COUNTY OF DUKES COUNTY
REQUEST FOR PROPOSAL FOR INSURANCE AND BOND COVERAGE
March 4, 2009
General Information
The County of Dukes County (hereinafter called the “County”) is located on the island of Martha’s Vineyard, Massachusetts. The County’s executive governing body is the County Manager. The population is 15,553 according to the 2006 U.S. Census estimate. The County does operate an Airport, Wastewater Treatment Plant, Jail, Communication Center, Registry of Deeds and manages three beaches.
The County is seeking proposals for insurance and bonds. Attached hereto are the Insurance Proposal Form and the Bond Proposal Form listing specific types of insurance and bonds and current coverage limits to be utilized as specifications for the proposal. Vehicle list and Property list are attached for reference. This information is offered as the basis for preparing the insurance proposals for the County to be effective July 1, 2009.
You can submit proposal for any one or all types of insurance and bonds listed on the Proposal Forms. Proposals must include a brief general statement describing the agency and its ability to serve the County and provide three references of current, active accounts of comparable scope.
There is no expressed or implied obligation for the County to reimburse firms for any expenses incurred in preparing proposals in response to this request.
The successful proposer shall complete all inspections required by state laws and regulations and supply loss information at the request of the County.
The County intends that insurance will be purchased and continued with the same agent and company for a minimum of three years. The County, however, reserves the right to cancel or not renew their insurance during that time period at its sole discretion and in accordance with the terms and conditions of the contract.
All companies submitting a proposal must be admitted to do business in the State of Massachusetts.
Specifications include minimum requirements. Descriptions and prices of recommendations for any deviations from specifications that lessen or increase the coverage for the County of Dukes County must be specifically noted and separated from the Proposal Form. The Proposal Form covers these specifications only.
Even though all information contained in these specifications has been compiled with the greatest attention to accuracy, we cannot guarantee that all data is accurate. Written authorization to submit proposal on behalf of insurance carrier must accompany the proposal.
Sealed proposals clearly marked "Insurance Proposals" must be submitted on or by Friday, April 17th, 2009 at 4:00 p.m. Please note that the County will not accept any proposals or addenda received after this date and time. Meetings with the County Manager to discuss the most favorable proposals received will be scheduled as needed.
Forms and Requirements:
To be considered complete, the proposal shall include the following forms that have been completed and signed by an authorized signatory for the proposer (blanks are enclosed):
1. Insurance Proposal Form and/or Bond Proposal Form
2. Tax Compliance Certification
3. Statement of Non-Collusion
4. Reference Form
The County reserves the right to reject any or all proposals, in whole or in part and to waive informalities and to make awards deemed to be in the best interest of the County.
Awards will be made by April 24th, 2009 on the basis of completeness of coverage, premiums, and service capabilities. All parties will be notified of the decision by May 1, 2009.
For additional information, or to receive this invitation in electronic format, please contact Martina Thornton, Executive Assistant to the County Manager, at 508-696-3840 or mathornton@dukescounty.org.
COUNTY OF DUKES COUNTY
Insurance proposal form (required)
Please use additional pages, if needed, to explain deviations from specifications or any applicable dividends. Do not include dividends in premium sections.
