24R0007-P0002 RFP.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE

2. AMENDMENT/MODIFICATION NO.

3. EFFECTIVE DATE

October 4th 2024

4. REQUISITION/PURCHASE REQ. NO.

PR12896201

5. PROJECT NO. (If applicable)

6. ISSUED BY CODE

7. ADMINISTERED BY (If other than Item 6)

CODE

U.S. Embassy Brussels, Belgium

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

X

9a. AMENDMENT OF SOLICITATION NO.

19BE2024R0007

9b. DATED (SEE ITEM 11)

October 29th 2024

10a. MODIFICATION OF CONTRACT/ORDER NO.

10b. DATED (SEE ITEM 13)

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

☒ The 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 __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 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 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 001 is to:

To REMOVE one vehicle from the list

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

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

U.S. Embassy Brussels 19BE2024R0007

SOLICITATION

DOCUMENT

Insurance services for USG vehicles of the US

Embassy Brussels, Belgium

Solicitation No: 19BE2024R0007

Procurement Office U.S. Embassy Brussels Regentlaan 25-27 Boulevard du Régent 1000 Brussels Belgium

NSN 7540-01-152-8064 STANDARD FORM 33 (REV 9-97)

PREVIOUS EDITION NOT USABLE Prescribed by GSA

SOLICITATION, OFFER AND AWARD

1. THIS CONTRACT IS A RATED ORDER

UNDER DPAS (15 CFR 350)

RATING PAGE OF PAGES

2 | 116

2. CONTRACT (Proc. Inst. Ident.) NO.

3. SOLICITATION NO.

19BE2024R0007

4. TYPE OF SOLICITATION

[ ] SEALED BID (IFB)

[x] NEGOTIATED (RFP)

5. DATE ISSUED

Oct. 4th 2024

6. REQUISITION/PURCHASE NO.

PR12896201

7. ISSUED BY CODE 8. ADDRESS OFFER TO (If other than item 7) American Embassy - Regentlaan 27, 1000 Brussels

Phone: (+32)(0)2-811-4000 Fax: n/a

BrusselsBids@state.gov

NOTE: In sealed bid solicitation "offer" and "offeror” mean "bid" and "bidder".

SOLICITATION

9. Sealed offers in original and 1 copie for furnishing the supplies or services in the Schedule will be received at the place specificed, in the depository located in until 05.00pm local time on Nov. 3rd 2024 .

(hour) (date) CAUTION - LATE Submissions, Modifications, and Withdrawals: See Section L. Provision No. 52.215-1. All offers are subject to all tems and conditions contained in this solicitation.

10. FOR INFORMATION

CALL:

A. NAME

Michael Abrahams

B. TELEPHONE (NO COLLECT CALLS)

AREA CODE NUMBER EXT

C. E-MAIL ADDRESS

BrusselsBids@state.gov

11. TABLE OF CONTENTS

(x) SEC. DESCRIPTION PAGE(S) (x) SEC. DESCRIPTION PAGE(S)

PART I - THE SCHEDULE PART II - CONTRACT CLAUSES

X A SOLICITATION/CONTRACT FORM 1 X I CONTRACT CLAUSES 18

X B SUPPLIES OR SERVICE AND PRICES/COSTS 33 PART III - LIST OF DOCUMENTS, EXHIBITS, AND OTHER ATTACH.

X C DESCRIPTION/SPECS/WORK STATEMENT 4 X J LIST OF ATTACHMENTS 3

X D PACKAGING AND MARKETING 1 PART IV - REPRESENTATIONS AND INSTRUCTIONS

X E INSPECTION AND ACCEPTANCE 2 X K REPRESENTATIONS, CERTIFICATIONS, AND 24

X F DELIVERIES OR PERFORMANCE 2 OTHER STATEMENTS OF OFFERORS

X G CONTRACT ADMINISTRATION 2 X L INSTRS., COND., AND NOTICES TO OFFERORS 6

X H SPECIAL CONTRACT REQUIREMENTS 2 X M EVALUATION FACTORS FOR AWARD 2

OFFER (Must be fully completed by offeror) NOTE: ITEM 12 does not apply if the solicitation includes the provisions at 52.214-16, Minimum Bid Acceptance Period.

12. In compliance with the above, the undersigned agrees, if this offer is accepted within 90 calendar days (120 calendar days unless a different period is inserted by the offer) from the date for receipt of offers specified above, to furnish any or all items upon which prices are offered at the price set opposite each item, delivered at the designated point(s), within the time specified in the schedule.

13. DISCOUNT FOR PROMPT PAYMENT SEE 14

(See section I, Clause No 52.232-8)

CALENDAR

DAYS

20 CALENDAR DAYS

30 CALENDAR

DAYS

CALENDAR DAYS

14. ACKNOWLEDGMENT OF

AMENDMENTS

AMENDMENT NO. DATE AMENDMENT NO. DATE

(The offeror acknowledges receipt of amendments to the solicitation and related documents ) numbered and dated:

15A. NAME CODE FACILITY 16. NAME AND TITLE OF PERSON AUTHORIZED

AND ADDRESS

OF OFFEROR

TO SIGN OFFER (Type or print)

15B. TELEPHONE NO. (Include area code)

15C. CHECK IF REMITTANCE

ADDRESS [ ] IS DIFFERENT FROM

ABOVE - ENTER SUCH ADDRESS

17. SIGNATURE 18. OFFER DATE

AWARD (To be completed by Government)

19. ACCEPTED AS TO ITEM NUMBERED

20. AMOUNT 21. ACCOUNTING AND APPROPRIATION

22. AUTHORITY FOR USING OTHER THAN FULL AND OPEN COMPETITION:

[ ] 10 U.S.C. 2304(c)( ) [ ] 41 U.S.C. 253(c)( )

23. SUBMIT INVOICES TO ADDRESS SHOWN

IN

(4 copies unless otherwise specified)

ITEM

24. ADMINISTRATION BY (If other than Item 7)

CODE

25. PAYMENT WILL BE MADE BY CODE

26. NAME OF CONTRACTING OFFICER (Type or print)

27. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

28. AWARD DATE

IMPORTANT - Award will be made on this form, or on the Standard Form 26, or by other authorized official written notice.

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

B.1. VEHICLE INSURANCE SERVICES

The Contractor shall provide third party liability insurance coverage, driver insurance and road assistance covering Europe and management of the related services for all the U.S.

Government owned official vehicles, motorcycle and trailer located in the U.S. Embassy in Brussels and the European Logistics Support Office in Antwerp.

B.2 TYPE OF CONTRACT

This is a fixed price type contract with an economic price adjustment.

B.3. PRICES/PREMIUMS

B.3.1 VALUE ADDED TAX: The Government will not reimburse the Contractor for VAT under this contract. The Contractor shall not include a line for VAT on Invoices as the U.S.

Embassy has a tax exemption certificate with the host government.

B.3.2 Contractor’s premiums shall include all costs including personnel, administration, management, labor, transportation, overhead and profit. All premiums shall be in Euro.

THE REMAINDER OF THIS PAGE IS LEFT INTENTIONALLY BLANK

B.3.3. Premiums - Base Period: The Contractor shall provide the services for the premiums shown below for the base period of the contract, starting on the start date in the Notice to Proceed and continuing for a period of 12 months.

B.3.3.1 Third Party Liability Insurance – (“T” Contract Line Items)

