Attachment 1 Price Proposal Breakdown.xlsx

XLSX spreadsheet 14 KB Posted

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HEALTH INSURANCE FOR LOCALLY EMPLOYED STAFF AT THE U. S. EMBASSY PARAMARIBO, SURINAME
Solicitation number
19GE5024R0067
Issued by

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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.

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Sheet1

19GE5024R0067
Health Insurance for LES, U.S. Embassy Paramaribo, Suriname

PRICE PROPOSAL BREAKDOWN

BASE YEAR
ABCDEFGCurrency:
CLINDescriptionUnitQuantity*MonthRate per monthAmount

[D x E x F]

0001Employee Only Coverage (One Individual)EA1612BASE YEAR0.00
0002Employee Plus One Coverage (Two Individuals)EA2512FIRST OPTION YEAR0.00
0003Family Coverage (Three or More Individual)EA4712SECOND OPTION YEAR0.00
0004Retiree Only Coverage (One Individual)EA412THIRD OPTION YEAR0.00
0005Retiree Plus One Coverage (Two Individuals)EA812FOURTH OPTION YEAR0.00
0006Retiree Family Coverage (Three or More Individual)EA212
GRAND TOTAL COST (CLINs 0001-0006)**- 0GRAND TOTAL0.00
FIRST OPTION YEAR
ABCDEFG
CLINDescriptionUnitQuantity*MonthRate per monthAmount
[D x E x F]
1001Employee Only Coverage (One Individual)EA1612
1002Employee Plus One Coverage (Two Individuals)EA2512
1003Family Coverage (Three or More Individual)EA4712
1004Retiree Only Coverage (One Individual)EA412
1005Retiree Plus One Coverage (Two Individuals)EA812
1006Retiree Family Coverage (Three or More Individual)EA212
GRAND TOTAL COST (CLINs 1001-1006)**-
SECOND OPTION YEAR
ABCDEFG
CLINDescriptionUnitQuantity*MonthRate per monthAmount
[D x E x F]
2001Employee Only Coverage (One Individual)EA1612
2002Employee Plus One Coverage (Two Individuals)EA2512
2003Family Coverage (Three or More Individual)EA4712
2004Retiree Only Coverage (One Individual)EA412
2005Retiree Plus One Coverage (Two Individuals)EA812
2006Retiree Family Coverage (Three or More Individual)EA212
GRAND TOTAL COST (CLINs 2001-2006)**-
THIRD OPTION YEAR
ABCDEFG
CLINDescriptionUnitQuantity*MonthRate per monthAmount
[D x E x F]
3001Employee Only Coverage (One Individual)EA1612
3002Employee Plus One Coverage (Two Individuals)EA2512
3003Family Coverage (Three or More Individual)EA4712
3004Retiree Only Coverage (One Individual)EA412
3005Retiree Plus One Coverage (Two Individuals)EA812
3006Retiree Family Coverage (Three or More Individual)EA212
GRAND TOTAL COST (CLINs 3001-3006)**-
FORTH OPTION YEAR
ABCDEFG
CLINDescriptionUnitQuantity*MonthRate per monthAmount
[D x E x F]
4001Employee Only Coverage (One Individual)EA1612
4002Employee Plus One Coverage (Two Individuals)EA2512
4003Family Coverage (Three or More Individual)EA4712
4004Retiree Only Coverage (One Individual)EA412
4005Retiree Plus One Coverage (Two Individuals)EA812
4006Retiree Family Coverage (Three or More Individual)EA212
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 .