PUR2627028 Rev. 06/08/2026

INVITATION TO BID

DO NOT SHIP BASED UPON THIS BID

Return this SIGNED form to:

Louisiana Tech University Office of Purchasing PO Box 3157 208 Keeny Circle, RM 408 Ruston, Louisiana 71272

Bid Number: 50012-656-27 Bid Title: Participant Accident Coverage for Intercollegiate Athletics

Bid Schedule:

Pre-Bid Conference: Bidder agrees to comply with all conditions below and attached to this request.

N/A

Bid Submission Deadline / Opening: Prices are to be complete and the FOB point is to be Louisiana Tech

University unless otherwise specified.

July 23, 2026 @ 2:00 PM

Bidder Information: (Bidder to provide all required information) (Full Company Name)

(Full Street or Mailing Address)

(City) (State) (Zip)

(Phone) (Email) (Fax)

(Company Quote Number if Applicable)

PRICES MUST BE FIRM FOR AT LEAST 30 DAYS FROM BID OPENING DATE

FAILURE TO SIGN BELOW IN INK SHALL DISQUALIFY BID

Typed or Printed Name / Title Authorized Signature

The Louisiana Tech University Office of Purchasing is seeking SEALED BIDS for the following:

Participant Accident Coverage for Intercollegiate Athletics

* This solicitation will result in the issuance of a purchase order covering the timeframe August 1, 2026 to June 30, 2027 with the option to renew for two (2) additional one (1) year period if both parties mutually agree *

** Vendors are REQUIRED to submit a bid bond for this solicitation in the amount of five (5) percent of $500,000.00 ($25,000.00). This Bid Bond shall be included in the same envelope as the vendor's bid response. Failure to include the required bid bond will cause the vendor's bid to be deemed as non-responsive **

**See Attached Bid Specifications for additional details**

ALL BIDS MUST BE RETURNED TO THE LOUISIANA TECH UNIVERSITY OFFICE OF PURCHASING VIA MAIL OR IN PERSON.

The Bidder is solely responsible for ensuring that its courier service provider makes inside deliveries to our physical location. Louisiana Tech University is not responsible for any delays caused by the bidder’s chosen means of delivery.

For questions regarding specifications, please contact the Office of Purchasing at 318-257-4205 or purchasing@latech.edu. Please ensure that the above bid number appears on all communications.

IMPORTANT: If bidding other than requested brand and product number (or style), enclose sufficient literature to determine compliance with specifications. Failure to comply with this request may eliminate your bid from consideration. Any manufacturer’s names, trade names, brand names, or catalog numbers used in the specifications are for the purpose of describing and establishing general quality levels. Such references are not intended to be restrictive. Bids will be considered for any brand which meets or exceeds the quality of the specifications listed for any items.

mailto:purchasing@latech.edu

The Louisiana Tech University Office of Purchasing is now accepting Sealed Bid solicitations for Participant Accident Coverage for Intercollegiate Athletics.

Solicitation Timeline:

June 17, 2026 – Initial posting of the solicitation July 1, 2026 @ 5:00 PM – Deadline for submission of questions to the University July 9, 2026 @ 5:00 PM – Deadline for answers to submitted questions to be posted as an addendum July 23, 2026 @ 2:00 PM – Deadline to receive sealed bids and bid opening

The University is seeking bids from qualified firms for the purpose of establishing a multi-component agreement for insurance coverage for its student-athletes. This solicitation will be awarded to a single vendor based upon the aggregate overall lowest, responsive vendor’s pricing of both components.

- Component #1: Secondary Insurance for all student-athletes on an aggregate deductible platform.

- Component #2: International Student-Athlete Health Insurance

This solicitation will result in the issuance of a purchase order covering the time frame August 1, 2026 to June 30, 2026, with the option to renew the agreement for two (2) additional one (1) year periods if both parties mutually agree.

Louisiana Tech University is a state-sponsored university offering degrees at the Associates, Bachelors, and Graduate levels.

The student population comes from across the United States and approximately 68 foreign countries. The total enrollment for the University is approximately 12,000 students, which includes approximately 500 International Students. Of these International Students, 40 were student-athletes.

The University maintains relationships with local and area medical providers. Those providers currently include but are not limited to:

- Northern Louisiana Medical Center

- Allegiance Medical (formerly Green Clinic)

- Orthopaedic and Spine Clinic of Louisiana

- Willis-Knighten

- Oral Surgery Associates

- Farrar Endodontics

- Haik Humble Eye Center

- Legacy Outpatient Therapy Services

- Ruston Apothecare

Individual Components:

Component #1: Secondary Insurance The purpose of this component is to establish an agreement for claims processing of and for participant accident coverage for Intercollegiate Athletics using the aggregate deductible plan, in addition to claims processing of and for non-athletic related expenses that the University desires to pay for. The non-athletic related expenses would not be applied to the aggregate deductible. The process would generally follow this sequence, a provider billing a student-athlete’s primary insurance which is processed and payment sent to the healthcare provider, who in turn will forward the balance along with the primary Explanation of Benefits to the awarded vendor. In the event a student-athlete doesn’t have primary, the said participant accident coverage will roll up to cover the primary and secondary portions of the bill in question. These claims will be paid from the University’s self-funded portion of the plan.