Item no. Make Year kW Annual Premium

T001 Dodge Caravan 2001 124 €

T002 VW Sharan 2005 110 €

T003 VOLVO XC90 2008 200 €

T004 Mercedes V Class 2010 €

T005 CHEVROLET SUBURBAN 2010 €

T006 CHEVROLET SUBURBAN 2010 €

T007 CHEVROLET SUBURBAN 2010 €

T008 FORD Taurus 2010 €

T009 LANDROVER Freelander 2011 110 €

T010 MERCEDES Viano 2011 165 €

T011 VOLVO XC60 2011 €

T012 FORD Escape 2011 €

T013 CHEVROLET Suburban 2011 €

T014 Volvo XC60 2012 €

T015 CHEVROLET Express 2012 241 €

T016 CHEVROLET Express 2012 241 €

T017 VW Caravelle 2013 150 €

T018 VW Caravelle 2013 150 €

T019 Chevrolet Suburban 2013 €

T020 Moto Sym, LM 2013 125 cm³ €

T021 Ford Kuga 2014 134 € T022 Volvo XC60 2014 €

T023 BMW 320i 2014 €

T024 Trailer (Hapert) E3500 2014 3.5 T €

T025 BMW 528i 2015 180 €

T026 Ford Transit 2015 114 €

T027 Jeep Grand Cherokee 2015 259 €

T028 Ford S Max 2015 177 €

T029 Mercedes V Class 2015 140 €

T030 Mercedes V Class 2015 140 €

T031 Ford Tourneo Connect 2015 88.2 €

T032 Ford Transit 2015 114 €

T033 BMW X5 2016 €

T034 Ford Kuga 2016 134 €

T035 Ford Kuga 2016 134 €

T036 BMW X5 2016 €

T037 BMW X5 2016 €

T038 Ford Kuga 2017 134 €

T039 Ford Kuga 2017 134 €

T040 Audi Q3 2017 €

T041 Ford Transit 2017 96 €

T042 Ford Taurus 2017 224 €

T043 Mercedes V Class 2018 140 €

T044 VW Tiguan 2018 162 €

T045 Audi Q5 2018 185 €

T046 VW Tiguan 2018 162 €

T047 Mercedes Vito Tourer 2018 100 €

T048 Mercedes Vito Tourer 2018 100 €

T049 Chevrolet Suburban 2018 €

T050 Chevrolet Suburban 2018 €

T051 GMC Terrain 2018 170 €

T052 Ford Kuga 2019 88 €

T053 Ford Explorer 2019 €

T054 VW Golf 2020 110 €

T055 VW T-ROC 2020 110 €

T056 Ford Transit Custom 2020 125 €

T057 Ford Transit Custom 2020 125 €

T058 Ford Transit Custom 2020 125 €

T059 Ford Transit Custom 2020 125 €

T060 VW T-ROC 2020 110 €

T061 VW ATLAS 2020 €

T062 VW Passat 2020 €

T063 VW Tiguan 2020 140 €

T064 Mercedes 2020 176 €

T065 VW Tiguan 2020 140 €

T066 Audi A4 2020 180 €

T067 Mercedes Vito 2020 120 €

T068 BMW X3 2021 €

T069 VW T-ROC 2021 110 €

T070 FORD TRANSIT 2021 125 €

T071 FORD TRANSIT 2021 125 €

T072 FORD TOURNEO CUSTOM 2021 136 €

T073 FORD TRANSIT 2021 125 €

T074 FORD TRANSIT 2021 125 €

T075 FORD TRANSIT 2021 125 €

T076 Opel Crossland 2021 88 €

T077 Dodge Charger 2021 €

T078 Opel Vivaro 2021 130 €

T079 FORD Torneo Custom 2021 136 €

T080 Opel Mokka 2021 €

T081 MERCEDES V-CLASS 2022 €

T082 VW Crafter 2022 130 €

T083 Opel Combo Life 2022 96 €

T084 Ford Explorer 2022 267 €

T085 Volvo XC90 2023 €

T086 Mercedes Vito (85KW full elec)

2023 85

T087 Mercedes Vito (85KW full elec)

2023 85

T088 Mercedes Vito (85KW full elec)

2023 85

T089 Mercedes Vito (85KW full elec)

2023 85

T090 Mazda CX60 2023 141 €

T091 Mazda CX60(141kw) 2023 141 €

T092 Opel Astra 2023 115 €

T093 Ford Transit 2024 135 €

T094 Renault Megane 2024 160 €

T095 Opel Mokka 2024 115 €

T096 Opel Astra 2024 115 €

T097 Ford Transit 2024 135 €

T098 Tesla Y 2024 255 €

T099 Tesla Y 2024 255 €

T100 Tesla Y 2024 255 €

T101 Tesla Y 2024 255 €

T102 Tesla Y 2024 255 €

T103 Ford Transit 2024 135 €

T104 CHEVROLET Impala €

Total Annual Premium “T”: €

B.3.3.2 Driver insurance – (“D” Contract Line Items)

T002 VW Sharan 2005 110 €

T003 VOLVO XC90 2008 200 €

T004 Mercedes V Class 2010 €

T005 CHEVROLET SUBURBAN 2010 €

T006 CHEVROLET SUBURBAN 2010 €

T007 CHEVROLET SUBURBAN 2010 €

T008 FORD Taurus 2010 €

T009 LANDROVER Freelander 2011 110 €

T010 MERCEDES Viano 2011 165 €

T011 VOLVO XC60 2011 €

T012 FORD Escape 2011 €

T013 CHEVROLET Suburban 2011 €

T014 Volvo XC60 2012 €

T015 CHEVROLET Express 2012 241 €

T016 CHEVROLET Express 2012 241 €

T017 VW Caravelle 2013 150 €

T018 VW Caravelle 2013 150 €

T019 Chevrolet Suburban 2013 €

T020 Moto Sym, LM 2013 125 cm³ €

T021 Ford Kuga 2014 134 €

T022 Volvo XC60 2014 €

T023 BMW 320i 2014 €

T024 Trailer (Hapert) E3500 2014 3.5 T €

T025 BMW 528i 2015 180 €

T026 Ford Transit 2015 114 €

T027 Jeep Grand Cherokee 2015 259 €

T028 Ford S Max 2015 177 €

T029 Mercedes V Class 2015 140 €

T030 Mercedes V Class 2015 140 €

T031 Ford Tourneo Connect 2015 88.2 €

T032 Ford Transit 2015 114 €

T033 BMW X5 2016 €

T034 Ford Kuga 2016 134 €

T035 Ford Kuga 2016 134 €

T036 BMW X5 2016 €

T037 BMW X5 2016 €

T038 Ford Kuga 2017 134 €

T039 Ford Kuga 2017 134 €

T040 Audi Q3 2017 €

T041 Ford Transit 2017 96 €

T042 Ford Taurus 2017 224 €

T043 Mercedes V Class 2018 140 €

T044 VW Tiguan 2018 162 €

T045 Audi Q5 2018 185 €

T046 VW Tiguan 2018 162 €

T047 Mercedes Vito Tourer 2018 100 €

T048 Mercedes Vito Tourer 2018 100 €

T049 Chevrolet Suburban 2018 €

T050 Chevrolet Suburban 2018 €

T051 GMC Terrain 2018 170 €

T052 Ford Kuga 2019 88 €

T053 Ford Explorer 2019 €

T054 VW Golf 2020 110 €

T055 VW T-ROC 2020 110 €

T056 Ford Transit Custom 2020 125 €

T057 Ford Transit Custom 2020 125 €

T058 Ford Transit Custom 2020 125 €

T059 Ford Transit Custom 2020 125 €

T060 VW T-ROC 2020 110 €

T061 VW ATLAS 2020 €

T062 VW Passat 2020 €

T063 VW Tiguan 2020 140 €

T064 Mercedes 2020 176 €

T065 VW Tiguan 2020 140 €

T066 Audi A4 2020 180 €

T067 Mercedes Vito 2020 120 €

T068 BMW X3 2021 €

T069 VW T-ROC 2021 110 €

T070 FORD TRANSIT 2021 125 €

T071 FORD TRANSIT 2021 125 €

T072 FORD TOURNEO CUSTOM 2021 136 €

T073 FORD TRANSIT 2021 125 €

T074 FORD TRANSIT 2021 125 €

T075 FORD TRANSIT 2021 125 €

T076 Opel Crossland 2021 88 €

T077 Dodge Charger 2021 €

T078 Opel Vivaro 2021 130 €

T079 FORD Torneo Custom 2021 136 €

T080 Opel Mokka 2021 €

T081 MERCEDES V-CLASS 2022 €

T082 VW Crafter 2022 130 €

T083 Opel Combo Life 2022 96 €

T084 Ford Explorer 2022 267 €

T085 Volvo XC90 2023 €

T086 Mercedes Vito (85KW full elec)

2023 85

T087 Mercedes Vito (85KW full elec)

2023 85

T088 Mercedes Vito (85KW full elec)

2023 85

T089 Mercedes Vito (85KW full elec)

2023 85

T090 Mazda CX60 2023 141 €

T091 Mazda CX60(141kw) 2023 141 €

T092 Opel Astra 2023 115 €

T093 Ford Transit 2024 135 €

T094 Renault Megane 2024 160 €

T095 Opel Mokka 2024 115 €

T096 Opel Astra 2024 115 €

T097 Ford Transit 2024 135 €

T098 Tesla Y 2024 255 €

T099 Tesla Y 2024 255 €

T100 Tesla Y 2024 255 €

T101 Tesla Y 2024 255 €

T102 Tesla Y 2024 255 €

T103 Ford Transit 2024 135 €

Total Annual Premium “D”: €

B.3.3.3 Road assistance insurance in Europe – (“R” Contract Line Items)

