Attachment G - Bid Specifications Deviation Form 1A.pdf
PDF 105 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 Bid Specifications Deviation Form 1A issued by the Commonwealth of Kentucky, Kentucky Workers' Compensation Funding Commission, for a competitive bidding process to procure Public Officials Liability Insurance under KRS Chapter 45A. The form serves as a standardized document for bidders to formally document any exceptions or deviations from the specified insurance requirements and coverage terms outlined in the invitation for bid.
Bidders must list all exceptions and deviations to the bid specifications on this form, with a clear warning that taking exceptions to specifications may result in bid rejection. The form requires bidders to provide identifying information including the name of the agency, name of the insurer, complete address, and underwriter's telephone number. If no deviations are applicable, bidders must explicitly state this on the form. The document includes space for up to five numbered exceptions with an option to use additional sheets if necessary. All submissions must be signed and dated by the bidder's representative.
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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
BID SPECIFICATIONS DEVIATION FORM 1A
Exceptions and/or deviations to specifications are to be listed below. No optional bids are to be included on this form. Bidders are cautioned that taking exceptions to the specifications may cause rejection of their bid.
If none, please so state:__________________________________________________________
1. ________________________________________________________________________
2. ________________________________________________________________________
3. ________________________________________________________________________
4. ________________________________________________________________________
5. ________________________________________________________________________ (Use additional sheet, if necessary.)
Date: ______________________________
Name of Agency ________________________________________________________________
Name of Insurer ________________________________________________________________
Address: __________________________________________________________________
Underwriter's Telephone Number ___________________________________________________
RESTRICTION ON COMMUNICATIONS
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