Attachment A – Louisiana Tech University Academic Calendar 2026-2027

Attachment B – Brochure from current Intercollegiate Athletics Component #1 plan Attachment C – Louisiana Tech University Athlete Medical Referral Form Attachment D – Claims History by Year Reports Attachment E – Intercollegiate Athletics Sports Census

Component #2: International Student-Athlete Health Insurance Louisiana Tech University has recently rebid and awarded to Academic HealthPlans Inc. The agreement with Academic HealthPlans Inc. is to provide health insurance coverage for the University’s international students, however, the current agreement does not provide coverage for student-athletes involved in Intercollegiate Athletics. The University’s Intercollegiate Athletics Department does provide insurance coverage for athletic related injuries to its international student-athletes. Information related to the current coverage is available in attachments to this solicitation.

Attachment A – Louisiana Tech University Academic Calendar 2026-2027 Attachment F - Brochure from current Intercollegiate Athletics Component #2 plan Attachment G – Enrolled students by country 2025-2026

Eligibility and Coverage Period:

Component #1:

This agreement period shall cover the time frame August 1, 2026 to June 30, 2027. The benefit period shall be one hundred and four (104) weeks from the date of injury provided on the accident claim form. The benefit period shall survive the agreement if the agreement expires or is terminated prior to the conclusion of the benefit period.

Coverage shall remain in effect for the applicable week or month even though a student-athlete may leave the University, the University isn’t in session or hasn’t begun. Intercollegiate student-athletes will traditionally be enrolled as a full-time student during the Fall, Winter, and Spring academic periods (quarters). However, coverage shall be extended into the Summer term / months when the student is engaged in NCAA defined athletic activity. The policy shall have no gaps in coverage regardless of the University’s academic calendar.

Component #2:

It is the policy of Louisiana Tech University that all students, who meet one of the following conditions, are required to have health insurance coverage while they are engaged in full time educational activities.

- The student is a non-immigrant foreign national with a valid passport from their home country.

- The student has been issued a I-20 Certificate of Eligibility by Louisiana Tech University

- The student has been granted F-1 student status by the United States Citizenship and Immigration Services (USCIS)

- The student is a registered for classes at Louisiana Tech University

- The student is an exchange visitor (and their dependents) who have been issued a DS 2023 by the University

Hard waivers will be granted to students who have provided proof of insurance through their parents, government, or other extenuating circumstances. A qualified student under the policy will be covered in any country outside of their country of citizenship and / or usual domicile.

The policy shall also include F-1 students in the following categories:

- F-1 students on a 12-month Optional Practical Training

- F-1 students on a 24-month STEM extension work period

The agreement period shall mirror as stated in previous sections of this solicitation. A person who is eligible for coverage shall become an Insured Certificate Holder on the effective dates specified by the policy holder. Coverage shall be in effect twelve (12) months out of the year. Coverage shall remain in effect for an applicable academic term even though a student may leave school, unless the insured student enter military service, in which coverage would terminate upon entrance.

Students who institutionally withdraw (formerly resignation) after the premium is paid will be fully covered for the remainder of the academic term (quarter). Should a student institutionally withdraw (formerly resignation) from the University while a claim is pending, the coverage shall continue until payment of the maximum amount applicable or until the student is fully recovered, whichever comes first.

ID Cards and Claims Handling Procedure:

Prior to the start of the effective date of the policy, the Awarded Vendor shall provide health insurance identification cards / referral forms to give to medical providers prior to rendering services. These cards / referral forms shall include the University’s name, the name and address of the Insurance Company, the insurance policy number, and the telephone number of the policy provider to be accessed by the health care providers.

Prior to the beginning of the effective date of coverage, the Awarded Vendor / Insurance Company shall provide claim forms that will be completed by the University’s Sports Medicine staff. The Insurance Company must agree to make a good faith effort to process completed claim forms quickly and efficiently. The claim form shall be simple and easy to complete.

The Insurance Company must accept bills and statement forms generated by hospitals, clinics, and attending physicians as supporting documentation. The Awarded Vendor shall provide a toll-free number and have claims representatives available twenty-four (24) hours per day, seven (7) days per week.

Administrative Procedures:

The Awarded Vendor shall be a licensed agent / broker in the State of Louisiana for the Insurance Company represented and must provide evidence of an A or better rating in the A.M. Best rating. The Vendor shall also submit a list of references / other division one universities to whom the vendor has provided medical insurance services. This shall also include a length of service provided.

The Vendor shall also provide a narrative as to their experiences with medical provider discounts in cities where the Sunbelt Conference teams reside. These locations currently include Boone, NC, Conway, SC, Statesboro, GA, Atlanta, GA, Harrisonburg, VA, Huntington, WV, Norfolk, VA, Jonesboro, AR, Lafayette, LA, Mobile, AL, Hattiesburg, MS, Troy, AL, and Monroe, LA.