T002 VW Sharan 2005 110 €

T003 VOLVO XC90 2008 200 €

T004 Mercedes V Class 2010 €

T005 CHEVROLET SUBURBAN 2010 €

T006 CHEVROLET SUBURBAN 2010 €

T007 CHEVROLET SUBURBAN 2010 €

T008 FORD Taurus 2010 €

T009 LANDROVER Freelander 2011 110 €

T010 MERCEDES Viano 2011 165 €

T011 VOLVO XC60 2011 €

T012 FORD Escape 2011 €

T013 CHEVROLET Suburban 2011 €

T014 Volvo XC60 2012 €

T015 CHEVROLET Express 2012 241 €

T016 CHEVROLET Express 2012 241 €

T017 VW Caravelle 2013 150 €

T018 VW Caravelle 2013 150 €

T019 Chevrolet Suburban 2013 €

T020 Moto Sym, LM 2013 125 cm³ €

T021 Ford Kuga 2014 134 €

T022 Volvo XC60 2014 €

T023 BMW 320i 2014 €

T024 Trailer (Hapert) E3500 2014 3.5 T €

T025 BMW 528i 2015 180 €

T026 Ford Transit 2015 114 €

T027 Jeep Grand Cherokee 2015 259 €

T028 Ford S Max 2015 177 €

T029 Mercedes V Class 2015 140 €

T030 Mercedes V Class 2015 140 €

T031 Ford Tourneo Connect 2015 88.2 €

T032 Ford Transit 2015 114 €

T033 BMW X5 2016 €

T034 Ford Kuga 2016 134 €

T035 Ford Kuga 2016 134 €

T036 BMW X5 2016 €

T037 BMW X5 2016 €

T038 Ford Kuga 2017 134 €

T039 Ford Kuga 2017 134 €

T040 Audi Q3 2017 €

T041 Ford Transit 2017 96 €

T042 Ford Taurus 2017 224 €

T043 Mercedes V Class 2018 140 €

T044 VW Tiguan 2018 162 €

T045 Audi Q5 2018 185 €

T046 VW Tiguan 2018 162 €

T047 Mercedes Vito Tourer 2018 100 €

T048 Mercedes Vito Tourer 2018 100 €

T049 Chevrolet Suburban 2018 €

T050 Chevrolet Suburban 2018 €

T051 GMC Terrain 2018 170 €

T052 Ford Kuga 2019 88 €

T053 Ford Explorer 2019 €

T054 VW Golf 2020 110 €

T055 VW T-ROC 2020 110 €

T056 Ford Transit Custom 2020 125 €

T057 Ford Transit Custom 2020 125 €

T058 Ford Transit Custom 2020 125 €

T059 Ford Transit Custom 2020 125 €

T060 VW T-ROC 2020 110 €

T061 VW ATLAS 2020 €

T062 VW Passat 2020 €

T063 VW Tiguan 2020 140 €

T064 Mercedes 2020 176 €

T065 VW Tiguan 2020 140 €

T066 Audi A4 2020 180 €

T067 Mercedes Vito 2020 120 €

T068 BMW X3 2021 €

T069 VW T-ROC 2021 110 €

T070 FORD TRANSIT 2021 125 €

T071 FORD TRANSIT 2021 125 €

T072 FORD TOURNEO CUSTOM 2021 136 €

T073 FORD TRANSIT 2021 125 €

T074 FORD TRANSIT 2021 125 €

T075 FORD TRANSIT 2021 125 €

T076 Opel Crossland 2021 88 €

T077 Dodge Charger 2021 €

T078 Opel Vivaro 2021 130 €

T079 FORD Torneo Custom 2021 136 €

T080 Opel Mokka 2021 €

T081 MERCEDES V-CLASS 2022 €

T082 VW Crafter 2022 130 €

T083 Opel Combo Life 2022 96 €

T084 Ford Explorer 2022 267 €

T085 Volvo XC90 2023 €

T086 Mercedes Vito (85KW full elec)

2023 85

T087 Mercedes Vito (85KW full elec)

2023 85

T088 Mercedes Vito (85KW full elec)

2023 85

T089 Mercedes Vito (85KW full elec)

2023 85

T090 Mazda CX60 2023 141 €

T091 Mazda CX60(141kw) 2023 141 €

T092 Opel Astra 2023 115 €

T093 Ford Transit 2024 135 €

T094 Renault Megane 2024 160 €

T095 Opel Mokka 2024 115 €

T096 Opel Astra 2024 115 €

T097 Ford Transit 2024 135 €

T098 Tesla Y 2024 255 €

T099 Tesla Y 2024 255 €

T100 Tesla Y 2024 255 €

T101 Tesla Y 2024 255 €

T102 Tesla Y 2024 255 €

T103 Ford Transit 2024 135 €

Total Annual Premium “R”: €

Grand Total Base Year Premiums: €

B.3.4. Premiums – Option Year 1 Period: The Contractor shall provide the services for the premiums shown below for the Option Year 1 period of the contract, starting on the start date in the Notice to Proceed and continuing for a period of 12 months.

B.3.4.1 Third Party Liability Insurance – (“T” Contract Line Items)

T002 VW Sharan 2005 110 €

T003 VOLVO XC90 2008 200 €

T004 Mercedes V Class 2010 €

T005 CHEVROLET SUBURBAN 2010 €

T006 CHEVROLET SUBURBAN 2010 €

T007 CHEVROLET SUBURBAN 2010 €

T008 FORD Taurus 2010 €

T009 LANDROVER Freelander 2011 110 €

T010 MERCEDES Viano 2011 165 €

T011 VOLVO XC60 2011 €

T012 FORD Escape 2011 €

T013 CHEVROLET Suburban 2011 €

T014 Volvo XC60 2012 €

T015 CHEVROLET Express 2012 241 €

T016 CHEVROLET Express 2012 241 €

T017 VW Caravelle 2013 150 €

T018 VW Caravelle 2013 150 €

T019 Chevrolet Suburban 2013 €

T020 Moto Sym, LM 2013 125 cm³ €

T021 Ford Kuga 2014 134 € T022 Volvo XC60 2014 €

T023 BMW 320i 2014 €

T024 Trailer (Hapert) E3500 2014 3.5 T €

T025 BMW 528i 2015 180 €

T026 Ford Transit 2015 114 €

T027 Jeep Grand Cherokee 2015 259 €

T028 Ford S Max 2015 177 €

T029 Mercedes V Class 2015 140 €

T030 Mercedes V Class 2015 140 €

T031 Ford Tourneo Connect 2015 88.2 €

T032 Ford Transit 2015 114 €

T037 BMW X5 2016 €

T038 Ford Kuga 2017 134 €

T039 Ford Kuga 2017 134 €

T040 Audi Q3 2017 €

T041 Ford Transit 2017 96 €

T042 Ford Taurus 2017 224 €

T043 Mercedes V Class 2018 140 €

T044 VW Tiguan 2018 162 €

T045 Audi Q5 2018 185 €

T046 VW Tiguan 2018 162 €

T047 Mercedes Vito Tourer 2018 100 €

T048 Mercedes Vito Tourer 2018 100 €

T049 Chevrolet Suburban 2018 €

T050 Chevrolet Suburban 2018 €

T051 GMC Terrain 2018 170 €

T052 Ford Kuga 2019 88 €

T053 Ford Explorer 2019 €

T054 VW Golf 2020 110 €

T055 VW T-ROC 2020 110 €

T056 Ford Transit Custom 2020 125 €

T057 Ford Transit Custom 2020 125 €

T058 Ford Transit Custom 2020 125 €

T059 Ford Transit Custom 2020 125 €

T060 VW T-ROC 2020 110 €

T061 VW ATLAS 2020 €

T062 VW Passat 2020 €

T063 VW Tiguan 2020 140 €

T064 Mercedes 2020 176 €

T065 VW Tiguan 2020 140 €

T066 Audi A4 2020 180 €

T067 Mercedes Vito 2020 120 €

T068 BMW X3 2021 €

T069 VW T-ROC 2021 110 €

T070 FORD TRANSIT 2021 125 €

T071 FORD TRANSIT 2021 125 €

T072 FORD TOURNEO CUSTOM 2021 136 €

T073 FORD TRANSIT 2021 125 €

T078 Opel Vivaro 2021 130 €

T079 FORD Torneo Custom 2021 136 €

T080 Opel Mokka 2021 €

T081 MERCEDES V-CLASS 2022 €

T082 VW Crafter 2022 130 €

T083 Opel Combo Life 2022 96 €

T084 Ford Explorer 2022 267 €

T085 Volvo XC90 2023 €

T086 Mercedes Vito (85KW full elec)

2023 85

T087 Mercedes Vito (85KW full elec)

2023 85

T088 Mercedes Vito (85KW full elec)

2023 85

T089 Mercedes Vito (85KW full elec)

2023 85

T090 Mazda CX60 2023 141 €

T091 Mazda CX60(141kw) 2023 141 €

T092 Opel Astra 2023 115 €

T093 Ford Transit 2024 135 €

T094 Renault Megane 2024 160 €

T095 Opel Mokka 2024 115 €

T096 Opel Astra 2024 115 €

T097 Ford Transit 2024 135 €

T098 Tesla Y 2024 255 €

T099 Tesla Y 2024 255 €

T100 Tesla Y 2024 255 €

T101 Tesla Y 2024 255 €

T102 Tesla Y 2024 255 €

T103 Ford Transit 2024 135 €

B.3.4.2 Driver insurance – (“D” Contract Line Items)

