Attachment E - Bidder Information Sheet - RFB 758 2300000459.pdf
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- Attached to
- KDVA Directors & Officers Liability Insurance
- Solicitation number
- RFB 758 2300000459 3
- Issued by
- Greenup County, Kentucky
About this file
This is a Bidder Information Sheet for Request for Bid (RFB) 758 2300000459 issued by the Kentucky Department of Veterans Affairs (KDVA) for Directors & Officers Liability Insurance. The document requires all bidders to complete and submit specified forms and information with their proposals, including the Invitation for Bid, Bidder Information Sheet, Bid Quotation Form 1, Bid Specification Deviation Form 1A, and Bid Specification Enhancement Form 1B. Bidders must identify their assigned agent and company representative responsible for account handling, designate a claims office and supervising claims person, and commit to providing annual claims summary reports by December 1st of each succeeding policy year. All bidders must submit one marked copy and three additional copies of insuring agreements, endorsements, and sample policies for Commonwealth of Kentucky review. The sample policy must reflect minimum coverage specifications outlined in the bid documents, with coverage quoted at least as broad as the current policy.
Bidders must note any deviations from or enhancements to bid specifications on the appropriate forms and include their company's A.M. Best's Rating and Certificate of Authority number with their submission. Failure to sign and return all required forms and documents will result in bid rejection. The document does not specify pricing terms, contract duration, renewal options, or award dates, as this sheet focuses solely on information collection and submission requirements from prospective bidders.
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Text version
RFB 758 2300000459
ATTACHMENT E – BIDDER INFORMATION SHEET
KDVA DIRECTORS & OFFICERS LIABILITY 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 December 1st 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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