*FAX BID* Workers Compensation-DCFS

Agency: State Government of Louisiana
State: Louisiana
Level of Government: State & Local
Category:
  • R - Professional, Administrative and Management Support Services
Opps ID: NBD11472726922415269
Posted Date: Jan 12, 2021
Due Date: Jan 15, 2021
Solicitation No: 3000016337
Source: Members Only
bid number description date issued bid open date/time help
3000016337 *FAX BID* Workers Compensation-DCFS
Original: 3000016337
Attachments:
Attachment A - Special Terms and Conditions - Pages 1-4
Attachment B - Line Item Responses - Page 1
Attachment C - Online Bidding Instructions - Pages 1-11
01/12/2021 01/15/2021
2:00:00 PM CT
107001

Attachment Preview

STATE OF LOUISIANA
Office of State Procurement
INVITATION TO BID
RESPONSES MUST BE
RECEIVED BY
01/15/2021
02:00 PM CST
TO SUBMIT AN ELECTRONIC (ONLINE)
RESPONSE CLICK THE LINK BELOW.
Vendor No.:___________________
Solicitation: 3000016337
Opening Date: 01/15/2021
Vendor Name and Address: (to be completed by Vendor)
Ship To Address:
DCFS ECONOMIC STABILITY SECTION
627 NORTH 4TH STREET, 5TH FLOOR
BATON ROUGE, LA 70802
SUBMIT FAX RESPONSE
TO : Office of State Procurement
Fax Number: (225) 342-9756
Physical Address:
1201 N. Third Street, Suite 2-160
Baton Rouge, LA 70802
RFx Number: 3000016337
Version: 1
Buyer: LAUREN MILLINER
Buyer Phone: 225-342-8014
E-Mail: lauren.milliner@la.gov
Scheduled Begin Date:
ONLINE BID RESPONSE LINK
https://lagoverpvendor.doa.louisiana.gov/rfx?sapsrm_boid=269F7EAD44031EEB948A2F784CBA4841
QUESTIONS TO BE COMPLETED BY VENDOR
1.______ Have you reviewed all attachments to the bid invitation and answered all questions?
2.______ Have you entered pricing, or attached the pricing sheet (if applicable) to the bid
response?
3.______ Have you attached / included all required files to the bid response?
4.______ Have you attached the signature page to the bid response?
5.______ Delivery will be made this number of days After Receipt of Order (ARO)
6.______ %discount for payment made within 30 days. Discounts for payment made in less than 30
days, of less than 1%, or applicable to an indefinite quantity contract will be accepted but will not be an
award consideration.
Required
YES
YES
YES
YES
NO
NO
Name of Solicitation: *FAX BID* Workers Compensation-DCFS
RFx text:
*****************************************************FAX BID*****************************************************
All vendors must be registered in the LaGov system in order to: submit an online bid, have their bids
tabulated by our office, and to receive automatic email notifications of bid opportunities.
VENDOR TELEPHONE NUMBER:
FAX NUMBER:
Signature of Authorized Bidder
TITLE
Name of Bidder
(Typed or printed)
DATE
Fax bid: 3000016337
Date: 01/15/2021
T-Number:
Bidder:
Page 2 of 9
To register as a vendor, access the following link:
https://lagoverpvendor.doa.louisiana.gov/irj/portal/anonymous?guest_user=self_reg
Please include a W-9 form with your bid if you are newly registered. Do not register again if you are
already registered in the system. You will need a LaGov Vendor ID and Password in order to submit
an online bid.
Bidders are invited to submit bids via the Online Bid Response Link on Page 1 of this bid invitation.
Online bidding instructions are attached to this bid invitation.
Please print all attachments to ensure all documents related to this solicitation are reviewed prior to
bidding.
All documents associated with this solicitation should be included in the bidders submission.
Bid Documents Include:
Attachment A Special Terms and Conditions Pages 1-4
Attachment B Line Item Responses Page 1
Attachment C Online Bidding Instructions Pages 1-11
Bid delivery instructions for the Office of State Procurement:
Refer to Page 1 in Attachment A Special Terms and Conditions
=============================================================================
All or None: Award to be made on an all-or none basis to the overall low bidder meeting the
specifications. The State of Louisiana reserves the right to reject individual line items from the award.
=============================================================================
To establish a contract to provide Worker's Compensation and General Liability Insurance for the
Work Experience Program and Community Service Programs as specified for the Dept. of Children
and Family Services, for a period of delivery beginning date of award thru June 30, 2021.
=============================================================================
LINE
Description
1 Product Category:84131605
Worker's Compensation for WEP
Quantity
1
Unit Unit
Price
Extended
