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Sheet1
| The solicitation number: |
| Name of Contractor: |
| The name, phone number, and email address of the Contractor Point of Contact: |
| The Contractor UEI: |
| Validity of quote (in days): |
| Quotes for countries with a Travel Advisory Level 1: Exercise normal precautions |
| The Insurer will use the following rates for this contract: | | | |
| BASE – 2 years | | | |
| CLIN | Description | Price | Application |
| 011A | Services | $TBD | Per $100 of employee salary |
| 011B | Construction | $TBD | Per $100 of employee salary |
| 011C | Security | $TBD | Per $100 of employee salary |
| OPTION PERIOD 1 (1 YEAR) |
| ● Scenario A. If, as of 3 months prior to Option Year 1 Inception, total loss ratio on the program is less than or equal to 32% (excluding any losses reimbursable through the War Hazard Compensation Act), the following rates apply |
| OPTION PERIOD 1– 1 year | | | |
| CLIN | Description | Price | Application |
| 111A | Services | $TBD | Per $100 of employee salary |
| 111B | Construction | $TBD | Per $100 of employee salary |
| 111C | Security | $TBD | Per $100 of employee salary |
● Scenario B. If, as of 3 months prior to Option Year 1 Inception, total loss ratio on the program is greater than 32% (excluding any losses reimbursable through the War Hazard Compensation Act), the following rates apply:
| OPTION PERIOD 1– 1 year | | | |
| CLIN | Description | Price | Application |
| 111D | Services | $TBD | Per $100 of employee salary |
| 111E | Construction | $TBD | Per $100 of employee salary |
| 111F | Security | $TBD | Per $100 of employee salary |
| OPTION PERIOD 2 (1 YEAR) | | | |
● Scenario A. If Option Period 1, Scenario A is not exercised, but as of 3 months prior to Option Year 2 inception, total loss ratio on the program is less than or equal to 37% (excluding any losses reimbursable through the War Hazard Compensation Act), the following rates apply:
| OPTION PERIOD 2 – 1 year | | | |
| CLIN | Description | Price | Application |
| 211A | Services | $TBD | Per $100 of employee salary |
| 211B | Construction | $TBD | Per $100 of employee salary |
| 211C | Security | $TBD | Per $100 of employee salary |
● Scenario B. If Option Period 1, Scenario A is not exercised, but as of as of 3 months prior to Option Year 2 inception, total loss ratio on the program is greater than 37% (excluding any losses reimbursable through the War Hazard Compensation Act), the following rates apply:
| OPTION PERIOD 2 – 1 year | | | |
| CLIN | Description | Price | Application |
| 211D | Services | $TBD | Per $100 of employee salary |
| 211E | Construction | $TBD | Per $100 of employee salary |
| 211F | Security | $TBD | Per $100 of employee salary |
| ● Scenario C. If Option Period 1, Scenario A is exercised and as of as of 3 months prior to Option Year 2 inception, the total loss ratio on the program is less than or equal to 37% (excluding any losses reimbursable through the War Hazard Compensation Act), the following rates apply: | | | |
| OPTION PERIOD 2 – 1 year | | | |
| CLIN | Description | Price | Application |
| 211D | Services | $TBD | Per $100 of employee salary |
| 211E | Construction | $TBD | Per $100 of employee salary |
| 211F | Security | $TBD | Per $100 of employee salary |
● Scenario D. If Option Period 1, Scenario A is exercised, but as of as of 3 months prior to Option Year 2 inception, total loss ratio on the program is greater than 37% (excluding any losses reimbursable through the War Hazard Compensation Act), the following rates apply:
| OPTION PERIOD 2 – 1 year | | | |
| CLIN | Description | Price | Application |
| 211G | Services | $TBD | Per $100 of employee salary |
| 211H | Construction | $TBD | Per $100 of employee salary |
| 211G | Security | $TBD | Per $100 of employee salary |
| OPTION PERIOD 3 (1 YEAR) |
| ● Scenario A. If Option Period 2, Scenario A, Scenario C, or Scenario D are exercised, but as of as of 3 months prior to Option Year 2 inception, total loss ratio on the program is less than or equal to 42% (excluding any losses reimbursable through the War Hazard Compensation Act), the following rates will apply, regardless of the incurred loss ratio: |
| OPTION PERIOD 3 – 1 year | | | |
| CLIN | Description | Price | Application |
