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 an Insurance Attachment K Broker Information form for Solicitation No. 25-84131512-ITB issued by the Florida Department of Management Services, specifically for Electronic Data Processing Equipment Insurance. The form is designed to collect critical contact information for the broker who will be responsible for administering the insurance policy if an award is made. It requires detailed contact information including name, title, street address, email, phone numbers, fax number, and an emergency contact number. The form allows for two separate contact entries: one for the primary policy administrator and another for the person responsible for answering questions about the broker's bid, in case these are different individuals.
The solicitation seeks a comprehensive insurance policy for electronic data processing and scientific/medical equipment across multiple Florida state agencies, universities, and legislative offices, with a total insured value of $378,793,546.61. The contract will have a one-year term starting June 5, 2025, with potential renewal options. Key requirements include selecting an insurer with an AM Best Key Financial Rating of at least A, and the historical five-year average annual premium is $203,132. Bidders must possess a valid insurance certificate, have 10 years of experience in insurance placement, and meet various mandatory responsive requirements including drug-free workplace certification and compliance with state statutory requirements.
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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 .