19BR2524R0003 - SOLICITATION MISSION BR LIFE INSURANCE - FULL PACKAGE.pdf

For the best experience, open this PDF portfolio in

Acrobat X or Adobe Reader X, or later.

Get Adobe Reader Now!

http://www.adobe.com/go/reader

U.S. Embassy Brasília Mission Brazil Life Insurance - 19BR2524R0003

U.S. Embassy Brasília, Brazil Date: September 4th, 2024.

Dear Prospective Offeror:

Subject: Request for Proposals number 19BR2524R0003

The Embassy of the United States of America invites you to submit a proposal for locally employed staff life insurance coverage.

The Embassy encourages prospective offerors to offer off-the-shelf plans that meet at least the minimum benefit levels required in this solicitation.

The U.S. Government intends to award a contract to the responsible company submitting an acceptable offer at the lowest price.

We intend to award a contract based on initial proposals, without holding discussions, although we may hold discussions with companies in the competitive range if there is a need to do so.

The Embassy intends to conduct a pre-proposal conference at the site. The pre-proposal conference will be held on October 23rd, 2024, 14:30hrs (local time) at the U.S. Embassy Brasília. Prospective offerors should contact Mrs. Fernanda Sene Vieira (vieirafs@state.gov and brasiliagsoprocurementdl@state.gov) by October 18th, 2024, 17:00hrs (local time) for additional information or to arrange entry to the building.

Proposals are due by November 18th, 2024, 17:00hrs (local time). No proposals will be accepted after this time. Proposals must be in English and incomplete proposals will not be accepted.

Your proposal must be submitted electronically to Mrs. Fernanda Sene Vieira (vieirafs@state.gov and brasiliagsoprocurementdl@state.gov). It is important to make sure the submission is made in specific size and format; in MS- Word 2007/2010 or MS-Excel 2007/2010 or Adobe Acrobat (pdf) file format. The file size must not exceed 30MB. If the file size should exceed the 30MB, the submission must be made in separate files and attached to separate emails with less than 30MB each.

In order for a quotation to be considered, you must also complete and submit the following:

1. SF-33

2. Section B, Pricing Schedule.

3. Section B, Retention Amounts in B.3 and B.7.

4. Section K, Representations and Certifications; and

5. Additional information as required in Section L.

6. Proof of SAM Registration

Offerors shall be registered in the SAM (System for Award Management) database at https://www.sam.gov prior to submittal of their offer/proposal as prescribed under FAR 4.1102 (a). Failure to be registered at time of proposal submission may deem the responsive and no further consideration will be given. Therefore, offerors are highly encouraged to register immediately if they are interested in submitting a response to this requirement.

Sincerely, Jennifer K. Sheehan Contracting Officer

Enclosure:

2024-10-09T10:19:41-0300

Jennifer K Sheehan

SECTION

15A. NAME AND

ADDRESS

OF OFFEROR

SOLICITATION, OFFER, AND AWARD 1. This Contract is a Rated Order under the Defense Priorities and Allocations System (DPAS) - Code of Federal Regulations - at 15 CFR 700.

RATING PAGE OF PAGES

2. CONTRACT NUMBER 3. SOLICITATION NUMBER 4. TYPE OF SOLICITATION 5. DATE ISSUED 6. REQUISITION/PURCHASE NUMBER

CODE7. ISSUED BY 8. ADDRESS OFFER TO (If other than item 7)

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

SOLICITATION

9. Sealed offers in original and copies for furnishings the supplies or services in the Schedule will be received at the place specified in item 8, or if hand carried, in the depository located in until local time

CAUTION - LATE Submissions, Modifications, and Withdrawals: See Section L, Provision Number 52.214-7 or 52.215-1. All offers are subject to all terms and conditions contained in this solicitation.

