Appendix_B_Required_Forms.pdf

This document is Appendix B of the Request for Statement of Qualifications for Insurance Brokers Program issued by the County of Los Angeles, Chief Executive Office, and contains the required forms that vendors must submit as part of their qualification submission. The appendix specifies mandatory documentation and certification forms that all interested insurance brokerage service providers must complete and include with their responses to demonstrate their qualifications to support the County's risk management needs across all County departments. The required forms establish standardized submission requirements ensuring all applicants provide consistent information for evaluation purposes, including certifications, declarations, and other compliance documentation necessary for the County to assess vendor qualifications in the specified insurance categories outlined in the primary solicitation document.

The specific forms contained in this appendix serve as the standardized templates vendors must utilize when responding to the RFSQ, ensuring uniform presentation of required qualifications, experience, and certifications. These mandatory forms are critical components of the overall submission package and must be completed in their entirety without modification. Vendors are required to adhere strictly to the form requirements and formatting specifications as set forth in this appendix to ensure their submissions are responsive and eligible for evaluation by the County's selection committee.