Attachment E - Bid Quotation Form 1 - RFB 758 2300000826.pdf
PDF 127 KB Posted
- Attached to
- Master Aviation Insurance
- Solicitation number
- RFB 758 2300000826 1
- Issued by
- Elliott County, Kentucky
About this file
This is a Bid Quotation Form for master aviation insurance submitted as Attachment E to Request for Bid (RFB) 758 2300000826 for the State of Kentucky. The solicitation seeks aircraft liability and physical damage insurance coverage for a 12-month policy period beginning August 13, 2023, and ending August 13, 2024. Bidders are required to provide quotations for $10,000,000 in bodily injury and property damage liability limits applicable to scheduled, temporary substitute, and non-owned aircraft, along with separate pricing for scheduled physical damage limits and Kentucky's 1.8% surcharge. The form requires bidders to provide their agency name, insurer name, authorized representative signature, and contact information.
Bidders must comply with Kentucky Revised Statutes (KRS) 136.392 regarding the 1.8% Kentucky surcharge and its disclosure pursuant to KRS 136.392 and 806 KAR 2:100. The quotation form requires separate line items for the liability coverage, scheduled physical damage limits, and the mandatory Kentucky surcharge, allowing the state to evaluate total premium costs across all components. The form provides blank spaces for bidders to complete their pricing, agency information, and authorization signatures to facilitate the evaluation of competing bids for this aviation insurance requirement.
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Text version
ATTACHMENT E – BID QUOTATION FORM 1
RFB 758 2300000826
MASTER AVIATION INSURANCE
Invitation No. _____________________ Date:________________________________________
DESIRED COVERAGE
Aircraft Liability and Physical Damage Insurance
POLICY PERIOD
12:01 a.m. August 13, 2023 to 12:01 a.m. August 13, 2024
LIMIT OF INSURANCE
Provide bids on the following limits:
• $10,000,000 under the bodily injury and property damage liability sections of the policy for scheduled, temporary substitute and non-owned aircraft.
• Scheduled physical damage limits
• Kentucky 1.8% Surcharge ▪ $______________________________
TAXES
Bidder must comply with KRS 136.392 with regards to the 1.8% Kentucky surcharge, disclosure of premium surcharge pursuant to KRS 136.392 and 806 KAR 2:100.
(Name of Insurance Agency) (Name of Insurer)
(Signature of Agency Authorized Rep) (Date)
(Agency Authorized Rep – Print Name)
(Title) (Telephone)
File details come from the government source that posted it. Updated .