19AQMM25R0153 Amendment 0001.pdf

Document Number: 19AQMM25R0153 PROCESSED Page 1 of 4

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE RATING

2. AMENDMENT/MODIFICATION NUMBER

3. EFFECTIVE DATE

09/02/2025

4. REQUISITION/PURCHASE REQ. NUMBER 5. PROJECT NUMBER (If applicable)

AGA__CODE

GLOBAL ACQUISITION (A/GA)

1200 Wilson Blvd, SA-6B

ATTN: A/GA

ARLINGTON, VA 22209

US

Jeannie R. Mays

NAME

TEL.

MaysJR@State.gov

EMAIL

6. ISSUED BY AGACODE

Commercial Services

TSS/SVC/CS

Office of Global Acquisition 1200 Wilson Blvd (SA-06B) Arlington, VA 22209

7. ADMINISTERED BY (If other than Item 6)

9A. AMENDMENT OF SOLICITATION NUMBER

19AQMM25R0153

CODE FACILITY CODE

8. NAME AND ADDRESS OF CONTRACTOR (Number, street, country, state and ZIP Code) (X)

X 9B. DATED (SEE ITEM 11)

09/02/2025

10A. MODIFICATION OF CONTRACT/ORDER

NUMBER

10B. DATED (SEE ITEM 11)

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

X XThe above numbered solicitation is amended as set forth in item 14. The hour and date specified for receipt of Offers is extended, 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 ____copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication 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 your desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS.IT MODIFIES THE CONTRACT/ORDER NUMBER AS DESCRIBED IN ITEM 14.

CHECK ONE

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT

ORDER NUMBER IN ITEM 10A.

B. 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 43.103(b).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, is required to sign this document and return _______ copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

The purpose of Amendment 0001 is to correct the proposal submission deadline in Section L to October 3, 2025 no later than 5:00pm ET.

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER (Type or print) 16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

Jeannie R. Mays

(Signature of person authorized to sign)

15B. CONTRACTOR/OFFEROR 15C. DATE SIGNED

By (Signature of Contracting Officer)

16B. UNITED STATES OF AMERICA 16C. DATE SIGNED

09/03/2025

NSN 7540-01-152-8070

Previous edition unusable

STANDARD FORM 30 (REV.

11/2016) Prescribed by GSA FAR (48 CFR) 53.243

CGFS // CGFS

Document Number: 19AQMM25R0153 PROCESSED Page 2 of 4

Table of Contents

Section Description Page Number

L Instructions, Conditions, and Notices to Offerors and Respondents L Instructions, Conditions and Notices to Offerors or Respondents

Document Number: 19AQMM25R0153 PROCESSED Page 3 of 4

Line Item Summary

Solicitation Number:

19AQMM25R0153

Contract Number: Title:

Accident and Sickness Program for Exchanges (ASPE)

Date of Solicitation:

09/03/2025

CLIN Funding: Cost:

Base Totals: Original: $0.00

Change: $0.00

Current: $0.00

Original: $0.00

Change: $0.00

Current: $0.00

Exercised Options Totals: Original: $0.00

Change: $0.00

Current: $0.00

Original: $0.00

Change: $0.00

Current: $0.00

Unexercised Options Totals: Original: $0.00

Change: $0.00

Current: $0.00

Original: $0.00

Change: $0.00

Current: $0.00

Base and Options Totals: Original: $0.00

Change: $0.00

Current: $0.00

Original: $0.00

Change: $0.00

Current: $0.00

Section L - Instructions, Conditions, and Notices to Offerors and Respondents

L - Instructions, Conditions and Notices to Offerors or Respondents

Proposal Submission Deadline

• Date and Time: Proposals must be submitted by October 3, 2025, no later than 5:00pm Eastern Standard Time (EST).

Late submissions will not be considered, except as provided under FAR 52.215-1.

• Submission Format: All proposals must be submitted via email to MaysJR@state.gov, Jeannie R. Mays, the Contracting Officer (CO).

Proposal Submission Requirements

• Number of Copies: Offerors must submit one (1) electronic copy of the proposal.

• Contact Information: All inquiries regarding this RFP should be directed to:

• Contracting Officer (CO): Jeannie R. Mays, MaysJR@state.gov.

Proposal Format

• Page Limits: The total page limit for the technical proposal is 50 pages. Any pages beyond this limit may not be evaluated.

• Font and Margins: Use Times New Roman, 12-point font, with one-inch margins on all sides.

• File Naming and Format: All files must be submitted in PDF format, with file names that clearly indicate the proposal section and the offeror's name.

Proposal Sections

The proposal must be divided into the following sections:

Cover Letter

Document Number: 19AQMM25R0153 PROCESSED Page 4 of 4

• Company Information: Include company name, UEI, DUNS number, Tax Identification Number (TIN), address, and contact information.

• Statement of Compliance: A statement certifying that the offeror agrees to comply with all terms and conditions of the

RFP.

Technical Proposal The Technical Proposal must address the following areas in detail:

Technical Approach

• Comprehensive Plan: Provide a detailed description of how the offeror will implement the ASPE Health Benefits Plan, including enrollment processes, claims management, and participant support services.

• Service Scope: Describe how all services outlined in Section C of the Statement of Work (SOW) will be provided, including mental health, crisis support, and medical evacuation services.

Transition and Start-Up Plan

• Initial Transition Plan: Submit a comprehensive plan detailing the steps necessary for transitioning from the incumbent contractor. This should include timelines, milestones, and risk management strategies.

• CLIN 001 Execution: Outline the proposed approach for executing CLIN 001 (Start-Up/Transition Costs) and each of its sub-CLINs (e.g., Initial Planning and Project Management, System Configuration, and Integration).

Quality Assurance Surveillance Plan (QASP)

• Monitoring and Evaluation: Describe how the offeror will monitor and ensure the quality of services provided, including methods for measuring adherence to performance metrics and managing participant feedback.

• Continuous Improvement: Explain the mechanisms in place to identify, document, and correct any deficiencies in service delivery.

Personnel Qualifications

• Key Personnel: Provide detailed resumes for all key personnel, including Project Manager and other roles specified in Section J. Each resume should include relevant experience, education, certifications, and their role in the project.

• Staffing Plan: Outline the staffing plan to support the execution of the ASPE contract, including staffing levels, employee training, and contingency plans to ensure service continuity.

Experience and Past Performance

• Previous Contracts: Provide a summary of three (3) previous contracts similar in scope and complexity to this RFP.

Include customer contact information, contract value, and a description of the work performed and how it is relevant to this

RFP.

• References: Provide references for each contract, including contact names, phone numbers, and email addresses.

References may be contacted as part of the evaluation.

Business Proposal The Business Proposal must address the following areas:

Pricing Structure

• CLIN Pricing: Provide a detailed breakdown of pricing for each Contract Line Item Number (CLIN), including CLINs for Start-Up/Transition Costs (CLIN 001), Ongoing Administration Costs (CLIN 002), and Optional Services (CLIN 006). Include quantity, unit, unit price, and total amount for each item.

Financial Capability

• Financial Statements: Submit audited financial statements for the past three (3) fiscal years to demonstrate financial stability.

• Certifications: Provide certifications such as SAM registration, FAR 52.209-5 Certification Regarding Responsibility Matters, and FAR 52.203-2 Certificate of Independent Price Determination.

Small Business Participation Plan

• Subcontracting: If relevant, identify how small businesses will be utilized in performing the contract. Include subcontracting goals for small, disadvantaged, and women-owned businesses, in compliance with FAR 52.219-9.