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Deliverable Number
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Commodity/Service Type
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Major Deliverable
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Method of Payment
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1
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INSURANCE, WORKMEN'S COMPENSATION
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Review applications for authorization to self-insure pursuant to Section 440.38(1)9b) & 440.385(6)(b...
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Fixed Fee / Unit Rate
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| Major Deliverable: Review applications for authorization to self-insure pursuant to Section 440.38(1)9b) & 440.385(6)(b), FS and Rule 69L-5, FAC. Rate Agreement: $247,900 ($20,658.33/monthly).
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| Deliverable Price: $0.00 |
| Non Price Justification: Rate Agreement |
| Performance Metrics: All payments for services will be paid only upon the timely and satisfactory completion of all services as defined in the scope of work. The monthly activity report is submitted to the contract manager.
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| Financial Consequences: Contractor's lack of satisfactory performance may result in non-payment.
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| Source Documentation Page Reference: 17 - 21 |
| Deliverable Number: 1 |
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10
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INSURANCE, WORKMEN'S COMPENSATION
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Recommend withdrawal from the association if they no longer qualify. Rate Agreement: $247,900 ($20...
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Fixed Fee / Unit Rate
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| Major Deliverable: Recommend withdrawal from the association if they no longer qualify. Rate Agreement: $247,900 ($20,658.33/monthly)
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| Deliverable Price: $0.00 |
| Non Price Justification: Rate Agreement |
| Performance Metrics: All payments for services will be paid only upon the timely and satisfactory completion of all services as defined in the scope of work. The monthly activity report is submitted to the contract manager.
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| Financial Consequences: Contractor's lack of satisfactory performance may result in non-payment.
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| Source Documentation Page Reference: 17 - 21 |
| Deliverable Number: 10 |
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2
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INSURANCE, WORKMEN'S COMPENSATION
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Collection and review of financial statements and loss reserve information of Association members in...
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Fixed Fee / Unit Rate
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| Major Deliverable: Collection and review of financial statements and loss reserve information of Association members in acordance with Section 440.38(1)(b) & 440.385(3)(b)7, FS and Rule 69L-5, FAC. Rate Agreement: $247,900 ($20,658.33/monthly).
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| Deliverable Price: $0.00 |
| Non Price Justification: Rate Agreement |
| Performance Metrics: All payments for services will be paid only upon the timely and satisfactory completion of all services as defined in the scope of work. The monthly activity report is submitted to the contract manager.
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| Financial Consequences: Contractor's lack of satisfactory performance may result in non-payment.
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| Source Documentation Page Reference: 17 - 21 |
| Deliverable Number: 2 |
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3
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INSURANCE, WORKMEN'S COMPENSATION
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Collect/maintain orig. & sub. reqd. sec. deposits and excess ins. policies of members, w/drawn, form...
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Fixed Fee / Unit Rate
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| Major Deliverable: Collect/maintain orig. & sub. reqd. sec. deposits and excess ins. policies of members, w/drawn, former members in accordance with S. 440.38(1)(b)1. and 5., FS and 69L-5.218/69L-5.219, FAC. Rate Agreement: $247,900 ($20,658.33/monthly).
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| Deliverable Price: $0.00 |
| Non Price Justification: Rate Agreement |
| Performance Metrics: All payments for services will be paid only upon the timely and satisfactory completion of all services as defined in the scope of work. The monthly activity report is submitted to the contract manager.
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| Financial Consequences: Contractor's lack of satisfactory performance may result in non-payment.
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| Source Documentation Page Reference: 17 - 21 |
| Deliverable Number: 3 |
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4
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INSURANCE, WORKMEN'S COMPENSATION
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Provide the Department with written notification of any changes made to each self-insurer members' i...
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Fixed Fee / Unit Rate
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| Major Deliverable: Provide the Department with written notification of any changes made to each self-insurer members' information within 21 days of the date the Association is notified. Rate Agreement: $247,900 ($20,658.33/monthly).
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| Deliverable Price: $0.00 |
| Non Price Justification: Rate Agreement |
| Performance Metrics: All payments for services will be paid only upon the timely and satisfactory completion of all services as defined in the scope of work. The monthly activity report is submitted to the contract manager.
