SF-30 19AS2025Q0012-A0001 Workers Compensation Insurance for the U.S. Embassy Canberra Australia.pdf

AMENDMENT OF SOLICITATION

1. CONTRACT ID CODE

PAGE OF PAGES

1 2

2. AMENDMENT/MODIFICATION NO.

3. EFFECTIVE DATE

April 30th, 2025

4. REQUISITION/PURCHASE REQ. NO.

PR15192181

5. PROJECT NO. (If applicable)

6. ISSUED BY CODE

7. ADMINISTERED BY (If other than Item 6)

CODE

U.S. Embassy Canberra GSO Procurement Office 21 Moonah Place Yarralumla ACT 2600 Australia

8. NAME AND ADDRESS OF CONTRACTOR (NO., street, city, county, State, and ZIP Code)

9a. AMENDMENT OF SOLICITATION NO.

19AS2025Q0012

9b. DATED (SEE ITEM 11) April 16, 2025

10a. MODIFICATION OF CONTRACT/ORDER NO.

10b. DATED (SEE ITEM 13)

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 _1_ 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 DATA (If required)

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 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.)

Amendment to provide Questions & Answers received for solicitation number 19AS2025Q0012

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 OF CONTRACTING OFFICER

Terry Alston

15B. NAME OF CONTRACTOR/OFFEROR

BY

(Signature of person authorized to sign)

15C.DATE

SIGNED

16B. UNITED STATES OF AMERICA

BY

(Signature of Contracting Officer)

16C.DATE SIGNED

NSN 7540-01-152-8070 Standard Form 30 (revised 10/83) Previous edition unusable Prescribed by GSA FAR (48 CFR) 53.243

Continuation Page to Amendment 19AS2025Q0012-A0001 Workers Compensation Insurance for the U.S.

Embassy Canberra

Questions and Answers

Q1. Can you provide incumbent and previous awardee information?

Answer: Contract number 19AS2024C0002, awarded to INSURANCE AUSTRALIA LTD (CGU).

Q2. Can you please advise who the incumbent is and the contract number for the solicitation above?

Answer: Contract number 19AS2024C0002, awarded to INSURANCE AUSTRALIA LTD (CGU).

Q3. Request for a census that includes the following information for those requiring coverage:

1. Date of Birth

2. Gender

3. Employee Tier

4. Home Country

5. Host Country

6. If Life/LTD coverage is part of the RFP request, please also provide salary and occupation details otherwise, no further information is needed.

Answer: Please note that the Request for Quotation (RFQ) pertains exclusively to the Australian Government-mandated workers' compensation insurance for Locally Employed (LE) Staff in the Australian Capital Territory (ACT), as governed by the Australian Workers Compensation Act 1951. Premiums should be calculated by insurers based on a combination of factors, including the employer's industry classification, total payroll, and historical claims data on the total wage estimate, with the requested information not being factored into the calculation. Please refer to the solicitation, Section B.2.7 for wage estimate and Section J for the claim’s history.