Anywhere ISD
Request for Proposal
Property and Liability
Package includes:
Table of Contents
| Section 1 |
| General Information | 1 |
| General Conditions | 1 | |
| Minimum Qualifications | 3 |
| Section 2 |
| Underwriting Information | 4 |
| General Underwriting Questions/Answers | 4 |
| Section 3 |
| Coverage Specifications | 5 |
| Part I: Property and Contents | 5 | |
| Part II: General Liability, Personal Injury Liability and Employee Benefits Liability Coverages | 7 | |
| Part III: Professional Legal Liability | 8 | |
| Part IV: Automobile Liability & Physical Damage Coverage | 9 | |
| Part V: Blanket Crime Coverage (Public Employee Blanket Bond) | 10 | |
| Part VI: Equipment Breakdown Coverage | 11 | |
| Part VII: Bonds | 12 |
| Section 4 |
| Proposal Response Forms | 13 |
| Company Information | 13 | |
| Part I: Property and Contents | 14 | |
| Part II: General Liability, Personal Injury Liability & Employee Benefits Liability | 15 | |
| Part III: Professional Legal Liability | 15 | |
| Part IV: Auto Liability & Physical Damage including Hired & Non-owned Vehicles | 17 | |
| Part V: Crime Coverage | 18 | |
| Part VI: Equipment Breakdown Coverage | 18 | |
| Part VII: Bonds | 19 | |
| Felony Conviction Notice | 20 |
| Section 5 |
| Exhibits | 21 |
| Exhibit I – Covered Property | 21 | |
| Exhibit II – 5 year Property Loss Runs | 22 | |
| Exhibit III – 5 year General, Personal Injury & Employee Benefits Liability Loss Runs | 23 | |
| Exhibit IV – 5 year Professional Legal Liability Loss Runs | 24 | |
| Exhibit V – Schedule of Vehicles and Bus Seating Capacities | 25 | |
| Exhibit VI – 5 year Vehicle Loss Runs | 26 | |
| Exhibit VII – 5 year Crime Loss Runs | 27 | |
| Exhibit VIII – Schedule of covered Equipment | 28 | |
| Exhibit IX – 5 year Equipment Breakdown Loss Runs | 29 | |
| Exhibit X – 5 year Tax Assessor Bond Loss Runs | 30 | |
| Exhibit XI – 5 year Other Bond Loss Runs | 31 |
|
Section |
General Information
| General Conditions |
| Building & Contents | Property Equipment Breakdown Flood & Earthquake Scheduled Property (Floaters), Inland Marine Electronic Data Media/Equipment Protection Extra Expense |
| Liability | General Liability Personal Injury Liability Employee Benefits Liability Automobile Liability School Professional Legal Liability |
| Automobile &
Mobile Equipment Physical Damage |
Vehicles Mobile Equipment |
| Crime | Dishonesty Faithful Performance Money & Securities |
| Minimum Qualifications |
|
Section |
Underwriting Information
| General Underwriting Questions/Answers |
| Does the applicant have a risk manager on staff or someone in that capacity? If yes, include name and phone here: | Y | N |
| Has the board implemented specific loss control policies? | Y | N |
| Is there a swimming pool at any location? | Y | N |
| Do you operate a day care center? | Y | N |
| - If yes, is the center for children of employees and students or can the general public utilize the center? | Y | N |
| - Is the center operated by paid employees? | Y | N |
| Does the applicant receive money from
concessions? If yes, amount $___________ (excludes money received by PTA, booster clubs, etc.) |
Y | N |
| Does the applicant own or lease any watercraft? | Y | N |
| Does the applicant own any aircraft? | Y | N |
| Does the applicant charter any aircraft in excess of four seats? | Y | N |
| Does the applicant loan or lease property to others for activities other than school activities? | Y | N |
| - If yes, what type of activities? | Y | N |
| - Are certificates of insurance required from lessee? | Y | N |
| Is the applicant engaged in any joint venture with another entity? | Y | N |
| - If yes, what is the nature of the joint venture? | Y | N |
| Does the applicant use armed security guards or police in any capacity? | Y | N |
| - If yes, are they certified by Texas Commission of Law Enforcement Officer Standards & Education (TCLEOSE) | Y | N |
| Is the applicant a member of a co-op? If yes, include name here: | Y | N |
| Does applicant have an on-site physician(s) or clinic? | Y | N |
| Does the applicant have a team physician(s)? If yes, how many? | Y | N |
| - Do the physicians volunteer their time? | Y | N |
| - Are the physicians paid? If yes, on what basis? | Y | N |
| - Do you have a contract with the physician(s)? | Y | N |
| Enter the total expenditures for the current fiscal year, for all construction work, services (cleaning, lawn, etc.) and any other work to be performed by private contractors on behalf of the applicant. $ _______________ |
| Enter the estimated annual attendance at outdoor stadium events: ________________ |
|
Section |