The Vendor / Insurance Company must be able to demonstrate its experience in finding cost savings and negotiating lower rates for medical services such as diagnostic imaging, surgery / hospital expenses, and physician fees, etc. The Awarded Vendor / Insurance Company will provide samples of these negotiated contracts. Louisiana Tech University does have professional services contracts for medical / dental / vision services with providers that will continue to be honored. A current listing of those providers is listed earlier in this solicitation.

The Vendor / Insurance Company must provide any special agreements that are in place with specialist surgeons across the country. The Awarded Vendor / Insurance Company shall provide details regarding the availability of these special agreements to the University and its student-athletes.

The Vendor / Insurance Company must provide a description of how their policy would handle durable medical equipment (DME) and medical services that are standard practice in sports medicine but deemed ‘experimental’ by commercial insurance companies. Examples of these DME and medical services include but are not limited to: core muscle (sports hernia) repair, compression devices such as Game Ready and Recovery Pump, platelet-rich plasma (PRP) injections, stem cell injections, autologous chondrocyte (carticel) implantation, and fracture healing / bone stimulation devices.

The Vendor / Insurance Company (for Component #1 only) shall provide a quote for the administrative fee to handle sickness and non-athletic related claims and expenses that the University, at its discretion, wishes to pay. The Vendor / Insurance Company shall also provide a description of these services and the communications between the University and the Vendor / Insurance Company and the medical provider.

The Vendor / Insurance Company must submit evidence of net worth to be able to meet the requirements of the plan outlined. The Vendor / Insurance Company shall post a surety (bid) bond in an amount sufficient to guarantee payment of all reasonable anticipated claims. Failure to provide this surety (bid) bond will result in the vendor’s bid being deemed as non-responsive.

The Awarded Vendor / Insurance Company shall provide, at least monthly, a claims report upon request. The report shall include the amount being claimed by each student-athlete, grand total of amount claimed, and grand total of payments made; all itemized by medical provider. The report shall show total premiums received, and the total benefits paid, by month and cumulatively for the year. Sample copies of a ‘Monthly Claims Report’ must accompany the bid.

The Vendor / Insurance Company shall state the average time a claim is paid to a provider and the claim given a clean claim submittal.

The Vendor / Insurance Company must possess a client portal which includes secure communication and file submission.

Screenshots or temporary access must be provided so that the following can be evaluated:

- HIPPA compliant system that provides real time claims status

- Provide electronic Explanation of Benefits / real time reporting including Date of Service, payment type, check number (if applicable), check date (if applicable), amount paid, and additional billing details deemed necessary

- Ability to communicate via an encrypted email system

- Enforce SSL encryption of all communications. Files must be secure in transit using no less than 128-bit encryption using standard industry protocols

The Vendor / Insurance Company will provide any details of all past or pending litigation or claims filed against the company that would negatively impact the Vendor’s / Insurance Company’s performance or the University’s reputation.

The policy must meet any and all USCIS or State Department requirements that pertain to student visa holders and exchange visitor visa holders, including medical evacuation and repatriation benefits (Component #2 only).

Payment of Premium:

Component #1:

At the beginning of each fiscal year, the Awarded Vendor / Insurance Company will provide the University with an invoice for the administrative fees and policy premiums, additionally a separate invoice for a set dollar amount for the self-funded claims balance. The self-funded balance will be reviewed each quarter to determine if and when additional funding is needed. The University will remit payment to the Awarded Vendor / Insurance Company for these balances.

Component #2:

At the beginning of each fiscal year, the University will provide the Awarded Vendor / Insurance Company with a list that includes the following; additions and subtractions will be permitted between quarterly billing cycles.

- Name of student-athlete

- Campus identification number

The University will remit a premium payment quarterly with the list of covered international intercollegiate student-athletes.

Benefit Plans:

Component #1 The medical plans must contain the following minimum provisions:

Accident Medical Expense Benefit $90,000.00 (NCAA Requirement) Aggregate Deductible Amount To be determined based upon loss history Deductible Amount $0.00 Usual, Customary, & Reasonable Yes Benefit Period 104 weeks (from the date of injury) Full Excess Benefits Yes Accident Death and Dismemberment Indemnity $10,000.00 Accident Death and Dismemberment Aggregate $500,000.00 Dental Treatment Due to Covered Injury No limit to max Physiotherapy Benefit No limit to max Durable Medical Equipment Benefit No limit to max Outpatient Prescriptions Benefit No limit to max HMO / PPO Denial Benefit Yes Expanded Medical Benefit Yes Heart and Circulatory Benefit Yes Re-Aggravation of Pre-existing Condition Benefit Yes Guests and Recruits Benefit Yes

(including Men’s and Women’s Basketball PSA’s)

Component #2:

The medical plans must contain the following minimum provisions:

- No overall maximum dollar limit

- Deductible:

There should be a deductible of not more than $1,000.00 per each accident or illness for an Insured Certificate Holder, depending on network benefits.

- Medical Benefits:

Subject to exclusions, limitations, and all other provisions of the policy, benefits are to cover at minimum of $100,000.00 per accident or illness.

