19GE5026Q0053_Attachment1-ScheduleClauses.pdf

Combined Synopsis/Solicitation 19GE5026Q0053 Health Insurance for LES, U.S. Embassy Ashgabat, Turkmenistan Attachment 1 - Schedule and Clauses Continuation to SF1449 Block 20

Table of Contents

SECTION I – THE SCHEDULE

1. BPA Number [to be identified upon award]

2. Period and Place of Performance

3. Terms and Conditions

4. Ordering Mechanism

5. Invoices

6. BPA Deliverables

7. Statement of Work (SOW)

7.1 Employee and Dependent Health Service Benefits

7.2 Annual Maximum Limit

7.3 Exclusions and Limitations

7.3 Eligible Participants

7.4 Eligibility

7.5 Claims Processing and Reimbursement

8. Economic Price Adjustment

8.1 Premium Adjustment Based on Experience

8.2 Premium Adjustment Based on Laws

8.3 Employee Pool

SECTION II - BLANKET PURCHASE AGREEMENTS CLAUSES

SECTION I – THE SCHEDULE

1. BPA Number [to be identified upon award] Under this Blanket Purchase Agreement (BPA), the Contractor shall furnish health insurance coverage and related claims administration, provider network, customer service, and beneficiary support services for Locally Employed (LE) Staff of the U.S. Mission in Turkmenistan and their eligible dependents, in accordance with the Statement of Work, during the specified ordering (calling) period established herein. Each funded BPA call shall define the covered enrollment population, coverage tiers (Self‑Only, Self Plus One, Family), period of coverage, deliverables, and firm‑fixed‑price premium amounts to be performed, consistent with the minimum coverage levels and administrative requirements set forth in the Statement of Work (SOW).

2. Period and Place of Performance Period of Performance: BPA with 60-month term, structured as five (5) 12-month periods within which BPA Calls may be placed:

September 20, 2026 – September 19, 2027 First Period September 20, 2027 – September 19, 2028 Second Period September 20, 2028 – September 19, 2029 Third Period September 20, 2029 – September 19, 2030 Fourth Period September 20, 2030 – September 19, 2031 Fifth Period

Place of Performance: U.S. Embassy Ashgabat, Turkmenistan

3. Terms and Conditions

3.1 The Embassy is not obligated to purchase any definite amount under this BPA.

3.2 No single purchase will exceed USD 900,000 or the equivalent in local currency.

3.3 Excise Tax – James Zadroga 9/11 Victims Health and Compensation Act of

2010 Notice Unless a waiver or exception applies, payments subsequent to this procurement are subject to an excise tax of 2% pursuant to 26 U.S.C. 5000C. The Contractor shall complete attached form W-14 in order to apply for an exemption of the Excise Tax, if applicable.

3.4 Value Added Tax (VAT). VAT is not applicable to this requirement. The

Government shall not pay the Contractor for VAT under this Blanket Purchase Agreement (BPA). In accordance with the Tax Code of Turkmenistan, this requirement is zero-rated for VAT purposes; therefore, the Contractor shall not include VAT as a separate line item or charge on any invoice submitted under this agreement.

4. Ordering Mechanism Services under this BPA shall be requested through individual calls placed by the RPSO Contracting Officer or authorized representative(s). Each call shall:

• Be placed by an individual appearing on the following Authorized Purchaser List: Only an RPSO Contracting Officer or authorized representative designated by the RPSO Contracting Officer may place a BPA Call order.

• Reference the BPA number

• Describe the services with appropriate CLIN

• Not exceed the individual call limitation of USD 900,000 or the equivalent in local currency

5. Invoices The BPA holder shall submit properly prepared invoices to the Contracting Officer's Representative (COR) and billing office designated in each BPA call, traceable to the specific BPA call, CLIN(s), and deliverables thereunder. Payment shall be made by the U.S. Government in the currency of the BPA, and the currency of the BPA shall not be altered by any individual BPA call.

Pursuant to 52.212-4(g), the Government will handle invoices according to the Prompt Payment Act (31 U.S.C. 3903) and 5 CFR part 1315. The Contractor shall submit invoices to the billing address designated in the BPA call to receive invoices. An invoice must include the information required by 5 CFR part 1315.9(b). A proper invoice must include the following information:

• Vendor’s name and bank account information for payments by wire transfers

• Invoice Date

• BPA Number and BPA Call Number

• CLIN of the service/s rendered as per pricing schedule

• Contact name (where practicable), title and telephone number

• Other substantiating documentation or information required by the BPA call

6. BPA Deliverables All reports and other deliverables required under this BPA shall be delivered as follows:

Description Submission Date Deliver To Reference

7.4.3 Brochure

Requirement

Brochures Within 15 calendar days after contract award

Within 10 calendar days upon COR’s request

COR

7.5 Claims Processing

and Reimbursement

Claims Reports Monthly (by the 10th of the month for the previous month’s activities)

COR

5. Invoices Invoice Quarterly COR / Designated Billing Office

7. Statement of Work (SOW) The U.S. Embassy Ashgabat requires Health Insurance for its Locally Employed Staff (LES) and their eligible dependents as further described in in this section.

