Attachment D - Bidder Information Sheet - RFB 758 2300000826.pdf

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Attached to
Master Aviation Insurance
Solicitation number
RFB 758 2300000826 1
Issued by
Elliott County, Kentucky

About this file

This is a Bidder Information Sheet for Request for Bid (RFB) 758 2300000826 issued by the Commonwealth of Kentucky for master aviation insurance coverage. Bidders are required to complete and submit this attachment with their bids, designating an agent responsible for account management and a company representative available for immediate consultation. A claims office must be identified to supervise and adjust all reported losses and claims, with a designated supervising claims person assigned to the account. Bidders must provide annual claims summary reports by May 30th of each succeeding policy year and submit one marked copy and three additional copies of all insuring agreements, endorsements, and sample policies for Commonwealth review. The quoted coverage must be at least as broad as the current policy and meet the minimum coverage specifications outlined in the bid documents.

All bidders must acknowledge that they have noted any deviations from or enhancements to the bid specifications on the appropriate forms (BID SPECIFICATIONS DEVIATION FORM 1A or BID SPECIFICATION ENHANCEMENT FORM 1B) and must sign and return the Invitation for Bid, Bidder Information Sheet, BID QUOTATION FORM 1, and any applicable deviation or enhancement forms with their bid submission. Failure to complete and return all required documents will result in bid rejection. Bidders must provide their company's A.M. Best's Rating and Certificate of Authority number on this sheet and must understand that the Commonwealth requires coverage specifications to be met at minimum or exceeded through enhancements.

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ATTACHMENT D – BIDDER INFORMATION SHEET

RFB 758 2300000826

MASTER AVIATION INSURANCE

BIDDER INFORMATION SHEET

The following is to be completed and agreed to by all bidders:

1. ______________________________________________________________ will be the agent responsible for handling this account, and ______________________________________________ will be the company representative assigned to this account. Each will be available for immediate consultation.

2. _______________________________________________________________ Claims Office will supervise and adjust all reported losses and claims.

__________________________________________________________________ is the supervising claims person on this account.

3. We agree to provide an annual claims summary report for each policy year by May 30th of each succeeding year.

4. We have enclosed one (1) marked and (3) three copies of all insuring agreements, endorsements, etc., for review by the Commonwealth of Kentucky. The sample policy and endorsements will reflect the minimum coverage in the bid specifications. We understand that coverage quoted shall be at least as broad as the current policy.

5. We have noted deviations from or enhancements to the bid specifications, if any, on BID

SPECIFICATIONS DEVIATION FORM 1A. or BID SPECIFICATION ENHANCEMENT FORM 1B.

6. The INVITATION FOR BID, BIDDER INFORMATION SHEET, BID QUOTATION FORM 1, BID SPECIFICATION DEVIATION(S) FORM 1A, and BID SPECIFICATION ENHANCEMENT(S) FORM 1B have been signed and returned with bid. We understand that failure to do so will be cause for rejection.

Company Representative __________________________________________________ (Signature) (Type Name and Title) Company's A. M. Best's Rating ______________________________ Company's Certificate of Authority No. ________________________ Date ___________________________________________________

NOTE: THIS BIDDER INFORMATION SHEET IS TO BE COMPLETED AND SUBMITTED WITH YOUR BID.

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