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 issued by the Commonwealth of Kentucky Teachers' Retirement System of the State of Kentucky for Fiduciary Liability and Defense Costs Insurance procured through competitive bidding in accordance with KRS 45A. The requested coverage includes fiduciary liability and defense costs insurance with a policy period running from 12:01 a.m. January 28, 2019 to 12:01 a.m. January 28, 2020. The retroactive date for coverage is November 30, 1985. Bidders must provide pricing for the specified limit of insurance of $10,000,000 each claim and $10,000,000 annual aggregate with a $500,000 deductible.
Bidders are required to submit total premium pricing including applicable taxes. The form specifies a Kentucky Surcharge of 1.8% and a Surplus Lines Tax of 3% if applicable. The bid response must include the insurer name, insurance agency name, authorized representative signature and printed name, telephone contact information, and the submission date. The form does not provide information regarding specific response deadlines, award dates, or contract renewal options within the quotation form itself.
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Other files
| File | Type | Posted |
|---|---|---|
| Attach A - 4 758 1900000315.pdf | ||
| a. KTRS Detailed Requirements.docx | DOCX document | |
| F. Bidder Affidavit.pdf | ||
| KTRS Questions and Response.pdf | ||
| SAMPLE POLICY KTRS 2017-2018.pdf | ||
| Final_RFB_758_1900000315_4_SO_FORM.PDF | ||
| 2017-2018 Fiduciary Liability Insurance Application.pdf | ||
| h. Qualified Bidder Affidavit.doc | DOC document | |
| d. BID ENHANCEMENT FORM.docx | DOCX document | |
| KTRS Loss Run.pdf | ||
| Attach A - 2 758 1900000315.pdf | ||
| B. BIDDER INFORMATION FORM.docx | DOCX document | |
| g. Resident Bidder Affidavit.doc | DOC document | |
| Final_RFB_758_1900000315_1_SO_FORM.PDF | ||
| e. BID DEVIATION FORM.docx | DOCX document | |
| Final_RFB_758_1900000315_3_SO_FORM.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 .