Final_RFB_758_2200000059_2_SO_FORM.PDF

PDF 250 KB Posted

Attached to
KYTC Workers Comp Excess Insurance
Solicitation number
RFB 758 2200000059 3
Issued by
Elliott County, Kentucky

About this file

This Solicitation Modification document, issued by the Commonwealth of Kentucky through the Kentucky Transportation Cabinet (KYTC), requests proposals for Workers Compensation Excess Insurance coverage. The solicitation, numbered RFB 758 2200000059, was issued on July 29, 2021, with a bid closing date of August 9, 2021, at 1:30 PM. One year of insurance coverage is required, with bids to be submitted electronically through online bidding. Interested vendors should contact Debbie Mathews at 502-564-8649 for additional information. Bids are to be received at the KYTC Office of Legal Services located at 200 Mero Street, 6th Floor, Frankfort, Kentucky 40622, which also serves as the shipping and billing address for the contract.

This is Addendum 2 to the original solicitation, indicating modifications to the original terms and conditions. Bidders are instructed to enter $0.01 in the Unit Price field as the electronic bid submission, with this being the only pricing to be entered electronically. All complete solicitation information, terms, and conditions are provided in Attachments A through Q, which vendors must review and accept by signing the solicitation document. Vendors who fail to comply with the solicitation provisions and terms may be deemed ineligible for further participation. Online bidding is permitted for this opportunity.

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Text version

Document ID: RFB 758 2200000059 Page: 1

Commonwealth of Kentucky

SOLICITATION MODIFICATION

Addenda: Yes Addenda #: 2

TITLE: KYTC Workers Comp Excess Insurance

Date Issued:

7/29/21 Record Date:

2021-07-29

Solicitation Closes Date:

8/9/21 Time:

13:30

Solicitation No:

RFB 758 2200000059

Online Bidding Prohibited: No

For Information Call:

Debbie Mathews 502-564-8649

Bid Receiving Location:

Bid Receiving

See Terms & Conditions for Bid Submission Instructions

Other KY

Vendor Customer Number:

Vendor Name:

Phone Number:

Fax Number:

Email Address:

Ordering

Address:

City, State, Zip:

Contact Name:

Contact Email:

Contact Phone Number:

Payment

Address:

City, State, Zip:

Contact Name:

Contact Email:

Contact Phone Number:

Ownership Type

__ Sole Proprietorship __ Partnership __ Corporation __ Other_________________________

SIGNATURE OF AUTHORIZED AGENT IS REQUIRED UNLESS RESPONSE

IS SUBMITTED ELECTRONICALLY. FAILURE TO SIGN SHALL RENDER

THE BID INVALID.

Signature X_________________________________________ FEIN#____________________ Date____________

All offers subject to all terms and conditions contained in this solicitation.

Document ID: RFB 758 2200000059 Page: 2

Line Items

Commodity Group: Default Commodity Group

Line CL Description Quantity UOM Unit Cost Line Total or Contract Amnt

1 Workers Comp Excess Ins 1.00000 YEAR

Comm Code Comm Description Manufacturer Model # Manuf Part #

95392 Worker's Compensation

Extended Description Bidders MUST enter $.01 in the Unit Price field as the electronic bid. This is the ONLY pricing that is to be entered electronically.

PLEASE SEE ATTACHMENTS A-Q FOR ALL SOLICITATION INFORMATION.

Shipping Information KYTC Office of Legal Services

200 Mero Street 6th Floor Frankfort KY 40622

Billing Information KYTC Office of Legal Services

200 Mero Street 6th Floor Frankfort KY 40622

Document ID: RFB 758 2200000059 Page: 3

Submission Checklist

The following items will be required to be submitted with bid:

Item

See “Attachment A” for Terms and Conditions. The terms and conditions set out in “Attachment A”, and any subsequent addenda, are incorporated into and are a part of the Solicitation.

By signing the face of the Solicitation document, the vendor affirms that they have read and understood the Solicitation and the terms and conditions (Attachment A) and any subsequent addenda. Should the vendor fail to comply with the provisions of the Solicitation and the terms and conditions (Attachment A) and any subsequent addenda, then the Finance and Administration Cabinet reserves the right and retains the ability to deem the vendor ineligible from further participation in the Solicitation in question.

Document Description Page 4

2200000059 KYTC Workers Comp Excess Insurance

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