Request for proposal for



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County Departments

Administration

Division of Library Services

Treasurers Office

Office of Internal Audit

Capital Planning and Property Management

Workforce Investment Board

Administrative Services

Division of Human Resources

Division of Information and Technologies

Division of Budget and Purchasing

Office of Communications

Family and Community Development

Division of Economic Assistance

Human Services

Meadowview Nursing Home

Division of Public Health

Division of Intergenerational Services

Office of Support Services

Law

Division of Consumer Affairs



County Adjuster

Office of Equal Opportunities

Office of RISC

Public Safety

Division of Adult Detention

Office of Emergency Management

Office of the Medical Examiner

County Training Facility

Public Works

Division of Facilities Management

Division of Parks

Division of Roads and Bridges

Office of Fleet Management

Regional Planning and Economic Development

Division of Engineering

Office of Economic Development

Office of GIS


The full Administrative Code of the County may be accessed under the Atlantic County New Jersey web page (www.aclink.org), click Board of Freeholders, then click Code of Atlantic County.

VIII. MARKET ASSIGNMENTS

1. Markets, will be assigned to each agent/broker based on the date received and the priority in which the companies are requested.

2. All market request forms must be in writing, (fax acceptable) and received by Kathy Arrington, Director Budget & Purchasing no later than the close of business on November 6, 2009.

3. Assignments will be based on:


  1. Primary request by only one agent/broker.



  1. Strong qualifying evidence that the assignment to the requesting agent/broker is more beneficial to the County than assignment to another agent/broker.



  1. Conflicts not addressed under a.) or b.) may be resolved through negotiations. A secondary request may be assigned a Market based on choice and availability.



  1. All markets are available except the current excess carrier Safety National Casualty Corp. whose policy runs 01/01/2009 to 01/01/2010 with limits as follows

Self Insured Retension (SIR) $ 750,000

Workers Compensation Limits $ 25,000,000

Employers Liability Limits $ 1,000,000

MARKET REQUESTS MUST BE received by Kathy Arrington, Director Budget & Purchasing no later than the close of business on November 6, 2009

FAX (609) 343 2193

IX. MARKET REQUEST FORM

WORKERS COMPENSATION/EMPLOYEES LIABILITY

Company Licensed in N.J. Bests Rating

1. ___________________________________________________________________

2. ___________________________________________________________________

3. ___________________________________________________________________

_____________________________________________

Company Name

_____________________________________________

Contact Name

X. PROPOSAL QUOTATION FORM

S.I.R.

LIMITS

PREMIUM

$350,000

W.C. Statutory







W.C. $25,000,000







W.C. 1,000/1,000













$500,000

W.C. Statutory







W.C. 25,000,000







E.L. 1,000/10,000













$750,000

W.C. Statutory







W.C. $25,000,000







E.L. 1,000/1,000




DEVIATIONS AND/OR NOTES (PLEASE INDICATE AND DESCRIBE ALL DEVIATIONS FROM THE SPECIFICATIONS)

__________________________________________________________________________________________

__________________________________________________________________________________________

INSURANCE COMPANIES _____________________________

_____________________________

_____________________________

PROPOSING FIRM: ____________________________________________

ADDRESS: ___________________________________________________________

___________________________________________________________

___________________________________________________________

SIGNATURE/TITLE OF OFFICER OR PRINCIPAL

____________________________________________________________

____________________________________________________________

XI. BROKERS/AGENTS INSURANCE REQUIREMENTS

1. The Contractor shall provide and pay for insurance coverage of such types and in such amounts as will completely protect the Contractor and the County, its elected officials, officers, agents, servants, employees and assigns against any and all risks of loss or liability arising out of this Contract.

2. The following is the minimum mandatory type and amount of insurance coverage to be carried in accordance with this Article:

(a) Professional Liability insurance including errors and omissions coverage which shall protect CONTRACTOR and the COUNTY from all claims which may arise out of or result from CONTRACTOR’S operations under this contract.

3. Neither approval by the County nor failure to disapprove Certificates of Insurance furnished by Contractor shall release Contractor of full responsibility for all liability and casualty claims or losses. Insurance is required as a measure of protection and Contractor’s liability is not limited thereby.

