Request for Quote. For. Corporate Insurance. RFQ Issue Date: June 11, 2012. Key Dates:



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Request for Quote For Corporate Insurance RFQ Issue Date: June 11, 2012 Key Dates: Quote Due Date: 10:00 A.M. EST, June 22, 2012 Agent/Carrier Notification: June 27, 2012 Effective Date: July 1, 2012 Alliance for Strategic Growth, Inc. is an equal opportunity employer and will comply with all applicable nondiscrimination and equal opportunity provisions and laws. 1

Corporate Insurance Request for Quote Background: Alliance for Strategic Growth, Inc. is an Indiana 501(c)(3) not-for-profit tax exempt corporation which has been in existence since July 2002. Alliance for Strategic Growth, Inc. (ASG) manages the workforce and economic development services for Economic Growth Region 6 (EGR 6). Economic Growth Region 6 includes the Indiana counties of Blackford, Delaware, Fayette, Henry, Jay, Randolph, Rush, Union and Wayne. The purpose of this Request for Quote (RFQ) is to acquire insurance quotes for ASG Corporate office and the eight WorkOne Offices for General, Workers Compensation, Directors and Officers, Fiduciary, Bond Insurance, etc (see attachment A for current list of coverage) for the upcoming year from July 2012 through June 2013. Services Desired: Please prepare quote(s) on Attachment D for each area of interest listed on Attachment A: Include in your quote(s): Insurance Cost Agent Cost Any extraordinary price (for example if terrorism or earthquake coverage is included) Detail of what is included in coverage. You can attach detail if necessary. Carriers to be A.M. Best rated A or better. Additional information you may need for quote (all below figures are approximate): Projected Annual Staff Wages: Outside Sales $131,000 Clerical $1,500,000 FEIN: 02-0670190 Annual Projected Revenue: $5,000,000 Attachment A provides current coverage. 9 Indiana Locations and square footage listed on Attachment B. To view all 9 locations go to www.work-one.org and pull up the WorkOne magazine. The last page of the magazine has a picture of all locations to give you an idea of the structure of each building. If you prefer to physically view each location contact Stephanie Goodman at (765) 282-6400 extension 114 to schedule an appointment. Each office has a network of computers all of which are connected by a server at each location. Muncie WorkOne location has a VOIP system which is connected to all eight WorkOne offices. Attachment E Loss History by Line of Business for 3 years. The size of the Board of Directors can range from 27-47. The Members of the corporation who appoint the Directors are the qualified Local Elected Officials (LEO). Currently there are 31 Directors and 19 Members. See LEO Executive Council Agreement and Corporate By-laws which are available on the corporation web site at the following link under Corporate Documents: http://www.asgcorp.org/resources.asp 2

Narrative: 1. Alliance for Strategic Growth, Inc. prefers to contract with one agent/carrier to deliver all insurance needs. The proposer should price each item individually. 2. Provide who is the single point of contact for vendor communication and all of their contact information. 3. Provide three references including name of company, contact, phone number, email address, and street address for comparable complexity of account. Contract Period: July 2012 through June 2013. Upon satisfactory performance the award may be extended for five additional one year extensions. General Instructions: 1. All quotes must be legibly printed or typed in not less than a 12 pitch font size 2. Number each page of your quote 1 of. One signed copy of your quote must be sent electronically to Alliance for Strategic Growth, Inc. no later than 10:00 A.M. EST on Friday, June 22, 2012 to: ccross@asgcorp.org Subject Line: Insurance Quote 3. Acceptance of late quotes will be at the option of Alliance for Strategic Growth, Inc. 4. FAX quotes will not be accepted. 5. Electronic quotes are required; however the respondent is responsible to assure it is received and is compatible with ASG software. 6. ASG staff will review the submitted quotes and determine the vendor(s). 7. Considered quotes may be refined and finalized. Respondents whose quotes are not selected will be notified by email. 8. Assemble your quote in the following order: Quote Cover Sheet (Attachment C), Quote sheet (Attachment D) and narrative. 9. Questions can be asked until June 15, 2012 until 3:00 P.M. EST. All questions and answers will be posted at http://www.asgcorp.org/news section on June 18, 2012 by 3:00 P.M. EST. Evaluation Criteria: Quotes will be evaluated using the following criteria: 1. Inclusion of required information 15% 2. Cost effectiveness 65% 3. Ability to provide all coverage 5% 4. Minority Owned or Small Business 5% 5. Prior experience in providing similar services from references. 10% 3

Conditions of the Quotes: 1. ASG reserves the right to accept or reject any and all quotes submitted, to negotiate with all qualified respondents, or to cancel in whole or in part this RFQ if deemed in ASG s best interest to do so. 2. ASG may change the provisions of this quote at any time before the execution of the contract if ASG decides that changes are in its best interest. 3. Vendor understands that submitted quotes become part of ASG s official solicitation file without obligation. 4. Issuance of this Request for Quote does not commit Alliance for Strategic Growth, Inc. to award a contract or to pay costs associated with quote preparation. Complaints: Bidders, who are not satisfied with ASG Inc. s decision, may file a Regional Level Complaint. That process is described in Alliance for Strategic Growth, Inc. Grievance Procedures. To access this procedure please contact: Chief Executive Officer Alliance for Strategic Growth, Inc. 122 E Main Street Muncie, IN 47305 (765) 282-6400, ext 102 (Remainder of this page has been intentionally left blank.) 4

