TEXAS DEPARTMENT OF TRANSPORTATION GENERAL SERVICES DIVISION AIRCRAFT LIABILITY INSURANCE PUBLICATION

Transcription

1 TEXAS DEPARTMENT OF TRANSPORTATION GENERAL SERVICES DIVISION * AIRCRAFT LIABILITY INSURANCE PUBLICATION This specification is a product of the Texas Department of Transportation (TxDOT). It is the practice of TxDOT to support other entities by making this specification available through the National Institute of Governmental Purchasing (NIGP). This specification may not be sold for profit or monetary gain. If this specification is altered in any way, the header, and any and all references to TxDOT must be removed. TxDOT does not assume nor accept any liability when this specification is used in the procurement process by any other entity. 1. SCOPE: This solicitation is to provide aircraft liability insurance including aircraft hull liability, war, hijacking and other perils insurance for aircraft physical damage and aviation liabilities and war risk coverage, for officers and employees of any and all agencies of the state of Texas operating state owned aircraft either individually or collectively (Ref. Schedule 1 Pricing Aircraft List Breakdown, Schedule 2 Pricing Flight Training Aircraft List Breakdown and Schedule 3 Pricing Aircraft Hull Liability Insurance, War, Hijacking and Other Perils Insurance and War Risk Coverage). 2. APPLICABLE LAWS AND STANDARDS: In accordance with Texas Government Code Chapter 612, Section , Liability Insurance for Certain State Employees, the vendor shall provide the specified service requirements in accordance with all federal, state and local applicable laws, standards and regulations necessary to perform the services, including, but not limited to: 2.1. If any part of the response is not in compliance with existing laws, rules and regulations, such portion may be deleted without prejudice to the remaining portion of the policy Public Law , 116 Statute 2322 Terrorism Risk Insurance Act The Texas Tort Claims Act Title 5 Chapter 101 Civil Practice and Remedies Code shall not be used as defense to limit liability coverage for any claim or suit for damages covered under the policy. An endorsement stating this restriction shall be included within the policy. 3. RESPONDENT QUALIFICATIONS: The respondent shall: 3.1. Be a company authorized to transact business in the state of Texas Have a general policyholder s rating of Excellent or better (A, A-) as indicated in the Best s Key Rating Guide latest edition, published by the A.M. Best Company If a respondent is not rated in the current Best s Key Rating Guide, but is a subsidiary of a parent company rated in the Best s Key Rating Guide, the respondent may rely on the rating of its parent company. * This Specification Supersedes Specification No. TxDOT Dated June

2 The parent company shall guarantee to satisfy claims and obligations incurred by the respondent under the purchase order Have one or more claims offices in the state of Texas Be in good financial standing and current in payment of all taxes and fees such as state franchise fees. TxDOT reserves the right to request a copy of the respondent s audited or un-audited financial statement. TxDOT may request a statement from the president, owner or financial officer on company letterhead certifying that the company is in good financial standing and current in payment of all taxes and fees. When financial statements are requested, TxDOT will review the respondent's audited or un-audited financial statement to this solicitation in accordance with Texas Government Code, Title 10, Subtitle D, Section to evaluate the sufficiency of the respondent's financial resources and ability to perform the contract or provide the service required in the solicitation. TxDOT will be the sole judge in determining the sufficiency of the respondent's financial resources and ability to perform the contract or provide the service. Factors to be reviewed include: Balance sheets Net working capital Current asset ratio Liquidity ratio Auditor(s) notes Any notes to the financial statements 4. VENDOR REQUIREMENTS: The vendor shall: 4.1. Adhere to the TxDOT Terms and Conditions identified on the solicitation Not use governmental immunity as a defense in refusing to pay any property damage claim Submit, within ten working days after award of the purchase order and prior to policy usage, the following to the TxDOT authorized representative A binder that provides coverage for the state while the proposed policy is being examined and approved by the Texas State Board of Insurance, the Attorney General s office and the State Office of Risk Management Two copies of the proposed policy for acceptance. 5. SERVICE REQUIREMENTS FOR INSURANCE POLICIES: The named insured shall read OFFICERS AND EMPLOYEES OF ANY AND ALL AGENCIES OF THE STATE OF TEXAS OPERATING STATE OWNED AIRCRAFT EITHER INDIVIDUALLY OR COLLECTIVELY. The vendor shall provide policies written on Texas standard policy forms and shall include the following: 2-6