T002 VW Sharan 2005 110 €

T007 CHEVROLET SUBURBAN 2010 €

T008 FORD Taurus 2010 €

T009 LANDROVER Freelander 2011 110 €

T010 MERCEDES Viano 2011 165 €

T011 VOLVO XC60 2011 €

T012 FORD Escape 2011 €

T013 CHEVROLET Suburban 2011 €

T014 Volvo XC60 2012 €

T015 CHEVROLET Express 2012 241 €

T016 CHEVROLET Express 2012 241 €

T017 VW Caravelle 2013 150 €

T018 VW Caravelle 2013 150 €

T019 Chevrolet Suburban 2013 €

T020 Moto Sym, LM 2013 125 cm³ €

T021 Ford Kuga 2014 134 € T022 Volvo XC60 2014 €

T023 BMW 320i 2014 €

T024 Trailer (Hapert) E3500 2014 3.5 T €

T025 BMW 528i 2015 180 €

T026 Ford Transit 2015 114 €

T027 Jeep Grand Cherokee 2015 259 €

T028 Ford S Max 2015 177 €

T029 Mercedes V Class 2015 140 €

T030 Mercedes V Class 2015 140 €

T031 Ford Tourneo Connect 2015 88.2 €

T032 Ford Transit 2015 114 €

T033 BMW X5 2016 €

T034 Ford Kuga 2016 134 €

T035 Ford Kuga 2016 134 €

T036 BMW X5 2016 €

T037 BMW X5 2016 €

T038 Ford Kuga 2017 134 €

T039 Ford Kuga 2017 134 €

T040 Audi Q3 2017 €

T041 Ford Transit 2017 96 €

T042 Ford Taurus 2017 224 €

T043 Mercedes V Class 2018 140 €

T048 Mercedes Vito Tourer 2018 100 €

T049 Chevrolet Suburban 2018 €

T050 Chevrolet Suburban 2018 €

T051 GMC Terrain 2018 170 €

T052 Ford Kuga 2019 88 €

T053 Ford Explorer 2019 €

T054 VW Golf 2020 110 €

T055 VW T-ROC 2020 110 €

T056 Ford Transit Custom 2020 125 €

T057 Ford Transit Custom 2020 125 €

T058 Ford Transit Custom 2020 125 €

T059 Ford Transit Custom 2020 125 €

T060 VW T-ROC 2020 110 €

T061 VW ATLAS 2020 €

T062 VW Passat 2020 €

T063 VW Tiguan 2020 140 €

T064 Mercedes 2020 176 €

T065 VW Tiguan 2020 140 €

T066 Audi A4 2020 180 €

T067 Mercedes Vito 2020 120 €

T068 BMW X3 2021 €

T069 VW T-ROC 2021 110 €

T070 FORD TRANSIT 2021 125 €

T071 FORD TRANSIT 2021 125 €

T072 FORD TOURNEO CUSTOM 2021 136 €

T073 FORD TRANSIT 2021 125 €

T074 FORD TRANSIT 2021 125 €

T075 FORD TRANSIT 2021 125 €

T076 Opel Crossland 2021 88 €

T077 Dodge Charger 2021 €

T078 Opel Vivaro 2021 130 €

T079 FORD Torneo Custom 2021 136 €

T080 Opel Mokka 2021 €

T081 MERCEDES V-CLASS 2022 €

T082 VW Crafter 2022 130 €

T083 Opel Combo Life 2022 96 €

T084 Ford Explorer 2022 267 €

T085 Volvo XC90 2023 €

T086 Mercedes Vito (85KW full elec)

(85KW full elec)

2023 85

T088 Mercedes Vito (85KW full elec)

2023 85

T089 Mercedes Vito (85KW full elec)

2023 85

T090 Mazda CX60 2023 141 €

T091 Mazda CX60(141kw) 2023 141 €

T092 Opel Astra 2023 115 €

T093 Ford Transit 2024 135 €

T094 Renault Megane 2024 160 €

T095 Opel Mokka 2024 115 €

T096 Opel Astra 2024 115 €

T097 Ford Transit 2024 135 €

T098 Tesla Y 2024 255 €

T099 Tesla Y 2024 255 €

T100 Tesla Y 2024 255 €

T101 Tesla Y 2024 255 €

T102 Tesla Y 2024 255 €

T103 Ford Transit 2024 135 €

B.3.4.3 Road assistance insurance in Europe – (“R” Contract Line Items)

T002 VW Sharan 2005 110 €

T003 VOLVO XC90 2008 200 €

T004 Mercedes V Class 2010 €

T005 CHEVROLET SUBURBAN 2010 €

T006 CHEVROLET SUBURBAN 2010 €

T007 CHEVROLET SUBURBAN 2010 €

T008 FORD Taurus 2010 €

T009 LANDROVER Freelander 2011 110 €

T010 MERCEDES Viano 2011 165 €

T011 VOLVO XC60 2011 €

T012 FORD Escape 2011 €

T013 CHEVROLET Suburban 2011 €

T014 Volvo XC60 2012 €

T019 Chevrolet Suburban 2013 €

T020 Moto Sym, LM 2013 125 cm³ €

T021 Ford Kuga 2014 134 € T022 Volvo XC60 2014 €

T023 BMW 320i 2014 €

T024 Trailer (Hapert) E3500 2014 3.5 T €

T025 BMW 528i 2015 180 €

T026 Ford Transit 2015 114 €

T027 Jeep Grand Cherokee 2015 259 €

T028 Ford S Max 2015 177 €

T029 Mercedes V Class 2015 140 €

T030 Mercedes V Class 2015 140 €

T031 Ford Tourneo Connect 2015 88.2 €

T032 Ford Transit 2015 114 €

T033 BMW X5 2016 €

T034 Ford Kuga 2016 134 €

T035 Ford Kuga 2016 134 €

T036 BMW X5 2016 €

T037 BMW X5 2016 €

T038 Ford Kuga 2017 134 €

T039 Ford Kuga 2017 134 €

T040 Audi Q3 2017 €

T041 Ford Transit 2017 96 €

T042 Ford Taurus 2017 224 €

T043 Mercedes V Class 2018 140 €

T044 VW Tiguan 2018 162 €

T045 Audi Q5 2018 185 €

T046 VW Tiguan 2018 162 €

T047 Mercedes Vito Tourer 2018 100 €

T048 Mercedes Vito Tourer 2018 100 €

T049 Chevrolet Suburban 2018 €

T050 Chevrolet Suburban 2018 €

T051 GMC Terrain 2018 170 €

T052 Ford Kuga 2019 88 €

T053 Ford Explorer 2019 €

T054 VW Golf 2020 110 €

T055 VW T-ROC 2020 110 €

T060 VW T-ROC 2020 110 €

T061 VW ATLAS 2020 €

T062 VW Passat 2020 €

T063 VW Tiguan 2020 140 €

T064 Mercedes 2020 176 €

T065 VW Tiguan 2020 140 €

T066 Audi A4 2020 180 €

T067 Mercedes Vito 2020 120 €

T068 BMW X3 2021 €

T069 VW T-ROC 2021 110 €

T070 FORD TRANSIT 2021 125 €

T071 FORD TRANSIT 2021 125 €

T072 FORD TOURNEO CUSTOM 2021 136 €

T073 FORD TRANSIT 2021 125 €

T074 FORD TRANSIT 2021 125 €

T075 FORD TRANSIT 2021 125 €

T076 Opel Crossland 2021 88 €

T077 Dodge Charger 2021 €

T078 Opel Vivaro 2021 130 €

T079 FORD Torneo Custom 2021 136 €

T080 Opel Mokka 2021 €

T081 MERCEDES V-CLASS 2022 €

T082 VW Crafter 2022 130 €

T083 Opel Combo Life 2022 96 €

T084 Ford Explorer 2022 267 €

T085 Volvo XC90 2023 €

T086 Mercedes Vito (85KW full elec)

2023 85

T087 Mercedes Vito (85KW full elec)

2023 85

T088 Mercedes Vito (85KW full elec)

2023 85

T089 Mercedes Vito (85KW full elec)

2023 85

T090 Mazda CX60 2023 141 €

T091 Mazda CX60(141kw) 2023 141 €

T092 Opel Astra 2023 115 €

T093 Ford Transit 2024 135 €

T094 Renault Megane 2024 160 €

T099 Tesla Y 2024 255 €

T100 Tesla Y 2024 255 €

T101 Tesla Y 2024 255 €

T102 Tesla Y 2024 255 €

T103 Ford Transit 2024 135 €

Grand Total Option Year 1 Premiums: €

B.3.5. Premiums – Option Year 2 Period: The Contractor shall provide the services for the premiums shown below for the Option Year 2 period of the contract, starting on the start date in

B.3.5.1 Third Party Liability Insurance – (“T” Contract Line Items)

T002 VW Sharan 2005 110 €

T003 VOLVO XC90 2008 200 €

T004 Mercedes V Class 2010 €

T005 CHEVROLET SUBURBAN 2010 €

T006 CHEVROLET SUBURBAN 2010 €

T007 CHEVROLET SUBURBAN 2010 €

T008 FORD Taurus 2010 €

T009 LANDROVER Freelander 2011 110 €

T010 MERCEDES Viano 2011 165 €

T011 VOLVO XC60 2011 €

T012 FORD Escape 2011 €

T013 CHEVROLET Suburban 2011 €

T014 Volvo XC60 2012 €

T015 CHEVROLET Express 2012 241 €

T016 CHEVROLET Express 2012 241 €

T017 VW Caravelle 2013 150 €

T018 VW Caravelle 2013 150 €

T019 Chevrolet Suburban 2013 €

T020 Moto Sym, LM 2013 125 cm³ €

T021 Ford Kuga 2014 134 € T022 Volvo XC60 2014 €

T023 BMW 320i 2014 €

T024 Trailer (Hapert) E3500 2014 3.5 T €

T025 BMW 528i 2015 180 €

T026 Ford Transit 2015 114 €

T027 Jeep Grand Cherokee 2015 259 €

T028 Ford S Max 2015 177 €

T029 Mercedes V Class 2015 140 €

T030 Mercedes V Class 2015 140 €

T031 Ford Tourneo Connect 2015 88.2 €

T032 Ford Transit 2015 114 €

T037 BMW X5 2016 €

T038 Ford Kuga 2017 134 €

T039 Ford Kuga 2017 134 €

T040 Audi Q3 2017 €

T041 Ford Transit 2017 96 €

T042 Ford Taurus 2017 224 €

T043 Mercedes V Class 2018 140 €

T044 VW Tiguan 2018 162 €

T045 Audi Q5 2018 185 €

T046 VW Tiguan 2018 162 €

T047 Mercedes Vito Tourer 2018 100 €

T048 Mercedes Vito Tourer 2018 100 €

T049 Chevrolet Suburban 2018 €

T050 Chevrolet Suburban 2018 €

T051 GMC Terrain 2018 170 €

T052 Ford Kuga 2019 88 €

T053 Ford Explorer 2019 €

T054 VW Golf 2020 110 €

T055 VW T-ROC 2020 110 €

T056 Ford Transit Custom 2020 125 €

T057 Ford Transit Custom 2020 125 €

T058 Ford Transit Custom 2020 125 €

T059 Ford Transit Custom 2020 125 €

T060 VW T-ROC 2020 110 €

T061 VW ATLAS 2020 €

T062 VW Passat 2020 €

T063 VW Tiguan 2020 140 €

T064 Mercedes 2020 176 €

T065 VW Tiguan 2020 140 €

T066 Audi A4 2020 180 €

T067 Mercedes Vito 2020 120 €

T068 BMW X3 2021 €

T069 VW T-ROC 2021 110 €

T070 FORD TRANSIT 2021 125 €

T071 FORD TRANSIT 2021 125 €

T072 FORD TOURNEO CUSTOM 2021 136 €

T073 FORD TRANSIT 2021 125 €

T078 Opel Vivaro 2021 130 €

T079 FORD Torneo Custom 2021 136 €

T080 Opel Mokka 2021 €

T081 MERCEDES V-CLASS 2022 €

T082 VW Crafter 2022 130 €

T083 Opel Combo Life 2022 96 €

T084 Ford Explorer 2022 267 €

T085 Volvo XC90 2023 €

T086 Mercedes Vito (85KW full elec)

