Attachment 1 Price Proposal Breakdown.xlsx
XLSX spreadsheet 14 KB Posted
- Solicitation number
- 19GE5024R0067
About this file
The document provided appears to be an attachment titled "Attachment 1 Price Proposal Breakdown.xlsx" that contains a price proposal breakdown for a federal contract opportunity. The related federal contract opportunity is a pre-solicitation notice for "HEALTH INSURANCE FOR LOCALLY EMPLOYED STAFF AT THE U.S. EMBASSY PARAMARIBO, SURINAME".
The price proposal breakdown includes six contract line item numbers (CLINs) for different health insurance coverage options, such as employee only, employee plus one, family, retiree only, retiree plus one, and retiree family. The estimated quantities for each CLIN are provided for the base year and four option years. The solicitation may result in the award of one Indefinite Delivery Indefinite Quantity (IDIQ) contract with a base period of one year and four option years. The successful contractor shall provide health insurance to all locally employed staff at the U.S. Embassy Paramaribo, Suriname. The solicitation will be subject to the laws and regulations of the United States of America and will utilize Simplified Acquisition Procedures.
View the file
Other files
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
Sheet1
| 19GE5024R0067 |
| Health Insurance for LES, U.S. Embassy Paramaribo, Suriname |
PRICE PROPOSAL BREAKDOWN
| BASE YEAR | |||||||
| A | B | C | D | E | F | G | Currency: |
| CLIN | Description | Unit | Quantity* | Month | Rate per month | Amount |
[D x E x F]
| 0001 | Employee Only Coverage (One Individual) | EA | 16 | 12 | BASE YEAR | 0.00 | |
| 0002 | Employee Plus One Coverage (Two Individuals) | EA | 25 | 12 | FIRST OPTION YEAR | 0.00 | |
| 0003 | Family Coverage (Three or More Individual) | EA | 47 | 12 | SECOND OPTION YEAR | 0.00 | |
| 0004 | Retiree Only Coverage (One Individual) | EA | 4 | 12 | THIRD OPTION YEAR | 0.00 | |
| 0005 | Retiree Plus One Coverage (Two Individuals) | EA | 8 | 12 | FOURTH OPTION YEAR | 0.00 | |
| 0006 | Retiree Family Coverage (Three or More Individual) | EA | 2 | 12 | |||
| GRAND TOTAL COST (CLINs 0001-0006)** | - 0 | GRAND TOTAL | 0.00 |
| FIRST OPTION YEAR | ||||||
| A | B | C | D | E | F | G |
| CLIN | Description | Unit | Quantity* | Month | Rate per month | Amount |
| [D x E x F] | ||||||
| 1001 | Employee Only Coverage (One Individual) | EA | 16 | 12 | ||
| 1002 | Employee Plus One Coverage (Two Individuals) | EA | 25 | 12 | ||
| 1003 | Family Coverage (Three or More Individual) | EA | 47 | 12 | ||
| 1004 | Retiree Only Coverage (One Individual) | EA | 4 | 12 | ||
| 1005 | Retiree Plus One Coverage (Two Individuals) | EA | 8 | 12 | ||
| 1006 | Retiree Family Coverage (Three or More Individual) | EA | 2 | 12 | ||
| GRAND TOTAL COST (CLINs 1001-1006)** | - |
| SECOND OPTION YEAR | ||||||
| A | B | C | D | E | F | G |
| CLIN | Description | Unit | Quantity* | Month | Rate per month | Amount |
| [D x E x F] | ||||||
| 2001 | Employee Only Coverage (One Individual) | EA | 16 | 12 | ||
| 2002 | Employee Plus One Coverage (Two Individuals) | EA | 25 | 12 | ||
| 2003 | Family Coverage (Three or More Individual) | EA | 47 | 12 | ||
| 2004 | Retiree Only Coverage (One Individual) | EA | 4 | 12 | ||
| 2005 | Retiree Plus One Coverage (Two Individuals) | EA | 8 | 12 | ||
| 2006 | Retiree Family Coverage (Three or More Individual) | EA | 2 | 12 | ||
| GRAND TOTAL COST (CLINs 2001-2006)** | - |
| THIRD OPTION YEAR | ||||||
| A | B | C | D | E | F | G |
| CLIN | Description | Unit | Quantity* | Month | Rate per month | Amount |
| [D x E x F] | ||||||
| 3001 | Employee Only Coverage (One Individual) | EA | 16 | 12 | ||
| 3002 | Employee Plus One Coverage (Two Individuals) | EA | 25 | 12 | ||
| 3003 | Family Coverage (Three or More Individual) | EA | 47 | 12 | ||
| 3004 | Retiree Only Coverage (One Individual) | EA | 4 | 12 | ||
| 3005 | Retiree Plus One Coverage (Two Individuals) | EA | 8 | 12 | ||
| 3006 | Retiree Family Coverage (Three or More Individual) | EA | 2 | 12 | ||
| GRAND TOTAL COST (CLINs 3001-3006)** | - |
| FORTH OPTION YEAR | ||||||
| A | B | C | D | E | F | G |
| CLIN | Description | Unit | Quantity* | Month | Rate per month | Amount |
| [D x E x F] | ||||||
| 4001 | Employee Only Coverage (One Individual) | EA | 16 | 12 | ||
| 4002 | Employee Plus One Coverage (Two Individuals) | EA | 25 | 12 | ||
| 4003 | Family Coverage (Three or More Individual) | EA | 47 | 12 | ||
| 4004 | Retiree Only Coverage (One Individual) | EA | 4 | 12 | ||
| 4005 | Retiree Plus One Coverage (Two Individuals) | EA | 8 | 12 | ||
| 4006 | Retiree Family Coverage (Three or More Individual) | EA | 2 | 12 | ||
| GRAND TOTAL COST (CLINs 4001-4006)** | - | |||||
| GRAND TOTAL | - |
Number of employees is an estimate only, based on the current situation
| *estimated quantity of premiums does not include any Riders |
| **does not include any premiums for Riders. |
File details come from the government source that posted it. Updated .