Final_RFB_758_2200000252_2_SO_FORM.PDF
PDF 249 KB Posted
- Attached to
- Public Officials Liability Insurance
- Solicitation number
- RFB 758 2200000252 3
- Issued by
- Elliott County, Kentucky
About this file
This is a Solicitation Modification document issued by the Commonwealth of Kentucky's Finance and Administration Cabinet for the Kentucky Workers Compensation Funding Commission (KWCFC) regarding a Request for Bids (RFB 758 2200000252) for Public Officials Liability Insurance. This is the second version of the solicitation, issued on November 8, 2021, in response to a vendor question. The modification adds Attachment K, containing KWCFC's FY21 Audited Financial Statements, to the solicitation requirements. The bid closing date is November 22, 2021, at 1:30 PM Eastern Time. The procurement seeks insurance coverage for public officials' liability with a commodity code of 95360 (Liability, Public Official/Government Extended). All requirements, terms, and conditions are detailed in Attachments A through K, which vendors must review and affirm understanding of by signing the solicitation document.
Vendor submissions must include completed bid information as specified in Attachment A, which contains the terms and conditions incorporated into the solicitation. The KWCFC is located at 42 Millcreek Park, Frankfort, Kentucky 40601, serving as both the shipping and billing address. Vendors must be registered with Kentucky and provide a Vendor Customer Number. Authorized agents must sign the bid submission unless the response is submitted electronically; unsigned bids will be deemed invalid. All offers are subject to the complete terms and conditions outlined in the solicitation and any subsequent addenda. The Finance and Administration Cabinet reserves the right to deem vendors ineligible for further participation if they fail to comply with solicitation provisions.
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Text version
Document ID: RFB 758 2200000252 Page: 1
Commonwealth of Kentucky
SOLICITATION MODIFICATION
Modification: Yes Version #: 2
TITLE: Public Officials Liability Insurance
Date Issued:
11/08/2021 Record Date:
2021-11-08
Solicitation Closes Date:
11/22/21 Time:
13:30
Solicitation No:
RFB 758 2200000252
Reason for Modification
Respond to vendor question. Attachment K - KWCFC FY21 Audited Financial Statements has been added to the solicitation.
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 2200000252 Page: 2
Line Items
Commodity Group: Default Commodity Group
Line CL Description Quantity UOM Unit Cost Line Total or Contract Amnt
1 PUBLIC OFFICIALS LIABILITY
INSURANCE
0.00000 YEAR
Comm Code Comm Description Manufacturer Model # Manuf Part #
95360 Liability, Public Official/Government
Extended Description
SEE ATTACHMENTS A-K FOR ALL REQUIREMENTS.
Shipping Information KY Workers Compensation Funding Commission
42 Millcreek Park
Frankfort KY 40601
Billing Information KY Workers Compensation Funding Commission
42 Millcreek Park
Frankfort KY 40601
Document ID: RFB 758 2200000252 Page: 3
Submission Checklist
The following items will be required to be submitted with bid:
Item Bid Information-Completed
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
2200000252 Public Officials Liability Insurance
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