10. FOR

INFORMATION

CALL:

A. NAME B. TELEPHONE (NO COLLECT CALLS)

AREA CODE NUMBER EXTENSION

C. EMAIL ADDRESS

11. TABLE OF CONTENTS

(X) DESCRIPTION PAGE(S) (X) SECTION PAGE(S)DESCRIPTION

A B C D E F G H

I

J

K

L

M EVALUATION FACTORS FOR AWARD

INSTRUCTIONS, CONDITIONS, AND NOTICES TO OFFERORS

REPRESENTATIONS, CERTIFICATIONS AND OTHER

STATEMENTS OF OFFERORS

PART IV - REPRESENTATIONS AND INSTRUCTIONS

LIST OF ATTACHMENTS

PART III - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACHMENTS

CONTRACT CLAUSESSOLICITATION/CONTRACT FORM

SUPPLIES OR SERVICES AND PRICES/COSTS

DESCRIPTION/SPECIFICATIONS/WORK STATEMENT

PACKAGING AND MARKING

INSPECTION AND ACCEPTANCE

DELIVERIES OR PERFORMANCE

CONTRACT ADMINISTRATION DATA

SPECIAL CONTRACT REQUIREMENTS

NOTE: Item 12 does not apply if the solicitation includes the provisions at 52.214-16, Minimum Bid Acceptance Period.

OFFER (Must be fully completed by offeror)

12. In compliance with the above, the undersigned agrees, if this offer is accepted within calendar days (60 calendar days unless a different period is inserted by the offeror) from the date for receipt of offers specified above, to furnish any or all items upon which prices are offered at the set opposite each item, delivered at the designated point(s), within the time specified in the schedule.

13. DISCOUNT FOR PROMPT PAYMENT

(See Section I, Clause Number 52.232-8)

14. ACKNOWLEDGMENT OF AMENDMENTS

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

10 CALENDAR DAYS (%) 20 CALENDAR DAYS (%) 30 CALENDAR DAYS (%) CALENDAR DAYS (%)

DATEAMENDMENT NUMBERAMENDMENT NUMBER DATE

CODE FACILITY 16. NAME AND THE TITLE OF PERSON AUTHORIZED TO SIGN OFFER

(Type or print)

15B. TELEPHONE NUMBER

AREA CODE NUMBER EXTENSION

15C. CHECK IF REMITTANCE ADDRESS IS

DIFFERENT FROM ABOVE - ENTER

SUCH ADDRESS IN SCHEDULE.

17. SIGNATURE 18. OFFER DATE

AWARD (To be completed by Government)

19. ACCEPTED AS TO ITEMS NUMBERED 20. AMOUNT 21. ACCOUNTING AND APPROPRIATION

22. AUTHORITY FOR USING OTHER THAN FULL OPEN COMPETITION UNDER THE

UNITED STATES CODE AT:

10 U.S.C. 3204(a) ( )41 U.S.C. 3304(a)

24. ADMINISTERED BY (If other than Item 7)

26. NAME OF CONTRACTING OFFICER (Type or print)

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

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition is unusable

23. SUBMIT INVOICES TO ADDRESS SHOWN IN

(4 copies unless otherwise specified)

25. PAYMENT WILL BE MADE BY

27. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

28. AWARD DATE

CODE

ITEM

STANDARD FORM 33 (REV. 12/2022)

Prescribed by GSA - FAR (48 CFR) 53.214 (c)

SEALED BID (IFB) INVITATION FOR BID

NEGOTIATED (RFP) REQUEST FOR

PROPOSAL

(Hour) (Date)

PART I - THE SCHEDULE PART II - CONTRACT CLAUSES

SECTION

15A. NAME AND ADDRESS OF OFFEROR

SOLICITATION, OFFER, AND AWARD

1. This Contract is a Rated Order under the Defense Priorities and Allocations System (DPAS) - Code of Federal Regulations - at 15 CFR 700.

RATING

\\iaimain\apps1\Pam_Ward\Logos\Pointer.jpg

Image of a triangle pointing to field 1: Rating

PAGE OF PAGES

2. CONTRACT NUMBER

3. SOLICITATION NUMBER

4. TYPE OF SOLICITATION

5. DATE ISSUED

6. REQUISITION/PURCHASE NUMBER

CODE

7. ISSUED BY

8. ADDRESS OFFER TO (If other than item 7)

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

SOLICITATION

9. Sealed offers in original and copies for furnishings the supplies or services in the Schedule will be received at the place specified in item 8, or if hand carried, in the depository located in until local time

CAUTION - LATE Submissions, Modifications, and Withdrawals: See Section L, Provision Number 52.214-7 or 52.215-1. All offers are subject to all terms and conditions contained in this solicitation.