7.1 Employee and Dependent Health Service Benefits

Mandatory Benefits

7.1.1 Hospitalization (Treatment in the Hospital for Inpatient Care):

Minimum Coverage - 100% Services and supplies provided during hospitalization including services provided by a licensed healthcare provider, bed and board (semi-private accommodations), operating room, recovery room, intensive care, imaging and diagnostic testing, and general hospital nursing care, physical therapy, as well as drugs and medicines administered while in-patient. When private accommodations are provided, coverage will be limited to the cost of a semi-private room unless otherwise covered in an off the shelf plan.

See Mental Health and Substance Abuse care (below) for details concerning inpatient psychiatric care.

See Outpatient Services (below) for details concerning professional services.

7.1.2 Emergency Services (Trips to Emergency Room): Minimum Coverage

- 100% Services provided for conditions that could lead to serious disability or death if not immediately treated, such as accidents or sudden illness.

7.1.3 Ambulance: Minimum Coverage - 80%

Professional ground transport to move a patient from the place where s/he is injured or becomes ill to the nearest hospital able to provide treatment or to move a patient from one medical facility to another.

7.1.4 Outpatient Services: Minimum Coverage - 80%

Services provided by a licensed healthcare provider on an ambulatory or outpatient basis (without being admitted to a hospital), including surgeon’s fees and other medical services that may be provided in a hospital, clinic, doctor’s office, medical facility, etc.

Examples include, but are not limited to:

- Annual physical examinations

- Specialist consultations and treatment, including second surgical opinion

- Minor surgical interventions

- Chemotherapy and radiation treatments

- Immunizations recommended by local authorities and/or the World Health

Organization

- Diagnostic tests and diagnostic imaging

See Rehabilitative and Habilitative Services and Devices (below) for details concerning physical therapy.

See Mental Health and Substance Abuse Care (below) for details concerning psychiatric therapy.

7.1.5 Obstetric and Newborn Care: Minimum Coverage - Inpatient: 100%;

Outpatient: 80% Care and services that women receive during pregnancy (prenatal care), throughout labor, delivery and post-delivery, and outpatient care for newborn babies. Hospitalization during pregnancy and/or delivery will be reimbursed as inpatient care All other treatments will be considered outpatient services and will be reimbursed at that rate.

7.1.6 Pediatric Services: Minimum Coverage - Inpatient/Emergency: 100%, Outpatient: 80% Primary and preventive routine care services for covered dependent children, including, but not limited to: physical examinations, developmental assessments, laboratory tests, and immunizations recommended by local authorities and/or the World Health Organization.

7.1.7 Prescription Drugs: Minimum Coverage -Inpatient: 100%, Outpatient:

80% Medications prescribed by a licensed health care provider that are medically required. Examples include, but are not limited to:

prescription antibiotics to treat an infection, medication used to treat an ongoing condition, such as high cholesterol, prophylaxis, contraceptive medication.

7.1.8 Preventive and Wellness Services and Chronic Disease Management:

Minimum Coverage - 80% Counseling or preventive care designed to prevent or detect medical conditions and care for chronic conditions such as asthma and diabetes. Examples include, but are not limited to: physicals, immunizations, and cancer screenings.

7.1.9 Hearing Examinations and Treatment: Minimum Coverage – 80% Hearing Aid Apparatus: Limited to one apparatus per ear up to a maximum of USD 1,500 per covered individual per three-year period. 80% Minimum Coverage: with annual cap.

7.1.10 Optical Examinations and Treatment: Minimum Coverage – 80% Prescription lenses and frames, or contact lenses: Covered up to a maximum of USD 300 per covered individual every two years. 80% Minimum Coverage; with annual cap.

7.1.11 Dental Examinations and Treatment: Minimum Coverage – 80% Examinations and Treatment: Dentist’s fees, x-rays, examinations and treatment, cleanings, fillings, extractions, false teeth, crowns, and bridges up to a maximum of USD 3,200 per covered individual per contract year. 80% Minimum Coverage: with annual cap.

