19GE5026R0003 AMENDMENT 0001.pdf

Document Number: 19GE5026R0003 Page 1 of 2

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE RATING

2. AMENDMENT/MODIFICATION NUMBER

3. EFFECTIVE DATE

01/30/2026

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

FRANKCODE

AMERICAN CONSULATE GENERAL FRANKFURT

GIESSENER STRASSE 30

ATTN: RPSO

60435, FRANKFURT

DE

Sarah Pfannkuche

NAME

TEL.

pfannkuches@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

19GE5026R0003

CODE FACILITY CODE

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

X 9B. DATED (SEE ITEM 11)

12/10/2025

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.)

SEE CONTINUATION ON PAGE 2

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

Travis C 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

01/30/2026

NSN 7540-01-152-8070

Previous edition unusable

STANDARD FORM 30 (REV.

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

CGFS // CGFS

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

Document Number: 19GE5026R0003 Page 2 of 2

Continuation page of box 14:

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

This amendment is issued to:

1. Amend Attachment 5 - Employee Statistics to include Claims History data.

2. Add Attachment 6 to provide Questions and Answers.

3. Add Attachment 7 to provide a SAM registration guide.

4. Add Attachment 8 to provide SAM registration process.

5. Correct the reference provided in C.9.2 and C.9.3 from "C.7.1." to "C.9.1". The offeror shall replace page 14 with amended page 14 attached to this amendment.

6. Correct reference in Section IV, part 6.- Price Evaluation from "Attachment A" to "Attachment 1". The offeror shall replace page 71 with amended page 71 attached to this amendment.

7. Update List of Attachment provided in Section D.15. The offeror shall replace page 24 with amended page 24 attached to this amendment.

8. Extend the deadline for submission of proposals stated in Section III, Sub-Part F from February 6, 2026 to February 13, 2026 by 15:00 hours Central European Time (CET). The offeror shall replace page 62 with amended page 62 attached to this amendment.

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.

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

C.6 TERM OF ELIGIBILITY AND EFFECTIVE DATE:

Each current active eligible employee and their eligible dependents are enrolled for health benefits under this contract upon award and thereafter during the performance period of this contract. 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.

C.7 IDENTIFICATION OF ELIGIBLE EMPLOYEES AND DEPENDENTS:

U.S. Mission Harare, Zimbabwe 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.

C.8 ANNUAL MAXIMUM LIMIT

The maximum annual coverage per covered individual per contract year, not including expenses covered under HIV/AIDS benefits if selected by post, is $68,000.00.

C.9 BROCHURE REQUIREMENT – Reference corrected by amendment 0001 marked in red

C.9.1 The Contractor shall provide a document (brochure/pamphlet/other written document) in 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.

C.9.2 The Contractor shall provide the document described in C.9.1 to the COR not later than 15 days after date of contract award. The Contractor shall provide additional brochures for new employees within 10 days of the COR’s request.

C.9.3 The Contractor assumes full responsibility for ensuring that the document described in C.9.1 accurately reflects the requirements, coverage, and contract terms of the contract, as implemented by the Contractor’s technical proposal. In all cases, the contract 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 contract for the Contractor to fully comply with all contract terms.

C.10 KEY PERSONNEL

The U.S. Government considers the contractor’s project manager as key personnel for this contract meeting the following minimum requirements:

Definitions used for evaluation:

• Recency: work performed within the past five (5) years.

• Relevancy: work similar in scope, size, complexity, and operating environment (e.g., health insurance, claims processing, provider management, benefits administration, or similar services).

The Government may use:

• Information submitted by the Offeror

• Information obtained from references

• CPARS, FAPIIS, PPIRS, commercial records, or any reliable source.

The evaluation will assess:

1. Quality of service

2. Compliance with contract terms and conditions

3. Effectiveness of management

4. Willingness to cooperate with and assist the customer in routine matters, and when confronted by unexpected difficulties; and

5. Business integrity/business conduct.

Neutral Rating: If the Offeror has no recent/relevant past performance, the Government will assign a Neutral rating in accordance with FAR 15.305(a)(2)(iv). Neutral rating means that past performance cannot be rated positively or negatively.

Evaluation will consider capability, capacity, reliability, and infrastructure sufficiency.