Coverage Specifications
List options desired: $__________ per occurrence
- Type of Coverage All Risk
- Basis of Loss Recovery Full Replacement Cost
Classification Classification Limit Deductible(s) $__________ $__________ per occurrence $__________ $__________ per occurrence $__________ $__________ per occurrence Total Policy Limit $____________
a. Type of Coverage All Risk coverage b. Basis of Recovery Full Replacement Cost c. Total Policy Limits $_______________
- Single blanket coverage for all locations requested OR
- Limit per location:
$__________ Location A $__________ Location B $__________ Location C $__________ Location D
d. Deductibles __________ per occurrence (list options desired) __________ per occurrence e. Property-In-Transit Blanket Limits f. Property at unscheduled locations Blanket Limits g. Automatic Coverage for Storage of Duplicates Up to 20% at each location not to exceed $50,000 h. Reproduction of Data Blanket Limits i. Repair or Replace Media Blanket Limits
|
Security: Underwriting Information |
|
Are security personnel employed or used by district? |
Y | N |
| Does security personnel patrol facilities? | Y | N |
| List any security measures such as burglar alarms, security lighting, etc.: |
|
Fire Protection: Underwriting Information |
|
Are fire hydrants located on or across the street from each campus? |
Y | N |
| Are fire alarm systems located in all buildings? | Y | N |
| Is the fire department paid or voluntary? | Y | N |
| Is the applicant located in a town of less than 15,000 population? | Y | N |
| - If yes, is the applicant within five miles of a town with a population of more than 15,000? | Y | N |
| - If yes, will that city's fire department respond to a fire at all your locations? | Y | N |
| Does the applicant have a hooded ventilating system in the kitchen? | Y | N |
|
Does the applicant have a contract for hood-cleaning services? |
Y | N |
|
Building Maintenance / Occupancy: Underwriting Information |
|
Does the applicant have any buildings 30 years or older? |
Y | N |
| - If yes, has the wiring been updated? | Y | N |
| Are any owned or leased buildings being used for purposes other than their intended use? | Y | N |
| Are any owned or leased buildings controlled by the applicant currently vacant or unoccupied? | Y | N |
| Any owned or leased buildings controlled by the applicant being leased to a third party? | Y | N |
| Part II: General Liability, Personal Injury Liability and Employee Benefits Liability Coverages |
| Part III: Professional Legal Liability |
| $1,000,000 annual aggregate |
| Part IV: Automobile Liability and Physical Damage Coverage |
| a) Bodily Injury: | $100,000 each person | $300,000 each occurrence |
| b) Property Damage: | $100,000 each occurrence |
| a) Collision | $________ and | $________ deductible |
| b) Comprehensive | $________ and | $________ deductible or |
| c) Specified Perils (Fire, Theft and CAC coverage) |
$________ and | $________ deductible |
*Districts must choose either comprehensive or specified perils coverage
|
Automobile Liability & Physical Damage: Underwriting Information |
|
Are any transportation operations contracted to another? |
Y | N |
| Are owned vehicles used by security personnel? | Y | N |
| How often do you run Motor Vehicle Reports on district drivers? ___________________________________ |
| Where are the vehicles housed and what is the total value of vehicles at each location? |
| Part V: Blanket Crime Coverage (Public Employee Blanket Bond) |
|
Blanket Crime Coverage (Public Employee Blanket Bond): Underwriting Information |
| Total number of locations occupied by the district: _____________________ |
| Total number of locations at which money or securities are handled: ___________________ |
| How frequently are audits made? _________________ |
| Are they made by an independent auditor or CPA? | Y | N |
| Are countersignatures required? | Y | N |
| Are securities subject to joint control of two or more responsible employees? | Y | N |
| Number of employees and board members who handle money or securities, sign checks, authorize drafts, or audit accounts on a regular basis: ________________________ |
| Number of clerical personnel not listed above: ____________ |
| Number of all other employees: _______________ |
| What is the Average Daily Attendance (ADA) reported to TEA? ___________ |
| Part VI: Equipment Breakdown Coverage |
Covered equipment
unless otherwise indicated, includes electrical, mechanical and pressure equipment. It includes both Real Property, such as heating, cooking and electrical systems, and Personal Property, such as office and process equipment.