2023 85

T087 Mercedes Vito (85KW full elec)

2023 85

T088 Mercedes Vito (85KW full elec)

2023 85

T089 Mercedes Vito (85KW full elec)

2023 85

T090 Mazda CX60 2023 141 €

T091 Mazda CX60(141kw) 2023 141 €

T092 Opel Astra 2023 115 €

T093 Ford Transit 2024 135 €

T094 Renault Megane 2024 160 €

T095 Opel Mokka 2024 115 €

T096 Opel Astra 2024 115 €

T097 Ford Transit 2024 135 €

T098 Tesla Y 2024 255 €

T099 Tesla Y 2024 255 €

T100 Tesla Y 2024 255 €

T101 Tesla Y 2024 255 €

T102 Tesla Y 2024 255 €

T103 Ford Transit 2024 135 €

B.3.5.2 Driver insurance – (“D” Contract Line Items)

T002 VW Sharan 2005 110 €

T007 CHEVROLET SUBURBAN 2010 €

T008 FORD Taurus 2010 €

T009 LANDROVER Freelander 2011 110 €

T010 MERCEDES Viano 2011 165 €

T011 VOLVO XC60 2011 €

T012 FORD Escape 2011 €

T013 CHEVROLET Suburban 2011 €

T014 Volvo XC60 2012 €

T015 CHEVROLET Express 2012 241 €

T016 CHEVROLET Express 2012 241 €

T017 VW Caravelle 2013 150 €

T018 VW Caravelle 2013 150 €

T019 Chevrolet Suburban 2013 €

T020 Moto Sym, LM 2013 125 cm³ €

T021 Ford Kuga 2014 134 € T022 Volvo XC60 2014 €

T023 BMW 320i 2014 €

T024 Trailer (Hapert) E3500 2014 3.5 T €

T025 BMW 528i 2015 180 €

T026 Ford Transit 2015 114 €

T027 Jeep Grand Cherokee 2015 259 €

T028 Ford S Max 2015 177 €

T029 Mercedes V Class 2015 140 €

T030 Mercedes V Class 2015 140 €

T031 Ford Tourneo Connect 2015 88.2 €

T032 Ford Transit 2015 114 €

T033 BMW X5 2016 €

T034 Ford Kuga 2016 134 €

T035 Ford Kuga 2016 134 €

T036 BMW X5 2016 €

T037 BMW X5 2016 €

T038 Ford Kuga 2017 134 €

T039 Ford Kuga 2017 134 €

T040 Audi Q3 2017 €

T041 Ford Transit 2017 96 €

T042 Ford Taurus 2017 224 €

T043 Mercedes V Class 2018 140 €

T048 Mercedes Vito Tourer 2018 100 €

T049 Chevrolet Suburban 2018 €

T050 Chevrolet Suburban 2018 €

T051 GMC Terrain 2018 170 €

T052 Ford Kuga 2019 88 €

T053 Ford Explorer 2019 €

T054 VW Golf 2020 110 €

T055 VW T-ROC 2020 110 €

T056 Ford Transit Custom 2020 125 €

T057 Ford Transit Custom 2020 125 €

T058 Ford Transit Custom 2020 125 €

T059 Ford Transit Custom 2020 125 €

T060 VW T-ROC 2020 110 €

T061 VW ATLAS 2020 €

T062 VW Passat 2020 €

T063 VW Tiguan 2020 140 €

T064 Mercedes 2020 176 €

T065 VW Tiguan 2020 140 €

T066 Audi A4 2020 180 €

T067 Mercedes Vito 2020 120 €

T068 BMW X3 2021 €

T069 VW T-ROC 2021 110 €

T070 FORD TRANSIT 2021 125 €

T071 FORD TRANSIT 2021 125 €

T072 FORD TOURNEO CUSTOM 2021 136 €

T073 FORD TRANSIT 2021 125 €

T074 FORD TRANSIT 2021 125 €

T075 FORD TRANSIT 2021 125 €

T076 Opel Crossland 2021 88 €

T077 Dodge Charger 2021 €

T078 Opel Vivaro 2021 130 €

T079 FORD Torneo Custom 2021 136 €

T080 Opel Mokka 2021 €

T081 MERCEDES V-CLASS 2022 €

T082 VW Crafter 2022 130 €

T083 Opel Combo Life 2022 96 €

T084 Ford Explorer 2022 267 €

T085 Volvo XC90 2023 €

T086 Mercedes Vito (85KW full elec)

(85KW full elec)

2023 85

T088 Mercedes Vito (85KW full elec)

2023 85

T089 Mercedes Vito (85KW full elec)

2023 85

T090 Mazda CX60 2023 141 €

T091 Mazda CX60(141kw) 2023 141 €

T092 Opel Astra 2023 115 €

T093 Ford Transit 2024 135 €

T094 Renault Megane 2024 160 €

T095 Opel Mokka 2024 115 €

T096 Opel Astra 2024 115 €

T097 Ford Transit 2024 135 €

T098 Tesla Y 2024 255 €

T099 Tesla Y 2024 255 €

T100 Tesla Y 2024 255 €

T101 Tesla Y 2024 255 €

T102 Tesla Y 2024 255 €

T103 Ford Transit 2024 135 €

B.3.5.3 Road assistance insurance in Europe – (“R” Contract Line Items)

T002 VW Sharan 2005 110 €

T003 VOLVO XC90 2008 200 €

T004 Mercedes V Class 2010 €

T005 CHEVROLET SUBURBAN 2010 €

T006 CHEVROLET SUBURBAN 2010 €

T007 CHEVROLET SUBURBAN 2010 €

T008 FORD Taurus 2010 €

T009 LANDROVER Freelander 2011 110 €

T010 MERCEDES Viano 2011 165 €

T011 VOLVO XC60 2011 €

T012 FORD Escape 2011 €

T013 CHEVROLET Suburban 2011 €

T014 Volvo XC60 2012 €

T019 Chevrolet Suburban 2013 €

T020 Moto Sym, LM 2013 125 cm³ €

T021 Ford Kuga 2014 134 € T022 Volvo XC60 2014 €

T023 BMW 320i 2014 €

T024 Trailer (Hapert) E3500 2014 3.5 T €

T025 BMW 528i 2015 180 €

T026 Ford Transit 2015 114 €

T027 Jeep Grand Cherokee 2015 259 €

T028 Ford S Max 2015 177 €

T029 Mercedes V Class 2015 140 €

T030 Mercedes V Class 2015 140 €

T031 Ford Tourneo Connect 2015 88.2 €

T032 Ford Transit 2015 114 €

T033 BMW X5 2016 €

T034 Ford Kuga 2016 134 €

T035 Ford Kuga 2016 134 €

T036 BMW X5 2016 €

T037 BMW X5 2016 €

T038 Ford Kuga 2017 134 €

T039 Ford Kuga 2017 134 €

T040 Audi Q3 2017 €

T041 Ford Transit 2017 96 €

T042 Ford Taurus 2017 224 €

T043 Mercedes V Class 2018 140 €

T044 VW Tiguan 2018 162 €

T045 Audi Q5 2018 185 €

T046 VW Tiguan 2018 162 €

T047 Mercedes Vito Tourer 2018 100 €

T048 Mercedes Vito Tourer 2018 100 €

T049 Chevrolet Suburban 2018 €

T050 Chevrolet Suburban 2018 €

T051 GMC Terrain 2018 170 €

T052 Ford Kuga 2019 88 €

T053 Ford Explorer 2019 €

T054 VW Golf 2020 110 €

T055 VW T-ROC 2020 110 €

T060 VW T-ROC 2020 110 €

T061 VW ATLAS 2020 €

T062 VW Passat 2020 €

T063 VW Tiguan 2020 140 €

T064 Mercedes 2020 176 €

T065 VW Tiguan 2020 140 €

T066 Audi A4 2020 180 €

T067 Mercedes Vito 2020 120 €

T068 BMW X3 2021 €

T069 VW T-ROC 2021 110 €

T070 FORD TRANSIT 2021 125 €

T071 FORD TRANSIT 2021 125 €

T072 FORD TOURNEO CUSTOM 2021 136 €

T073 FORD TRANSIT 2021 125 €

T074 FORD TRANSIT 2021 125 €

T075 FORD TRANSIT 2021 125 €

T076 Opel Crossland 2021 88 €

T077 Dodge Charger 2021 €

T078 Opel Vivaro 2021 130 €

T079 FORD Torneo Custom 2021 136 €

T080 Opel Mokka 2021 €

T081 MERCEDES V-CLASS 2022 €

T082 VW Crafter 2022 130 €

T083 Opel Combo Life 2022 96 €

T084 Ford Explorer 2022 267 €

T085 Volvo XC90 2023 €

T086 Mercedes Vito (85KW full elec)