6. PRICE EVALUATION - Reference corrected by amendment 0001 marked in red

The government will conduct a price analysis in accordance with FAR subpart 15.404-1 to determine the total offered price for the purpose of the Best Value technical trade-off analysis, establishing the best value award. The price analysis will be conducted based upon the data submitted in Attachment 1

- Price Proposal Breakdown, to include examination of the prices offered for the base and all option years. In evaluating the offerors proposed price, the Government will determine whether the proposed prices are reasonable based on competition. Certified cost and pricing data is not requested, but the government reserves the right to request certified cost and pricing data (if deemed necessary), in order to determine that the prices offered are fair and reasonable. The offeror’s total estimated price to include all option periods proposed in completed Attachment 1 will be compared to the other offeror’s total estimated price in the corresponding Attachment 1 in order to determine the price rankings and reasonableness of the technically evaluated offerors.

NOTE: Retention amounts proposed by the Offeror will be evaluated solely as part of the Price Evaluation.

Retention amounts will not be evaluated under the Technical Capability factor or under Past Performance.

Retention values are treated as pricing inputs that affect the Total Evaluated Price and will be

Contracting Officer’s Representative (COR):

*To be designated on award.

D.15 LIST OF ATTACHMENTS – AMENDED BY AMENDMENT 0001:

• Attachment 1: Price Proposal Breakdown

• Attachment 2: Form W-14

• Attachment 3: Form W-14 Instructions

• Attachment 4: Past Performance and Experience

• Attachment 5: Employee Statistic-amended

• Attachment 6: Questions and Answers

• Attachment 7: SAM registration guide

• Attachment 8: SAM registration process

(END OF SECTION I)

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(6) Date of issuance of the agreement and notarized signature of the corporate officials on behalf of each party.

The U.S. Government reserves the right to review the actual Joint Venture agreement to determine its basis and compliance with the applicable laws. Any internal agreement affecting the internal composition of the existing Joint Venture and its potential liabilities in relation to the contract (bonds, bank guarantees, insurance, etc) will be sent to the Contracting Officer to provide notice of the same.

Any change in the composition of the Joint Venture will require the Joint Venture to formally request a Novation Agreement in accordance with FAR Part 42 which will be approved/disapproved at the discretion of the Contracting Officer.

The Joint Venture shall include the warrant required in accordance with DOSAR 652.242-73, Authorization and Performance. A joint venture offeror must also have an active SAM registration pursuant to FAR 52.204-7.

D. PRE-PROPOSAL CONFERENCE

A virtual Pre-Proposal conference to discuss the terms and conditions of this solicitation and resulting contract and to explain the Instructions to Offerors for proposal submission will be held on Monday, January 12, 2026 at 10:00 Hours Central European Time (CET) via TEAMS.

Prior registration is required. Interested offerors shall register for the pre-proposal conference not later than 13:00 Hours Central European Time (CET), Friday, January 9, 2026, with the email addresses of all participants to PfannkucheS@state.gov.

E. SUBMISSION OF QUESTIONS

Any questions, comments, exceptions, or clarifications concerning any aspect of the solicitation shall be prepared in writing and submitted to Contract Specialist Sarah Pfannkuche at email PfannkucheS@state.gov, no later than 15:00 hours Central European Time (CET) on Friday, January 16, 2026. The email subject line must read “Questions 19GE5026R0003”.

Late questions may not be considered.

Offerors may rely ONLY upon written interpretations by the Contracting Officer.

DEADLINE OF SUBMISSION OF PROPOSALS AMENDED BY AMENDMENT 0001:

The proposals shall be submitted via email as soon as possible but not later than 15:00 hours Central European Time (CET) on Friday, February 13, 2026 to Sarah Pfannkuche at PfannkucheS@state.gov. The subject should read “Proposal 19GE5026R0003”.

DELIVERY VIA A CLOUD FILE STORAGE SERVICE (EG. GOOGLEDRIVE, ETC.) AND VIA

HYPERLINKS IS NOT PERMITTED.

Electronic proposals shall be submitted in a format readable by Microsoft (MS) Word, MS Excel, or Adobe PDF, as applicable.

mailto:PfannkucheS@state.gov mailto:PfannkucheS@state.gov

If the proposal is sent in multiple emails, the email shall be labeled accordingly (eg. file 1 of 2).

Individual emails may not exceed 50MB.

The Government shall not be responsible for an offeror being unable to successfully transmit emails due to any file size constraints of their email systems. Contractors shall ensure that emails have been transmitted and that messages have not been returned “undeliverable”.

LATE SUBMISSIONS SHALL NOT BE CONSIDERED.

(End of addendum)

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