Amount
EA __________ ________________
Vendor to provide Worker's Compensation for the Work
Experience Program (WEP) and Community Service
Program (CSP).
For participants in WEP and volunteers in CSP in
accordance with specifications and special conditions.
The Worker's Compensation policy shall include a waiver
of subrogation in favor of the State of Louisiana,
Department of Children and Family Services (DCFS) and
any other outside private entity to which WEP participants
and CSP volunteers may be assigned. The number of
participants and volunteers will vary. DCFS reserves the
Fax bid: 3000016337
Date: 01/15/2021
T-Number:
Bidder:
Page 3 of 9
LINE
Description
Quantity Unit
right to increase and/or decrease the WEP/CSP coverage.
The monthly premium shall be based on the actual
monthly Family Independence Temporary Assistance
Program (FITAP) benefit payment divided by $100 for
Worker's Compensation coverage.
DCFS has zero (0) clients active in WEP placement.
However, the program may ultimately serve as many as
250 statewide, with an average of 125 at any given time.
DCFS has 84 clients active in CSP. However, the program
may ultimately serve as many as 250 statewide with an
average of 125 at any given time.
WEP provides participants of FITAP the opportunity to
gain training and experience in various fields.
CSP's are defined as structured programs in which FITAP
participants perform work for the direct benefit of the
community under the auspices of public or non-profit
organizations.
The Office of Risk Management (ORM) provides coverage
for all State Departments, Agencies, Boards, and
Commissions. While some participants work in state
government, ORM cannot provide coverage for a portion
of the participants. Consequently, all WEP and CSP
participants have been excluded from policies provided by
ORM.
Compensation Corp 2% terrorism, coverage will be
adjusted at final audit.
Coverage Limits shall be as follows:
* Bodily injury by accident: $100,000.00 each accident
* Bodily injury by disease: $500,000.00
* Policy line by disease: $100,000.00 each participant
Cancellation: The State of Louisiana reserves the right to
cancel this contract with thirty (30) days written notice.
Specify Limits of Coverage Bidding:
Bodily injury by accident: ________________ each
accident
Bodily injury by disease: ________________
Policy line by disease: ________________ each
participant
Unit
Price
Extended
Amount
2 Product Category:84131600
1
EA __________ ________________
Fax bid: 3000016337
Date: 01/15/2021
T-Number:
Bidder:
Page 4 of 9
LINE
Description
Quantity Unit
General Liability for WEP
Vendor to provide General Liability for the Work
Experience Program (WEP) and Community Service
Program (CSP)
For participation in WEP and CSP in accordance with
specifications and special conditions. Price to be based on
per $1,000.00 of a 12-month payroll of approximately
$400,536.00 per year. Average number of participants per
month to be 150.
Coverage Limits shall be as follows:
* $1,000,000 each occurrence
* $2,000,000 product & completed operation aggregate
* $2,000,000 aggregate
Yearly fee includes broker fees, taxes and excludes
terrorism. Days of notification: a certificate of insurance
indicating a minimum of $1,000,000 in errors and
commissions coverage.
The Department of Children and Family Services (DCFS)
will provide information relative to the number and amount
of monthly FITAP payments. (No claims in the previous
five (5) year period). Due to the confidential nature of
FITAP records, DCFS is not allow to release names of
these participants unless a claim occurs whereupon that
specific name(s) will be released.
In the event the percentage of policy tax or other taxes
increase due to legislation, the bidder(s), contractor(S) will
absorb the increases. The State cannot pay more than
quoted on the successful bid, La Revised Statute 39:1632;
the vendor providing coverage shall possess an A.M.
Best's Rating of at lease A-VI or better. Certificates of
insurance naming various entities as additional insures as
requested by the Department of Children and Family
Services at no additional cost.
CANCELLATION: The State of Louisiana reserves the
right to cancel this contract with thirty (30) days written
notice.
Specify Limits of Coverage Bidding:
________________ each occurrence
________________ product & completed operation
aggregate
________________ aggregate
Unit
Price
Extended
Amount
Fax bid: 3000016337
Date: 01/15/2021
T-Number:
LINE
Description
Bidder:
Page 5 of 9
Quantity Unit
Unit
Price
Extended
Amount
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