1. Property Covered See attached Exhibit VIII. 2. Type of Coverage Comprehensive 3. Policy Limits Equal to property limits, not to exceed $100,000,000 4. Deductible $1,000 per occurrence 5. Basis of Recovery Repair or Replacement 6. Stipulated Time for Repair
or Replacement: 24 months7. Automatic Coverage for
new locations90 days 8. Loss History (past five years) See attached Exhibit IX. Equipment Breakdown Coverage: additional (minimum) limits 9. Expediting Expense $250,000 per occurrence 10. Hazardous Substance
Cleanup$250,000 per occurrence 11. Water Damage Included in Coverage Limit 12. Ammonia Contamination Included in Coverage Limit 13. Consequential/ Perishable
Goods Damage$100,000 per occurrence 14. Extra Expense (24 hours) Included in Coverage Limit
|
Blanket Crime Coverage (Public Employee Blanket Bond): Underwriting Information |
| 1. |
| 2. |
| 3. |
| 4. |
| Part VII: Bonds |
| 1. | Tax Assessor Bond | (Name of Employee) |
| $____________ Limits | ||
| Five-Year Loss History: See attached Exhibit X. | ||
| 2. | Other Bonds | (Name of Employee) |
| Type of Bond ______________________ | ||
| Limits Needed $____________________ | ||
| Five Year Loss History: See attached Exhibit XI. |
|
Section |
Proposal Response Forms
| Company Information |
| Name of your company: |
|
| Address: |
|
| Primary business: |
|
| Type of
company: (corp., partnership, etc.): |
|
| Year started in business: |
|
|
Number of years
administering |
|
Proposers must include in the proposal a notice as to whether the person submitting the bid or an owner or operator of the business entity has been convicted of a felony and the description of the conduct resulting in the conviction. The contract may be terminated if it is determined that the person or business entity failed to give notice or misrepresented the conduct resulting in the conviction.
The proposer, in compliance with the invitation for proposal on property/casualty coverage, having examined the specifications and being familiar with all conditions in the specifications, hereby proposes to provide the coverages in accordance with the proposal documents on the attached response sheets.
"The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm, partnership or individual has not prepared this proposal in collusion with any other Proposer, and that the contents of this proposal as to prices, terms or conditions of said proposal have not been communicated by the undersigned nor by any employee or agent to any other person engaged in this type of business prior to the official opening of this proposal."
Having reviewed the specifications, we have complied with all requirements and conditions except as noted on proposal response forms in the section labeled "Deviations."
