19GE5022R0052_Att1_Pricing.xlsx
XLSX spreadsheet 19 KB Posted
- Attached to
- Health Insurance for Locally Employed Staff, US Embassy Bangui, Central African Republic
- Solicitation number
- 19GE5022R0052
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 22R0052_Questions and Answers set one.pdf | ||
| 19GE5022R0052_0001..pdf | ||
| Attachment 3 - Form W-14.pdf | ||
| 19GE5022R0052.pdf | ||
| 19GE5022R0052_Exhibit A.pdf | ||
| Cover Letter_19GE5022R0052.pdf | ||
| Attachment 2 - Experience and Past Performance.docx | DOCX document |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Pricing Schedule
| 001 BASE YEAR | |||
| Sub CLIN | Estimated Number of employees | monthly premium | Total |
| 001a Employee | 92 | - 0 | |
| 001b Employee's Spouse | 63 | - 0 | |
| 001c Employee's Dependent Children | 287 | - 0 |
e.subtotal (a+b+c) - 0 f.Total Price for Base Year (e x 12 Months ) - 0
| 1001 OPTION YEAR ONE | |||
| Sub CLIN | Estimated Number | monthly premium | Total |
| 1001a Employee | 92 | - 0 | |
| 1001b Employee's Spouse | 63 | - 0 | |
| 1001c Employee's Dependent Children | 287 | - 0 |
e.subtotal (a+b+c) - 0 f.Total Price for OPTION YEAR ONE (e x 12 Months ) - 0
| 2001 OPTION YEAR TWO | |||
| Sub CLIN | Estimated Number | monthly premium | Total |
| 2001a Employee | 92 | - 0 | |
| 2001b Employee's Spouse | 63 | - 0 | |
| 2001c Employee's Dependent Children | 287 | - 0 |
e.subtotal (a+b+c) - 0 f.Total Price for OPTION YEAR TWO (e x 12 Months ) - 0
| 3001 OPTION YEAR THREE | |||
| Sub CLIN | Estimated Number | monthly premium | Total |
| 3001a Employee | 92 | - 0 | |
| 3001b Employee's Spouse | 63 | - 0 | |
| 3001c Employee's Dependent Children | 287 | - 0 |
e.subtotal (a+b+c) - 0 f.Total Price for OPTION YEAR THREE (e x 12 Months ) - 0
| 4001 OPTION YEAR FOUR | |||
| Sub CLIN | Estimated Number | monthly premium | Total |
| 4001a Employee | 92 | - 0 | |
| 4001b Employee's Spouse | 63 | - 0 | |
| 4001c Employee's Dependent Children | 287 | - 0 |
e.subtotal (a+b+c) - 0 f.Total Price for OPTION YEAR FOUR (e x 12 Months ) - 0
| GRAND TOTAL | - 0 |
| CURRENCY: |
File details come from the government source that posted it. Updated .