10. FOR INFORMATION CALL:

A. NAME

B. TELEPHONE (NO COLLECT CALLS)

AREA CODE

NUMBER

EXTENSION

C. EMAIL ADDRESS

11. TABLE OF CONTENTS

(X)

DESCRIPTION

PAGE(S)

(X)

SECTION

PAGE(S)

DESCRIPTION

A

B

C

D

E

F

G

H

I

J

K

L

M

EVALUATION FACTORS FOR AWARD

INSTRUCTIONS, CONDITIONS, AND NOTICES TO OFFERORS

REPRESENTATIONS, CERTIFICATIONS AND OTHER STATEMENTS OF OFFERORS

PART IV - REPRESENTATIONS AND INSTRUCTIONS

LIST OF ATTACHMENTS

PART III - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACHMENTS

CONTRACT CLAUSES

SOLICITATION/CONTRACT FORM

SUPPLIES OR SERVICES AND PRICES/COSTS

DESCRIPTION/SPECIFICATIONS/WORK STATEMENT

PACKAGING AND MARKING

INSPECTION AND ACCEPTANCE

DELIVERIES OR PERFORMANCE

CONTRACT ADMINISTRATION DATA

SPECIAL CONTRACT REQUIREMENTS

NOTE: Item 12 does not apply if the solicitation includes the provisions at 52.214-16, Minimum Bid Acceptance Period.

OFFER (Must be fully completed by offeror)

12. In compliance with the above, the undersigned agrees, if this offer is accepted within calendar days (60 calendar days unless a different period is inserted by the offeror) from the date for receipt of offers specified above, to furnish any or all items upon which prices are offered at the set opposite each item, delivered at the designated point(s), within the time specified in the schedule.

13. DISCOUNT FOR PROMPT PAYMENT

(See Section I, Clause Number 52.232-8)

14. ACKNOWLEDGMENT OF AMENDMENTS

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

10 CALENDAR DAYS (%)

20 CALENDAR DAYS (%)

30 CALENDAR DAYS (%)

CALENDAR DAYS (%)

DATE

AMENDMENT NUMBER

AMENDMENT NUMBER

DATE

CODE

FACILITY

16. NAME AND THE TITLE OF PERSON AUTHORIZED TO SIGN OFFER

(Type or print)

15B. TELEPHONE NUMBER

AREA CODE

NUMBER

EXTENSION

15C. CHECK IF REMITTANCE ADDRESS IS DIFFERENT FROM ABOVE - ENTER SUCH ADDRESS IN SCHEDULE.

17. SIGNATURE

18. OFFER DATE

AWARD (To be completed by Government)

19. ACCEPTED AS TO ITEMS NUMBERED

20. AMOUNT

21. ACCOUNTING AND APPROPRIATION

22. AUTHORITY FOR USING OTHER THAN FULL OPEN COMPETITION UNDER THE UNITED STATES CODE AT:

10 U.S.C. 3204(a)

41 U.S.C. 3304(a)

24. ADMINISTERED BY (If other than Item 7)

26. NAME OF CONTRACTING OFFICER (Type or print)

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

AUTHORIZED FOR LOCAL REPRODUCTION Previous edition is unusable

23. SUBMIT INVOICES TO ADDRESS SHOWN IN

(4 copies unless otherwise specified)

25. PAYMENT WILL BE MADE BY

27. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

28. AWARD DATE

CODE

ITEM

STANDARD FORM 33 (REV. 12/2022)

Prescribed by GSA - FAR (48 CFR) 53.214 (c)

\\iaimain\apps1\Pam_Ward\Logos\Pointer.jpg

Image of a triangle pointing to field 10A: Name

\\iaimain\apps1\Pam_Ward\Logos\Pointer.jpg

Image of a triangle pointing to field 13: 10 Calendar Days (percentage)

\\iaimain\apps1\Pam_Ward\Logos\Pointer.jpg

Image of a triangle pointing to field 23: Item

SEALED BID (IFB) INVITATION FOR BID

NEGOTIATED (RFP) REQUEST FOR PROPOSAL

(Hour)

