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State Contract Reporting System

Florida Department of Financial Services: F.A.C.T.S

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Contract Information

 

Summary

Agency Name: DEPARTMENT OF FINANCIAL SERVICES

Agency Contract ID: WC070

Long Title: Florida Self-Insurers Guaranty Association, Inc.

Vendor Name: FLORIDA SELF-INSURERS GUARANTY

Total Contract Amount: $230,569.00

Total Budgetary Amount: $230,569.00

Total Payment To Date: NA

Date of Execution: 06/28/2011

General Description: The Association reviews pertinent financial data submitted by employers seeking authorization to self-insure in Florida and makes recommendations to the department based upon the employers' financial strength.

Main Information

Agency Contract ID: WC070

FLAIR Contract ID: D0066

Short Title: FSIGA

Long Title: Florida Self-Insurers Guaranty Association, Inc.

Contract Type: Standard Two Party Agreement by Statute

Contract Status: Closed or Expired

Date of Execution: 06/28/2011

Date of Beginning: 07/01/2011

Original End Date: 06/30/2012

New Ending Date:

Agency Service Area: WC

Statutory Authority: 440.385(6)(b), FS

Contract Involves State or Federal Financial Assistance: No

Recipient Type:

Provide for Administrative Cost: No

Provide for Periodic Increase: No

Procurement Information

Authorized Advanced Payment: No

Method of Procurement: Exempt, Federal or state law prescribes with whom the agency must contract [s. 287.057 (11), FS]

State Term Contract ID:

Contract’s Exemption Justification: Exempt - federal or state law prescribes with whom the agency must contract per 287.057(10) and 440.385(6)(b), FS.

Agency Reference Number:

Business Case Study Done: No

Legal Challenges to Procurement: No

Outsourcing / Capital Improvements

Was the Contracted Function Previously Performed by the State: No

Was the Contracted Function Considered for Insourcing back to the State: No

Did the Vendor Make Capital Improvements on State Property: No

Budget Information

Original Contract Amount: $230,569.00

Total Contract Amount: $230,569.00

Total Recurring Budgetary Amount: $230,569.00

Total Non-Recurring Budgetary Amount: $0.00

Total Budgetary Amount: $230,569.00

Total Unfunded Amount: $0.00

As of Date: 4/10/2012

Recurring Budgetary Amount Account Code Fiscal Year Effective Date FY Cost Accumulator Agency Amendment Reference
$230,569.00 43-20-2-795003-43600100-00-100777-00 07/01/2011 2011-2012


No Non-Recurring Budgetary records found for this contract.

Contract Change

No Contract Changes found for the contract.

Vendor

Name Line 1Name Line 2City State ZipMinority Vendor Designation
FLORIDA SELF-INSURERS GUARANTY   TALLAHASSEE FL 323080000 Non-Minority

CFDA

No CFDA Codes found for the contract.

CSFA

No CSFA Codes found for the contract.
More Deliverable Number      Commodity/Service Type Major Deliverable Method of Payment
     
 INSURANCE CONSULTANT SERVICES Review applications for authorization to self-insure pursuant to Section 440.38(1)(b) & 440.385(6)(b... Fixed Price - Lump Sum
     
 DATA COLLECTION, SOLVING SERVICES Collection and review of financial statements and loss reserve information of Association members in... Fixed Price - Lump Sum
     
 INSURANCE CONSULTANT SERVICES Collect and maintain the original and any subsequent required security deposits and excess insurance... Fixed Price - Lump Sum
     
 INSURANCE CONSULTANT SERVICES Provide the department with written notification of any changes made to each self-insurer members' i... Fixed Price - Lump Sum
     
 INSURANCE CONSULTANT SERVICES Collection of completed Form SI-5 (Self-Insurer Payroll Report) as required from each Association me... Fixed Price - Lump Sum
     
 RECORD STORAGE, DOCUMENT IMAGING, Maintain the Department's records on current, former and withdrawn Association members in an organiz... Fixed Price - Lump Sum
 Displaying 1 to 6 of 6    


Payments are also referred to as expenditures (creating or incurring a legal obligation to disburse money) or disbursements (the payment of expenditures). Payments include disbursements and accounting adjustments made on a contract. Payments are always positive amounts while accounting adjustments may be positive or negative depending on the type of adjustment.
  

If a payment or adjustment to a contract was made before July 1, 2012, the information may not be posted in this system.

Contract Documents


Click on the pdf icon or Agency Document Link to view the document
Document Type Document Reference # Executed Date Document Add Date Agency Document Link View
Original Contract Original Contract - D0066 06/28/2011 6/11/2012 10:15:23 AM


Audit results posted prior to June 30, 2012, appear in a summarized form. As of July 1, 2012, the audit reporting process was expanded to include additional questions and comments from the Bureau of Auditing. As audits are captured in electronic format, they will be posted to this system. If you are interested in seeing audit reports by Fiscal Year and Agency Action Plans, please click here to navigate to the Transparency Florida Contract Audit page.

  • No audits have been conducted on this contract at this time.
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