Attachment 1 - Pricing_Amendment 0001.xlsx
XLSX spreadsheet 21 KB Posted
- Attached to
- LES Health Insurance, U. S. Embassy Malta
- Solicitation number
- 19GE5026R0020
About this file
This is a Pricing Schedule Amendment (Amendment 0001) for health insurance services for Locally Engaged Staff (LES) and their dependents at the U.S. Embassy Valletta, Malta under Solicitation No. 19GE5026R0020. The pricing template requires offerors to submit monthly and annual cost quotations in Euros across five contract periods: a base year and four option years. The staffing structure remains constant across all periods, consisting of 89 employees, 69 adult dependents, and 43 child dependents, organized into three cost line items per period (employees, adult dependents, and child dependents). Offerors must complete the Microsoft Excel spreadsheet by entering their proposed costs in Euros per month and per year for each category, then provide a grand total of base year plus all option year costs. The pricing must be submitted by March 11, 2026, at 14:00 hours Central European Time to Ms. Alexandra Perez Acevedo at PerezAcevedoA@state.gov with the email subject line "Proposal 19GE5026R0020." Offerors should note that currency selection is final and cannot be changed after submission, and all pricing documentation must be submitted as a completed Microsoft Excel file in accordance with the solicitation instructions outlined in Section III.
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Other files
| File | Type | Posted |
|---|---|---|
| Exhibit A Employees S - Amendment 0001.pdf | ||
| 19GE5026R0020_Amendment 001-signed.pdf | ||
| 19GE5026R0020 QAs Letter.pdf | ||
| Instructions Form W-14.pdf | ||
| Attachment 1 - Pricing.xlsx | XLSX spreadsheet | |
| Attachment 3 Form W-14.pdf | ||
| 19GE5026R0020 Cover Ltr-signed.pdf | ||
| Attachment 2 - Experience.pdf | ||
| 19GE5026R0020 - Combined Synopsis.pdf | ||
| Exhibit A Employees S.pdf |
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Text version
Pricing ALL OFFERORS SHALL SUBMIT A PRICING - Amendment 0001 SOLICITATION NO. 19GE5026R0020 - Health Insurance for Local Employeed Staff, U.S Embassy Malta
| CLIN | Category | Estimated number of employees | Cost in Euros / Month | Cost in Euros / Year |
| 001 | BASE YEAR | |||
| 001A | Employees | 89 | ||
| 001B | Adult Dependents | 69 | ||
| 001C | Child Dependents | 43 | ||
| TOTAL BASE YEAR |
| 1001 | OPTION YEAR ONE | Estimated number of employees | Cost in Euros / Month | Cost in Euros / Year |
| 1001A | Employees | 89 | ||
| 1001B | Adult Dependents | 69 | ||
| 1001C | Child Dependents | 43 | ||
| TOTAL OPTION YEAR ONE |
| 2001 | OPTION YEAR TWO | Estimated number of employees | Cost in Euros per month | Cost in Euros per year |
| 2001A | Employees | 89 | ||
| 2001B | Adult Dependents | 69 | ||
| 2001C | Child Dependents | 43 | ||
| TOTAL OPTION YEAR TWO |
| 3001 | OPTION YEAR THREE | Estimated number of employees | Cost in Euros per month | Cost in Euros per year |
| 3001A | Employees | 89 | ||
| 3001B | Adult Dependents | 69 | ||
| 3001C | Child Dependents | 43 | ||
| TOTAL OPTION YEAR THREE |
| 4001 | OPTION YEAR FOUR | Estimated number of employees | Cost in Euros per month | Cost in Euros per year |
| 4001A | Employees | 89 | ||
| 4001B | Adult Dependents | 69 | ||
| 4001C | Child Dependents | 43 | ||
| TOTAL OPTION YEAR FOUR |
| GRAND TOTAL OF BASE PLUS ALL OPTION YEARS |
| BASE YEAR TOTAL |
| OPTION YEAR ONE TOTAL |
| OPTION YEAR TWO TOTAL |
| OPTION YEAR THREE TOTAL |
| OPTION YEAR FOUR TOTAL |
| GRAND TOTAL |
| CURRENCY |
&"Times New Roman,Regular"&10 19GE5026R0020 _ Amendment 0001 Locally Engaged Staff Health Insurance, U.S. Embassy Malta &"Times New Roman,Regular"&10Attachment 1 Pricing Schedule
&1#&"Times New Roman"&10&K000000SENSITIVE BUT UNCLASSIFIED
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