c. BID QUOTATION FORM.docx
DOCX document 13 KB Posted
- Attached to
- FIDUCIARY LIABILTY INSURANCE
- Solicitation number
- RFB-758-1900000315-4
- Issued by
- Elliott County, Kentucky
About this file
This is a Bid Quotation Form for fiduciary liability and defense costs insurance issued by the Commonwealth of Kentucky Teachers' Retirement System of the State of Kentucky through a competitive bidding process in accordance with KRS 45A. The procurement seeks fiduciary liability and defense costs insurance coverage with a policy period spanning from 12:01 a.m. January 28, 2019 to 12:01 a.m. January 28, 2020, with a retroactive date of November 30, 1985. Bidders are required to provide quotes based on specified coverage limits of $10,000,000 per claim and $10,000,000 annual aggregate with a $500,000 deductible.
Bidders must submit pricing for the total premium including applicable taxes, which consist of a 1.8% Kentucky Surcharge and a 3% Surplus Lines Tax if applicable. The bid quotation form requires the bidding insurance agency and insurer to provide their names, authorized representative signature, date, contact telephone number, and the total premium cost. Responses should identify the specific insurance agency and underwriting insurer, with authorization from a representative of each entity.
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Other files
| File | Type | Posted |
|---|---|---|
| Attach A - 4 758 1900000315.pdf | ||
| g. Resident Bidder Affidavit.doc | DOC document | |
| KTRS Questions and Response.pdf | ||
| SAMPLE POLICY KTRS 2017-2018.pdf | ||
| 2017-2018 Fiduciary Liability Insurance Application.pdf | ||
| a. KTRS Detailed Requirements.docx | DOCX document | |
| d. BID ENHANCEMENT FORM.docx | DOCX document | |
| Final_RFB_758_1900000315_4_SO_FORM.PDF | ||
| Final_RFB_758_1900000315_3_SO_FORM.PDF | ||
| h. Qualified Bidder Affidavit.doc | DOC document | |
| e. BID DEVIATION FORM.docx | DOCX document | |
| Final_RFB_758_1900000315_1_SO_FORM.PDF | ||
| F. Bidder Affidavit.pdf | ||
| B. BIDDER INFORMATION FORM.docx | DOCX document | |
| KTRS Loss Run.pdf | ||
| Attach A - 2 758 1900000315.pdf |
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Text version
INVITATION FOR BID
COMMONWEALTH OF KENTUCKY
TEACHERS’ RETIREMENT SYSTEM OF THE STATE OF KENTUCKY
| FIDUCIARY LIABILITY AND DEFENSE COSTS INSURANCE |
| THROUGH A COMPETITIVE BIDDING PROCESS |
| IN ACCORDANCE WITH KRS 45A |
Request for Bid 758 1900000315
BID QUOTATION FORM
DESIRED COVERAGE
Fiduciary Liability and Defense Costs Insurance
POLICY PERIOD
12:01 a.m. January 28, 2019 to 12:01 a.m. January 28, 2020.
RETROACTIVE DATE:
November 30, 1985
LIMIT OF INSURANCE
Provide a bid response on the following limit/deductible:
| $10,000,000 each claim | |
| $10,000,000 annual aggregate | |
| $ 500,000 deductible | $________________ |
TAXES
1.8% Kentucky Surcharge $________________
3% Surplus Lines Tax (if applicable) $________________
TOTAL PREMIUM (INCLUDING TAX)
| ___________________________________ | _______________________________ | |
| (Name of Insurance Agency) | (Name of Insurer) |
(Signature of Agency Authorized Rep) (Date)
(Agency Authorized Rep – Print Name)
__________________________________ _______________________________ (Telephone)
File details come from the government source that posted it. Updated .