Florida, Department of Management Services. The ITB solicits responses from interested vendors to provide crime insurance coverage for the State. The document requests the identification of the person responsible for administering the insurance policy and an emergency contact phone number, as well as the contact information for the person responsible for answering questions about the broker's bid.

The related state and local contract opportunity is for the provision of government crime insurance to the State of Florida. The solicitation and any addenda will be posted on the Vendor Information Portal (VIP), and interested vendors must submit their responses through the MFMP Sourcing event via Ariba on Demand. The solicitation includes instructions for downloading the Price Sheet (Attachment B) and details on the protest process.

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Text version

ITB No. 22-84131514-ITB

Government Crime Insurance Attachment H

Broker Information

Broker:

FEIN:

Bid/Insurance Policy Administration

Please identify the person who is to be responsible for administering the Insurance Policy on your behalf if award is made and include an emergency contact phone number.

Name:

Title:

Street Address:

E-mail Address:

Phone Number(s):

Fax Number:

Emergency Number:

If the person responsible for answering questions about the Broker’s Bid is different from the person identified above, please provide the same information for the person responsible for answering questions about the Broker’s Bid.

Name:

Title:

Street Address:

E-mail Address:

Phone Number(s):

Fax Number:

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