- Medical Evacuation Benefits:

The policy will cover up to a maximum benefit of no more than $50,000.00 charges of air evacuation of the injured or sick Insured Certificate Holder to the individual’s home country or country of regular domicile or to another medical facility, provided the air evacuation (a) is upon the recommendation and agreement of the attending licensed physician (b) results from a covered injury or sickness, and (c) does not occur prior to the benefit approval.

- Repatriation:

The policy will cover up to a maximum benefit of $25,000.00 reasonable expenses which are incurred in connection with the cremation or preparation and transportation of the body of a deceased Insured Certificate Holder to the individual’s place of residence in the individual’s home country provided the individual’s death occurred outside of his or her home country.

- Intercollegiate Athletics:

The policy will cover up to a minimum benefit of $10,000.00 per each athletic related injury during the benefit period.

- Pregnancy Benefit:

Covered expenses for pregnancy will be payable on the same basis as covered expenses for any other sickness with respect to an Insured Certificate Holder.

- Newborn Infants:

A newborn infant of an Insured Certificate Holder will automatically be an Insured Individual from the moment of his or her birth for period of time as deemed in the policy.

- Physiotherapy Expenses:

Covered expenses in connection with physiotherapy which are incurred while not confined in a hospital and which are billed by a doctor or physiotherapist are permitted to be included. The physiotherapy benefit per calendar year will be nor more than $8,000.00 per individual policy holder.

Exclusions:

Vendor / Insurance Company shall submit all exclusions defined by your policy.

Terms and Conditions:

Louisiana Tech University reserves the right to withdraw this solicitation at any time and for any reason. Receipt of proposal materials by the University or submission of a proposal to the University confers no rights upon the proposer nor obligates the University in any manner. Louisiana Tech University reserves the right to authenticate any and all information contained in the bid or each respective insurance company. Louisiana Tech University reserves the right to authenticate any and all information contained in the bid or each prospective Vendor / Insurance Company. The University intends to award this solicitation to a single vendor based upon the aggregate overall lowest, responsive pricing of both components added together. The total for Component #1 will be the result of the total of the Administrative Fees added to the Aggregated Deductible added to the Stop Loss Premium. The total for Component #2 will be the result of the total of the per term premium for the three age groups requested.

Questions and Inquiries:

The University has established a deadline for prospective vendors to submit written questions / inquiries regarding this solicitation. All questions / inquiries shall be submitted via email to the Office of Purchasing at purchasing@latech.edu PRIOR to July 1, 2026 @ 5:00 PM CST. Prospective vendors shall include the solicitation number in the subject line of all email communications with the Office of Purchasing. Questions / inquiries not received via email or after the stated deadline will not be addressed or answered. The University will provide answers to these questions / inquiries on or before July 10, 2026 @ 5:00 PM CST via addendum.

Blackout Period:

Once this solicitation is posted and publicly available, prospective vendors are not allowed to communicate with Intercollegiate Athletics personnel regarding this solicitation. All questions / inquiries shall be routed through the Office of Purchasing via email to purchasing@latech.edu.

Submission of Bids:

Prospective vendors shall submit their bid physically to the Office of Purchasing prior to July 23, 2026 at 2:00 PM CST. The submission can be delivered by courier service provider or hand delivered by the prospective vendor. The Bidder is solely responsible for ensuring that its courier service provider makes inside deliveries to our physical location. Louisiana Tech University is not responsible for any delays caused by the bidder’s chosen means of delivery. Bids received after the date and time indicated above will not be opened and cannot be evaluated.

Agreement Changes:

No additional changes, enhancements, or modifications to any agreement resulting from this solicitation shall be made without the prior approval of Louisiana Tech University and the Awarded Vendor / Insurance Company. Changes to the agreement include any change in compensation, beginning / ending date of the agreement, scope of work, and / or Awarded Vendor / Insurance Company change through Assignment of Contract process. Any such changes, once approved, will result in the issuance of an amendment or change order to the agreement. Agreement changes may only be made after the first year of the agreement.

Any changes to the stop loss premium rates must be based upon loss experience and cannot exceed the change in the Medical Care portion of the Consumer Price Index. Written notice of intention by the Underwriter to extend the agreement for an additional year and to adjust stop loss premium rates for the next policy year shall be given to the University in writing by May 1st of that year.

Agreement Termination:

Louisiana Tech University reserves the right to terminate this agreement at any time for cause based upong the failure of the Awarded Vendor / Insurance Company to comply with its terms and / or conditions of the agreement or failure to fulfill its performance obligations pursuant to the agreement, provided that Louisiana Tech University shall give the Awarded Vendor / Insurance Company written notice specifying the Awarded Vendor’s / Insurance Company’s failure. If within thirty (30) days after receipt of such notice, the Awarded Vendor / Insurance Company has not corrected such failure or in the case of failure which cannot be corrected in thirty (30) days, begun correction, then the University may, at is option, place the Awarded Vendor / Insurance Company in default and the agreement shall terminate on the date specified in such notice.

Remedies for Default:

Any claim or controversy arising from this contract shall be resolved by the provisions of LA RS 39:1524 through 39:1526.

