19GE5026Q0123-Attachment-3-Price-Schedule.xlsx

This is a Price Schedule attachment for Solicitation 19GE5026Q0123, a Request for Quotation (RFQ) for Locally Employed Staff Health Insurance Services at the U.S. Embassy Bishkek, Kyrgyzstan. The pricing template is structured as a firm-fixed price Indefinite Delivery/Indefinite Quantity (IDIQ) contract spanning a base year plus four optional one-year periods, with contract performance commencing no later than November 1, 2026. The Department of State Office of Acquisition Management is the procuring agency.

The price schedule requires offerors to provide bi-weekly rates for three health insurance coverage categories: Single Employees (Self Only) covering 40 members, Employee + 1 covering 47 members, and Family Plan covering 113 members. Offerors must complete columns for the bi-weekly rate and annual rate (calculated by multiplying the bi-weekly rate by 26 pay periods), with subtotals calculated by multiplying the number of members by the annual rate. The template includes separate pricing sections for the base year and each of the four optional years, as well as a separate section for monthly retention amounts. All pricing cells are currently shown as zero and require completion by the offeror. The estimated member quantities are identified as evaluation purposes only and do not bind the Government, with actual numbers potentially varying from the solicitation estimates.