Attachment 1 - Pricing_amendment 0009.xlsx
XLSX spreadsheet 25 KB Posted
- Attached to
- Health and Life Insurance, US Embassy Cairo
- Solicitation number
- 19GE5021R0009
About this file
This document contains an attachment to a solicitation for health and life insurance services. The Regional Procurement Support Office in Frankfurt is soliciting proposals on behalf of the US Embassy in Cairo, Egypt for health and life insurance to cover locally engaged staff. Offerors should complete the pricing tables in Attachment 1 by February 26, 2021 at 3:00pm German time and submit their proposals to the email addresses provided. The solicitation also contains representations and certifications in Section 5 that offerors must complete. Questions are due by February 9th and responses will be provided anonymously in an amendment. The services required include health insurance, life insurance, and associated riders for locally engaged staff and their dependents for a base year and four option years. Pricing should be provided in the offeror's preferred currency.
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D.1 Health Insurance
| D.1.1 Base year | ||||
| CLIN 0001 | Bi weekly Rate per employee | estimated number of employees | rate per employee | Bi-weekly total |
| 0001a | Single Employees (Self only) | 400 | 0 | |
| 0001b | Family Plan | 1100 | 0 | |
| Sub Total | 0 | |||
| Total Price for Base year | 0 | |||
| D.1.2 Option year one | ||||
| CLIN 1001 | Bi weekly Rate per employee | estimated number of employees | rate per employee | Bi-weekly total |
| 1001a | Single Employees (Self only) | 400 | 0 | |
| 1001b | Family Plan | 1100 | 0 | |
| Sub Total | 0 | |||
| Total Price for Option year one | 0 | |||
| D.1.3 Option year two | ||||
| CLIN 2001 | Bi weekly Rate per employee | estimated number of employees | rate per employee | Bi-weekly total |
| 2001a | Single Employees (Self only) | 400 | 0 | |
| 2001b | Family Plan | 1100 | 0 | |
| Sub Total | 0 | |||
| Total Price for Option year two | 0 | |||
| D.1.4 Option year three | ||||
| CLIN 3001 | Bi weekly Rate per employee | estimated number of employees | rate per employee | Bi-weekly total |
| 3001a | Single Employees (Self only) | 400 | 0 | |
| 3001b | Family Plan | 1100 | 0 | |
| Sub Total | 0 | |||
| Total Price for Option year three | 0 | |||
| D.1.5 Option year four | ||||
| CLIN 4001 | Bi weekly Rate per employee | estimated number of employees | rate per employee | Bi-weekly total |
| 4001a | Single Employees (Self only) | 400 | 0 | |
| 4001b | Family Plan | 1100 | 0 | |
| Sub Total | 0 | |||
| Total Price for Option year four | 0 | |||
| D.1.6 Grand Total for Base plus 4 Option Years | ||||
| Base year total | 0 | |||
| Option year one total | 0 | |||
| Option year two total | 0 | |||
| Option year three total | 0 | |||
| Option year four total | 0 | |||
| Grand Total Base plus 4 Option years | 0 | |||
| highlighted cells to be completed by offeror |
D.2 Health Insurance Rider
| This section will NOT be evaluated as part of the overall price evaluation. |
| Riders will not be covered under the annual task order |
| D.2.1 Base year | |
| Category | Bi weekly rate per employee |
| ORE Staff, AECWA Staff, and their Dependents | |
| D.2.2 Option year one | |
| Category | Bi weekly rate per employee |
| ORE Staff, AECWA Staff, and their Dependents | |
| D.2.3 Option year two | |
| Category | Bi weekly rate per employee |
| ORE Staff, AECWA Staff, and their Dependents | |
| D.2.4 Option year three | |
| Category | Bi weekly rate per employee |
| ORE Staff, AECWA Staff, and their Dependents | |
| D.2.5 Option year four | |
| Category | Bi weekly rate per employee |
| ORE Staff, AECWA Staff, and their Dependents | |
| highlighted cells to be completed by offeror |