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| Financial Consequences: Contractor's lack of satisfactory performance may result in non-payment.
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| Source Documentation Page Reference: 17 - 21 |
| Deliverable Number: 4 |
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5
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INSURANCE, WORKMEN'S COMPENSATION
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Collection of completed Form SI-5 (Self-Insurer Payroll Report) as required from each Assn. member a...
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Fixed Fee / Unit Rate
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| Major Deliverable: Collection of completed Form SI-5 (Self-Insurer Payroll Report) as required from each Assn. member and submit such forms to the Department within 14 days of initial receit pursuant to 69L-5.203, FAC. Rate Agreement: $247,900($20,658.33/monthly).
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| Deliverable Price: $0.00 |
| Non Price Justification: Rate Agreement |
| Performance Metrics: All payments for services will be paid only upon the timely and satisfactory completion of all services as defined in the scope of work. The monthly activity report is submitted to the contract manager.
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| Financial Consequences: Contractor's lack of satisfactory performance may result in non-payment.
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| Source Documentation Page Reference: 17 - 21 |
| Deliverable Number: 5 |
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6
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INSURANCE, WORKMEN'S COMPENSATION
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Maintain the Department's records on current, former and withdrawn Association members in an organiz...
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Fixed Fee / Unit Rate
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| Major Deliverable: Maintain the Department's records on current, former and withdrawn Association members in an organized and uniform manner. Rate Agreement: $247,900 ($20,658.33/monthly).
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| Deliverable Price: $0.00 |
| Non Price Justification: Rate Agreement |
| Performance Metrics: All payments for services will be paid only upon the timely and satisfactory completion of all services as defined in the scope of work. The monthly activity report is submitted to the contract manager.
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| Financial Consequences: Contractor's lack of satisfactory performance may result in non-payment.
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| Source Documentation Page Reference: 17 - 21 |
| Deliverable Number: 6 |
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7
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INSURANCE, WORKMEN'S COMPENSATION
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Provide written notice to members whose security deposit is in excess of Department rules. Rate Agr...
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Fixed Fee / Unit Rate
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| Major Deliverable: Provide written notice to members whose security deposit is in excess of Department rules. Rate Agreement: $247,900 ($20,658.33/monthly)
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| Deliverable Price: $0.00 |
| Non Price Justification: Rate Agreement |
| Performance Metrics: All payments for services will be paid only upon the timely and satisfactory completion of all services as defined in the scope of work. The monthly activity report is submitted to the contract manager.
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| Financial Consequences: Contractor's lack of satisfactory performance may result in non-payment.
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| Source Documentation Page Reference: 17 - 21 |
| Deliverable Number: 7 |
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8
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INSURANCE, WORKMEN'S COMPENSATION
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Provide a letter of recommendation for approval or disapproval to the dept. Rate Agreement: $247,9...
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Fixed Fee / Unit Rate
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| Major Deliverable: Provide a letter of recommendation for approval or disapproval to the dept. Rate Agreement: $247,900($20,658.33/monthly)
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| Deliverable Price: $0.00 |
| Non Price Justification: Rate Agreement |
| Performance Metrics: All payments for services will be paid only upon the timely and satisfactory completion of all services as defined in the scope of work. The monthly activity report is submitted to the contract manager.
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| Financial Consequences: Contractor's lack of satisfactory performance may result in non-payment.
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| Source Documentation Page Reference: 17 - 21 |
| Deliverable Number: 8 |
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9
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INSURANCE, WORKMEN'S COMPENSATION
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Review bond ratings of each member. Rate Agreement: $247,900($20,658.33/monthly)
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Fixed Fee / Unit Rate
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| Major Deliverable: Review bond ratings of each member. Rate Agreement: $247,900($20,658.33/monthly)
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| Deliverable Price: $0.00 |
| Non Price Justification: Rate Agreement |
| Performance Metrics: All payments for services will be paid only upon the timely and satisfactory completion of all services as defined in the scope of work. The monthly activity report is submitted to the contract manager.
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| Financial Consequences: Contractor's lack of satisfactory performance may result in non-payment.
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| Source Documentation Page Reference: 17 - 21 |
| Deliverable Number: 9 |
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