3 5.1. Liability insurance coverage for $1.25 million per seat for all aircraft listed on Schedule 1 Pricing Aircraft List Breakdown, $5 million for each aircraft listed on Schedule 2 Pricing Flight Training Aircraft List Breakdown and $5.5 million for each of the following: Aircraft hull liability insurance, war, hijacking and other perils insurance for aircraft physical damage and aviation liabilities and war risk coverage for the aircraft listed on Schedule 3 Pricing Aircraft Hull Liability Insurance, War, Hijacking and Other Perils Insurance and War Risk Coverage (Ref. Attachment A Limits of Liability, Attachment B Extended Coverage War, Hijacking and Other Perils (Aviation Liabilities) and Attachment C Extended Coverage War, Hijacking and Other Perils (Aircraft Physical Damage) Endorsement to include pilots and employees individual liability All aircraft listed in Schedule 1 Pricing Aircraft List Breakdown, Schedule 2 Pricing Flight Training Aircraft List Breakdown and Schedule 3 Pricing Aircraft Hull Liability Insurance, War, Hijacking and Other Perils Insurance and War Risk Coverage OPEN PILOT CLAUSE: Any certified commercial pilot approved by named insured except as noted Texas State Technical College flight training aircraft Cross liability of fellow employees Aircraft flying any operation requiring a special permit or waiver from the Federal Aviation Administration (FAA) Aircraft for any operation involving power line, pipe, fire and fish spotting patrol, animal counting, geological exploration, survey, photo, law enforcement and public use of aircraft Aircraft on all pilot proficiency training for flight training and student pilots while training SUBSTITUTE AIRCRAFT: Aircraft not wholly owned, owned in part or registered in the name of TxDOT or any state agency, but are temporarily utilized by the named insured as a substitute while the insured s aircraft are withdrawn from normal use due to breakdown, repair, servicing, loss, destruction or other reason Any experimental aircraft as required by TxDOT No limitations on the use of any aircraft for any purpose by any state employee in the performance of, in connection with, or incidental to duties as a state employee Protection of the insured against any claim or suit from damages arising from the operation of independent contractors in performing aerial wildlife surveys, census, law enforcement activities, spraying of noxious aquatic vegetation, fire spotting, netting and trapping of wildlife and other similar activities by contract with any state of Texas agency. 6. CLAIMS REPORTS: Release of claim shall be approved by the office of the Attorney General prior to being executed. Release of any claim under this policy, to an officer or employee, shall include a release of any claim against TxDOT and the state of Texas. The vendor shall provide: 6.1. State reports on any claim requested by TxDOT at any time The following information on reports for an investigation of claims: Statements from the injured. 3-6

4 Statements from witnesses Any photographs relating to the claim. 7. AIRCRAFT LOCATION: The location of the aircrafts is specified on the solicitation. TxDOT reserves the right to add or delete aircraft shown on Schedule 1 Pricing Aircraft List Breakdown, Schedule 2 Pricing Flight Training Aircraft List Breakdown and Schedule 3 Pricing Aircraft Hull Liability Insurance, War, Hijacking and Other Perils Insurance and War Risk Coverage are at various locations in the state of Texas. TxDOT will provide 30 working days written notice to the vendor for any aircraft to be added to or deleted from the insurance policy. 8. SUBCONTRACTING 8.1. Subcontractors providing service under the purchase order shall meet the same service requirements and provide the same quality of service required of the vendor No subcontract under the purchase order shall relieve the primary vendor of responsibility for the services The vendor shall be the primary contact for TxDOT and subcontractor(s) The vendor shall manage all quality, performance, project management, and schedules for subcontractors. The vendor shall be held solely responsible and accountable for the completion of all work for which the vendor has subcontracted TxDOT retains the right to check subcontractor's background and make a determination to approve or reject the use of submitted subcontractor(s). Any negative responses may result in disqualification of the subcontractor TxDOT reserves the right to request the removal of vendor s subcontractor staff deemed unsatisfactory by TxDOT Subcontracting shall be at the vendor s expense During the term of the purchase order, if the vendor determines a need for a subcontractor change, TxDOT shall be notified in writing by the vendor within 30 days of any proposed change. The vendor shall be required to provide references and work history for any proposed subcontractor to TxDOT. No change will be allowed without written authorization by TxDOT SOLICITATIONS OVER $100,000: TxDOT will make an initial determination of whether subcontracting is probable. It is the respondent s determination if they choose to subcontract any of the work under this purchase order with a Texas Certified Historically Underutilized Business (HUB) or other businesses If TxDOT has determined that subcontracting opportunities are probable, the class and items in which HUBs may be registered will be noted in the solicitation The respondent shall identify all proposed HUB and other subcontractors at the time of response submittal. The required forms with video instructions can be found at the following website: 4-6