(Date)

PART I - THE SCHEDULE

PART II - CONTRACT CLAUSES

Standard Form 33 - Solicitation, Offer, and Award

22. (To be completed by the Government). Click here to select, "41 U.S.C. 3304(a)" for the Authority for using Other than Full and Open Competition Under the United States Code.: 0

22. (To be completed by the Government). Click here to select, "10 U.S.C. 3204(a)" for the Authority for using Other than Full and Open Competition Under the United States Code.: 0

15C. Click here to select, "Check if Remittance Address is different from above - Enter such address in Schedule.": 0

4. Click here to select, "Sealed Bid (IFB) Invitation for Bid" for the Type of Solicitation.: 0

4. Click here to select, "Negotiated (RFP) Request for Proposal" for the Type of Solicitation.: 1

1. Enter the Rating for this solicitation, offer, and award. :

Enter the page number for this page. : 1

Enter the total number of pages for this solicitation, offer, and award. : 69

6. Enter the Requisition/Purchase Number.: PR12657195

8. Enter the info for who the offer is addressed to (if other than who is noted for Item 7).: AVENIDA DAS NAÇÕES QUADRA 801 LOTE 03

ATTN: GSO/PROCUREMENT

70403900 - BRASÍLIA/DF - BRAZIL

Enter the Issued By Code. : 19BR25

5. Enter the info for who issued this solicitation, offer, and award. : AMERICAN EMBASSY BRASILIA

2. Enter the Contract Number.:

3. Enter the Solicitation Number.: 19BR2524R0003

9. Enter the number of copies of sealed offers needed for furnishing the supplies or services in the Schedule being received at the place specified in item 8. : 01 (one)

9. Enter the location of the depository where the original sealed offers and copies will be hand carried. : U.S. EMBASSY BRASÍLIA, BRAZIL

9. Enter the hour (local time) when the sealed originals and copies will no longer be accepted.: 17:00

10. Enter the Name of the person with more info for this solicitation, offer, and award. : FERNANDA SENE VIEIRA

10. Enter the Email Address of the person who has more info for this solicitation, offer, and award. : vieirafs@state.gov

11. Enter the Page numbers for Section A.: 2

11. Enter the Page numbers for Section B.: 3-6

11. Enter the Page numbers for Section C.: 7-10

11. Enter the Page numbers for Section D.:

11. Enter the Page numbers for Section E.: 11-12

11. Enter the Page numbers for Section F.: 13

11. Enter the Page numbers for Section G.: 14-15

11. Enter the Page numbers for Section H.: 16-17

11. Enter the Page numbers for Section M.: 68-69

11. Enter the Page numbers for Section L.: 63-67

11. Enter the Page numbers for Section J.: 40-41

11. Enter the Page numbers for Section I.: 18-39

11. Click here to select, "I - Contract Clauses" for Part II - Contract Clauses. : 1

11. Click here to select, "J - List of Attachments" for Part III - List of Documents, Exhibits and Other Attachments. : 1

11. Click here to select, "K - Representations, Certifications and Other Statements of Offerors" for Part IV - Representations and Instructions.: 1

11. Click here to select, "L - Instructions, Conditions, and Notices to Offerors" for Part IV - Representations and Instructions. : 1

11. Click here to select, "M - Evaluation Factors for Award" for Part IV - Representations and Instructions. : 1

11. Click here to select, "A - Solicitation/Contract Form" for Part I - The Schedule. : 1

11. Click here to select, "B - Supplies or Services and Prices/Costs" for Part I - The Schedule. : 1

11. Click here to select, "C - Description/Specifications/Work Statement" for Part I - The Schedule. : 1

11. Click here to select, "D - Packing and Marking" for Part I - The Schedule. : 0

11. Click here to select, "E - Inspection and Acceptance" for Part I - The Schedule. : 1

11. Click here to select, "F - Deliveries or Performance" for Part I - The Schedule. : 1

11. Click here to select, "G - Contract Administration Data" for Part I - The Schedule. : 1

11. Click here to select, "H - Special Contract Requirements" for Part I - The Schedule. : 1

9. Enter the Date when the sealed originals and copies will no longer be accepted (enter 2 digit month, 2 digit day and 4 digit year).: 2024-11-18