|
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| Signature and title of authorized representative |
|
|
| Proposing Company | Date |
| Part I: Property and Contents |
Property and Contents Coverage
Limit $______________ Limit $______________ Deductible $______________ Deductible $______________ Total Cost $______________ Total Cost $______________
Total Scheduled Property Floaters
Limit $ _____________
Deductible $ _____________
Total Cost $ _____________
Name of Company offering coverage: ___________________________________________
DEVIATIONS from proposal specifications:
| Part II: General Liability, Personal Injury Liability and Employee Benefits Liability> |
Limit $1,000,000
Deductible $_____________
Total Cost $_____________
Name of Company offering coverage: ___________________________________________
DEVIATIONS from proposal specifications:
| Part III: Professional Legal Liability |
Limit $_____________
Deductible $_____________
Total Cost $_____________
Name of Company offering coverage: ___________________________________________
DEVIATIONS from proposal specifications:
Please respond to the following questions as they relate to the School Professional Legal Liability coverage proposed. Please specify if there are any SUBLIMITS, otherwise it will be assumed full policy limits are available:
| Part IV: Auto Liability and Physical Damage Including Hired and Non-owned Vehicles |
Automobile Liability Coverage
1. Minimum Limits: $100,000 / $300,000 / $100,000 Deductible $250 $500 $1000 Cost $___________ $___________ $___________ 2. Optional Limits: $1,000,000 Combined Single Limits (if desired) Deductible $250 $500 $1000 Cost $___________ $___________ $__________
Physical Damage Coverage
Deductible $250 $500 $1000 Comprehensive $___________ $___________ $___________ Specified Perils $___________ $___________ $___________ Collision $___________ $___________ $___________ Name of Company offering coverage: ___________________________________________
DEVIATIONS from proposal specifications:
| Part V: Crime Coverage |
Limit $_____________
Deductible $_____________
Total Cost $_____________
Name of Company offering coverage: _______________________________
DEVIATIONS from proposal specifications:
| Part VI: Equipment Breakdown Coverage |
Limit $_____________
Deductible $_____________
Total Cost $_____________
Name of Company offering coverage: ___________________________________________
DEVIATIONS from proposal specifications:
| Part VII: Bonds |
Tax Assessor Bond
Limit $_____________
Total Cost $_____________
Name of Company offering coverage: ___________________________________________
DEVIATIONS from proposal specifications:
Other Bonds
Type of Bond: ______________
Limit $_____________
Total Cost $_____________
Name of Company offering coverage: ___________________________________________
DEVIATIONS from proposal specifications:
| Felony Conviction Notice |
State of Texas Legislative Senate Bill No. 1, Section 44.034, Notification of Criminal History, Subsection (a), states "a person or business entity that enters into a contract with a school district must give advance notice to the district if the person or an owner or operator of the business entity has been convicted of a felony. The notice must include a general description of the conduct resulting in the conviction of a felony."
Subsection (b) states "a school district may terminate a contract with a person or business entity if the district determines that the person or business entity failed to give notice as required by Subsection (a) or misrepresented the conduct resulting in the conviction. The district must compensate the person or business entity for services performed before the termination of the contract."
THIS NOTICE IS NOT REQUIRED OF A PUBLICLY-HELD CORPORATION
I, the undersigned agent for the firm named below, certify that the information concerning notification of felony convictions has been reviewed by me and the following information furnished is true to the best of my knowledge.
VENDOR'S NAME:
AUTHORIZED COMPANY OFFICIAL'S NAME (PRINTED):
- My firm is a publicly-held corporation, therefore, this reporting requirement is not applicable.
Signature of Company Official:
- My firm is neither owned nor operated by anyone who has been convicted of a felony:
Signature of Company Official:
- My firm is owned or operated by the following individual(s) who has/have been convicted of a felony
Name of Felon(s): Detail of Conviction(s): Signature of Company Official:
|
Section |
Exhibits
|
Exhibit I |
Covered Property
(Insert a property schedule with values, age, and construction for each building and/or property appraisal)
|
Exhibit II |
5 -Year Property Loss Runs
|
Exhibit III |
5 -YEAR LOSS RUNS:
General Liability
Personal Injury Liability
Employee Benefits Liability
|
Exhibit IV |
5 -Year Professional Legal
Liability Loss Runs
|
Exhibit V |
Schedule Of Vehicles
& Bus Seating Capacities
|
Exhibit VI |
5-Year Vehicle Loss Runs
|
Exhibit VII |
5-Year Crime Loss Runs
|
Exhibit VIII |
Schedule of
Covered Equipment
|
Exhibit IX |
5 -Year Equipment Breakdown
Loss Runs
|
Exhibit X |
5-Year Tax Assessor Bond
Loss Runs
|
Exhibit XI |
5 -Year Other Bond
Loss Runs