5 8.10. HUB SUBCONTRACTING PLAN (HSP) PRIME CONTRACTOR PROGRESS ASSESSMENT REPORT: After award of the purchase order, the vendor shall report all HUB and non-hub subcontractor information using the HSP Prime Contractor Progress Assessment Report form. The report shall be submitted to the TxDOT contract manager monthly. The report shall be submitted monthly even during the months the vendor is not invoicing TxDOT. All payments made to subcontractors shall be reported. TxDOT may verify the amounts being reported as paid by requesting copies of cancelled checks paid to subcontractors. 9. CONFLICT OF INTEREST: The vendor, vendor s personnel and vendor s subcontractor(s) shall affirm not to have, nor acquire any interest during the term of the purchase order that would conflict in any manner with the performance of the vendor s obligations in regards to services authorized. 10. AMENDMENTS: TxDOT and the vendor reserve the right to amend the purchase order by mutual written agreement at any time during the term of service, as may be necessary to change, delete or add insurance coverage as is required to provide TxDOT with adequate insurance throughout the term of the purchase order. The amendment process will be accomplished through a Purchase Order Change Notice (POCN). 11. INVOICING INSTRUCTIONS: The vendor shall provide a comprehensive and detailed invoice with reference to the basis for each item charged. Original documentation that validates the charges shall be attached to include but not be limited to; copies of invoices from subcontractors or other entities to which vendor has made payment and requires reimbursement from TxDOT. The original invoice shall be sent to FIN_Invoices@txdot.gov unless otherwise shown on the purchase order to ensure timely payment and shall include the following: Complete 16-digit purchase order number Vendor Employer Identification Number (EIN) Identifying policy number(s) Policy date of coverage. NOTE: Invoices requiring correction shall be re-submitted with a new invoice date. 12. PAYMENT REQUIREMENTS: The premium payment will be made on an annual basis within 30 days of approval of the policy by the Texas Department of Insurance, Attorney General s Office and the State Office of Risk Management. 13. TxDOT RESPONSIBILITIES: TxDOT will: Notify the vendor within 30 days of acquiring new aircraft to be added to the policy (Ref. Para. 7.) Notify the vendor of aircraft to be deleted (Ref. Para. 7.) Not accept a policy whereby the state becomes (as a policyholder) a stockholder or member of the insurance company or vendor. 14. RESPONSE SUBMISSION: The following shall be submitted with the response. Failure by the respondent to submit the documentation listed below will disqualify the respondent from further consideration Original, signed, dated and completed solicitation. 5-6

6 14.2. Schedule 1 Pricing Aircraft List Breakdown Schedule 2 Pricing Flight Training Aircraft List Breakdown Schedule 3 Pricing Aircraft Hull Liability Insurance, War, Hijacking and Other Perils Insurance and War Risk Coverage A statement certifying that the company or parent company has an excellent or better rating as published in the current Best s Key Rating Guide. If the company is relying on the rating of its parent company a written guarantee from the parent company shall be provided with the response (Ref. Para ) DRAFT POLICY: A draft policy showing the required coverage, including required endorsements and breakdown of coverage per aircraft Documentation of authorization to transact business in the state of Texas (Ref. Para. 3.1.) Statement listing the number and locations of claims offices that represent the respondent in Texas. 15. AWARD: TxDOT reserves the right to award a single purchase order to the most responsive, responsible respondent meeting the specification. 16. CONTRACT ADMINISTRATION: Administration of the purchase order is a joint responsibility of the TxDOT Contract Administrator and TxDOT Purchasing. TxDOT Purchasing staff will be responsible for administering the contractual business relationship with the vendor Any proposed changes to work to be performed, whether initiated by TxDOT or the vendor, must receive final written approval in the form of a Purchase Order Change Notice signed by the authorized TxDOT purchasing agent Upon issuance of purchase order, TxDOT will designate an individual who will serve as the Contract Manager and point of contact between the agency and the vendor. The Contract Manager does not have any express or implied authority to vary the terms of the purchase order, amend the purchase order in any way or waive strict performance of the terms or conditions of the purchase order. This individual s contract management and contract administration responsibilities include, but are not limited to: Monitoring the vendor s progress and performance and ensuring services conform to established specification requirements Managing the financial aspects of the contract including approval of payments Meeting with the vendor as needed to review progress, discuss problems and consider necessary action Identifying a breach of contract by assessing the difference between contract performance and non-performance Other areas as identified by the Comptroller of Public Accounts Contract Management Guide, latest edition. 6-6

