B. BIDDER INFORMATION FORM.docx

This is a Bidder Information Form for Request for Bid 758 1900000315 issued by the Commonwealth of Kentucky Teachers' Retirement System of the State of Kentucky for Fiduciary Liability and Defense Costs Insurance through a competitive bidding process in accordance with KRS 45A. All bidders are required to complete and submit this form with their bids, which requests designation of an agent responsible for account handling and a company representative assigned to the account. Additionally, bidders must identify the claims office that will supervise and adjust reported losses and claims, along with the supervising claims person for the account. Bidders are required to provide annual claims summary reports by May 1 of each succeeding policy year and must submit three copies of all insuring agreements, endorsements, and related documents for Commonwealth review.

All sample policies and endorsements must reflect the minimum required coverage specified in the bid specifications, with coverage quoted at least as broad as the current policy. Bidders must complete and sign all required forms including the Invitation for Bid, Bidder Information Sheet, Bid Quotation Form, Bid Specification Deviation(s) Form, and Bid Specification Enhancement(s) Form, with failure to do so resulting in bid rejection. Bidders must also disclose their company's A.M. Best's Rating and Certificate of Authority Number as part of the submission requirements.