Attachment E - Bidder Information Sheet.pdf
PDF 110 KB Posted
- Attached to
- Public Officials Liability Insurance
- Solicitation number
- RFB 758 2200000252 3
- Issued by
- Elliott County, Kentucky
About this file
This is a Bidder Information Sheet for a competitive bidding process issued by the Commonwealth of Kentucky, Kentucky Workers' Compensation Funding Commission, for Public Officials Liability Insurance under KRS Chapter 45A. The document outlines the mandatory requirements and acknowledgments that all bidders must complete and submit with their bid proposals. Bidders are required to identify the agent responsible for account management and the assigned company representative available for immediate consultation, designate a claims office and supervising claims person to handle loss adjustments, and commit to providing annual claims summary reports by September 1 following each policy year. All bidders must submit one marked copy and three additional copies of all insuring agreements, endorsements, and sample policies reflecting minimum coverage specifications, with coverage at least as broad as the current policy. Bidders must also complete deviation and enhancement forms as applicable and return all required documents including the Invitation for Bid, Bidder Information Sheet, Bid Quotation Form 1, and related specification forms, with failure to do so resulting in bid rejection.
The Bidder Information Sheet requires submission of the company's A.M. Best's Rating and Certificate of Authority Number, with the form to be signed by an authorized company representative before submission. The document emphasizes that all required forms and documents must be completed, signed, and returned with the bid package. No specific pricing terms, contract amounts, award dates, or contract term information is detailed in this particular form, as it functions as an administrative and compliance document establishing bidder obligations and information requirements rather than addressing financial or timeline specifics.
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Text version
INVITATION FOR BID
COMMONWEALTH OF KENTUCKY
KENTUCKY WORKERS’ COMPENSATION FUNDING COMMISSION
PUBLIC OFFICIALS LIABILITY INSURANCE
THROUGH COMPETITIVE BIDDING PROCESS
UNDER KRS CHAPTER 45A
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 September 1 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.
RESTRICTION ON COMMUNICATIONS
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