25-64121511-ITB Ocean Marine Open Cargo Attachment K Broker Information.pdf

PDF 82 KB Posted

Attached to
Ocean Marine Hull and PI, and Open Cargo Insurance
Solicitation number
ITB-12852
Issued by
Florida

About this file

This document is Attachment K of Solicitation No. 25-64121511-ITB, a broker information form for an Ocean Marine Open Cargo contract opportunity. The form requires prospective brokers to provide detailed contact information for the individuals who will be responsible for administering the insurance policy and answering questions about the broker's bid if an award is made. The form requests comprehensive contact details including name, title, street address, email address, phone numbers, fax number, and emergency contact information.

The form is structured to capture two potential contact points: the primary person responsible for insurance policy administration and an optional secondary contact for bid-related questions. By collecting this information, the soliciting agency ensures clear lines of communication with the broker throughout the bidding and potential contract implementation process. No specific pricing, funding sources, or contract term details are included in this attachment, which appears to be a standard information gathering template for broker qualification.

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Text version

Solicitation No. 25-64121511-ITB Attachment K

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 .