7 ATTACHMENT A LIMITS OF LIABILITY (PROVIDED FOR INFORMATION ONLY) The insurance policy shall have a minimum of the following limits of liability: Bodily Injury Each Person Excluding Passengers Passenger Bodily Injury Property Damage Each Occurrence Maximum Each Occurrence As Respects Aircraft Group 1 $3,000,000 $1,250,000 $3,000,000 $3,000,000 As Respects Aircraft Group 2 $5,000,000 $1,250,000 $5,000,000 $5,000,000 As Respects Aircraft Group 3 $7,500,000 $1,250,000 $7,500,000 $7,500,000 As Respects Aircraft Group 4 $11,250,000 $1,250,000 $11,250,000 $11,250,000 As Respects Aircraft Group 5 $12,500,000 $1,250,000 $12,500,000 $12,500,000 As Respects Aircraft Group 6 $15,000,000 $1,250,000 $15,000,000 $15,000,000 Aircraft Group 1: N102TX, N105TX, N106TX, N107TX, N143TX, N144TX Aircraft Group 2: N101LA, N2089G, N21438, N221PW, N228TX, N2924W, N337P, N337PW, N5098J, N5321R, N584SP, N630AM, N631AM Aircraft Group 3: N114TX, N124TX, N130SJ, N140BJ, N140TX, N145TX, N147TX, N1727L, N191TX, N204TX, N207TX, N2145R, N244TX, N329TX, N35440, N405TX, N40TX, N44956, N5271B, N52854, N5804T, N60TX, N6610R, N702TX, N888DP, N90TX, N148TX, N95129 Aircraft Group 4: N116TX, N94EA Aircraft Group 5: N173TX, N184TX, N200RR Aircraft Group 6: N1TX, N454TB, N96AM, N1553M 1-1

8 ATTACHMENT B EXTENDED COVERAGE WAR, HIJACKING AND OTHER PERILS (AVIATION LIABILITIES) (PROVIDED FOR INFORMATION ONLY) The following is additional insurance that only applies to aircraft N454TB. This coverage is for terrorist acts as shown below and shall be included in the respondents bid. The extended coverage shall be provided as an endorsement to the policy and include: 1. Any paragraphs of the policy that do not apply or shall be deleted, due to the addition of extended coverage to cover war, hijacking and other perils, shall be noted. 2. Coverage for: 2.1. All bodily injury (except bodily injury to passengers ) and property damage, with a minimum combined aggregate limit of $11,250, Bodily injury to passengers with a minimum applicable limit of liability as shown on Attachment A Limits of Liability The minimum aggregate limit of $11,250,000 shall be included within, and shall not be in addition to, Attachment A Limits of Liability. 3. The respondent shall add the following definition to the policy: Certified act of terrorism which means an act certified by the Secretary of the Treasury, in concurrence with: 3.1. The Secretary of State The Attorney General of the United States of America The Terrorism Risk Insurance Act (TRIA). 4. The requirements and limits for the extended coverage shall be stated in the endorsement. 1-1

9 ATTACHMENT C EXTENDED COVERAGE WAR, HIJACKING AND OTHER PERILS (AIRCRAFT PHYSICAL DAMAGE) (PROVIDED FOR INFORMATION ONLY) The following is additional insurance that only applies to aircraft N454TB. This coverage is for terrorist acts as shown below and shall be included in the insurance policy. The extended coverage shall be provided as an endorsement to the policy and include: 1. Any paragraphs of the policy that do not apply or shall be deleted, due to the addition of extended coverage to cover war, hijacking and other perils, shall be noted. 2. The respondent shall add the following definition to the policy Certified act of terrorism, which means an act certified by the Secretary of the Treasury, in concurrence with: 2.1. The Secretary of State The Attorney General of the United States of America The Terrorism Risk Insurance Act (TRIA). 3. The requirements and limits for the extended coverage shall be stated in the endorsement. 1-1