| 311A | Services | $TBD | Per $100 of employee salary |
| 311B | Construction | $TBD | Per $100 of employee salary |
| 311C | Security | $TBD | Per $100 of employee salary |
| ● Scenario B. If Option Period 2, Scenario A, Scenario C, or Scenario D are not exercised, but as of 3 months prior to Option Year 3 inception, total loss ratio on the program is less than or equal to 42% (excluding any losses reimbursable through the War Hazard Compensation Act), the following rates apply: | | | |
| OPTION PERIOD 3 – 1 year | | | |
| CLIN | Description | Price | Application |
| 311D | Services | $TBD | Per $100 of employee salary |
| 311E | Construction | $TBD | Per $100 of employee salary |
| 311F | Security | $TBD | Per $100 of employee salary |
● Scenario C. If Option Period 2, Scenario A or Scenario C are not exercised, but as of 3 months prior to Option Year 3 inception, total loss ratio on the program is greater than 42% (excluding any losses reimbursable through the War Hazard Compensation Act), the following rates apply:
| OPTION PERIOD 3 – 1 year | | | |
| CLIN | Description | Price | Application |
| 311G | Services | $TBD | Per $100 of employee salary |
| 311H | Construction | $TBD | Per $100 of employee salary |
| 311I | Security | $TBD | Per $100 of employee salary |
Quotes for countries with a Travel Advisory Level 2: Exercise increased caution
| The Insurer will use the following rates for this contract: | | | |
| BASE – 2 years | | | |
| CLIN | Description | Price | Application |
| 021A | Services | $TBD | Per $100 of employee salary |
| 021B | Construction | $TBD | Per $100 of employee salary |
| 021C | Security | $TBD | Per $100 of employee salary |
| OPTION PERIOD 1 (1 YEAR) |
| ● Scenario A. If, as of 3 months prior to Option Year 1 Inception, total loss ratio on the program is less than or equal to 32% (excluding any losses reimbursable through the War Hazard Compensation Act), the following rates apply |
| OPTION PERIOD 1– 1 year | | | |
| CLIN | Description | Price | Application |
| 121A | Services | $TBD | Per $100 of employee salary |
| 121B | Construction | $TBD | Per $100 of employee salary |
| 121C | Security | $TBD | Per $100 of employee salary |
● Scenario B. If, as of 3 months prior to Option Year 1 Inception, total loss ratio on the program is greater than 32% (excluding any losses reimbursable through the War Hazard Compensation Act), the following rates apply:
| OPTION PERIOD 1– 1 year | | | |
| CLIN | Description | Price | Application |
| 121D | Services | $TBD | Per $100 of employee salary |
| 121E | Construction | $TBD | Per $100 of employee salary |
| 121F | Security | $TBD | Per $100 of employee salary |
| OPTION PERIOD 2 (1 YEAR) | | | |
● Scenario A. If Option Period 1, Scenario A is not exercised, but as of 3 months prior to Option Year 2 inception, total loss ratio on the program is less than or equal to 37% (excluding any losses reimbursable through the War Hazard Compensation Act), the following rates apply:
| OPTION PERIOD 2 – 1 year | | | |
| CLIN | Description | Price | Application |
| 221A | Services | $TBD | Per $100 of employee salary |
| 221B | Construction | $TBD | Per $100 of employee salary |
| 221C | Security | $TBD | Per $100 of employee salary |
● Scenario B. If Option Period 1, Scenario A is not exercised, but as of as of 3 months prior to Option Year 2 inception, total loss ratio on the program is greater than 37% (excluding any losses reimbursable through the War Hazard Compensation Act), the following rates apply:
| OPTION PERIOD 2 – 1 year | | | |
| CLIN | Description | Price | Application |
| 221D | Services | $TBD | Per $100 of employee salary |
| 221E | Construction | $TBD | Per $100 of employee salary |
| 221F | Security | $TBD | Per $100 of employee salary |
| ● Scenario C. If Option Period 1, Scenario A is exercised and as of as of 3 months prior to Option Year 2 inception, the total loss ratio on the program is less than or equal to 37% (excluding any losses reimbursable through the War Hazard Compensation Act), the following rates apply: | | | |
| OPTION PERIOD 2 – 1 year | | | |
| CLIN | Description | Price | Application |
| 221D | Services | $TBD | Per $100 of employee salary |
| 221E | Construction | $TBD | Per $100 of employee salary |
| 221F | Security | $TBD | Per $100 of employee salary |
