Amendment A001 to Solicitation number 19-AM10-24-R-0002 - dated September 18 2024.pdf
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- Solicitation number
- 19-AM10-24-R-0002
- Issued by
-
Department of State
About this file
This document is an Amendment to Solicitation Number 19-AM10-24-R-0002 for Health Insurance Coverage for Locally Employed Staff at the U.S. Embassy in Yerevan, Armenia. The amendment revises Exhibit F in Section J to provide historical claims data for the past 5 years. The solicitation is for a firm-fixed price contract to provide health insurance coverage for an estimated 920 locally employed staff and eligible family members, including American Employees Community Association (AECA) staff, Official Residence Expense (ORE) staff, and Peace Corps personal services contractors. The anticipated performance period is for a base year with four one-year option periods. All responsible sources may submit an offer, which will be considered. The contract will be awarded without discussions if the initial offer is acceptable to the Government. Offerors must be registered in the System for Award Management (SAM) prior to submitting a proposal.
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Other files
| File | Type | Posted |
|---|---|---|
| QA to Solicitation number 19-AM10-24-R-0002.zip | ZIP file | |
| Yerevan Helath Ins -PreSol Notice -19AM1024R0002.pdf |
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Text version
AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT l . CONTRACT ID CODE PAGE OF PAGES 1 I 1
2. AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DA TE 4 . REQUISITION/PURCHASE REQ. NO. 5. PROJECT NO. (If applicable)
A00I 09-17-2024 PR12285094
6. ISSUED BY CODE 7. ADMINISTERED BY (/f other than Item 6)
ICODE
GSO
American Embassy Yerevan I American Ave.
Yerevan, Armenia 0082
8. NAME AND ADDRESS OF CONTRACTOR (NO., street,city,county.State,and ZIP Code) 9a. AMENDMENT OF SOLICITATION NO.
19-AM I 0-24-R-0002
9b. DATED (SEE ITEM I I)
08-26-2024 l0a. MODIFICATION OF CONTRACT/ORDER NO.
l Ob. DA TED (SEE ITEM I 3)
11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
[X] The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers [ ] is extended, [X] is not extended
Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods: (a) By completing Items 8 and 15, and returning _I_ copies of the amendment;(b) By acknowledging receipt of this amendment on each copy of the offer submitted; or(c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers.
FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.
12. ACCOUNTING AND APPROPRIATION DAT A (Jfreauired)
13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,
IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.
A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE
CONTRACT ORDER NO. IN ITEM IOA.
8. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date. etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43. I03(b)
C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:
D. OTHER (Specify type of modification and authority)
E. IMPORT ANT: Contractor r 1 is not, is required to sign this document and return copies to the issuin2 office.
14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organi=ed by UCF section headings. including solicitation/contract subject matter where feasible.)
The Exhibit F from Section J is revised to read as follows:
EXHIBIT F - CLAIMS PAID OUT FOR THE PAST 5 YEARS.
YEAR TOTALAMD TOTALUSD
06/22/2019 - 6/21/2020 161,935,440.00 415,219.08
06/22/2020 - 6/2 I /2021 168,693,360.00 432,547.08
06/22/2021 - 6/21/2022 173,348,750.00 444,483.97 06/22/2022 - 6/21/2023 168,228,740.00 431,355.74
06/22/2023 - 6/2 I /2024 168,312,690.00 431,571.00
Exceot as provided herein, all terms and conditions of the document referenced in Item 9A or I 0A, as heretofore changed, remains unchanged and in full force and effect.
15A. NAME AND TITLE OF SIGNER (Type or print) l 5B. NAME OF CONTRACTOR/OFFER0R
BY
(Sil{nature o.f person a11thori=ed to siRn)
NSN 7 540-01-152-8070
Previous edition unusable
ISC.DATE
SIGNED
16A. NAME OF CONTRACTING OFFICER
Sarah Swatzburf!
168. UNITED STATES OF AMF.RICA 16C.DATE SIGNED
8 y - � � 09-18-2024
(SiRnat11re O/ t.om, u1,1lnR OUicer)
Standard Form 30 (revised I0/83) Prescribed by GSA FAR (48 CFR) 53.243
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