Indemnification:

The Awarded Vendor / Insurance Company agrees to indemnify and hold the University harmless from any and all claims, demands, liabilities, lawsuits, or damages in any way arising out of based upon the activities or omissions of the Awarded Vendor / Insurance Company, under this Agreement, including without limitations claims for refund of fees. The University agrees to indemnify and hold the Awarded Vendor / Insurance Company harmless from any and all claims, demands, liabilities, lawsuits, or damages in any way arising out of or based upon the activities or omissions of the University’s personnel.

Auditors:

It is hereby agreed that the University’s Auditor, the Louisiana Legislative Auditor and / or the Office of the Governor, Division of Administration Auditors of Louisiana shall have the option of auditing all accounts of the Awarded Vendor / Insurance Company which relate to this contract.

Proposal Submission Requirements:

Vendors are to include one (1) original, signed and two (2) copies of their submission in a sealed envelope, mailer, or box.

The Vendor shall place this solicitation’s number, name, and the Vendor name prominently on the outside of the envelope, mailer, or box. Proposals shall be delivered physically delivered to the Office of Purchasing at the address below before 2:00 PM CST on July 23, 2026.

Louisiana Tech University Office of Purchasing PO Box 3157 (USPS) 208 Keeny Circle, RM 408 (all other delivery services) Ruston, LA 71272

Response Requirements:

The following items must be included in the prospective vendor’s submission to the University.

- Cover Letter – letter summarizing response signed by an authorized representative of the company

- Table of Contents

- Company Background and Other Information – provide a narrative of background information on your company, including a statement clarifying whether the proposer is a sole proprietor, a partnership, a corporation, or other legal entity, evidence of net worth,

- Plan Description – provide a description of the proposed plan

- Premium – provide a statement of the premiums for the proposed plan for the coverage period

- Exclusions – Describe exclusions as defined by your policy

- References – Submit information to document successful and reliable experience and service, including reference information. Each proposer must furnish a list of a minimum of five (5) clients currently being provided student-athlete and international student health insurance services

- Organizational Chart – provide an organizational chart showing the staffing and lines of authority for key personnel to be used

- Supporting Documents – documentation not included elsewhere including but not limited to, Power of Attorney certifying agent’s authority to bind the proposer if response is submitted by an agent, a statement that the proper is authorized to do business in the State of Louisiana and has properly registered and licensed to do so.

- Complete Bid Form for Pricing Page

- Completed Insurance Company Declarations Page

- Sample Monthly Claims Report

- Client portal screenshots or temporary access for evaluation of services

- Details of past or pending litigation or claims filed against the Vendor / Insurance Company that would negatively impact the Vendor’s / Insurance Company’s performance or the University’s reputation, if applicable

Vendors shall complete all pages of this Invitation to Bid, including the printed name and signature of the person submitting the quotation and pricing on the Schedule of Items page. Bid received without this information shall be deemed as non-responsive. Vendors are encouraged to include their own quote for an explanation of your proposed system, BUT this vendor quote shall not be a substitute for this completed Invitation to Bid Form.

Bid Response Form for Pricing page 10

Bid Number: 50012-656-27 Bid Title: Participant Accident Coverage for Intercollegiate Athletics

Vendors shall complete all pages of this Invitation to Bid, including the printed name and signature of the person submitting the proposal and pricing on the Bid Response Form for Pricing.

Bids received without this information shall be deemed as non-responsive.

Coverage Component Cost

Component #1 (Administrative Fees must be consistent for all groups without age limits)

Student-Athlete Only

Administrative Fees (per year) _______________________

Aggregate Deductible (per year) _______________________

Stop Loss Premium (per year) _______________________

Indicate maximum number of students above pricing covers _______________________

Component #2 International Student-Athlete Only

Age 22 and under (per academic term) _______________________

Age 23 to 26 (per academic term) _______________________

Age 27 to 30 (per academic term) _______________________

Vendor Name: Date:

* Each individual component may be awarded separately or may be awarded in total, whichever is in the best interest of the University. The total for Component #1 will be the result of the total of the

Administrative Fees added to the Aggregated Deductible added to the Stop Loss Premium. The total for Component #2 will be the result of the total of the per term premium for the three age groups requested *

Insurance Company Declarations Page This page shall be submitted with Bid Response

Each Vendor submitting a bid related to this solicitation shall complete this Declarations Page and return along with their bid response. Failure to complete this declarations page completely and return with your response will cause your bid to deemed as non-responsive.

Insurance Company Name:

Insurance Company Address: City: State: Zip:

Insurance Company Main Telephone: Toll Free Number:

OFFICIAL CONTACT. The University requests that the Bidder designate one person to receive all documents and communications regarding the University. Please identify the Vendor’s Primary Point of Contact for the University. (Please print clearly)

Contact Name: Contact Telephone Number:

Contact Secondary Telephone Number: Contact Email Address:

Best’s Policyholder’s Rating: Best’s Financial Size Category Classification:

Please list each college or university insured during previous school year (attach additional pages if required).