● Scenario D. If Option Period 1, Scenario A is exercised, but as of as of 3 months prior to Option Year 2 inception, total loss ratio on the program is greater than 37% (excluding any losses reimbursable through the War Hazard Compensation Act), the following rates apply:
| OPTION PERIOD 2 – 1 year | | | |
| CLIN | Description | Price | Application |
| 221G | Services | $TBD | Per $100 of employee salary |
| 221H | Construction | $TBD | Per $100 of employee salary |
| 221G | Security | $TBD | Per $100 of employee salary |
| OPTION PERIOD 3 (1 YEAR) |
| ● Scenario A. If Option Period 2, Scenario A, Scenario C, or Scenario D are exercised, but as of as of 3 months prior to Option Year 2 inception, total loss ratio on the program is less than or equal to 42% (excluding any losses reimbursable through the War Hazard Compensation Act), the following rates will apply, regardless of the incurred loss ratio: |
| OPTION PERIOD 3 – 1 year | | | |
| CLIN | Description | Price | Application |
| 321A | Services | $TBD | Per $100 of employee salary |
| 321B | Construction | $TBD | Per $100 of employee salary |
| 321C | Security | $TBD | Per $100 of employee salary |
| ● Scenario B. If Option Period 2, Scenario A, Scenario C, or Scenario D are not exercised, but as of 3 months prior to Option Year 3 inception, total loss ratio on the program is less than or equal to 42% (excluding any losses reimbursable through the War Hazard Compensation Act), the following rates apply: | | | |
| OPTION PERIOD 3 – 1 year | | | |
| CLIN | Description | Price | Application |
| 321D | Services | $TBD | Per $100 of employee salary |
| 321E | Construction | $TBD | Per $100 of employee salary |
| 321F | Security | $TBD | Per $100 of employee salary |
● Scenario C. If Option Period 2, Scenario A or Scenario C are not exercised, but as of 3 months prior to Option Year 3 inception, total loss ratio on the program is greater than 42% (excluding any losses reimbursable through the War Hazard Compensation Act), the following rates apply:
| OPTION PERIOD 3 – 1 year | | | |
| CLIN | Description | Price | Application |
| 321G | Services | $TBD | Per $100 of employee salary |
| 321H | Construction | $TBD | Per $100 of employee salary |
| 321I | Security | $TBD | Per $100 of employee salary |
Quotes for countries with a Travel Advisory Level 3: Reconsider Travel
The Insurer will use the following rates for this contract:
| BASE – 2 years | | | |
| CLIN | Description | Price | Application |
| 031A | Services | $TBD | Per $100 of employee salary |
| 031B | Construction | $TBD | Per $100 of employee salary |
| 031C | Security | $TBD | Per $100 of employee salary |
| OPTION PERIOD 1 (1 YEAR) |
| ● Scenario A. If, as of 3 months prior to Option Year 1 Inception, total loss ratio on the program is less than or equal to 32% (excluding any losses reimbursable through the War Hazard Compensation Act), the following rates apply |
| OPTION PERIOD 1– 1 year | | | |
| CLIN | Description | Price | Application |
| 131A | Services | $TBD | Per $100 of employee salary |
| 131B | Construction | $TBD | Per $100 of employee salary |
| 131C | Security | $TBD | Per $100 of employee salary |
● Scenario B. If, as of 3 months prior to Option Year 1 Inception, total loss ratio on the program is greater than 32% (excluding any losses reimbursable through the War Hazard Compensation Act), the following rates apply:
| OPTION PERIOD 1– 1 year | | | |
| CLIN | Description | Price | Application |
| 131D | Services | $TBD | Per $100 of employee salary |
| 131E | Construction | $TBD | Per $100 of employee salary |
| 131F | Security | $TBD | Per $100 of employee salary |
| OPTION PERIOD 2 (1 YEAR) | | | |
● Scenario A. If Option Period 1, Scenario A is not exercised, but as of 3 months prior to Option Year 2 inception, total loss ratio on the program is less than or equal to 37% (excluding any losses reimbursable through the War Hazard Compensation Act), the following rates apply:
| OPTION PERIOD 2 – 1 year | | | |
| CLIN | Description | Price | Application |
| 231A | Services | $TBD | Per $100 of employee salary |
| 231B | Construction | $TBD | Per $100 of employee salary |
| 231C | Security | $TBD | Per $100 of employee salary |
