19GE5026Q0004-0001.pdf

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Attached to
Health Insurance for Locally Employed Staff (LES), U. S. Embassy Bandar Seri Begawan, Brunei
Solicitation number
19GE5026Q0004
Issued by

About this file

This document is an Amendment of Solicitation for a Bandar - LES Health Insurance contract (Solicitation Number: 19GE5026Q0004) issued by the American Consulate General Frankfurt. The solicitation covers a five-year period from 03/27/2026 to 03/26/2031, with a base year and four option years, each priced as a firm fixed price contract. The amendment includes Questions & Answers that clarify key details, such as allowing both licensed insurance carriers and brokers to submit proposals, confirming the acquisition is not set aside for small businesses, and providing additional context about proposal requirements.

The amendment introduces two key exhibits (Exhibit A - Employee & Claims Statistics and Exhibit B - Employee Census) to support potential offerors in preparing their proposals. The current incumbent is TAKAFUL BRUNEI KELUARGA SDN BHD under contract number 19BX6020D0002. The solicitation is being competed using FAR 13 Simplified Acquisition Procedures, and offerors are advised to follow specific guidelines for teaming arrangements, documentation, and amendment acknowledgment. No specific pricing was disclosed in the document, with all line items showing $0.00 for unit and total prices.

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Document Number: 19GE5026Q0004 Page 1 of 4

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE RATING

2. AMENDMENT/MODIFICATION NUMBER

3. EFFECTIVE DATE

12/17/2025

4. REQUISITION/PURCHASE REQ. NUMBER 5. PROJECT NUMBER (If applicable)

FRANKCODE

AMERICAN CONSULATE GENERAL FRANKFURT

GIESSENER STRASSE 30

ATTN: RPSO

60435, FRANKFURT

DE

Jenina K (Frankfurt) Dosch

NAME

TEL.

doschjk@state.gov

EMAIL

6. ISSUED BY GAAMCODE

RPSO Frankfurt GA/AM/DMS/FAC RPSO Frankfurt Bureau of Global Acquisitions Frankfurt

DE

7. ADMINISTERED BY (If other than Item 6)

9A. AMENDMENT OF SOLICITATION NUMBER

19GE5026Q0004

CODE FACILITY CODE

8. NAME AND ADDRESS OF CONTRACTOR (Number, street, country, state and ZIP Code) (X)

X 9B. DATED (SEE ITEM 11)

11/26/2025

10A. MODIFICATION OF CONTRACT/ORDER

NUMBER

10B. DATED (SEE ITEM 11)

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

X XThe above numbered solicitation is amended as set forth in item 14. The hour and date specified for receipt of Offers is extended, is not extended, Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods: (a) By completing items 8 and 15, and returning __1__copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment your desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS.IT MODIFIES THE CONTRACT/ORDER NUMBER AS DESCRIBED IN ITEM 14.

CHECK ONE

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT

ORDER NUMBER IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, is required to sign this document and return _______ copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

The solicitation is hereby amended to include Questions & Answers 1 through 5 and to provide Exhibit A - Employee & Claims Statistics and Exhibit B - Employee Census.

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER (Type or print) 16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

Travis Keon

(Signature of person authorized to sign)

15B. CONTRACTOR/OFFEROR 15C. DATE SIGNED

By (Signature of Contracting Officer)

16B. UNITED STATES OF AMERICA 16C. DATE SIGNED

12/17/2025

NSN 7540-01-152-8070

Previous edition unusable

STANDARD FORM 30 (REV.

11/2016) Prescribed by GSA FAR (48 CFR) 53.243

CGFS // CGFS

Document Number: 19GE5026Q0004 Page 2 of 4

Section A - Solicitation/Contract Form

Line Item Summary

Solicitation Number:

19GE5026Q0004

Contract Number: Title:

Bandar - LES Health Insurance

Date of Solicitation:

12/17/2025

Number Supplies or Services Qty Unit Unit Price Total (Inc. disc., tax, and fees)

PSC: G007

PSC Description: SOCIAL- GOVERNMENT HEALTH

INSURANCE PROGRAMS

Type of Contract Pricing: Firm Fixed Price

Original: 1.0

Change: 0.0

Current: 1.0

YR Original: $0.00

Change: $0.00

Current: $0.00

Original: $0.00

Change: $0.00

Current: $0.00

Period of Performance: 03/27/2026 - 03/26/2027

Description: Base Year Services LES Health Insurance Inclusive of Sub-CLINs 001A-001C

Number Supplies or Services Qty Unit Unit Price Total (Inc. disc., tax, and fees)

PSC: G007

PSC Description: SOCIAL- GOVERNMENT HEALTH

INSURANCE PROGRAMS

Type of Contract Pricing: Firm Fixed Price

Original: 1.0

Change: 0.0

Current: 1.0

YR Original: $0.00

Change: $0.00

Current: $0.00

Original: $0.00

Change: $0.00

Current: $0.00

Period of Performance: 03/27/2027 - 03/26/2028

Description: Option Year One Services LES Health Insurance Inclusive of Sub-CLINs 1001A-1001C

Number Supplies or Services Qty Unit Unit Price Total (Inc. disc., tax, and fees)

