Attachment K Broker Information.docx

DOCX document 13 KB Posted

Attached to
Business Automobile Insurance
Solicitation number
ITB-13707
Issued by
Polk County, Florida

About this file

Attachment K Broker Information is a document associated with the Florida Department of Management Services' Invitation to Bid (ITB) for a statewide business automobile insurance contract. The ITB seeks to establish a one-year State Term Contract effective October 1, 2025, covering seven state agencies including the Department of Agriculture and Consumer Services, Department of Children and Families, Department of Financial Services, Department of Health, Florida School for the Deaf and Blind, Department of Highway Safety and Motor Vehicles, and Volunteer Florida. The contract will provide comprehensive automobile insurance coverage for approximately 617 vehicles across multiple Florida counties, with key deliverables including combined single limit liability, personal injury property (PIP), medical payments, collision, and other than collision coverage. Critical procurement dates include a solicitation posting on August 26, 2025, a question submission deadline of September 2, 2025, and a bid submission deadline of September 15, 2025 at 2:00 PM.

The procurement process requires bidders to hold a valid Florida insurance license, provide a dedicated contract manager, offer toll-free customer service, and ensure claims are filed and settled in the United States. Vendors must have at least 10 years of experience in insurance placement and account management, possess a current certificate of authority to transact insurance, and provide quotation documentation from insurers with current AM Best Ratings. The approximate annual spend on the expiring business automobile insurance policy is $1,305,368, though this is not guaranteed as a minimum contract value. Coverage can be provided through admitted, non-admitted, reciprocal insurers, and risk management programs, with the state reserving the right to make no award if determined to be in its best interest. Mandatory certifications include the PUR 7801 Vendor Certification Form, requiring attestations regarding non-participation in boycotts, E-Verify compliance, and adherence to state vendor lists.

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Other files

File Type Posted
Attachment C Price Sheet.xlsx XLSX spreadsheet
Attachment F PUR 1000 General Contract Conditions.pdf PDF
Attachment B Mandatory Responsive Requirements.docx DOCX document
Attachment C Price Sheet.xlsx XLSX spreadsheet
Attachment D ATCs.pdf PDF
Attachment G PUR 7801 Vendor Certification Form.docx DOCX document
Attachment I PUR 1355.docx DOCX document
Attachment F PUR 1000 General Contract Conditions.pdf PDF
Attachment D ATCs.pdf PDF
Attachment G PUR 7801 Vendor Certification Form.docx DOCX document
Attachment M Historical Loss Experience.pdf PDF
_ITB Business Automobile Insurance.pdf PDF
Attachment C Revised Price Sheet .xlsx XLSX spreadsheet
Attachment H Draft Contract.pdf PDF
Attachment L Expiring Policy.pdf PDF
Attachment M Historical Loss Experience.pdf PDF
Business Auto Q&A Addendum No. 1.pdf PDF
_ITB Business Automobile Insurance.pdf PDF
Attachment A Scope of Work.pdf PDF
Attachment B Mandatory Responsive Requirements.docx DOCX document
Attachment E ESTC 9.12.2024.pdf PDF
Attachment I PUR 1355.docx DOCX document
Attachment L Expiring Policy.pdf PDF
Attachment N Auto Usage.pdf PDF
Attachment A Scope of Work.pdf PDF
Attachment E ESTC 9.12.2024.pdf PDF
Attachment H Draft Contract.pdf PDF
Attachment J Certification Drug Free.docx DOCX document
Attachment K Broker Information.docx DOCX document
Attachment J Certification Drug Free.docx DOCX document
Attachment N Auto Usage.pdf PDF
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Text version

Attachment K Broker Information

Broker Name:

FEIN:

Primary Location(s) where the work will be performed:

Street Address: City: State:

Please identify the person who is to be responsible for administering the Insurance Policy on your behalf if award is made.

Name:

Title:

Street Address:

E-mail Address:

Phone Number(s):

Fax Number:

Emergency Number:

If the person responsible for answering questions about the Broker’s Bid is different from the person identified above, please provide the same information for the person responsible for answering questions about the Broker’s Bid.

Name:

Title:

E-mail Address:

Phone Number(s):

Emergency Number:

File details come from the government source that posted it. Updated .