SF-30 Solicitation Amendment 00001_RFP19HK3023R0001 SAM gov.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE

PAGE OF PAGES

1 7

2. AMENDMENT/MODIFICATION NO.

00001

3. EFFECTIVE DATE

October 13, 2023

4. REQUISITION/PURCHASE REQ. NO.

PR11856239

5. PROJECT NO. (If applicable)

6. ISSUED BY CODE

7. ADMINISTERED BY (If other than Item 6)

CODE

U.S. Consulate General Hong Kong

26 Garden Road

Hong Kong

HR

8. NAME AND ADDRESS OF CONTRACTOR (NO., street,city,county,State,and ZIP Code)

X 9a. AMENDMENT OF SOLICITATION NO.

19HK3023R0001

To Prospective Quoters

9b. DATED (SEE ITEM 11)

September 6, 2023 10a. MODIFICATION OF

CONTRACT/ORDER NO.

10b. DATED (SEE ITEM 13)

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

[ X ] The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

[ ] is extended, [X] 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 _______ copies of the amendment;(b) By acknowledging receipt of this amendment on each copy of the offer submitted; or(c) By separate letter or telegram 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 you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter 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 APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

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

CONTRACT ORDER NO. 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 purpose of this amendment is to modify the followings in the solicitation:

1) Section B.2.1 to B.2.6 are revised due to Section J updated.

2) Section J: Exhibits A and C are updated as of October 3, 2023

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 OF CONTRACTING OFFICER

Yvonne Waters

15B. NAME OF CONTRACTOR/OFFEROR

BY

(Signature of person authorized to sign)

15C.DATE

SIGNED

16B. UNITED STATES OF AMERICA

BY

(Signature of Contracting Officer)

16C.DATE

SIGNED

10/13/2023

NSN 7540-01-152-8070 Standard Form 30 (revised 10/83)

Previous edition unusable Prescribed by GSA FAR (48 CFR) 53.243

Solicitation # 19HK3023R0001

00001

Group Life Insurance to LE Staff

1. Section B.2.1 to B.2.5 are deleted in its entirely and replaced with the following:

B.2.1 Base Year of Contract

Biweekly Rates per Employee

In Hong Kong Dollars

Type of Insurance

Premium (Per 1,000 of

Salary)

Estimated Payroll (Bi-

Weekly in Thousand)* in Hong Kong Dollars Total**

a. Basic Life 7,537.48

b. Accidental Death & Dismemberment 7,537.48

c. Total & Permanent Disability Coverage 6,281.23

d. Suicide 1,742.31

e. Subtotal (a+b+c+d) 23,098.50

f. Total Price for Base Year (e x 26)

^ Round up to the contractor’s total price for one year and will be adjusted based on actual number of employees.

* For all covered individuals. Please see Exhibit A for Generic Listing of Employee & Salaries

** Total = (Premium + retention) x estimated biweekly payroll in thousands. Please state the currency.

B.2.2 First Option Year of Contract

Type of Insurance

Premium (Per 1,000 of

Salary)

Estimated Payroll (Bi-

Weekly in Thousand)* in Hong Kong Dollars Total**

a. Basic Life 7,537.48

b. Accidental Death & Dismemberment 7,537.48

f. Total Price for First Option Year (e x 26)

^ Round up to the contractor’s total price for one year and will be adjusted based on actual number of employees.

