Final_RFB_758_2200000252_3_SO_FORM.PDF

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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 for Public Officials Liability Insurance, specifically for the Kentucky Workers Compensation Funding Commission. The solicitation (RFB 758 2200000252) requests liability insurance coverage for public officials and government entities. This modification, Version 3, was issued on November 15, 2021, to respond to vendor questions and extends the bid closing date to November 30, 2021, at 1:30 PM Eastern Time. The submission must include completed bid information as outlined in Attachment A, which contains all terms and conditions governing the solicitation. Vendors are required to acknowledge their understanding and compliance with these terms and conditions by signing the solicitation document; failure to sign renders the bid invalid.

Bidders must submit proposals electronically or in paper format to the Kentucky Workers Compensation Funding Commission at 42 Millcreek Park, Frankfort, Kentucky 40601. The solicitation incorporates all referenced attachments (A through K) detailing specific insurance requirements, coverage specifications, and other contractual provisions. Vendors should contact Debbie Mathews at 502-564-8649 for clarifications. The Finance and Administration Cabinet reserves the right to deem any vendor ineligible if they fail to comply with the solicitation provisions and terms and conditions outlined in the attachments and any subsequent addenda.

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Text version

Document ID: RFB 758 2200000252 Page: 1

Commonwealth of Kentucky

SOLICITATION MODIFICATION

Modification: Yes Version #: 3

TITLE: Public Officials Liability Insurance

Date Issued:

11/15/2021 Record Date:

2021-11-15

Solicitation Closes Date:

11/30/21 Time:

13:30

Solicitation No:

RFB 758 2200000252

Reason for Modification

Modification is to respond to vendor questions.

The bid closing date has been extended to November 30, 2021, 1:30 PM, ET.

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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