4. The Certificate shall be subject to the review and approval of the County Counsel or Risk Manager.

5. If at any time during the term of this contract or any extension thereof, any required policies of insurance should expire or are canceled, it will be the responsibility of the Contractor to furnish to the County, Certificate of Insurance indicating renewal or an acceptable replacement of the expiring policy prior to the expiration or cancellation date so that there will be no lapse in any coverage. The County reserves the right to waive or modify any of the proceeding insurance requirements in the event of demonstrated unavailability of coverage or financial handicap. Any request for waiver or modification of these insurance requirements, due to the non availability of cost of procuring either the type of limits of insurance required herein must be made in the proposal and any such requests shall include a detailed explanation of the basis for the request.




EXHIBIT A

AUTHORITY FOR SELF INSURED WORKERS COMPENSATION

STATUTORY AUTHORITY FOR SELF INSURED WORKERS COMPENSATION

INSURANCE

ARTICLE 4. WORKERS’ COMPENSATION
40a:10-12. Payment of workers’ compensation
A local unit may provide for the payment of workers’ compensation under the provisions of chapter 15 of Title 34 of the Revised Statutes (Labor and Workmen’s Compensation, R.S. 34:15-1 et seq.) by:
a. The creation of a workers’ compensation fund as hereinafter provided; or

b. The placing of workers’ compensation insurance with any insurance company authorized to do business in New Jersey; or provided by law.

L.1979, c.230, s 1, eff. Oct. 15, 1979.

Historical and Statutory Notes


Source: R.S. 40:26-9; 40:51-8; Prior Laws: L. 1924, c. 61 s 1, p. 114.

L 1935, c. 231, ss 1, 4. pp. 567,568


Library Reference

American Digest system

Employers within workers’ compensation act; counties, see Workers’ Compensation 224.

Employees within workers’ compensation act; municipal corporations in general, see Workers; Compensation 222.


Encyclopedias

Employers within intent of workmen’s compensation acts; governmental body or entity, see C.J.S. Workmens’ Compensations s 56.


WESTLAW Research

Workers’ compensation cases: 413k (add key number).


40A:10-12.1. Local unit to include boards of education

For the purposes of Article 4 of chapter 10 of Title 40A of the New Jersey Statutes (N.J.S. 40A:10-12 et.seq.), “local unit” shall be deemed to include boards of education which join together with municipalities pursuant to P.L. 1992, c.51 (C. 40A:10-52 et al.).


L1992, c. 51, s 10, eff. July 17, 1992.
40A:10-13. Workers’ compensation insurance fund

The governing body of a local unit may create and appropriate money for a fund to be designated and known as “The Workers’ Compensation Insurance Fund.” The money so appropriated shall be deposited in the name of the local unit in a National or State bank or trust company and remain there as a trust fund.


EXHIBIT “B”
WORKERS COMPENSATION EMPLOYEE CLASSIFICATION
As of 1/20/2009

CODE

2009 number of employees

Wages for code













1

221.65

106

6

24,7971.7

4299

3

156,968.55

5183

1

39,179.57

5191

5

197,669.11

5403

2

80,267.89

5474

1

327,63.101

5509

90

3,157,786.98

7219

7

243,843.32

7380

51

1,645,107.52

7539

2

63,432.51

7710

2

61,395.64

7712

7

253,194.91

7720

477

26,282,105.21

8292

2

93,172.54

8397

15

685,678.76

8601

19

1,146,091.98

8742

59

3,563,089.17

8810

352

13,370,711.28

8820

56

4,186,327.45

8829

215

7,900,940.90

8832

6

469,689.43

8835

19

1,173,956.53

8838

169

5,280,882.56

8868

62

1,839,014.93

9015

42

1,479,451.04

9045

7

785,213.69

9079

23

991,445.32

9102

30

1,164,633.18

9106

3

84,316.06

9180

22

298,140.87

9182

15

342,752.19

9410

229

1,884,449.22

9418

3

98,664.94

9421

258

9,341,659.01

9726

21

402,975.33

TOTAL 2009 WAGES

2282

88,338,062.95

,

EXHIBIT C



WORKERS COMPENSATION LOSS EXPERIENCE ALL YEARS/CLAIMS


EXHIBIT D



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