Attachment A INSURANCE COVERAGE COVERAGE Workers Compensation Directors & Officers/Professional Liability Include EIRWB as predecessor. Package Policy State of Indiana as additional insured. Crime and Fidelity Policy (Bond Policy) State of Indiana as additional insured. Commercial Umbrella Policy DETAILS Bodily Injury by Accident $500,000 Each Accident Bodily Injury by Disease $500,000 Each Employee Bodily Injury by Disease $500,000 Policy Limit Policy Date: 8/16/11-8/16/12 Directors, Officers and Organizations Liability $1 Million Limit, $2,500 Insured Entity Liability Deductible Employment Practices Liability $1 Million Limit, $2,500 Deductible Fiduciary Liability $1 Million Limit, $2,500 Deductible Employee Benefits Liability $1 Million Limit, $2,500 Deductible Separate limits apply. Policy Date: 5/11/12-5/11/13 Blanket Business Personal Property $1,766,742 Limit, $1,000 Deductible special cause of loss Blanket Business Income Including Extra Expense with Rental Value $2 Million Limit. 1/6 monthly limit or actual loss sustained 12 months. Per Location: Equipment Breakdown, Business Personal Property-Blanket, Business Income-Blanket with $1,000 Deductible Per Location: Commercial General Liability Coverage General Liability Each Occurrence $1 Million Personal and Advertising Injury $1 Million General Aggregate $2 Million Products/Completed Operations Aggregate $2 Million Includes reinstallation of software and reestablishing office operations in event of emergency. Each office to have EDP coverage. Hired & non-owned Auto, Symbols 8 & 9 for Commercial Auto. Liability Insurance $1 Million Limit each accident Uninsured Motorist Coverage $1 Million Limit each accident Underinsured Motorist Coverage $1 Million Limit each accident Policy Date: 8/16/11-8/16/12 $275,000 per occurrence for theft, Deductible per occurrence $2,500 $5,000 per occurrence for forgery or alteration, Deductible per occurrence $250 Policy Date: 5/1/11-5/1/12 Policy Limit $4 Million occurrence and aggregate 5

Attachment B Detailed Information by Location Location Square Footage Number of Computers Number of Staff Building Structure Security Alarm Coverage Limit (for Replacement Cost) Corporate Office, 122 E Main Street, Muncie 9,500 16 13 Brick No $160,161 WorkOne Office, 1301 N High Street Suite B, Hartford City 2,957 14 2 Frame No $64,318 WorkOne Office, 201 E Charles Street, Muncie 18,881 81 8 Brick Yes $616,744 WorkOne Office, 3011 South 14 th Street, New Castle 7,437 26 5 Cinder Block No $141,542 Cement & Steel Yes $89,777 WorkOne Office, 107 S Meridian Street, Portland 4,395 33 2 WorkOne Office, 325 South Oak Street Suite 301, Winchester 3,893 26 3 Brick No $79,075 WorkOne Office, 710 Eastern Avenue, Connersville 5,000 34 3 Brick No $112,483 WorkOne Office, 103 N. Morgan Street, Rushville 1,070 8 2 Limestone No $61,565 WorkOne Office, 3771 South A Street, Richmond 13,230 64 6 Brick Yes $441,077 Totals 302 44 $1,766,742 (Remainder of this page has been intentionally left blank.) 6

Attachment C CORPORATE INSURANCE QUOTE COVER SHEET Organization s Legal Name/Name of Individual Contact Person: Mailing Address Physical Address Telephone Fax E-mail Cell Federal ID # or Social Security # Website # of years quoting organization has been in business under the corporate / business structure submitting the response to this Request For Quote. Grand Total Quote Amount from Attached D Required Quote Grand Total Quote Amount from Attached D Alternate # 1 (Optional) $ $ Grand Total Quote Amount from Attached D Alternate # 2 (Optional) Check all applicable boxes which would give your firm preference for contract: Small Business Minority Owned Business I certify that this price is firm for 60 calendar days after RFQ Due Date: $ Signature: Printed Name: 7

Attachment D Quote Sheet COVERAGE Workers Compensation D&O Package Policy Crime & Fidelity Commercial Umbrella Grand Total REQUIRED QUOTE Quote which meets or exceeds the Coverage and Amounts as listed in Attachment A OPTIONAL ALTERNATE QUOTES Alternate # 1 (please detail differences from Required Quote Specifications) Alternate # 2 (please detail differences from Required Quote Specifications) Alternate Quote Options are to be used at your discretion. For instance if you want to quote at different deductible amounts, want to suggest other kind of coverage, want to eliminate coverage due to duplication in other policy, etc. Please list what changes were made from Required Quote. (Remainder of this page has been intentionally left blank.) 8

Attachment E Loss History by Line of Business 9

Attachment E 10

Attachment E 11

Attachment E 12

Attachment E 13

Attachment E 14

Attachment E 15