10 SCHEDULE 1 PRICING AIRCRAFT LIST BREAKDOWN SOLICITATION NO. BXXXXXXXXXXXXXXX RESPONDENT NAME NOTE: TxDOT has the right to add and delete aircraft as needed in accordance with the specification. $1.25 MILLION PER SEAT N# MAKE MODEL YEAR SEATS ENGINE AND HORSE POWER USE PREMIUM PER AIRCRAFT 1TX BEECHCRAFT KAB P&W 850 PAX 100% 40TX AM EUROCOPTER AS350B TURBOMECA TX EUROCOPTER AS350B TURBOMECA TX EUROCOPTER AS350B TURBOMECA EA GULFSTREAM 695A GARRETT AM BEECHCRAFT KAB P&W %(15 MIL COV) 101LA PIPER PA LYCOMING TX DIAMOND ECLIPSE DA20 C CONTINENTAL TX DIAMOND ECLIPSE DA20-C CONTINENTAL TX DIAMOND DA-20 C CONTINENTAL TX DIAMOND DA-20 C CONTINENTAL TX CESSNA T206H LYCOMING TX BEECHCRAFT KAB P&W 850 PAX 100% 124TX EUROCOPTER AS350B TURBOMECA SJ CESSNA T206H LYCOMING BJ AM EUROCOPTER AS350B TURBOMECA TX AM EUROCOPTER AS350B TURBOMECA TX DIAMOND DA-20 C CONTINENTAL TX DIAMOND DA-20 C CONTINENTAL TX EUROCOPTER EC TURBOMECA TX CESSNA TU206G CONTINENTAL % 148TX CESSNA 182Q CONTINENTAL 230 PAX 100% 173TX BEECHCRAFT KAB P&W 850 PAX 100% 184TX BEECHCRAFT KAB P&W 850 PAX 100% 191TX EUROCOPTER AS350B TURBOMECA RR BEECHCRAFT KAB P&W 850 PAX 100% 204TX AM EUROCOPTER AS350B LYCOMING 310 THIS PAGE OR A REASONABLE FACSIMILE SHALL BE RETURNED WITH THE RESPONSE. FAILURE TO RETURN THE REQUIRED ITEMS WITH THE RESPONSE WILL RESULT IN THE DISQUALIFICATION OF THE RESPONSE. 1-2

11 SCHEDULE 1 PRICING AIRCRAFT LIST BREAKDOWN SOLICITATION NO. BXXXXXXXXXXXXXXX RESPONDENT NAME NOTE: TxDOT has the right to add and delete aircraft as needed in accordance with the specification. $1.25 MILLION PER SEAT N# MAKE MODEL YEAR SEATS ENGINE AND HORSE POWER 207TX EUROCOPTER AS350B TURBOMECA PW BELL OH ALLISON TX PIPER PA CONTINENTAL TX EUROCOPTER AS350B TURBOMECA TX EUROCOPTER AS350B TURBOMECA P CESSNA 337G CONTINENTAL IO-360-G 337PW BELL (public use) OH ALLISON TX EUROCOPTER AS350B TURBOMECA SP CESSNA 172N CONTINENTAL AM CESSNA O-2A CONTINENTAL TX EUROCOPTER AS350 B TURBOMECA DP CESSNA T210N CONTINENTAL 285 USE 100% PREMIUM PER AIRCRAFT 1553M BEECHCRAFT KAB P&W 850 PAX 100% 1727L CESSNA TU206F LYCOMING G PIPER PA28RT CONTINENTAL R CESSNA T206H LYCOMING PIPER PZ LYCOMING W PIPER PA LYCOMING CESSNA T206H LYCOMING J CESSNA 172N CONTINENTAL B CESSNA T206H LYCOMING R PIPER PA LYCOMING T AM EUROCOPTER AS350BA TURBOMECA R CESSNA U206G CONTINENTAL CESSNA T206H CONTINENTAL AM STEMME S10-V Glider % CESSNA 172R IO-360L2A 180 TOTAL $0.00 THIS PAGE OR A REASONABLE FACSIMILE SHALL BE RETURNED WITH THE RESPONSE. FAILURE TO RETURN THE REQUIRED ITEMS WITH THE RESPONSE WILL RESULT IN THE DISQUALIFICATION OF THE RESPONSE. 2-2