Orthodontia: Treatment is covered only if treatment begins before age 18, or if required as the result of an accident. A maximum of four years of orthodontia treatment will be covered per covered individual up to a maximum of USD 2,400 lifetime limit. 80% Minimum Coverage; with contract lifetime cap.

7.1.12 Reproductive Health: Minimum Coverage - 80%

Prescribed contraceptive devices, preventive care and routine examinations, voluntary sterilization, and diagnosis and treatment of conditions which may cause infertility. Assisted reproductive technology (ART), fertility treatments, and reversal of sterilization are not covered (see Exclusions to Coverage).

7.1.13 Mental Health and Substance Abuse Care: Minimum Coverage - 50% Inpatient and outpatient care provided to evaluate, diagnose and treat a mental health condition or substance abuse disorder.

This includes behavioral health treatment, counseling, and psychotherapy.

Services must be provided by a licensed psychiatrist, psychoanalyst, psychologist, or psychiatric social worker. Inpatient care for alcohol and substance abuse must be provided at a facility licensed for detoxification and rehabilitation.

7.1.14 Rehabilitative and Habilitative Services and Devices: Minimum Coverage - 50% Rehabilitative services (e.g., recovering skills, such as speech therapy after a stroke or physical therapy after an accident) and habilitative services (e.g., developing skills, such as speech therapy for children, etc.) that help develop skills needed for everyday life. Devices to help gain or recover mental or physical skills lost due to injury, disability or a chronic condition, and devices needed for habilitative reasons.

7.1.15 HIV/AIDS: 100% Reimbursement up to $10,000 per contract year per covered individual Medications to suppress opportunistic infections (such as tuberculosis or toxoplasmosis for covered individuals who have HIV/AIDS). Brief courses of anti-retroviral drugs during childbirth to prevent the transmission of HIV/AIDS to the child. Generally excludes medication for the long-term suppression of HIV/AIDS through the combination of anti-retroviral drugs in locations with inadequate local healthcare infrastructures.

7.1.16 Catastrophic Coverage - Reserved

7.1.17 Out-of-Country Medical Treatment:

Medical expenses incurred out-of-country will be covered at the same benefit levels and subject to the same total maximum annual limit as for medical expenses incurred in-country.

7.1.18 Out-of-Country Medical Travel: 80% Reimbursement

Transportation for out-of-country medical treatment will be a covered expense for covered employees and eligible family members.

To be considered a covered expense, the attending certified health care provider must certify in advance that the treatment is medically necessary and unavailable locally. 80% of covered individual’s transportation expenses by the least expensive, appropriate means of transportation to the nearest city with adequate medical facilities will be covered. 80% of the transportation expenses of an attendant will also be covered, but only if the covered individual's attending certified health care provider certifies that an attendant for the patient is necessary, (e.g., a parent in the case of a patient who is a minor, or a family member to make medical decisions in the case of a patient who is unwell or unconscious). All coverage for transportation for out-of-country medical treatment is subject to the total maximum annual limit. Transportation to a neighboring country without the attending certified health care provider certifying that the treatment is medically necessary and unavailable locally will not be covered.

7.1.19 180 Day Coverage for Dependents After Employee’s Death - Reserved

7.1.20 Employee Assistance Program (EAP) Reserved

7.1.21 Excess Coverage

NOTE: Employee responsible for paying 100% of premium for Excess Coverage.

Additional coverage equal to 15,000 USD per covered individual per contract year. This excess coverage will be offered as an optional benefit to LE Staff.

This can be used for any covered individual for any covered expense that exceeds annual maximum. LE Staff must pay 100% of the premium if they elect Excess Coverage. The premium for this additional coverage is a rider to be paid by the employee to the vendor directly and USG will not be responsible for collecting these premium payments.

7.2 Annual Maximum Limit

The maximum annual reimbursement per covered individual per contract year, not including expenses defined under Exclusions and Limitations (7.3) and those covered under 7.1.15, HIV/AIDS is equivalent to 15,000 USD

7.3 Exclusions and Limitations

There is no reimbursement for elective cosmetic surgery; spa cures; rejuvenation cures; massage; exercise therapy; long-term rehabilitative therapy; non-medical hospital charges (e.g., telephone, television, etc.); home help, family help, or similar household assistance; fees of persons who are not certified health care providers; advanced reproductive technology (e.g., in-vitro fertilization, intra-cellular sperm injection, artificial insemination, microsurgical epididymal sperm aspiration, testicular sperm extraction, cryopreservation, etc.); or services or supplies which have not been prescribed or approved by a certified health care provider. Exclusions to coverage may be amended if provided in an off the shelf plan and is the lowest-cost and technically acceptable.

Removal of any exclusions require prior authorization.

There is no reimbursement for expenses that will be reimbursed or paid directly under a host country medical program or workers' compensation program, the U.S.

workers’ compensation program, or post’s LE Staff workers’ compensation program.

7.3 Eligible Participants

7.3.1 Identification of Eligible Employees and Dependents

U.S. Missions in Turkmenistan, will provide a list of all eligible employees and dependents with relationship to employee (self/spouse/child) and DOB for each.

Updates will be provided to add or remove individuals on a bi-weekly/monthly basis.

To be eligible to participate in the medical plan, LE Staff (both full time and part time) must be:

- Paid under the terms of the Local Compensation Plan (LCP); and

- Under a non-temporary direct hire appointment, personal services agreement (PSA), or personal services contract (PSC); or

- Under a temporary direct hire appointment or PSA Fixed Term of one year or more.

Not eligible are those working under temporary appointments; those working under a PSC or PSA that is time limited to less than one year; non-personal services contract personnel and their employees, supplied by an independent contractor licensed to do business in Turkmenistan who provides services to other local organizations as well as to the U.S. Mission; employees working on an intermittent or When Actually Employed (WAE) schedule; employees of USAID institutional contractors; Peace Corps personal services contractors and Recreation Association employees.

7.3.1.1 Dependents

LE Staff who are eligible to participate in the medical plan automatically confer coverage to eligible family members who meet the following criteria:

Legal spouse or domestic partner: Legal spouse or domestic partner, to include same-sex domestic partners, as certified by COM: one legal spouse as defined by local law or one domestic partner may be covered. LE Staff with more than one legal spouse or domestic partner must select only one individual for coverage.

In cases where LE Staff and their legal spouse or domestic partner both work for the mission and both are eligible to participate in the medical plan, one will be designated as the lead for purposes of the medical plan, and the other will be considered a legal spouse or domestic partner.

Children: a child is defined as the LE Staff’s natural, adopted, stepchild, or foster child. The child must be unmarried and financially dependent upon the LE Staff. A child will be covered until the end of the contract year in which s/he reaches age

26. An unmarried child determined to be incapable of self-support due to a physical or mental condition will continue to be eligible to participate in the medical plan as long as the condition persists, the child remains unmarried, and the LE Staff maintains coverage.

7.3.2 Location of Employment

The eligible employees covered by 7.3.1 must be employed within the geographic boundaries of Turkmenistan by, but not limited to; Department of State and Department of War.

7.3.3 Participants Covered Under a Rider

Official Residence Expense (ORE) and Employee Association (EA) employees may be covered under a rider to the contract. The employing officer/EA, not the U.S. Government, is responsible for the employer's share of the premium costs for an ORE/EA employee.

All current active ORE Staff personally employed by the Chief of Mission and the Deputy Chief of Mission and assigned to their respective official Government residences and paid under an ORE account. All costs for coverage of ORE Staff are the responsibility of the Chief of Mission and the Deputy Chief of Mission, not the U.S. Government.

7.4 Eligibility

7.4.1 Term of Eligibility and Effective Date

Each current active eligible employee and their eligible dependents are enrolled for health benefits under this BPA upon award and thereafter during the performance period of this BPA. Each new eligible employee and eligible dependents will be enrolled upon entering on duty with the United States Government. An employee is considered active ("on the rolls") whenever such employee is on approved leave, whether paid or unpaid.

7.4.2 Periods of Ineligibility

Employees and their dependents are not entitled to health benefits during any period of employment for which premiums are not paid. Additionally, employees’ dependents are not entitled to health benefits during any period of employment during which the employee was not eligible to participate.

During a period of extended Leave Without Pay (LWOP) or unpaid leave beyond one pay period, the employee is responsible for the full cost of the insurance premiums for self and dependents. The Mission will pay the premiums directly to the Contractor and will collect the full cost from the employee on a quarterly basis.

Alternatively, the employee may elect to have coverage cease if they prefer not to pay the premium.

7.4.3 Brochure Requirement

The Contractor shall provide a document (brochure/pamphlet/other written document) in Russian, Turkmen, and English that sets forth a complete listing of the health insurance benefits to be provided under this contract. This brochure shall be provided in sufficient quantities so that each covered employee receives a copy.

The Contractor shall furnish all copies of the brochures to the COR, who will ensure that appropriate distribution is made.

The Contractor shall provide the document to the COR not later than 15 days after date of BPA award. The Contractor shall provide additional brochures for new employees within ten (10) business days of the COR’s request.

The Contractor assumes full responsibility for ensuring that the brochure accurately reflects the requirements, coverage, and BPA terms, as implemented by the Contractor’s technical offer. In all cases, the BPA shall take precedence.

Should the COR discover that the document contains inaccuracies, the Contractor will be notified in writing; however, failure on the part of the U.S. Government to notice any inaccuracies shall in no way limit, revise or otherwise affect the requirement under this BPA for the Contractor to fully comply with all BPA terms.

7.4.4 Premiums

All LE Staff covered under post’s medical benefit plan will pay a 10% share of the premium. Premiums will be based on the number of individuals covered:

- Self-Only: 1 covered individual

- Self Plus One (two individuals)

- Family (three or more individuals)

7.4.5 Definitions

FMO The Financial Management Officer (FMO) or the paying office for all U.S. Government Agencies.

COR Contracting Officer's Representative (COR) is the LE staff

Human Resources Assistant (HRA) at post responsible for LE staff benefits.

Contributory Insurance Dependent

Insurance for which the employee contributes toward the premium.

Dependent Spouse: a limit of one legal spouse as defined by local law per employee will be covered. LE Staff with more than one legal spouse must select only one spouse for coverage. In cases where LE Staff and their legal spouse both work for the mission and both are eligible to participate in the medical plan, one will be designated as the lead for purposes of the medical plan, and the other will be considered a legal spouse

Children: a child is defined as the LE Staff’s natural, adopted, stepchild, or foster child. The child must be unmarried and financially dependent upon the LE Staff. A child will be covered until the end of the contract year in which s/he reaches age 26. An unmarried child determined to be incapable of self-support due to a physical or mental condition will continue to be eligible to participate in the medical plan as long as the condition persists, the child remains unmarried, and the LE Staff maintains coverage.

Disability - Total and Permanent

A physical or mental impairment which precludes the individual from performing ordinary motor or bodily functions and which requires separation from employment. If the impairment is the result of a previous impairment, it shall be considered a continuation of the prior impairment.

Employee An individual employed by the U.S. Government, under a direct-hire appointment, personal services contract (PSC), or personal services agreement (PSA), as further defined in Section for health insurance. This may also include ORE Staff, if this category of individuals is listed as participating under a rider in 7.1.3 for health insurance.

Employer The United States Government or in the case of ORE employees, the Chief of Mission/Deputy Chief of Mission.

GSO General Services Officer in charge of the General Services Office at post. This officer is usually the Contracting Officer (CO) for this BPA.

Hospital An institution established and operated for the care and treatment of sick and injured persons. It provides 24-hour nursing care and has diagnostic, laboratory, treatment, and surgical facilities. Any institution which does not meet this definition is not considered a hospital.

Hospital Patient An individual who has been admitted to a hospital, is assigned a bed, and is given diagnostic tests or receives treatment for a disease or an injury.

Maximum Benefit

The total amount that will be paid to any one covered individual for covered medical expenses or life insurance/disability benefit.

Physician An individual who has graduated from an accredited medical school and is licensed to practice medicine in the jurisdiction in which the BPA is to be performed. If the individual is a medical specialist, then he or she is Board Certified in that specialty.

Surgical Procedure

Any invasive medical procedure by manual or instrument operation undertaken for diagnosis or treatment of a diseased patient.

7.5 Claims Processing and Reimbursement

7.5.1 Local Claims

All claims for medical services rendered within Turkmenistan ("local claims") shall be processed, adjudicated, and reimbursed by the Contractor to the covered individual (or directly to the in-country provider under direct-billing arrangements established pursuant to SOW in Turkmen Manat (TMT).

7.5.2 International Claims

All claims for medical services rendered outside of Turkmenistan ("international claims"), including out-of-country medical treatment and medical travel authorized under SOW, shall be processed, adjudicated, and reimbursed in U.S. Dollars

(USD).

7.5.3 Applicable Exchange Rate

Where currency conversion is required to adjudicate a claim (e.g., conversion of a foreign-currency invoice into the reimbursement currency specified in 7.5.2 International Claims), the Contractor shall apply the Citibank exchange rate in effect on the date the medical expense was incurred (i.e., the date of service shown on the provider's invoice or receipt).

7.5.4 Risk of Currency Fluctuation

Consistent with the firm-fixed-price nature of this BPA, the Contractor assumes all risk of currency fluctuation between the date the expense is incurred and the date of reimbursement. No price adjustment will be made on account of fluctuations in the Citibank exchange rate or in the value of any currency relative to the U.S.

Dollar.

7.5.5 Claims Processing

• The Contractor shall reimburse the claimant within two (2) weeks (14 calendar days) from the date the Contractor receives a complete request for reimbursement in no less than ninety percent (90%) of all claims processed during each calling period. Performance against this standard shall be reported in the Monthly Claims Report required under paragraph (h) below.

• If the Contractor determines that a submitted claim is incomplete, the Contractor shall notify the claimant within two (2) business days of receipt, identifying the specific information or documentation required to complete the claim. An incomplete claim shall not be adjudicated or reimbursed until the claimant submits the missing information, and the two-week processing turnaround in paragraph shall commence upon the Contractor's receipt of the completed submission.

7.5.6 Claims Report

The Contractor shall submit a consolidated monthly Claims Report to the Contracting Officer's Representative (COR) no later than the fifteenth (15th) calendar day of each month following the reporting period, in a format approved by the COR.

8. Economic Price Adjustment

8.1 Premium Adjustment Based on Experience

(a) For health insurance, prices may be adjusted upward or downward based on the experience rating of the Mission(s) covered by this contract, and it specifically excludes all riders. No adjustment will be allowed during the first period.

(b) The Contractor or the Government may request an adjustment 60 days prior to the end of the first period or current ordering period, to take effect at the start of the subsequent ordering period. Adjustments are not retroactive to previous periods of performance, and Contractors may not seek to recover costs incurred during a prior period of performance through an Economic Price Adjustment. Economic Price Adjustments only apply as an adjustment to the rates to be charged by the Contractor for the services identified as in the contract, and cannot be recovered as a lump sum adjustment paid to the Contractor.

(c) Before any such adjustment is made, the Contractor agrees to provide the Government a balance sheet showing three main components for the time period:

- receipts (premiums received) minus the retention amount;

- number of insurance plans and

- claims paid.

This information shall be provided per type of premium, i.e. per line item for the preceding 12 months. The retention amount is not subject to adjustment.

(d) The U.S. Government reserves the right to have an independent third party review the balance sheet and claims and make recommendations regarding the appropriateness of the requested adjustment. Any adjustment shall be subject to the mutual agreement of the parties and shall result in a written modification to the contract. Mutually agreed-upon adjustments shall take effect as of the effective date specified in the fully executed contract modification. Any failure to reach agreement under this clause shall be subject to the procedures in the Disputes clause.

8.2 Premium Adjustment Based on Laws

The rates may also be adjusted during the performance period of the contract as a result of laws enacted by the host government, if such change in the laws has a direct impact on the cost to the contractor to perform this contract at the contracted rate. In that event, the Contracting Officer may enter into negotiations with the contractor to modify the contract to adjust the premium rate(s). The contractor agrees to provide all documentation necessary to support any requested adjustment.

8.3 Employee Pool

This clause is only in effect if the contractor included details in its offer regarding a pooling arrangement, of which this contract is a part.

Before any adjustment is made under this price adjustment clause, the contractor must include in its proposal for adjustment details setting forth how the pool impacts the request for equitable adjustment.

If the Contractor requests a price adjustment, it shall submit cost experience data that includes the fixed retention amount in the price schedule. This retention amount will not be subject to adjustment under this contract. It encompasses all non-claims-related costs, such as overhead, G&A, and profit.

SECTION II - BLANKET PURCHASE AGREEMENTS CLAUSES

FAR 52.252-2 Clauses Incorporated by Reference (Feb 1998) This BPA incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at: www.acquisition.gov.

The following clauses are incorporated by reference:

FAR 52.203-6, Restrictions on Subcontractor Sales to the Government Alternate I (Nov 2021) FAR 52.203-17, Contractor Employee Whistleblower Rights (Nov 2023) FAR 52.203-19, Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements (Jan 2017) FAR 52.204-9, Personal Identity Verification of Contractor Personnel (Jan 2011) FAR 52.204-91, Contractor Identification (Sep 2025) FAR 52.209-6, Protecting the Government's Interest when Subcontracting with Contractors Debarred, Suspended, Proposed for Debarment, or Voluntarily Excluded (Jan 2025) (RFO DEVIATION January 30, 2026) FAR 52.209-9, Updates of Publicly Available Information Regarding Responsibility Matters (Oct 2018) (RFO DEVIATION January 30, 2026) FAR 52.209-10, Prohibition on Contracting with Inverted Domestic Corporations (Nov 2015) (RFO DEVIATION January 30, 2026) FAR 52.212-4, Terms and Conditions—Commercial Products and Commercial Services (Nov 2023) (RFO DEVIATION January 30, 2026) FAR 52.222-50, Combating Trafficking in Persons (Oct 2025) (RFO DEVIATION January 30, 2026) FAR 52.224-3, Privacy Training (Jan 2017) FAR 52.225-5, Trade Agreements (Nov 2023) FAR 52.225-14, Inconsistency Between English Version and Translation of Contract (Feb 2000) FAR 52.226-8, Encouraging Contractor Policies to Ban Text Messaging While Driving (May 2024) FAR 52.229-6, Taxes-Foreign Fixed-Price Contracts (Feb 2013) FAR 52.229-12, Tax on Certain Foreign Procurements (Feb 2021) http://www.acquisition.gov/