PSC: G007

PSC Description: SOCIAL- GOVERNMENT HEALTH

INSURANCE PROGRAMS

Type of Contract Pricing: Firm Fixed Price

Original: 1.0

Change: 0.0

Current: 1.0

YR Original: $0.00

Change: $0.00

Current: $0.00

Original: $0.00

Change: $0.00

Current: $0.00

Period of Performance: 03/27/2028 - 03/26/2029

Description: Option Year Two Services LES Health Insurance Inclusive of Sub-CLINs 2001A-2001C

Number Supplies or Services Qty Unit Unit Price Total (Inc. disc., tax, and fees)

PSC: G007

PSC Description: SOCIAL- GOVERNMENT HEALTH

INSURANCE PROGRAMS

Type of Contract Pricing: Firm Fixed Price

Original: 1.0

Change: 0.0

Current: 1.0

YR Original: $0.00

Change: $0.00

Current: $0.00

Original: $0.00

Change: $0.00

Current: $0.00

Period of Performance: 03/27/2029 - 03/26/2030

Description: Option Year Three Services LES Health Insurance Inclusive of Sub-CLINs 3001A-3001C

Document Number: 19GE5026Q0004 Page 3 of 4

Number Supplies or Services Qty Unit Unit Price Total (Inc. disc., tax, and fees)

PSC: G007

PSC Description: SOCIAL- GOVERNMENT HEALTH

INSURANCE PROGRAMS

Type of Contract Pricing: Firm Fixed Price

Original: 1.0

Change: 0.0

Current: 1.0

YR Original: $0.00

Change: $0.00

Current: $0.00

Original: $0.00

Change: $0.00

Current: $0.00

Period of Performance: 03/27/2030 - 03/26/2031

Description: Option Year Four Services LES Health Insurance Inclusive of Sub-CLINs 4001A-4001C

CLIN Funding: Cost:

Base Totals: Original: $0.00

Change: $0.00

Current: $0.00

Original: $0.00

Change: $0.00

Current: $0.00

Exercised Options Totals: Original: $0.00

Change: $0.00

Current: $0.00

Original: $0.00

Change: $0.00

Current: $0.00

Unexercised Options Totals: Original: $0.00

Change: $0.00

Current: $0.00

Original: $0.00

Change: $0.00

Current: $0.00

Base and Options Totals: Original: $0.00

Change: $0.00

Current: $0.00

Original: $0.00

Change: $0.00

Current: $0.00

Section A - Solicitation/Contract Form Identifier Title Date Number of

Pages 1 RQS 19GE5026Q0004.pdf 11/26/2025

Amendment 0001 - Questions & Answers

Q001: Is this solicitation intended exclusively for licensed insurance carriers, or may licensed brokers/intermediaries submit proposals on behalf of an authorized insurance provider? If broker participation is permitted, we would appreciate guidance on any required documentation, such as authorization letters or proof of underwriting authority.

A001: Any authorized party may submit an offer under this solicitation. Offerors shall follow all instructions and submit all requirements as stated in the solicitation. When an offer is submitted by a broker or intermediary, the broker/intermediary shall be the offeror and, if selected for award, the contractor of record and shall be fully responsible for performance of the contract in accordance with the solicitation and resulting contract.

Document Number: 19GE5026Q0004 Page 4 of 4

Offerors proposing a teaming arrangement shall comply with FAR Subpart 9.6, Contractor Team Arrangements, and clearly describe the structure of the arrangement, the roles and responsibilities of each party, and how contract performance will be managed.

Q002: As a certified participant in the SBA 8(a) Business Development Program, we respectfully request that the Embassy and the Department of State consider placing this requirement under the 8(a) program, whether as a competitive set-aside or an 8(a) sole-source award, as appropriate under FAR 19.8 and 13 CFR 124.

A002: This acquisition is not set-aside for small business concerns and is being competed to the maximum extent practicable under FAR 13 Simplified Acquisition Procedures. In accordance with FAR 19.000(b)(1)(ii), overseas acquisitions are not required to be set-aside.

Q003: Please provide SF-1449 / SF 30.

A003: The combined synopsis/solicitation for commercial products or services is prepared in accordance with format in subpart FAR

12.6. In accordance with FAR 12.603(b), the SF 1449 is not used for issuing the solicitation when using the combined synopsis/ solicitation procedure. The SF 1449 is available and downloadable online. If an offeror elects not to submit an SF 1449 with its offer, the offeror shall follow procedures in accordance with FAR 52.212-1(b)(11).

Any amendments to the solicitation will be issued using SF 30. Offerors must acknowledge all amendments by including a signed SF 30 with their offer submission.

Q004: We would like to request the following information for our proposal/quotation generation:

1. Employee listing with age, gender, occupation and nationality (employee names can be censored if necessary); and

2. Claims report/experience for the past 5 years.

A004: See Exhibit A - Employee & Claims Statistics and Exhibit B - Employee Census for requested information.

Q005: I would like to inquire as to the current incumbent and contract number awarded, please.

A005: The incumbent is TAKAFUL BRUNEI KELUARGA SDN BHD and contract number is 19BX6020D0002.

END OF Q&A

2025-12-16T16:28:17+0100
Travis C Keon

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