College / University #1:

Primary Contact Name: Contact Telephone Number:

Approximate Premium Volume: Has Vendor insured this College / University for three (3) or more years: Yes No

College / University #2:

Primary Contact Name: Contact Telephone Number:

Approximate Premium Volume: Has Vendor insured this College / University for three (3) or more years: Yes No

College / University #3:

Primary Contact Name: Contact Telephone Number:

Approximate Premium Volume: Has Vendor insured this College / University for three (3) or more years: Yes No

College / University #4:

Primary Contact Name: Contact Telephone Number:

Approximate Premium Volume: Has Vendor insured this College / University for three (3) or more years: Yes No

College / University #5:

Primary Contact Name: Contact Telephone Number:

Approximate Premium Volume: Has Vendor insured this College / University for three (3) or more years: Yes No

Is the insurance company paying claims: Yes No

If Yes, complete the following related to claims service:

Office location where claims will be paid:

Person processing / paying claims: Title:

Telephone Number: Email Address:

Years of experience of this employee administering student claims:

Toll Free Number for claims service / questions / other issues:

Will the claim’s office provide copies of all claim’s status to the University: Yes No

Will the claim’s office provide information on all claims rejected and the reason(s) for the rejection: Yes No

What is the average time for a claim to be processed after the date received by the insurance company:

Provide a summary of the insurance company’s procedures in processing claims when notice of claim is submitted beyond the policy’s time limit?

What at the insurance company’s procedures in processing claims when written proof of loss is submitted more than ninety (90) days after the date of such loss:

Will the insurance company furnish the University with a monthly listing of all claims paid, including but not limited to:

Claim Yes No Insured’s Name Yes No Date of Claim incurred Yes No Date of Claim paid Yes No Amount of claim Yes No Company paid Yes No

Will the insurance company provide online access to claims forms and the capability of submitting claims: Yes No

By signing this Declarations Page, the Vendor certifies that all information contained therein is true, correct, and accurate, and that the University can contact the listed University’s above to obtain an evaluation of the vendor’s performance.

Signature of Bidder’s Authorized Representative:

(Signature SHALL be HAND SIGNED in ink. Typed signatures are not allowed)

Date of Signature:

Failure to return this completed and properly signed Declarations Page along with the bid response shall cause the vendor’s bid to be deemed as non-responsive.

Division of Finance Office of Purchasing

THIS IS A REQUEST FOR A SEALED BID

INSTRUCTIONS TO BIDDERS

1. Read the entire bid, including all terms and conditions and specifications.

2. Louisiana Tech University is not liable for any cost incurred by the bidders prior to execution of a contract and the issuance of a purchase order. Any bidder who ships or otherwise expends time or money prior to award as defined does so at the bidder’s own risk.

3. All bid prices must be typed or written in ink. Any corrections, erasures or other forms of alteration to unit prices should be initialed by the bidder. If the bidder needs to submit a change, question, exception, or modification to any aspect of the bid specifications, terms, conditions, or bidder instructions, must do so in written form submitted to the Louisiana Tech University Office of Purchasing prior to the bid opening date. All responses and/or addenda will be officially submitted by the Louisiana Tech University Office of Purchasing 72 (seventy-two) business hours before the bid opening date. Business hours is defined as University operating hours while the University is open. Unless received as specified above, all bid information will remain unchanged.

4. This bid is to be manually signed in ink.

5. Bid prices shall include all delivery charges paid by the vendor, F.O.B. Destination, unless otherwise provided in the solicitation. Bids requiring deposits, “payment in advance” or “C.O.D” may be rejected. Bid prices shall also include all customs clearance, duties, and taxes into the United States; if applicable. This is to include, but is not limited to, customs broker fees, document fees, duties, taxes, etc. The University does not retain, nor will it retain a customs broker. All importation shall be the responsibility and at the cost of the Vendor. Payment is to be made within 30 days after receipt of properly executed invoice or delivery, whichever is later.

6. Amount of bid bond required: every bid submitted for in excess of fifty thousand dollars shall be accompanied by a bid bond guaranteed by a surety company qualified to do business in the state of Louisiana. The bid bond shall be for five percent of the official bid amount.

7. To assure consideration of your bid, all bids and addenda should be returned in an envelope or package clearly marked with the bid opening date and the bid number; or submitted in the special envelope, if furnished for that purpose. The Bidder is solely responsible for ensuring that its courier service provider makes inside deliveries to our physical location. The University is not responsible for any delays caused by the bidder’s chosen means of delivery. Bidder is solely responsible for the timely delivery of its bid. Bids received after the due date and time will not be considered.

8. Bids submitted are subject to provisions of the laws of the State of Louisiana including but not limited to L.R.S.

39:1551-1736; Purchasing rules and regulations; executive orders; standard terms and conditions; special conditions; and specifications listed in this solicitation.

9. Important: By signing the bid, the bidder certifies compliance with all instructions to bidders, terms conditions and specifications, and further certifies that this bid is made without collusion or fraud. This bid is to be manually signed in ink by a person authorized to bind the vendor (see no. 27). All bid information shall be in ink or typewritten.

10. Address all inquiries and correspondence to the Louisiana Tech University Office of Purchasing at the address and telephone number listed herein.

11. Bid forms: All written bids, unless otherwise provided for, must be submitted on, and in accordance with, forms provided, and properly signed (see no. 27). Bids submitted in the following manner will not be accepted:

A. Bid contains no signature indicating intent to be bound;

B. Bid sent by facsimile equipment;

C. Bid filled out in pencil; and D. Bid not submitted on the designated bid forms.

12. Bids must be received at the address specified in the solicitation prior to bid opening time in order to be considered.

13. Standards of quality – Any product or service bid shall conform to all applicable federal, state, and local laws and regulations, and the specifications contained in the solicitation. If bidding other than the requested brand or product number (or style), enclose sufficient literature to determine compliance with specifications. Failure to comply with this request may eliminate your bid from consideration. Unless otherwise specified in the solicitation document, any manufacturer’s name, trade name, brand name, or catalog number used in the specification is for the purpose of describing the standard of quality, performance, and characteristics desired; and is not intended to limit or restrict competition. Bidder must specify the brand and model name of the product offered in the bid. Bids not specifying brand and model number shall be considered as offering the exact product specified in the solicitation. See bid document for full requirements.

14. New Products: Unless specifically called for in the solicitation documents, all products for purchase must be new, never previously used, and the current model and/or packaging. No remanufactured, demonstrator, used or irregular product will be considered for purchase unless otherwise specified in the solicitation documents. The manufacturer’s standard warranty will apply unless otherwise stated in the solicitation.

15. Louisiana Tech University reserves the right to award items separately, grouped or on an all-or-none basis and to reject any or all bids and waive any informalities.

16. This agreement is non-exclusive and shall not in any way preclude Louisiana Tech University from entering into similar agreements and/or arrangements with other vendors or from acquiring similar, equal, or like goods and/or services from other entities or sources.

17. Bid opening: Bidders may attend the bid opening, but no information or opinions concerning the ultimate contract award will be given at the bid opening or during the evaluation process. Bids may be examined within 72 hours after bid opening. Information pertaining to completed files may be secured by visiting the Louisiana Tech University Purchasing Office during normal working hours. Written bid tabulations will not be furnished prior to 72 hours.

18. Prices: Unless otherwise specified by Louisiana Tech University in the solicitation, bid prices must be complete, including transportation prepaid by bidder to destination and firm for acceptance for a minimum of 30 days. If accepted, prices must be firm for the contractual period.

19. Taxes: Vendor is responsible for including all applicable taxes, fees, and tariffs in the bid price. Louisiana Tech University is exempt from all Louisiana state and local sales and use taxes. By accepting an award, resident and non-resident firms acknowledge their responsibility for the payment of all taxes duly accessed by the State of Louisiana and its political subdivisions for which they are liable, including but not limited to: franchise taxes, privilege taxes, sales taxes, use taxes, ad valorem taxes, etc.

20. Contract renewals: In the event that bid specifications include a renewal option, a term contract may be extended for two additional 12-month periods at the same prices, terms, and conditions upon mutual agreement of the State of Louisiana agency and the contractor. In such cases, the total contract term cannot exceed 36 months.

21. Contract cancellation: Louisiana Tech University has the right to cancel any contract, in accordance with purchasing rules and regulations, including but not limited to: (1) failure to deliver within the time specified in the contract; (2) failure of the product or service to meet specifications, conform to sample quality or to be delivered in good condition;

(3) misrepresentation by the vendor; (4) fraud, collusion, conspiracy or other unlawful means of obtaining any contract with the University; (5) conflict of contract provisions with constitutional or statutory provisions of state or federal law; (6) any other breach of contract. Louisiana Tech University has the right to cancel any contract for convenience at any time by giving thirty (30) days written notice to the vendor. In such cases, the vendor shall be entitled to payment for complaint deliverables in progress.

22. Applicable law: All contracts shall be construed in accordance with and governed by the laws of the State of Louisiana.

23. In accordance with Executive Order Number JBE 2018-15, effective May 22, 2018, for any contract for $100,000 or more and for any contractor with five or more employees, Contractor, or any Subcontractor, shall certify it is not engaging in a boycott of Israel, and shall, for the duration of this contract, refrain from a boycott of Israel. The State reserves the right to terminate this contract if the Contractor, or any Subcontractor, engages in a boycott of Israel during the term of the contract.

24. The bidder agrees to abide by the requirements of the following as applicable: Title VI of the Civil Rights Act of 1964 and Title VII of the Civil Rights Act of 1964, as amended by the Equal Employment Opportunity Act of 1972, Federal Executive Order 11246 as amended, the Rehabilitation Act of 1973, as amended, the Vietnam Era Veteran's Readjustment Assistance Act of 1974, Title IX of the Education Amendments of 1972, the Age Discrimination Act of 1975, the Fair Housing Act of 1968 as amended, and bidder agrees to abide by the requirements of the Americans with Disabilities Act of 1990. Bidder agrees not to discriminate in its employment practices, and will render services under this contract without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, political affiliation, disability, or age in any matter relating to employment. Any act of discrimination committed by bidder, or failure to comply with these statutory obligations when applicable shall be grounds for termination of any contract entered into as a result of this solicitation.