12 SCHEDULE 2 PRICING FLIGHT TRAINING AIRCRAFT LIST - BREAKDOWN SOLICITATION NO. BXXXXXXXXXXXXXXX RESPONDENT NAME (USED BY TEXAS STATE TECHNICAL COLLEGE FOR STUDENT PILOT TRAINING) $5 MILLION (MAXIMUM) LIABILITY PER AIRCRAFT NOTE: TxDOT reserves the right to add and delete aircraft as needed in accordance with the specification N# MAKE MODEL YEAR SEATS USE PREMIUM PER AIRCRAFT 101LA PIPER PA TRAINING 90% 102TX DIAMOND ECLIPSE TRAINING 90% 105TX DIAMOND ECLIPSE TRAINING 90% 106TX DIAMOND ECLIPES TRAINING 90% 107TX DIAMOND ECLIPES TRAINING 90% 2089G PIPER PA28RT TRAINING 90% PIPER PA TRAINING 90% 2924W PIPER PA TRAINING 90% 5098J CESSNA 172N TRAINING 90% 5321R PIPER PA TRAINING 90% 584SP CESSNA 172S TRAINING 90% 143TX DIAMOND DA-20 C TRAINING 90% 144TX DIAMOND DA-20 C TRAINING 90% 228TX PIPER PA TRAINING 90% TOTAL $0.00 THIS PAGE OR A REASONABLE FACSIMILE SHALL BE RETURNED WITH THE RESPONSE. FAILURE TO RETURN THE REQUIRED ITEMS WITH THE RESPONSE WILL RESULT IN THE DISQUALIFICATION OF THE RESPONSE. 1-1

13 RESPONDENT NAME SCHEDULE 3 PRICING AIRCRAFT HULL LIABILITY INSURANCE, WAR, HIJACKING AND OTHER PERILS INSURANCE AND WAR RISK COVERAGE SOLICITATION NO. BXXXXXXXXXXXXXXX NOTE: NONE, ALL OR PART OF THE AIRCRAFT LIST MAY BE AWARDED. TxDOT RESERVES THE RIGHT TO ADD AND DELETE AIRCRAFT AS NEEDED IN ACCORDANCE WITH THE SPECIFICATION. 1. Total combined pricing for Schedule 1 and 2. $ - 2. Short term cancellation cost for the policy 3. AIRCRAFT HULL LIABILITY INSURANCE COVERAGE FOR THE LISTED AIRCRAFT N# YEAR MAKE VALUE 454TB 2007 KAB300 $5,500,000 HULL LIABILITY COVERAGE COST FOR $0.00 DEDUCTIBLE COST FOR WAR RISK COVERAGE TOTAL: $ - 4. EXTENDED COVERAGE - WAR, HIJACKING AND OTHER PERILS (AIRCRAFT PHYSICAL DAMAGE) FOR THE LISTED AIRCRAFT N# YEAR MAKE VALUE 454TB 2007 KAB300 $5,500,000 UNIT PRICE FOR EXTENDED COVERAGE WITH $0.00 DEDUCTIBLE EXTENDED COST 5. EXTENDED COVERAGE - WAR, HIJACKING AND OTHER PERILS (AVIATION LIABILITIES) FOR THE LISTED AIRCRAFT N# YEAR MAKE VALUE 454TB 2007 KAB300 $5,500, WAR RISK COVERAGE N# YEAR MAKE VALUE 454TB 2007 KAB300 $5,500, RENEWAL PRICE INCREASE UNIT PRICE FOR EXTENDED COVERAGE WITH $0.00 DEDUCTIBLE UNIT PRICE FOR EXTENDED COVERAGE WITH $0.00 DEDUCTIBLE EXTENDED COST EXTENDED COST TxDOT will allow a percentage price increase at time of renewal in accordance with TxDOT terms and conditions. The respondent shall indicate the maximum percentage increase which shall take effect on the anniversary date of the policy. Percentage increases shall not exceed 5% per year. Vendor shall provide documented justification of any increase. % THIS PAGE OR A REASONABLE FACSIMILE SHALL BE RETURNED WITH THE RESPONSE. FAILURE TO RETURN THE REQUIRED ITEMS WITH THE RESPONSE WILL RESULT IN THE DISQUALIFICATION OF THE RESPONSE. 1-1