25-84131512-ITB EDP Attachment K Broker Information.pdf
PDF 93 KB Posted
- Attached to
- Electronic Data Processing Equipment Insurance State and local contract opportunity
- Solicitation number
- ITB-12233
- Issued by
- Leon County, Florida
About this file
This document is a Broker Information form for Solicitation No. 25-84131512-ITB for Electronic Data Processing Equipment, issued by the Florida Department of Management Services. The form is designed to collect contact information for the broker responsible for administering the insurance policy in the event of an award. The form requires detailed contact information including name, title, street address, email address, phone numbers, fax number, and emergency contact number, with a section to provide alternate contact details if the primary contact differs from the bid administration contact.
The solicitation appears to be related to insurance coverage for electronic data processing equipment, with the form serving as Attachment K in the bidding process. While specific details about the equipment, contract value, or insurance requirements are not provided in this document, the form suggests a formal procurement process for insurance or equipment-related services requiring precise and comprehensive broker contact information for potential follow-up and communication during the bidding and potential contract execution phases.
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Text version
Solicitation No. 25-84131512-ITB Electronic Data Processing Equipment
Insurance 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 .