AV 24-64121501-ITB Attachment H Broker Information.pdf
PDF 79 KB Posted
- Attached to
- Aviation Hull Protection and Indemnity Insurance
- Solicitation number
- ITB-09444
- Issued by
- Leon County, Florida
About this file
This document is an Attachment H Broker Information form for Solicitation No. 24-64121501-ITB for 2024-2025 Aviation Hull and Protection and Indemnity Insurance. The solicitation is issued by the state of Florida. The form requests the identification of the person responsible for administering the insurance policy, including their contact information, as well as the person responsible for answering questions about the broker's bid, if different. The state and local contract opportunity is for Aviation Hull Protection and Indemnity Insurance.
The document does not provide details on pricing terms, set asides, incumbents, funding requirements and sources, or other salient information beyond the broker contact details requested.
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Text version
Solicitation No. 24-64121501-ITB 2024-2025 Aviation Hull and Protection and Indemnity Insurance
Attachment H Broker Information
Broker:
FEIN:
Bid/Insurance Policy Administration
Please identify the person who is to be responsible for administering the Insurance Policy on your behalf if award is made and include an emergency contact phone number.
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:
Street Address:
E-mail Address:
Phone Number(s):
Fax Number:
File details come from the government source that posted it. Updated .