25-64121509-ITB Miscellaneous Property Attachment K Broker Information.pdf
PDF 84 KB Posted
- Attached to
- Inland Marine - Miscellaneous Property Insurance
- Solicitation number
- ITB-13034
- Issued by
- Leon County, Florida
About this file
Attachment K is a Broker Information form for the Florida Department of Management Services' Invitation to Bid (ITB No. 25-64121509-ITB) for Miscellaneous Property Insurance. The document is a standardized form requiring potential brokers to provide comprehensive contact and administrative details for their insurance policy submission. The solicitation seeks a multi-year state term contract for property insurance covering various state agencies and universities, with a proposed contract period from August 8, 2025, to August 8, 2030. Bidders must complete the form by providing their broker name, Federal Employer Identification Number (FEIN), primary work locations, and detailed contact information for the individuals responsible for administering the insurance policy and answering bid-related questions.
The solicitation targets brokers with at least 10 years of insurance placement experience and an AM Best Key Financial Rating of A or higher. The total insured property value is approximately $26.5 million, covering equipment such as band instruments, mobile gas testing equipment, nuclear radiation detection systems, and various miscellaneous properties. The historical annual premium averaged $63,310, with brokers required to submit commission-based proposals featuring fixed annual premiums. The Department intends to make a single award but reserves the right to make no award if deemed in the state's best interest. Eligible users are limited to non-Agency state entities with a Department of Financial Services State Risk Management Trust Fund Certificate, and the contract allows for potential additions or deletions to coverage throughout the policy period.
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Text version
Solicitation No. 25-64121509-ITB Miscellaneous Property Insurance Attachment K
Broker Information
Broker Name:
FEIN:
Primary Location(s) where the work will be performed:
Street Address:
City: ______________________________________
State:______________________________________
Please identify the person who is to be responsible for administering the Insurance Policy on your behalf if award is made.
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:
E-mail Address:
Phone Number(s):
Emergency Number:
File details come from the government source that posted it. Updated .