● Scenario B. If Option Period 1, Scenario A is not exercised, but as of as of 3 months prior to Option Year 2 inception, total loss ratio on the program is greater than 37% (excluding any losses reimbursable through the War Hazard Compensation Act), the following rates apply:
| OPTION PERIOD 2 – 1 year | | | |
| CLIN | Description | Price | Application |
| 231D | Services | $TBD | Per $100 of employee salary |
| 231E | Construction | $TBD | Per $100 of employee salary |
| 231F | Security | $TBD | Per $100 of employee salary |
| ● Scenario C. If Option Period 1, Scenario A is exercised and as of as of 3 months prior to Option Year 2 inception, the total loss ratio on the program is less than or equal to 37% (excluding any losses reimbursable through the War Hazard Compensation Act), the following rates apply: | | | |
| OPTION PERIOD 2 – 1 year | | | |
| CLIN | Description | Price | Application |
| 231D | Services | $TBD | Per $100 of employee salary |
| 231E | Construction | $TBD | Per $100 of employee salary |
| 231F | Security | $TBD | Per $100 of employee salary |
● Scenario D. If Option Period 1, Scenario A is exercised, but as of as of 3 months prior to Option Year 2 inception, total loss ratio on the program is greater than 37% (excluding any losses reimbursable through the War Hazard Compensation Act), the following rates apply:
| OPTION PERIOD 2 – 1 year | | | |
| CLIN | Description | Price | Application |
| 231G | Services | $TBD | Per $100 of employee salary |
| 231H | Construction | $TBD | Per $100 of employee salary |
| 231G | Security | $TBD | Per $100 of employee salary |
| OPTION PERIOD 3 (1 YEAR) |
| ● Scenario A. If Option Period 2, Scenario A, Scenario C, or Scenario D are exercised, but as of as of 3 months prior to Option Year 2 inception, total loss ratio on the program is less than or equal to 42% (excluding any losses reimbursable through the War Hazard Compensation Act), the following rates will apply, regardless of the incurred loss ratio: |
| OPTION PERIOD 3 – 1 year | | | |
| CLIN | Description | Price | Application |
| 331A | Services | $TBD | Per $100 of employee salary |
| 331B | Construction | $TBD | Per $100 of employee salary |
| 331C | Security | $TBD | Per $100 of employee salary |
| ● Scenario B. If Option Period 2, Scenario A, Scenario C, or Scenario D are not exercised, but as of 3 months prior to Option Year 3 inception, total loss ratio on the program is less than or equal to 42% (excluding any losses reimbursable through the War Hazard Compensation Act), the following rates apply: | | | |
| OPTION PERIOD 3 – 1 year | | | |
| CLIN | Description | Price | Application |
| 331D | Services | $TBD | Per $100 of employee salary |
| 331E | Construction | $TBD | Per $100 of employee salary |
| 331F | Security | $TBD | Per $100 of employee salary |
● Scenario C. If Option Period 2, Scenario A or Scenario C are not exercised, but as of 3 months prior to Option Year 3 inception, total loss ratio on the program is greater than 42% (excluding any losses reimbursable through the War Hazard Compensation Act), the following rates apply:
| OPTION PERIOD 3 – 1 year | | | |
| CLIN | Description | Price | Application |
| 331G | Services | $TBD | Per $100 of employee salary |
| 331H | Construction | $TBD | Per $100 of employee salary |
| 331I | Security | $TBD | Per $100 of employee salary |
Quotes for countries with a Travel Advisory Level 4: Do Not Travel
The Insurer will use the following rates for this contract:
| BASE – 2 years | | | |
| CLIN | Description | Price | Application |
| 041A | Services | $TBD | Per $100 of employee salary |
| 041B | Construction | $TBD | Per $100 of employee salary |
| 041C | Security | $TBD | Per $100 of employee salary |
| OPTION PERIOD 1 (1 YEAR) |
| ● Scenario A. If, as of 3 months prior to Option Year 1 Inception, total loss ratio on the program is less than or equal to 32% (excluding any losses reimbursable through the War Hazard Compensation Act), the following rates apply |
| OPTION PERIOD 1– 1 year | | | |
| CLIN | Description | Price | Application |
| 141A | Services | $TBD | Per $100 of employee salary |
| 141B | Construction | $TBD | Per $100 of employee salary |
| 141C | Security | $TBD | Per $100 of employee salary |