FAR 52.232-34, Payment by Electronic Funds Transfer-Other than System for Award Management (Jul 2013) FAR 52.232-40, Providing Accelerated Payments to Small Business Subcontractors (Mar 2023) FAR 52.233-3, Protest After Award (Aug 1996) (RFO DEVIATION January 30, 2026) FAR 52.233-4, Applicable Law for Breach of Contract Claim (Oct 2004) (RFO DEVIATION January 30, 2026) FAR 52.237-3, Continuity of Services (Jan 1991) FAR 52.240-91, Security Prohibitions and Exclusions (RFO DEVIATION January 30, 2026) FAR 52.242-15, Stop-Work Order (Aug 1989) FAR 52.240-93, Basic Safeguarding of Covered Contractor Information Systems (RFO DEVIATION January 30, 2026) FAR 52.252-6, Authorized Deviations in Clauses (Nov 2020) DOSAR 652.229-701, Excise Tax Exemption Statement for Contractors Within the United States (Jul 1988) DOSAR 652.229-71, Personal Property Deposition at Posts Abroad (Aug 1999) DOSAR 652.232-70, Payment Schedule and Invoice Submission (Fixed-Price) (Aug 1999) DOSAR 652.242-73, Authorization and Performance (Aug 1999) DOSAR 652.243-70, Notices (Aug 1999) DOSAR 652.237-72, Observance of Legal Holidays and Administrative Leave (Feb 2015)

The following clause is provided in full text:

DOSAM 652.222-800 Recruitment of Third Country Nationals for Performance on Department of State Contracts

1. Where contracts exceeding the Simplified Acquisition Threshold will require the recruitment of Third Country Nationals (TCNs), the offeror is required to submit a Recruitment Plan as part of its proposal. Offerors providing employer furnished housing are required to submit a Housing Plan. All plans are assessed on a pass/fail basis.

2. Recruitment Plans must:

1 This clause applies to U.S.-based companies only.

a. State the anticipated number of workers to be recruited, the skills they are expected to have, and the country or countries from which the contractor intends to recruit them.

b. Explain how the contractor intends to attract candidates and the recruitment strategy including the recruiter.

c. State in the offer that the recruited employee will not be charged recruitment fees as defined in FAR 22.1702 and FAR 52.22-50. The contractor or employer pays the recruitment fees for the worker if recruited by the contractor or subcontractor to work specifically on Department of State contracts.

d. Recruitment fees included by the prime contractor in the contract price must be allowable by country law, allocable to the contract based on benefit to the program, and reasonable based on what a prudent businessperson would pay for similar expenses and charges. The reasonableness of recruitment fees should be assessed based on the reasonableness of the individual components.

e. State in the offer that the contractor’s recruitment practices comply with recruiting nation and host country labor laws.

f. State in the offer that the contractor has read and understands the requirements of FAR 52.222-50 Combating Trafficking in Persons.

g. Contractor will advise the Contracting Officer of any changes to the Recruitment Plan during performance.

3. The offeror will submit a Housing Plan if it intends to provide employer furnished housing for TCNs. The Housing Plan must describe the location and description of the proposed housing. Contractors must state in their offer that housing meets host country housing and safety standards and local codes.

Contractor shall comply with any Temporary Labor Camp standards contained in their contract. In contracts without a Temporary Labor Camp standard, a minimum of 70 square feet per employee must be allocated if an employee is housed individually; if housed together, a minimum of 50 square feet per employee must be allocated unless waived by the Contracting Officer. Contractor shall submit proposed changes to their Housing Plan to the Contracting Officer for approval.

4. Department of State contractor and subcontractors will prevent human trafficking and treat employees with respect and dignity by taking the following actions:

a. Contractor may not destroy, conceal, confiscate, or otherwise deny access to an employee’s identity documents, passports, or immigration documents.