*For all covered individuals. Please see Exhibit A for Generic Listing of Employee & Salaries

**Total = (Premium + retention) x estimated biweekly payroll in thousands. Please state the currency.

B.2.3 Second Option Year of Contract

Type of Insurance

Premium (Per 1,000 of

Salary)

Estimated Payroll (Bi-

Weekly in Thousand)* in Hong Kong Dollars Total**

a. Basic Life 7,537.48

b. Accidental Death & Dismemberment 7,537.48

f. Total Price for Second Option Year (e x 26)

^ Round up to the contractor’s total price for one year and will be adjusted based on actual number of

**Total = (Premium + retention) x estimated biweekly payroll in thousands. Please state the currency.

B.2.4 Third Option Year of Contract

Type of Insurance

Premium (Per 1,000 of

Salary)

Estimated Payroll (Bi-

Weekly in Thousand)* in Hong Kong Dollars Total**

a. Basic Life 7,537.48

b. Accidental Death & Dismemberment 7,537.48

f. Total Price for Third Option Year (e x 26)

^ Round up to the contractor’s total price for one year and will be adjusted based on actual number of

**Total = (Premium + retention) x estimated biweekly payroll in thousands. Please state the currency.

B.2.5 Fourth Option Year of Contract

Type of Insurance

Premium (Per 1,000 of

Salary)

Estimated Payroll (Bi-

Weekly in Thousand)* in Hong Kong Dollars Total**

a. Basic Life 7,537.48

b. Accidental Death & Dismemberment 7,537.48

f. Total Price for Fourth Option Year (e x 26)

^ Round up to the contractor’s total price for one year and will be adjusted based on actual number of

**Total = (Premium + retention) x estimated biweekly payroll in thousands. Please state the currency.

B.2.6 Grand Total of Base plus All Option Years

Base Year Total

First Option Year Total

Second Option Year Total

Third Option Year Total

Fourth Option Year Total

Grand Total of Base plus All Option Years

2. Section J is deleted in its entirely and replaced with the following revised Exhibit A to C:

SECTION J

LIST OF EXHIBITS/ATTACHMENTS

EXHIBIT A – EMPLOYEE STATISTICS as of October 3, 2023

(i) Generic Listing of Participants for Life Insurance Age Age Age Age Age Age Age Age Age

20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64

M F M F M F M F M F M F M F M F M F

Monthly Base

Salary (HK$)

Less than

$10,000

$10,001 -

$20,000

2 2 1 2 1 1 1 3 2 4

$20,001 -

$30,000

3 1 2 5 4 2 6 3 1 2 3 8 3 4 1

$30,001 -

$40,000

2 4 1 2 3 2 6 2 2 6 3

$40,001 -

$50,000

1 2 1 1 1 1 1 1 1 1 6 5

$50,001 -

$60,000

1 3 2 1 1 1 5 4

$60,001 -

$70,000

1 1 1 1 2 1

$70,001 -

$80,000

1 1

$80,000 -

$90,000

1 1

$90,000 -

$100,000

Subtotal 0 0 4 3 4 8 10 10 9 8 4 7 7 9 15 23 12 18

Total number of employees

(ii) Estimated Payroll Bi-Weekly in Thousand

Estimated Payroll Bi-Weekly in Thousand

Type of Insurance Total (Total / 1000 / 26 Pay

Periods)

Total Monthly Base Salary (HK$) for 151 Employees HKD 5,443,735.28 (a) HKD 209.37

Total Monthly Base Salary (HK$) x 30 Months for 151

Employees

Partial and Total Disability

= (a) x 30 months HKD 163,312,058.40 HKD 6,281.23

300,000(HK$) for 151 employees

Suicide(Per Death)

= (a) x 34 months HKD 45,300,000.00 HKD 1,742.31

Total Monthly Base Salary (HK$) x 36 Months for 151

Employees

Natural Death / Terminal Illness/ Accidental or Work Related

Death/ Disability

= (a) x 36 months HKD 195,974,470.08 HKD 7,537.48

EXHIBIT B – EMPLOYEE STATISTICS FOR THE PAST 3 YEARS

08-01-20 to 07-31-21 163

08-01-21 to 07-31-22 151

08-01-22 to 07-31-23 152

EXHIBIT C – CLAIMS PAID OUT FOR THE PAST 3 YEARS.

No claims were paid out/incurred in the past 3 years from August 1, 2020 to July 31, 2023.

3. That all terms and conditions of the solicitation remain unchanged.