● Scenario B. If, as of 3 months prior to Option Year 1 Inception, total loss ratio on the program is greater than 32% (excluding any losses reimbursable through the War Hazard Compensation Act), the following rates apply:
| OPTION PERIOD 1– 1 year | | | |
| CLIN | Description | Price | Application |
| 141D | Services | $TBD | Per $100 of employee salary |
| 141E | Construction | $TBD | Per $100 of employee salary |
| 141F | Security | $TBD | Per $100 of employee salary |
| OPTION PERIOD 2 (1 YEAR) | | | |
● Scenario A. If Option Period 1, Scenario A is not exercised, but as of 3 months prior to Option Year 2 inception, total loss ratio on the program is less than or equal to 37% (excluding any losses reimbursable through the War Hazard Compensation Act), the following rates apply:
| OPTION PERIOD 2 – 1 year | | | |
| CLIN | Description | Price | Application |
| 241A | Services | $TBD | Per $100 of employee salary |
| 241B | Construction | $TBD | Per $100 of employee salary |
| 241C | Security | $TBD | Per $100 of employee salary |
● Scenario B. If Option Period 1, Scenario A is not exercised, but as of as of 3 months prior to Option Year 2 inception, total loss ratio on the program is greater than 37% (excluding any losses reimbursable through the War Hazard Compensation Act), the following rates apply:
| OPTION PERIOD 2 – 1 year | | | |
| CLIN | Description | Price | Application |
| 241D | Services | $TBD | Per $100 of employee salary |
| 241E | Construction | $TBD | Per $100 of employee salary |
| 241F | Security | $TBD | Per $100 of employee salary |
| ● Scenario C. If Option Period 1, Scenario A is exercised and as of as of 3 months prior to Option Year 2 inception, the total loss ratio on the program is less than or equal to 37% (excluding any losses reimbursable through the War Hazard Compensation Act), the following rates apply: | | | |
| OPTION PERIOD 2 – 1 year | | | |
| CLIN | Description | Price | Application |
| 241D | Services | $TBD | Per $100 of employee salary |
| 241E | Construction | $TBD | Per $100 of employee salary |
| 241F | Security | $TBD | Per $100 of employee salary |
● Scenario D. If Option Period 1, Scenario A is exercised, but as of as of 3 months prior to Option Year 2 inception, total loss ratio on the program is greater than 37% (excluding any losses reimbursable through the War Hazard Compensation Act), the following rates apply:
| OPTION PERIOD 2 – 1 year | | | |
| CLIN | Description | Price | Application |
| 241G | Services | $TBD | Per $100 of employee salary |
| 241H | Construction | $TBD | Per $100 of employee salary |
| 241G | Security | $TBD | Per $100 of employee salary |
| OPTION PERIOD 3 (1 YEAR) |
| ● Scenario A. If Option Period 2, Scenario A, Scenario C, or Scenario D are exercised, but as of as of 3 months prior to Option Year 2 inception, total loss ratio on the program is less than or equal to 42% (excluding any losses reimbursable through the War Hazard Compensation Act), the following rates will apply, regardless of the incurred loss ratio: |
| OPTION PERIOD 3 – 1 year | | | |
| CLIN | Description | Price | Application |
| 341A | Services | $TBD | Per $100 of employee salary |
| 341B | Construction | $TBD | Per $100 of employee salary |
| 341C | Security | $TBD | Per $100 of employee salary |
| ● Scenario B. If Option Period 2, Scenario A, Scenario C, or Scenario D are not exercised, but as of 3 months prior to Option Year 3 inception, total loss ratio on the program is less than or equal to 42% (excluding any losses reimbursable through the War Hazard Compensation Act), the following rates apply: | | | |
| OPTION PERIOD 3 – 1 year | | | |
| CLIN | Description | Price | Application |
| 341D | Services | $TBD | Per $100 of employee salary |
| 341E | Construction | $TBD | Per $100 of employee salary |
| 341F | Security | $TBD | Per $100 of employee salary |
● Scenario C. If Option Period 2, Scenario A or Scenario C are not exercised, but as of 3 months prior to Option Year 3 inception, total loss ratio on the program is greater than 42% (excluding any losses reimbursable through the War Hazard Compensation Act), the following rates apply:
| OPTION PERIOD 3 – 1 year | | | |
| CLIN | Description | Price | Application |
| 341G | Services | $TBD | Per $100 of employee salary |
| 341H | Construction | $TBD | Per $100 of employee salary |
| 341I | Security | $TBD | Per $100 of employee salary |