2023 85

T087 Mercedes Vito (85KW full elec)

2023 85

T088 Mercedes Vito (85KW full elec)

2023 85

T089 Mercedes Vito (85KW full elec)

2023 85

T090 Mazda CX60 2023 141 €

T091 Mazda CX60(141kw) 2023 141 €

T092 Opel Astra 2023 115 €

T093 Ford Transit 2024 135 €

T094 Renault Megane 2024 160 €

T099 Tesla Y 2024 255 €

T100 Tesla Y 2024 255 €

T101 Tesla Y 2024 255 €

T102 Tesla Y 2024 255 €

T103 Ford Transit 2024 135 €

Grand Total Option Year 2 Premiums: €

B.3.6. Premiums – Option Year 3 Period: The Contractor shall provide the services for the premiums shown below for the Option Year 3 period of the contract, starting on the start date in

B.3.6.1 Third Party Liability Insurance – (“T” Contract Line Items)

T002 VW Sharan 2005 110 €

T003 VOLVO XC90 2008 200 €

T004 Mercedes V Class 2010 €

T005 CHEVROLET SUBURBAN 2010 €

T006 CHEVROLET SUBURBAN 2010 €

T007 CHEVROLET SUBURBAN 2010 €

T008 FORD Taurus 2010 €

T009 LANDROVER Freelander 2011 110 €

T010 MERCEDES Viano 2011 165 €

T011 VOLVO XC60 2011 €

T012 FORD Escape 2011 €

T013 CHEVROLET Suburban 2011 €

T014 Volvo XC60 2012 €

T015 CHEVROLET Express 2012 241 €

T016 CHEVROLET Express 2012 241 €

T017 VW Caravelle 2013 150 €

T018 VW Caravelle 2013 150 €

T019 Chevrolet Suburban 2013 €

T020 Moto Sym, LM 2013 125 cm³ €

T021 Ford Kuga 2014 134 € T022 Volvo XC60 2014 €

T023 BMW 320i 2014 €

T024 Trailer (Hapert) E3500 2014 3.5 T €

T025 BMW 528i 2015 180 €

T026 Ford Transit 2015 114 €

T027 Jeep Grand Cherokee 2015 259 €

T028 Ford S Max 2015 177 €

T029 Mercedes V Class 2015 140 €

T030 Mercedes V Class 2015 140 €

T031 Ford Tourneo Connect 2015 88.2 €

T032 Ford Transit 2015 114 €

T037 BMW X5 2016 €

T038 Ford Kuga 2017 134 €

T039 Ford Kuga 2017 134 €

T040 Audi Q3 2017 €

T041 Ford Transit 2017 96 €

T042 Ford Taurus 2017 224 €

T043 Mercedes V Class 2018 140 €

T044 VW Tiguan 2018 162 €

T045 Audi Q5 2018 185 €

T046 VW Tiguan 2018 162 €

T047 Mercedes Vito Tourer 2018 100 €

T048 Mercedes Vito Tourer 2018 100 €

T049 Chevrolet Suburban 2018 €

T050 Chevrolet Suburban 2018 €

T051 GMC Terrain 2018 170 €

T052 Ford Kuga 2019 88 €

T053 Ford Explorer 2019 €

T054 VW Golf 2020 110 €

T055 VW T-ROC 2020 110 €

T056 Ford Transit Custom 2020 125 €

T057 Ford Transit Custom 2020 125 €

T058 Ford Transit Custom 2020 125 €

T059 Ford Transit Custom 2020 125 €

T060 VW T-ROC 2020 110 €

T061 VW ATLAS 2020 €

T062 VW Passat 2020 €

T063 VW Tiguan 2020 140 €

T064 Mercedes 2020 176 €

T065 VW Tiguan 2020 140 €

T066 Audi A4 2020 180 €

T067 Mercedes Vito 2020 120 €

T068 BMW X3 2021 €

T069 VW T-ROC 2021 110 €

T070 FORD TRANSIT 2021 125 €

T071 FORD TRANSIT 2021 125 €

T072 FORD TOURNEO CUSTOM 2021 136 €

T073 FORD TRANSIT 2021 125 €

T078 Opel Vivaro 2021 130 €

T079 FORD Torneo Custom 2021 136 €

T080 Opel Mokka 2021 €

T081 MERCEDES V-CLASS 2022 €

T082 VW Crafter 2022 130 €

T083 Opel Combo Life 2022 96 €

T084 Ford Explorer 2022 267 €

T085 Volvo XC90 2023 €

T086 Mercedes Vito (85KW full elec)

2023 85

T087 Mercedes Vito (85KW full elec)

2023 85

T088 Mercedes Vito (85KW full elec)

2023 85

T089 Mercedes Vito (85KW full elec)

2023 85

T090 Mazda CX60 2023 141 €

T091 Mazda CX60(141kw) 2023 141 €

T092 Opel Astra 2023 115 €

T093 Ford Transit 2024 135 €

T094 Renault Megane 2024 160 €

T095 Opel Mokka 2024 115 €

T096 Opel Astra 2024 115 €

T097 Ford Transit 2024 135 €

T098 Tesla Y 2024 255 €

T099 Tesla Y 2024 255 €

T100 Tesla Y 2024 255 €

T101 Tesla Y 2024 255 €

T102 Tesla Y 2024 255 €

T103 Ford Transit 2024 135 €

B.3.6.2 Driver insurance – (“D” Contract Line Items)

T002 VW Sharan 2005 110 €

T007 CHEVROLET SUBURBAN 2010 €

T008 FORD Taurus 2010 €

T009 LANDROVER Freelander 2011 110 €

T010 MERCEDES Viano 2011 165 €

T011 VOLVO XC60 2011 €

T012 FORD Escape 2011 €

T013 CHEVROLET Suburban 2011 €

T014 Volvo XC60 2012 €

T015 CHEVROLET Express 2012 241 €

T016 CHEVROLET Express 2012 241 €

T017 VW Caravelle 2013 150 €

T018 VW Caravelle 2013 150 €

T019 Chevrolet Suburban 2013 €

T020 Moto Sym, LM 2013 125 cm³ €

T021 Ford Kuga 2014 134 € T022 Volvo XC60 2014 €

T023 BMW 320i 2014 €

T024 Trailer (Hapert) E3500 2014 3.5 T €

T025 BMW 528i 2015 180 €

T026 Ford Transit 2015 114 €

T027 Jeep Grand Cherokee 2015 259 €

T028 Ford S Max 2015 177 €

T029 Mercedes V Class 2015 140 €

T030 Mercedes V Class 2015 140 €

T031 Ford Tourneo Connect 2015 88.2 €

T032 Ford Transit 2015 114 €

T033 BMW X5 2016 €

T034 Ford Kuga 2016 134 €

T035 Ford Kuga 2016 134 €

T036 BMW X5 2016 €

T037 BMW X5 2016 €

T038 Ford Kuga 2017 134 €

T039 Ford Kuga 2017 134 €

T040 Audi Q3 2017 €

T041 Ford Transit 2017 96 €

T042 Ford Taurus 2017 224 €

T043 Mercedes V Class 2018 140 €

T048 Mercedes Vito Tourer 2018 100 €

T049 Chevrolet Suburban 2018 €

T050 Chevrolet Suburban 2018 €

T051 GMC Terrain 2018 170 €

T052 Ford Kuga 2019 88 €

T053 Ford Explorer 2019 €

T054 VW Golf 2020 110 €

T055 VW T-ROC 2020 110 €

T056 Ford Transit Custom 2020 125 €

T057 Ford Transit Custom 2020 125 €

T058 Ford Transit Custom 2020 125 €

T059 Ford Transit Custom 2020 125 €

T060 VW T-ROC 2020 110 €

T061 VW ATLAS 2020 €

T062 VW Passat 2020 €

T063 VW Tiguan 2020 140 €

T064 Mercedes 2020 176 €

T065 VW Tiguan 2020 140 €

T066 Audi A4 2020 180 €

T067 Mercedes Vito 2020 120 €

T068 BMW X3 2021 €

T069 VW T-ROC 2021 110 €

T070 FORD TRANSIT 2021 125 €

T071 FORD TRANSIT 2021 125 €

T072 FORD TOURNEO CUSTOM 2021 136 €

T073 FORD TRANSIT 2021 125 €

T074 FORD TRANSIT 2021 125 €

T075 FORD TRANSIT 2021 125 €

T076 Opel Crossland 2021 88 €

T077 Dodge Charger 2021 €

T078 Opel Vivaro 2021 130 €

T079 FORD Torneo Custom 2021 136 €

T080 Opel Mokka 2021 €

T081 MERCEDES V-CLASS 2022 €

T082 VW Crafter 2022 130 €

T083 Opel Combo Life 2022 96 €

T084 Ford Explorer 2022 267 €

T085 Volvo XC90 2023 €

T086 Mercedes Vito (85KW full elec)

(85KW full elec)

