Sc41oci2017.doc
DOC document 39 KB Posted
- Contract number
- 505ENT-M18-DHONBNDCOI-01
- Issued by
- Wisconsin
About this file
This document is a blanket dishonesty and forgery bonds contract (505ENT-M18-DHONBNDCOI-01) between the State of Wisconsin's Office of the Commissioner of Insurance and the Injured Patients and Families Compensation Fund as the contracting agencies, and Schwarz Insurance Agency, Inc. of Prairie du Sac, Wisconsin as the contractor. The Hanover Insurance Company serves as the insuring company providing the actual bond coverage.
The contract provides comprehensive bonding coverage for both state agencies with a total three-year prepaid premium of $3,790. For the Office of the Commissioner of Insurance, coverage includes a $500,000 blanket dishonesty bond with $5,000 deductible and $100,000 forgery coverage with $1,000 deductible at a cost of $2,268. The Injured Patients and Families Compensation Fund receives $1,000,000 blanket dishonesty coverage with $10,000 deductible and identical forgery terms for $1,522. The three-year coverage period runs from September 1, 2017 through September 1, 2020, with employee classifications based on their level of money handling responsibilities. This contract replaces a previous agreement from August 29, 2014.
View the file
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Blanket Dishonesty and Forgery Bonds for the Office of the Commissioner of Insurance and the Injured Patients and Families Compensation Fund
Contract 505ENT-M18-DHONBNDCOI-01 Attachment 1 of 1 September 5, 2017
COMMODITY
CODE:
95341
CONTRACTOR:
Schwarz Insurance Agency, Inc.
CONTACT:
Janice Clooten, Customer Service Agent
1420 North Ridge Drive
Prairie du Sac, WI 53578
Direct Line: 608-644-8562
Phone: 608-643-3385
Fax: 608-643-3249
E-mail: jclo@schwarzins.com
INSURING
COMPANY:
The Hanover Insurance Company
PREMIUM/
AMOUNT OF
COVERAGE:
Total three-year prepaid premium—$3,790
Office of the Commissioner of Insurance
$2,268—three-year premium
· Form O, $500,000 blanket dishonesty bond with a $5,000 deductible
· Form B, $100,000 limit with a $1,000 deductible, forgery
Injured Patients and Families Compensation Fund
$1,522—three-year premium
· Form O $1,000,000 blanket dishonesty bond with a $10,000 deductible
· Form B, $100,000 limit with a $1,000 deductible, forgery
PERIOD OF
COVERAGE:
Three years, September 1, 2017 through September 1, 2020
EXISTING
CONDITIONS:
Classification of Employees
Commissioner Injured Patients of and Families
Insurance Compensation Fund
—Class 1, Employees handling money daily
—Class 2, Employees handling money occasionally
118.50
—Class 3, Employees handling money never
ADDITIONAL
INFORMATION:
This contract replaces 15-95341-441, dated August 29, 2014.
sc41oci2017
File details come from the government source that posted it. Updated .