Item Limit Premium FY 2010 Carrier/Provider
Commercial Property & Contents $19,225,277
(does not cover wind) 100% $1,000 DED ________________ _____________
Wind Storm policy 10MIL 100K DED ________________ _____________
Boiler & Machinery 25 MIL ________________ _____________
(including sewer treatment plant)
Automobile – see attached 1MIL CSL per vehicle________________ _____________
20/40K uninsured, 20/40K underinsured
General Liability 1 MIL PER ________________ _____________
(excludes Airport, Jail)
Umbrella/Excess Liability 1 MIL ________________ _____________
Public Officials and
Employment Practices Liability 1 MIL per incident ________________ _____________
(Excludes Airport officers) 3 MIL total/year
Workers Compensation and 500K ________________ _____________
Employers Liability
(see classes & payroll attached)
Airport
Airport Liability 30 MIL ________________ _____________
Airport Directors & Officers, 3 MIL w/10K DED ________________ _____________
Employment Practices Liability
Equipment Floater $561,113 w/500 DED ________________ _____________
Polution liability for fuel storage 1 Mil / 2 MIL ________________ _____________
(3 above ground storage tanks)
Jail & House of Corrections
Law Enforcement Liability 1 MIL w/25K DED ________________ _____________
Total Proposal: ________________
*Assuming stable loss history, rate increase guarantee for FY 2011_________ For FY 2012__________
Submitted by: ______________________________________ Date: ________________
Company: _______________________________________
Address: _____________________________________________________________________
Phone: _______________________________
Signature: ___________________________________ Name: _____________________________
Title: ___________________________________
COUNTY OF DUKES COUNTY
Insurance proposal form (required)
Please use additional pages, if needed, to explain deviations from specifications or any applicable dividends. Do not include dividends in premium sections.
Item Limit Premium FY 2010 Carrier/Provider
SHERIFF (McCormack) 10K ________________ _________________
SPR. OF JAIL & HOC (McCormack) 10K ________________ _________________
DEPTY SPR HOC (O'Sullivan) 10K ________________ _________________
SPECIAL SHERIFF (O'Sullivan) 10K ________________ __________________
ASST DEPURTY SHERIFF (Araujo) 10K ________________ __________________
ASST. DEPUTY SUPER.(Mok) 10K ________________ __________________
HUMAN SERVICES
SPRVSR.OF CIVIL PROCESS (Hanover) 10K ________________ __________________
DEPUTY SHERIFFS 25FT/25PT 10K _________________ __________________
REGISTER OF DEEDS (Powers) 5K _________________ __________________
ASST. RECORDER OF DEEDS (Powers) 5K _________________ __________________
ASST. REGISTER (Levesque) 5K _________________ __________________
COUNTY TREASURER (Flanders) 50K _________________ __________________
ASST. COUNTY TREASURER (Grant)50K _________________ __________________
PARKING CLERK (Grant) 10K _________________ __________________
SNR. FINCIAL CLERK (Deese) 10K _________________ __________________
ASST. PARKING CLERK(Deese) 10K _________________ __________________
AIRPORT MANAGER (Flynn) 10K _________________ __________________
ASST. AIRPORT MANAGER (Potter) 10K __________________ __________________
MVY OP-CLERK (Graves) 10K __________________ __________________
MVY OP-CLERK(Durawa) 10K __________________ __________________
MVY OP-CLERK (Marx) 10K __________________ __________________
MVY OP-CLERK (Gilbert) 10K __________________ __________________
MVY OP CLERK (Elias) 10K __________________ __________________
Statement of Non-Collusion
The undersigned certifies under penalties of perjury that this proposal has been made and submitted in good faith and without collusion or fraud with any other person. As used in this certification, the word “person” shall mean any natural person, business partnership, corporation, union, committee, club, or other organization, entity, or group of individuals.
Name of person authorized to sign: __________________________________
Name of business: _________________________________________
Tax Compliance Certification
Pursuant to M.G.L. Chapter 63C, Section 49A, I certify under the penalties of perjury that I, to the best of my knowledge and belief, have filed all state tax returns and paid all state taxes required under law.
Federal Identification Number: ________________________
Signature of Individual: ____________________________
Name of Business: ________________________________
Reference Form
Please list three (3) insurance accounts of comparable scope that you presently service.
1. ___________________________________________________________________________
(business/municipality name)
___________________________________________________________________________
(Address)
___________________________________________________________________________
(contact person) (telephone)
2. ___________________________________________________________________________
(business/municipality name)
___________________________________________________________________________
(Address)
___________________________________________________________________________
(contact person) (telephone)
3. ___________________________________________________________________________
(business/municipality name)
___________________________________________________________________________
(Address)
___________________________________________________________________________
(contact person) (telephone)
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