2023 85

T088 Mercedes Vito (85KW full elec)

2023 85

T089 Mercedes Vito (85KW full elec)

2023 85

T090 Mazda CX60 2023 141 €

T091 Mazda CX60(141kw) 2023 141 €

T092 Opel Astra 2023 115 €

T093 Ford Transit 2024 135 €

T094 Renault Megane 2024 160 €

T095 Opel Mokka 2024 115 €

T096 Opel Astra 2024 115 €

T097 Ford Transit 2024 135 €

T098 Tesla Y 2024 255 €

T099 Tesla Y 2024 255 €

T100 Tesla Y 2024 255 €

T101 Tesla Y 2024 255 €

T102 Tesla Y 2024 255 €

T103 Ford Transit 2024 135 €

B.3.6.3 Road assistance insurance in Europe – (“R” Contract Line Items)

T002 VW Sharan 2005 110 €

T003 VOLVO XC90 2008 200 €

T004 Mercedes V Class 2010 €

T005 CHEVROLET SUBURBAN 2010 €

T006 CHEVROLET SUBURBAN 2010 €

T007 CHEVROLET SUBURBAN 2010 €

T008 FORD Taurus 2010 €

T009 LANDROVER Freelander 2011 110 €

T010 MERCEDES Viano 2011 165 €

T011 VOLVO XC60 2011 €

T012 FORD Escape 2011 €

T013 CHEVROLET Suburban 2011 €

T014 Volvo XC60 2012 €

T019 Chevrolet Suburban 2013 €

T020 Moto Sym, LM 2013 125 cm³ €

T021 Ford Kuga 2014 134 € T022 Volvo XC60 2014 €

T023 BMW 320i 2014 €

T024 Trailer (Hapert) E3500 2014 3.5 T €

T025 BMW 528i 2015 180 €

T026 Ford Transit 2015 114 €

T027 Jeep Grand Cherokee 2015 259 €

T028 Ford S Max 2015 177 €

T029 Mercedes V Class 2015 140 €

T030 Mercedes V Class 2015 140 €

T031 Ford Tourneo Connect 2015 88.2 €

T032 Ford Transit 2015 114 €

T033 BMW X5 2016 €

T034 Ford Kuga 2016 134 €

T035 Ford Kuga 2016 134 €

T036 BMW X5 2016 €

T037 BMW X5 2016 €

T038 Ford Kuga 2017 134 €

T039 Ford Kuga 2017 134 €

T040 Audi Q3 2017 €

T041 Ford Transit 2017 96 €

T042 Ford Taurus 2017 224 €

T043 Mercedes V Class 2018 140 €

T044 VW Tiguan 2018 162 €

T045 Audi Q5 2018 185 €

T046 VW Tiguan 2018 162 €

T047 Mercedes Vito Tourer 2018 100 €

T048 Mercedes Vito Tourer 2018 100 €

T049 Chevrolet Suburban 2018 €

T050 Chevrolet Suburban 2018 €

T051 GMC Terrain 2018 170 €

T052 Ford Kuga 2019 88 €

T053 Ford Explorer 2019 €

T054 VW Golf 2020 110 €

T055 VW T-ROC 2020 110 €

T060 VW T-ROC 2020 110 €

T061 VW ATLAS 2020 €

T062 VW Passat 2020 €

T063 VW Tiguan 2020 140 €

T064 Mercedes 2020 176 €

T065 VW Tiguan 2020 140 €

T066 Audi A4 2020 180 €

T067 Mercedes Vito 2020 120 €

T068 BMW X3 2021 €

T069 VW T-ROC 2021 110 €

T070 FORD TRANSIT 2021 125 €

T071 FORD TRANSIT 2021 125 €

T072 FORD TOURNEO CUSTOM 2021 136 €

T073 FORD TRANSIT 2021 125 €

T074 FORD TRANSIT 2021 125 €

T075 FORD TRANSIT 2021 125 €

T076 Opel Crossland 2021 88 €

T077 Dodge Charger 2021 €

T078 Opel Vivaro 2021 130 €

T079 FORD Torneo Custom 2021 136 €

T080 Opel Mokka 2021 €

T081 MERCEDES V-CLASS 2022 €

T082 VW Crafter 2022 130 €

T083 Opel Combo Life 2022 96 €

T084 Ford Explorer 2022 267 €

T085 Volvo XC90 2023 €

T086 Mercedes Vito (85KW full elec)

2023 85

T087 Mercedes Vito (85KW full elec)

2023 85

T088 Mercedes Vito (85KW full elec)

2023 85

T089 Mercedes Vito (85KW full elec)

2023 85

T090 Mazda CX60 2023 141 €

T091 Mazda CX60(141kw) 2023 141 €

T092 Opel Astra 2023 115 €

T093 Ford Transit 2024 135 €

T094 Renault Megane 2024 160 €

T099 Tesla Y 2024 255 €

T100 Tesla Y 2024 255 €

T101 Tesla Y 2024 255 €

T102 Tesla Y 2024 255 €

T103 Ford Transit 2024 135 €

Grand Total Option Year 3 Premiums: €

B.3.7. Premiums – Option Year 4 Period: The Contractor shall provide the services for the premiums shown below for the Option Year 4 period of the contract, starting on the start date in

B.3.7.1 Third Party Liability Insurance – (“T” Contract Line Items)

T002 VW Sharan 2005 110 €

T003 VOLVO XC90 2008 200 €

T004 Mercedes V Class 2010 €

T005 CHEVROLET SUBURBAN 2010 €

T006 CHEVROLET SUBURBAN 2010 €

T007 CHEVROLET SUBURBAN 2010 €

T008 FORD Taurus 2010 €

T009 LANDROVER Freelander 2011 110 €

T010 MERCEDES Viano 2011 165 €

T011 VOLVO XC60 2011 €

T012 FORD Escape 2011 €

T013 CHEVROLET Suburban 2011 €

T014 Volvo XC60 2012 €

T015 CHEVROLET Express 2012 241 €

T016 CHEVROLET Express 2012 241 €

T017 VW Caravelle 2013 150 €

T018 VW Caravelle 2013 150 €

T019 Chevrolet Suburban 2013 €

T020 Moto Sym, LM 2013 125 cm³ €

T021 Ford Kuga 2014 134 € T022 Volvo XC60 2014 €

T023 BMW 320i 2014 €

T024 Trailer (Hapert) E3500 2014 3.5 T €

T025 BMW 528i 2015 180 €

T026 Ford Transit 2015 114 €

T027 Jeep Grand Cherokee 2015 259 €

T028 Ford S Max 2015 177 €

T029 Mercedes V Class 2015 140 €

T030 Mercedes V Class 2015 140 €

T031 Ford Tourneo Connect 2015 88.2 €

T032 Ford Transit 2015 114 €

T037 BMW X5 2016 €

T038 Ford Kuga 2017 134 €

T039 Ford Kuga 2017 134 €

T040 Audi Q3 2017 €

T041 Ford Transit 2017 96 €

T042 Ford Taurus 2017 224 €

T043 Mercedes V Class 2018 140 €

T044 VW Tiguan 2018 162 €

T045 Audi Q5 2018 185 €

T046 VW Tiguan 2018 162 €

T047 Mercedes Vito Tourer 2018 100 €

T048 Mercedes Vito Tourer 2018 100 €

T049 Chevrolet Suburban 2018 €

T050 Chevrolet Suburban 2018 €

T051 GMC Terrain 2018 170 €

T052 Ford Kuga 2019 88 €

T053 Ford Explorer 2019 €

T054 VW Golf 2020 110 €

T055 VW T-ROC 2020 110 €

T056 Ford Transit Custom 2020 125 €

T057 Ford Transit Custom 2020 125 €

T058 Ford Transit Custom 2020 125 €

T059 Ford Transit Custom 2020 125 €

T060 VW T-ROC 2020 110 €

T061 VW ATLAS 2020 €

T062 VW Passat 2020 €

T063 VW Tiguan 2020 140 €

T064 Mercedes 2020 176 €

T065 VW Tiguan 2020 140 €

T066 Audi A4 2020 180 €

T067 Mercedes Vito 2020 120 €

T068 BMW X3 2021 €

T069 VW T-ROC 2021 110 €

T070 FORD TRANSIT 2021 125 €

T071 FORD TRANSIT 2021 125 €

T072 FORD TOURNEO CUSTOM 2021 136 €

T073 FORD TRANSIT 2021 125 €

T078 Opel Vivaro 2021 130 €

T079 FORD Torneo Custom 2021 136 €

T080 Opel Mokka 2021 €

T081 MERCEDES V-CLASS 2022 €

T082 VW Crafter 2022 130 €

T083 Opel Combo Life 2022 96 €

T084 Ford Explorer 2022 267 €

T085 Volvo XC90 2023 €

T086 Mercedes Vito (85KW full elec)

2023 85

T087 Mercedes Vito (85KW full elec)

2023 85

T088 Mercedes Vito (85KW full elec)

2023 85

T089 Mercedes Vito (85KW full elec)

2023 85

T090 Mazda CX60 2023 141 €

T091 Mazda CX60(141kw) 2023 141 €

T092 Opel Astra 2023 115 €

T093 Ford Transit 2024 135 €

T094 Renault Megane 2024 160 €

T095 Opel Mokka 2024 115 €

T096 Opel Astra 2024 115 €

T097 Ford Transit 2024 135 €

T098 Tesla Y 2024 255 €

T099 Tesla Y 2024 255 €

T100 Tesla Y 2024 255 €

T101 Tesla Y 2024 255 €

T102 Tesla Y 2024 255 €

T103 Ford Transit 2024 135 €

B.3.7.2 Driver insurance – (“D” Contract Line Items)