25. Special accommodation: Any “qualified individual with a disability” as defined by the Americans with Disabilities Act, who has submitted a bid and desires to attend the bid opening, must notify the Louisiana Tech University Office of Purchasing in writing not later than seven days prior to the bid opening date of their need for special accommodations. If the request cannot be reasonably provided, the individual will be informed prior to the bid opening.

26. Indemnity: Contractor agrees, upon receipt of written notice of a claim or action, to defend the claim or action, or take other appropriate measure, to indemnify, and hold harmless, the state, its officers, its agents and its employees from and against all claims and actions for bodily injury, death or property damages caused by the fault of the contractor, its officers, its agents, or its employees. Contractor is obligated to indemnify only to the extent of the fault of the contractor, its officers, its agents, or its employees. However, the contractor shall have no obligation as set forth above with respect to any claim or action from bodily injury, death or property damages arising out of the fault of the state, its officers, its agents or its employees.

27. Signature authority: Attention: R.S. 39:1594(c) (4) requires evidence of authority to sign and submit bids to the State of Louisiana. You shall indicate which of the following apply to the signer of this bid.

Please circle one:

1) The signer of this bid is either a corporate officer who is listed on the most current annual report on file with the Secretary of State or a member of a partnership or partnership in commendam as reflected in the most current partnership records on file with the Secretary of State. A copy of the annual report or partnership must be submitted to this office before contract award.

2) The signer of this bid is a representative of the bidder authorized to submit this bid as evidenced by documents such as Corporate Resolution, Certification as to Corporate Principal, etc. If this applies, a copy of the resolution, certification, or other supportive documents must be attached hereto.

3) The bidder has filed with the Secretary of State an affidavit or resolution or other acknowledged/authentic document indicating that the signer is authorized to submit bids for public contracts. A copy of the applicable document must be submitted to this office before contract award.

28. In accordance with the provisions of R.S. 39:2182, in awarding contracts after August 15, 2010, any public entity is authorized to reject a proposal or bid form, or not award the contract to, a business in which any individual with an ownership interest of five percent or more, has been convicted of, or has entered a plea of guilty or nolo contendere to any state felony or equivalent federal felony crime committed in the solicitation or execution of a contract or bid awarded under the laws governing public contracts under the provisions of chapter 10 of Title 38 of the Louisiana Revised Statutes of 1950; professional, personal, consulting, and social services procurement under the provisions of Chapter 16 of Title 39, or the Louisiana Procurement Code under the provisions of Chapter 17 of Title 39.

29. It is agreed that the Legislative Auditor of the State of Louisiana and/or the Office of the Governor, Division of Administration auditors shall have the option of auditing all accounts which relate to this contract.

30. The continuation of this contract is contingent upon the appropriation of funds to fulfill the requirements of the contract by the legislature. If the legislature fails to appropriate sufficient monies to provide for the continuation of the contract, or if such appropriation is reduced by the veto of the Governor or by any means provided in the Appropriations Act to prevent the total appropriation for the year from exceeding revenues for that year, or for any other lawful purpose, and the effect of such reduction is to provide insufficient monies for the continuation of the contract.

31. Whenever a public entity enters in to a contract in excess of five-thousand dollars ($5,000) for the construction, alteration, or repair of any Public Works, the official representative of the public entity shall reduce the contract to writing and have it signed by the parties. When an emergency as provided in R.S. 38:2212(D) is deemed to exist for the construction, alteration, or repair of any Public Works and the contract for such emergency work is less than fifty-thousand dollars ($50,000), there shall be no requirement to reduce the contract to writing (R.S. 38:2241).

32. For each contract in excess of twenty-five thousand dollars ($25,000) per project, the public entity shall require of the contractor a bond with good, solvent, and sufficient surety in a sum of not less than fifty percent (50%) of the contract price for the payment by the contractor or subcontractor to claimants as defined in R.S. 38:2242. The bond furnished shall be a statutory bond and no modification, omissions, additions in or to the terms of the contract, in the plans or specifications, or in the manner and mode of payment shall in any manner diminish, enlarge, or otherwise modify the obligations of the bond. The bond shall be executed by the contractor with surety or sureties approved by the public entity and shall be recorded with the contract in the office of the recorder of mortgages in the parish where the work is to be done not later than thirty days after the work has begun.

33. For construction projects falling within classifications of 37:2150 the bidder must be fully qualified under any state or local licensing law for contractors in effect at the time and at the location of the work before submitting his bid.

In the state of Louisiana, revised statutes 37:2150, et seq. Will be considered, if applicable. The contractor shall be responsible for determining that all of his sub-bidders or prospective subcontractors are duly licensed in accordance with law. On any bid in excess of fifty thousand dollars ($50,000), the Contractor shall certify that he is licensed under R.S. 37:2150-2163 and show his license number on the bid. The bid envelope shall be identified on the outside with the Name of the Project, Bid Number, Bid Time, the Name of the Bidder and the License Number of the Bidder.

34. Prohibited Contractual Arrangements – Per Louisiana R.S.