Contractors and subcontractors are reminded of the prohibition contained in

Title 18, United States Code, Section 1592, against knowingly destroying, concealing, removing, confiscating, or possessing any actual or purported passport or other immigration document to prevent or restrict the person’s liberty to move or travel in order to maintain the services of that person, when the person is or has been a victim of a severe form of trafficking in persons. Contractor must be familiar with any local labor law restrictions on withholding employee identification documentation.

b. Contractor shall provide employees with signed copies of the/their employment contracts that are in a language the worker understands and define the terms of employment, compensation including salary, overtime rates, allowances, salary increases, job description, description of any employer provided housing, benefits including leave accrual, and information on whether hazardous working conditions are anticipated.

Contracts must be provided prior to employee departure from their countries of origin. Fraudulent recruiting practices, including deliberately misleading information, will be considered a material breach of this contract.

c. Contractor shall provide all employees with the Department’s “Know Your Rights” poster and document that employees have been briefed on the contents of the poster. The English language version is available at posters and accompanying directions or from the Contracting Officer.

d. Contractor shall display posters in worker housing advising employees in English and the dominant language of the TCNs being housed of the requirement to report violations of Trafficking in Persons to the company and the company’s obligation to report to the Contracting Officer. The poster shall also indicate that reports can also be submitted to the Office of the Inspector General (OIG) Hotline, StateOIG.gov/Hotline at 202-647-3320 or 1-800-409-9926 or via email at WPEAombuds@stateoig.gov.

e. Contractor shall brief employees on the requirements of the FAR 52.222-50 Combating Trafficking in Persons including the requirements against procuring commercial sex even in countries where it is legal and shall provide a copy of the briefing to the Contracting Officer’s Representative.

f. Contractor and subcontractors shall comply with sending and receiving nation laws regarding transit, entry, exit, visas, and work permits.

Contractors are responsible for repatriation of workers who have traveled from other countries for contract performance except an employee legally permitted to remain in the country of work and who chooses to do so;

including an employee who is a victim of trafficking seeking victim services mailto:WPEAombuds@stateoig.gov and/or legal redress in the country of employment and/or is a witness in a trafficking-related enforcement action.

g. Contractor shall monitor subcontractor compliance at all tiers. This includes verification that subcontractors are aware of, and understand, the requirements of FAR 52.222-50 Combating Trafficking in Persons and this clause. Contractors specifically agree to allow U.S. Government personnel access to contractor and subcontractor personnel, records, and housing for audit of compliance with the requirements of this clause.

h. The contractor agrees to include FAR Clause 52.222-50 Combating Trafficking in Persons in all subcontracts over the simplified acquisition threshold involving recruitment of third country nationals for subcontractor performance.

5. For contracts or subcontracts with performance overseas valued at $550,000 or more, other than those commercially available off-the-shelf items, offerors will certify with the submission of their proposal and annually thereafter that the contractor and subcontractors have a compliance plan in place appropriate to the size and nature of the program to prevent human trafficking and to comply with the provisions of this clause. The certification will confirm that, to the best of its knowledge and belief of the signatory, neither the prime nor its agents nor subcontractor have engaged in any trafficking related activities, including the procurement of a commercial sex act during the period of the contract, the use of forced labor in the performance of the contract, acts that support or facilitate trafficking in persons such as destroying or confiscating employees’ documents or failing to provide return transportation, soliciting employees by use of fraud or charging recruitment fees or providing sub-standard housing described in section 106(g) of the Trafficking Victims Protection Act (TVPA) or the prohibitions of this clause. The certification will also confirm that if any violations have been found, the contractor has taken the appropriate remedial and referral actions.

6. Contractors and subcontractors can find a model FAR compliance plan, a sample code of conduct, a supplier/subcontractor self-assessment questionnaire, and criteria to select and monitor labor recruiters among other tools on the Responsible Sourcing Tool website. The Responsible Sourcing Tool is designed to assist Federal contractors, procurement officials, and other stakeholders in identifying human trafficking or trafficking-related activities in their supply chains and developing effective management systems to prevent and address these issues.

Beyond the due diligence tools, the site enables federal contractors, acquisition officials, and other entities to visualize human trafficking risks by location, industry sector, and commodity.

(End of clause)

DOSAR 652.242-70 Contracting Officer’s Representative (COR) (Aug 1999)

(a) The Contracting Officer may designate in writing one or more Government employees, by name or position title, to take action for the Contracting Officer under this BPA. Each designee shall be identified as a Contracting Officer’s Representative (COR). Such designation(s) shall specify the scope and limitations of the authority so delegated; provided, that the designee shall not change the terms or conditions of the BPA, unless the COR is a warranted Contracting Officer and this authority is delegated in the designation.

(b) The COR for this BPA will be designated upon award.

(End of clause)

END OF SCHEDULE AND CLAUSES

SECTION II - BLANKET PURCHASE AGREEMENTS CLAUSES