T002 VW Sharan 2005 110 €

T007 CHEVROLET SUBURBAN 2010 €

T008 FORD Taurus 2010 €

T009 LANDROVER Freelander 2011 110 €

T010 MERCEDES Viano 2011 165 €

T011 VOLVO XC60 2011 €

T012 FORD Escape 2011 €

T013 CHEVROLET Suburban 2011 €

T014 Volvo XC60 2012 €

T015 CHEVROLET Express 2012 241 €

T016 CHEVROLET Express 2012 241 €

T017 VW Caravelle 2013 150 €

T018 VW Caravelle 2013 150 €

T019 Chevrolet Suburban 2013 €

T020 Moto Sym, LM 2013 125 cm³ €

T021 Ford Kuga 2014 134 € T022 Volvo XC60 2014 €

T023 BMW 320i 2014 €

T024 Trailer (Hapert) E3500 2014 3.5 T €

T025 BMW 528i 2015 180 €

T026 Ford Transit 2015 114 €

T027 Jeep Grand Cherokee 2015 259 €

T028 Ford S Max 2015 177 €

T029 Mercedes V Class 2015 140 €

T030 Mercedes V Class 2015 140 €

T031 Ford Tourneo Connect 2015 88.2 €

T032 Ford Transit 2015 114 €

T033 BMW X5 2016 €

T034 Ford Kuga 2016 134 €

T035 Ford Kuga 2016 134 €

T036 BMW X5 2016 €

T037 BMW X5 2016 €

T038 Ford Kuga 2017 134 €

T039 Ford Kuga 2017 134 €

T040 Audi Q3 2017 €

T041 Ford Transit 2017 96 €

T042 Ford Taurus 2017 224 €

T043 Mercedes V Class 2018 140 €

T048 Mercedes Vito Tourer 2018 100 €

T049 Chevrolet Suburban 2018 €

T050 Chevrolet Suburban 2018 €

T051 GMC Terrain 2018 170 €

T052 Ford Kuga 2019 88 €

T053 Ford Explorer 2019 €

T054 VW Golf 2020 110 €

T055 VW T-ROC 2020 110 €

T056 Ford Transit Custom 2020 125 €

T057 Ford Transit Custom 2020 125 €

T058 Ford Transit Custom 2020 125 €

T059 Ford Transit Custom 2020 125 €

T060 VW T-ROC 2020 110 €

T061 VW ATLAS 2020 €

T062 VW Passat 2020 €

T063 VW Tiguan 2020 140 €

T064 Mercedes 2020 176 €

T065 VW Tiguan 2020 140 €

T066 Audi A4 2020 180 €

T067 Mercedes Vito 2020 120 €

T068 BMW X3 2021 €

T069 VW T-ROC 2021 110 €

T070 FORD TRANSIT 2021 125 €

T071 FORD TRANSIT 2021 125 €

T072 FORD TOURNEO CUSTOM 2021 136 €

T073 FORD TRANSIT 2021 125 €

T074 FORD TRANSIT 2021 125 €

T075 FORD TRANSIT 2021 125 €

T076 Opel Crossland 2021 88 €

T077 Dodge Charger 2021 €

T078 Opel Vivaro 2021 130 €

T079 FORD Torneo Custom 2021 136 €

T080 Opel Mokka 2021 €

T081 MERCEDES V-CLASS 2022 €

T082 VW Crafter 2022 130 €

T083 Opel Combo Life 2022 96 €

T084 Ford Explorer 2022 267 €

T085 Volvo XC90 2023 €

T086 Mercedes Vito (85KW full elec)

(85KW full elec)

2023 85

T088 Mercedes Vito (85KW full elec)

2023 85

T089 Mercedes Vito (85KW full elec)

2023 85

T090 Mazda CX60 2023 141 €

T091 Mazda CX60(141kw) 2023 141 €

T092 Opel Astra 2023 115 €

T093 Ford Transit 2024 135 €

T094 Renault Megane 2024 160 €

T095 Opel Mokka 2024 115 €

T096 Opel Astra 2024 115 €

T097 Ford Transit 2024 135 €

T098 Tesla Y 2024 255 €

T099 Tesla Y 2024 255 €

T100 Tesla Y 2024 255 €

T101 Tesla Y 2024 255 €

T102 Tesla Y 2024 255 €

T103 Ford Transit 2024 135 €

B.3.7.3 Road assistance insurance in Europe – (“R” Contract Line Items)

T002 VW Sharan 2005 110 €

T003 VOLVO XC90 2008 200 €

T004 Mercedes V Class 2010 €

T005 CHEVROLET SUBURBAN 2010 €

T006 CHEVROLET SUBURBAN 2010 €

T007 CHEVROLET SUBURBAN 2010 €

T008 FORD Taurus 2010 €

T009 LANDROVER Freelander 2011 110 €

T010 MERCEDES Viano 2011 165 €

T011 VOLVO XC60 2011 €

T012 FORD Escape 2011 €

T013 CHEVROLET Suburban 2011 €

T014 Volvo XC60 2012 €

T019 Chevrolet Suburban 2013 €

T020 Moto Sym, LM 2013 125 cm³ €

T021 Ford Kuga 2014 134 € T022 Volvo XC60 2014 €

T023 BMW 320i 2014 €

T024 Trailer (Hapert) E3500 2014 3.5 T €

T025 BMW 528i 2015 180 €

T026 Ford Transit 2015 114 €

T027 Jeep Grand Cherokee 2015 259 €

T028 Ford S Max 2015 177 €

T029 Mercedes V Class 2015 140 €

T030 Mercedes V Class 2015 140 €

T031 Ford Tourneo Connect 2015 88.2 €

T032 Ford Transit 2015 114 €

T033 BMW X5 2016 €

T034 Ford Kuga 2016 134 €

T035 Ford Kuga 2016 134 €

T036 BMW X5 2016 €

T037 BMW X5 2016 €

T038 Ford Kuga 2017 134 €

T039 Ford Kuga 2017 134 €

T040 Audi Q3 2017 €

T041 Ford Transit 2017 96 €

T042 Ford Taurus 2017 224 €

T043 Mercedes V Class 2018 140 €

T044 VW Tiguan 2018 162 €

T045 Audi Q5 2018 185 €

T046 VW Tiguan 2018 162 €

T047 Mercedes Vito Tourer 2018 100 €

T048 Mercedes Vito Tourer 2018 100 €

T049 Chevrolet Suburban 2018 €

T050 Chevrolet Suburban 2018 €

T051 GMC Terrain 2018 170 €

T052 Ford Kuga 2019 88 €

T053 Ford Explorer 2019 €

T054 VW Golf 2020 110 €

T055 VW T-ROC 2020 110 €

T060 VW T-ROC 2020 110 €

T061 VW ATLAS 2020 €

T062 VW Passat 2020 €

T063 VW Tiguan 2020 140 €

T064 Mercedes 2020 176 €

T065 VW Tiguan 2020 140 €

T066 Audi A4 2020 180 €

T067 Mercedes Vito 2020 120 €

T068 BMW X3 2021 €

T069 VW T-ROC 2021 110 €

T070 FORD TRANSIT 2021 125 €

T071 FORD TRANSIT 2021 125 €

T072 FORD TOURNEO CUSTOM 2021 136 €

T073 FORD TRANSIT 2021 125 €

T074 FORD TRANSIT 2021 125 €

T075 FORD TRANSIT 2021 125 €

T076 Opel Crossland 2021 88 €

T077 Dodge Charger 2021 €

T078 Opel Vivaro 2021 130 €

T079 FORD Torneo Custom 2021 136 €

T080 Opel Mokka 2021 €

T081 MERCEDES V-CLASS 2022 €

T082 VW Crafter 2022 130 €

T083 Opel Combo Life 2022 96 €

T084 Ford Explorer 2022 267 €

T085 Volvo XC90 2023 €

T086 Mercedes Vito (85KW full elec)

2023 85

T087 Mercedes Vito (85KW full elec)

2023 85

T088 Mercedes Vito (85KW full elec)

2023 85

T089 Mercedes Vito (85KW full elec)

2023 85

T090 Mazda CX60 2023 141 €

T091 Mazda CX60(141kw) 2023 141 €

T092 Opel Astra 2023 115 €

T093 Ford Transit 2024 135 €

T094 Renault Megane 2024 160 €

T099 Tesla Y 2024 255 €

T100 Tesla Y 2024 255 €

T101 Tesla Y 2024 255 €

T102 Tesla Y 2024 255 €

T103 Ford Transit 2024 135 €

Grand Total Option Year 4 Premiums: €

B.3.8 GRAND TOTAL CONTRACT COST:

Total per Year

Amount

Base Year € Option Year 1 € Option Year 2 € Option Year 3 € Option Year 4 €

GRAND TOTAL OF BASE YEAR PLUS ALL OPTION

YEARS

B.4 PARTIAL ANNUAL PREMIUMS

B.4.1 Semi-Annual Premiums. Payments shall be made semi-annually, as further addressed in G.2.4. The semi-annual premium shall be computed by dividing the annual premiums by twelve.

B.4.2 Premiums for Vehicles Added or Removed During Period of Performance

B.4.2.1…