D.3 Retention amounts
| D.3.2 Bi weekly retention amounts | ||
| Period of Performance | Single Employees (Self Onyl) | Family Plan |
| Base year | ||
| Option year one | ||
| Option year two | ||
| Option year three | ||
| Option year four | ||
| highlighted cells to be completed by offeror |
D.4 Life Insurance
| D.4.1 Base year | ||||
| CLIN 0002 | Bi weekly Rate per employee | Premium per 1,0000 of Salary | estimated avarage payroll (bi weekly in thousands) | Bi-weekly total |
| 0002a | Basic Life | EGP 10,488.00 | 0 | |
| 0002b | Accidental Death and Dismemberment | EGP 10,488.00 | 0 | |
| 0002c | Partial and Total Disability | EGP 10,488.00 | 0 | |
| Sub Total | 0 | |||
| Total Price for Base year | 0 | |||
| D.4.2 Option year one | ||||
| CLIN 1002 | Bi weekly Rate per employee | Premium per 1,0000 of Salary | estimated avarage payroll (bi weekly in thousands) | Bi-weekly total |
| 1002a | Basic Life | EGP 10,488.00 | 0 | |
| 1002b | Accidental Death and Dismemberment | EGP 10,488.00 | 0 | |
| 1002c | Partial and Total Disability | EGP 10,488.00 | 0 | |
| Sub Total | 0 | |||
| Total Price for Option year one | 0 | |||
| D.4.3 Option year two | ||||
| CLIN 2002 | Bi weekly Rate per employee | Premium per 1,0000 of Salary | estimated avarage payroll (bi weekly in thousands) | Bi-weekly total |
| 2002a | Basic Life | EGP 10,488.00 | 0 | |
| 2002b | Accidental Death and Dismemberment | EGP 10,488.00 | 0 | |
| 2002c | Partial and Total Disability | EGP 10,488.00 | 0 | |
| Sub Total | 0 | |||
| Total Price for Option year two | 0 | |||
| D.4.4 Option year three | ||||
| CLIN 3002 | Bi weekly Rate per employee | Premium per 1,0000 of Salary | estimated avarage payroll (bi weekly in thousands) | Bi-weekly total |
| 3002a | Basic Life | EGP 10,488.00 | 0 | |
| 3002b | Accidental Death and Dismemberment | EGP 10,488.00 | 0 | |
| 3002c | Partial and Total Disability | EGP 10,488.00 | 0 | |
| Sub Total | 0 | |||
| Total Price for Option year three | 0 | |||
| D.4.5 Option year four | ||||
| CLIN 4002 | Bi weekly Rate per employee | Premium per 1,0000 of Salary | estimated avarage payroll (bi weekly in thousands) | Bi-weekly total |
| 4002a | Basic Life | EGP 10,488.00 | 0 | |
| 4002b | Accidental Death and Dismemberment | EGP 10,488.00 | 0 | |
| 4002c | Partial and Total Disability | EGP 10,488.00 | 0 | |
| Sub Total | 0 | |||
| Total Price for Option year four | 0 | |||
| D.4.6 Grand Total for Base plus 4 Option Years | ||||
| Base year total | 0 | |||
| Option year one total | 0 | |||
| Option year two total | 0 | |||
| Option year three total | 0 | |||
| Option year four total | 0 | |||
| Grand Total Base plus 4 Option years | 0 | |||
| highlighted cells to be completed by offeror |
D.5 Life Insurance Rider
| This section will NOT be evaluated as part of the overall price evaluation. |
| Riders will not be covered under the annual task order |
| D.5.1 Base year | |
| Category | Bi weekly rate per employee |
| ORE Staff, AECWA Staff, and their Dependents | |
| D.5.2 Option year one | |
| Category | Bi weekly rate per employee |
| ORE Staff, AECWA Staff, and their Dependents | |
| D.5.3 Option year two | |
| Category | Bi weekly rate per employee |
| ORE Staff, AECWA Staff, and their Dependents | |
| D.5.4 Option year three | |
| Category | Bi weekly rate per employee |
| ORE Staff, AECWA Staff, and their Dependents | |
| D.5.5 Option year four | |
| Category | Bi weekly rate per employee |
| ORE Staff, AECWA Staff, and their Dependents | |
| highlighted cells to be completed by offeror |
Grand Total
| Total estimated contract amount | |
| Total Health Insurance | 0 |
| Total Life Insurance | 0 |
| Grand Total | 0 |
| curreny: | |
| highlighted cells to be completed by offeror |
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