10. Enter the Area Code of the person's telephone number who has more info for this solicitation, offer, and award. : 61.00000000

10. Enter the person's Telephone Number who has more info for this solicitation, offer, and award (No Collect Calls). : 33127196.00000000

10. Enter the Extension (if applicable) of the person's telephone number who has more info for this solicitation, offer, and award (No Collect Calls). : 7196.00000000

5. Enter the Date Issued (enter 2 digit month, 2 digit day and 4 digit year).: 2024-10-10

Enter the Code for the Offeror. :

Enter the Facility info for the Offeror. :

15A. Enter the Name and Address of the Offeror. :

16. Enter the Name and Title of the person Authorized to Sign this Offer (Type or Print).:

19. (To be completed by the Government). Enter the Item Numbers being accepted for this solicitation, offer, and award. :

21. (To be completed by the Government). Enter the Accounting and Appropriation info.:

23. (To be completed by the Government). Enter the Item info for Submitting Invoices (4 copies unless otherwise specified) to the address shown in the item. :

(To be completed by the Government). Enter the Code for who will be making payments (Item 25).:

25. (To be completed by the Government). Enter the info for who will be making payments. :

28. (To be completed by the Government). Enter the Award Date (enter 2 digit month, 2 digit day and 4 digit year).:

22. (To be completed by the Government). Enter the code number for 41 U.S.C. 3304(a)" for the Authority for using Other than Full and Open Competition Under the United States Code.:

24. (To be completed by the Government). Enter the info for who will be administering this solicitation, offer, and award (if other than who is noted for Item 7).:

26. (To be completed by the Government). Enter the Name of the Contracting Officer (Type or print).: JENNIFER K. SHEEHAN

18. Enter the Offer Date (enter 2 digit month, 2 digit day and 4 digit year).:

14. Enter the first Amendment Number (if applicable) (the offeror acknowledges receipt of amendments to the SOLICITATION for offerors and related documents numbered and dated). :

14. Enter the third Amendment Number (if applicable) (the offeror acknowledges receipt of amendments to the SOLICITATION for offerors and related documents). :

14. Enter the second Amendment Number (if applicable) (the offeror acknowledges receipt of amendments to the SOLICITATION for offerors and related documents). :

14. Enter the fourth Amendment Number (if applicable) (the offeror acknowledges receipt of amendments to the SOLICITATION for offerors and related documents). :

14. Enter the acknowledgment date for the first Amendment Number (enter 2 digit month, 2 digit day and 4 digit year).:

14. Enter the acknowledgment date for the third Amendment Number (enter 2 digit month, 2 digit day and 4 digit year).:

14. Enter the acknowledgment date for the second Amendment Number (enter 2 digit month, 2 digit day and 4 digit year).:

14. Enter the acknowledgment date for the fourth Amendment Number (enter 2 digit month, 2 digit day and 4 digit year).:

12. Enter the number of calendar days (enter 60 unless a different period is inserted by the offeror) to accept the offer. :

15B. Enter the area code of the offeror's telephone number. :

15B. Enter the offeror's telephone number. :

15B. Enter the Extension (if applicable) of the offeror's telephone number.:

11. Enter the Page numbers for Section K.: 42-62

13. Enter the discount for prompt payment percentage if the payment will be made within 10 calendar days (see Section I, Clause Number 52.232-8). :

13. Enter the discount for prompt payment percentage if the payment will be made within 20 calendar days (see Section I, Clause Number 52.232-8).:

13. Enter the discount for prompt payment percentage if the payment will be made within 30 calendar days (see Section I, Clause Number 52.232-8).:

13. Enter the discount for prompt payment percentage if the payment will be made within the number of calendar days noted in the previous field (see Section I, Clause Number 52.232-8).:

13. Enter the number of calendar days for a prompt payment percentage discount (see Section I, Clause Number 52.232-8). :

27. (To be completed by the Government). Sign here if you are the Contracting Officer representing the United States of America for this solicitation, offer, and award. :

INSERT AMOUNT: