19SZ3526R0002 - solicitation for short term disability insurance.pdf

U.S. Mission Geneva Date: April 17th 2026

Dear Prospective Offeror:

Subject: Request for Proposals number 19SZ3526R0002

The U.S. Mission Geneva invites you to submit a proposal for locally employed staff short-term disability insurance coverage. The U.S. Mission encourages prospective offerors to offer off-the-shelf plans that meet at least the minimum benefit levels required in this solicitation.

The U.S. Government intends to award a contract to the responsible company submitting an acceptable offer at the lowest price. We intend to award a contract based on initial proposals, without holding discussions, although we may hold discussions with companies in the competitive range if there is a need to do so.

Proposals are due on May 18th, 2026, at 17:00pm. No proposals will be accepted after this time.

Proposals must be in English and incomplete proposals will not be accepted.

Your proposal must be submitted electronically to genevaProcurement2@state.gov. The file size must not exceed 30MB. If the file size should exceed 30MB, the submission must be made in separate files and attached to separate emails with less than 30MB each.

For a quotation to be considered, you must also complete and submit the following:

1. SF-33

2. Section B, Pricing Schedule.

3. Section B, Retention Amounts in B.3 and B.7.

4. Section K, Representations and Certifications; and

5. Additional information as required in Section L.

6. The Offeror should submit a completed IRS Form W-14, found at www.irs.gov/w14, to ensure compliance with FAR 52.229-11;”]

7. Proof of SAM Registration

Offerors shall be registered in the SAM (System for Award Management) database at https://www.sam.gov prior to submittal of their offer/proposal as prescribed under FAR 4.1102.

Sincerely, Gavin Elliott Contracting Officer

Enclosure:

19SZ3526R0002 – SHORT TERM DISABILITY SOLICITATION P a g e | 1

SOLICITATION, OFFER AND AWARD

1. THIS CONTRACT IS A RATED ORDER

UNDER DPAS (15 CFR 350)

RATING PAGE OF PAGES

1 | 70

2. CONTRACT (Proc. Inst. Ident.) NO.

3. SOLICITATION NO.

19SZ3526R0002

4. TYPE OF SOLICITATION

[] SEALED BID (IFB)

[x] NEGOTIATED (RFP)

5. DATE ISSUED

04/17/2026

6. REQUISITION/PURCHASE NO.

PR15903633

7. ISSUED BY CODE 8. ADDRESS OFFER TO (If other than item 7) U.S. Mission Geneva Route de pregny 11

1292 CHAMBESY

Phone : +41 22 749 4651

NOTE: In sealed bid solicitation "offer" and "offeror” mean "bid" and "bidder".

SOLICITATION

9. Sealed offers in original and copies for furnishing the supplies or services in the Schedule will be received at the place specified, in the depository located in Geneva until May 18th 2026 local time 5:00pm.

(hour) (date) CAUTION - LATE Submissions, Modifications, and Withdrawals: See Section L. Provision No. 52.215-1. All offers are subject to all tems and conditions contained in this solicitation.

10. FOR

INFORMATION

A. NAME

Danielle C Suberlucq

B. TELEPHONE

+41 22 749 4651

C. E-MAIL ADDRESS

suberlucqdc@state.gov

11. TABLE OF CONTENTS

(x) SEC. DESCRIPTION PAGE(S) (x) SEC. DESCRIPTION PAGE(S

PART I - THE SCHEDULE PART II - CONTRACT CLAUSES

X A SOLICITATION/CONTRACT FORM 1 X I CONTRACT CLAUSES 21

X B SUPPLIES OR SERVICE AND PRICES/COSTS 2 PART III - LIST OF DOCUMENTS, EXHIBITS, AND OTHER ATTACH.

X C DESCRIPTION/SPECS/WORK STATEMENT 9 X J LIST OF ATTACHMENTS 46

X D PACKAGING AND MARKETING 13 PART IV - REPRESENTATIONS AND INSTRUCTIONS

X E INSPECTION AND ACCEPTANCE 14 X K REPRESENTATIONS, CERTIFICATIONS, AND 47

X F DELIVERIES OR PERFORMANCE 16 OTHER STATEMENTS OF OFFERORS

X G CONTRACT ADMINISTRATION 17 X L INSTRS., COND., AND NOTICES TO OFFERORS 62

X H SPECIAL CONTRACT REQUIREMENTS 19 X M EVALUATION FACTORS FOR AWARD 68

OFFER (Must be fully completed by offeror) NOTE: ITEM 12 does not apply if the solicitation includes the provisions at 52.214-16, Minimum Bid Acceptance Period.

12. In compliance with the above, the undersigned agrees, if this offer is accepted within 120 calendar days (120 calendar days unless a different period is inserted by the offer) from the date for receipt of offers specified above, to furnish any or all items upon which prices are offered at the price set opposite each item, delivered at the designated point(s), within the time specified in the schedule.

13. DISCOUNT FOR PROMPT PAYMENT SEE 14

(See section I, Clause No 52.232-8)

10 CALENDAR

DAYS

20 CALENDAR DAYS

30 CALENDAR

DAYS

CALENDAR DAYS

14. ACKNOWLEDGMENT OF

AMENDMENTS

AMENDMENT NO. DATE AMENDMENT NO. DATE

(The offeror acknowledges receipt of amendments to the solicitation and related documents ) numbered and dated:

15A. NAME CODE FACILITY 16. NAME AND TITLE OF PERSON AUTHORIZED

AND

ADDRESS

OF

OFFEROR

TO SIGN OFFER (Type or print)

15B. TELEPHONE NO. (Include area code

15C. CHECK IF REMITTANCE

ADDRESS [ ] IS DIFFERENT FROM

ABOVE - ENTER SUCH ADDRESS

17. SIGNATURE 18. OFFER DATE

AWARD (To be completed by Government)

19. ACCEPTED AS TO ITEM NUMBERED

20. AMOUNT 21. ACCOUNTING AND APPROPRIATION

22. AUTHORITY FOR USING OTHER THAN FULL AND OPEN COMPETITION:

[ ] 10 U.S.C. 2304(c)( ) [ ] 41 U.S.C. 253(c)( )

23. SUBMIT INVOICES TO ADDRESS SHOWN

IN

(4 copies unless otherwise specified)

ITEM

24. ADMINISTRATION BY (If other than Item 7)

CODE

25. PAYMENT WILL BE MADE BY CODE

26. NAME OF CONTRACTING OFFICER (Type or print)

27. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

28. AWARD DATE

IMPORTANT - Award will be made on this form, or on the Standard Form 26, or by other authorized official written notice.

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SECTION B

PART I: PRICE – SHORT-TERM DISABILITY INSURANCE

DUE TO ILLNESS OR ACCIDENT

B.1. SHORT-TERM DISABILITY INSURANCE SERVICES

The Contractor shall provide Short-term disability Insurance services due to incapacity as a result of sickness or accident to employees of the Government of the United States of America in the U.S. Mission Geneva Switzerland. The Short-term disability insurance plan will provide up to 24 months of income replacement if an eligible employee is unable to work due to incapacity as a result of sickness or accident (work related or non-work related).

Minimum coverage: 80% The groups of employees who shall be provided with this insurance are listed in C.1.2. This insurance shall be provided in accordance with Section C and the Exhibits in Section J.

B.2. PRICES

B.2.1 Value Added Tax.

The Government will not reimburse the Contractor for VAT under this contract. The Contractor shall not include a line for VAT on Invoices as the U.S. Embassy has a tax exemption certificate with the host government.

B.2.2 This is a fixed price with economic price adjustment requirements type contract under which firm, fixed-price task orders will be issued.

Prices are in Swiss francs CHF The fixed prices/premium rates per one thousand salaries to provide disability coverage are as follows:

Contractors must submit separate pricing for

Option 1 (30-day waiting period) Option 2 (60-day waiting period)

The Government reserves the right to select either option based on its evaluation and budgetary considerations. Only the selected option will be implemented and funded under the resulting contract.

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% PERSUANT TO 26 U.S.C. 5000C.

19SZ3526R0002 – SHORT TERM DISABILITY SOLICITATION P a g e | 3

Category Estimated Payroll premium per 1,000 of salary Total

Option 1 - U.S.M employees insurance - 30 days waiting period - Male -

11,400,000 CHF - CHF

Option 1 - U.S.M employees insurance - 30 days waiting period - Female

3,500,000 CHF - CHF

Option 2 - U.S.M employees insurance - 60 days waiting period - Male

11,400,000 CHF - CHF

Option 2 - U.S.M employees insurance - 60 days waiting period - Female

3,500,000 CHF - CHF

- CHF

- CHF

Annual rate per employee

B.2.3. Base Year of Contract

Total Price for Base Year Option 2 Total Price for Base Year Option 1

Category Estimated Payroll premium per 1,000 of salary Total

Option 1 - U.S.M employees insurance - 30 days waiting period - Male -

11,400,000 CHF - CHF

Option 1 - U.S.M employees insurance - 30 days waiting period - Female

3,500,000 CHF - CHF

Option 2 - U.S.M employees insurance - 60 days waiting period - Male

11,400,000 CHF - CHF

Option 2 - U.S.M employees insurance - 60 days waiting period - Female

3,500,000 CHF - CHF

- CHF

- CHF

Annual rate per employee

B.2.4.First option Year of Contract

Total Price for First option year Option 2 Total Price for first option Year Option 1

19SZ3526R0002 – SHORT TERM DISABILITY SOLICITATION P a g e | 4 of salary Total

Option 1 - U.S.M employees insurance - 30 days waiting period - Male -

11,400,000 CHF - CHF

Option 1 - U.S.M employees insurance - 30 days waiting period - Female

3,500,000 CHF - CHF

Option 2 - U.S.M employees insurance - 60 days waiting period - Male

11,400,000 CHF - CHF

Option 2 - U.S.M employees insurance - 60 days waiting period - Female

3,500,000 CHF - CHF

- CHF

- CHF

Annual rate per employee

B.2.5.Second option Year of Contract

Total Price for second option year - Option 2 Total Price for second option Year - Option 1

Category Estimated Payroll premium per 1,000 of salary Total

Option 1 - U.S.M employees insurance - 30 days waiting period - Male -

11,400,000 CHF - CHF

Option 1 - U.S.M employees insurance - 30 days waiting period - Female

3,500,000 CHF - CHF

Option 2 - U.S.M employees insurance - 60 days waiting period - Male

11,400,000 CHF - CHF

Option 2 - U.S.M employees insurance - 60 days waiting period - Female

3,500,000 CHF - CHF

- CHF

- CHF

Annual rate per employee

B.2.6.Third option Year of Contract

Total Price for third option year - Option 2 Total Price for third option Year - Option 1

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B.2.8. Grand Total of Base plus All Option Years Option 1 - 30 days Option 2 - 60 days

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

Category Estimated Payroll premium per 1,000 of salary Total

Option 1 - U.S.M employees insurance - 30 days waiting period - Male -

11,400,000 CHF - CHF

Option 1 - U.S.M employees insurance - 30 days waiting period - Female

3,500,000 CHF - CHF

Option 2 - U.S.M employees insurance - 60 days waiting period - Male

11,400,000 CHF - CHF

Option 2 - U.S.M employees insurance - 60 days waiting period - Female

3,500,000 CHF - CHF

- CHF

- CHF

Annual rate per employee

B.2.7.Forth option Year of Contract

Total Price for forth option year - Option 2 Total Price for forth option Year - Option 1

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MINIMUM AND MAXIMUM AMOUNTS

During the Base Year of the contract, and during the option year that might be exercised, the United States Government (USG) shall place orders totaling a minimum of one hundred Swiss Francs (100.00 CHF). This reflects the contract minimum guarantee for each period of performance. The amount of all orders, for base and all option years shall not exceed four hundred thousand Swiss Francs (400,000.00 CHF) per year. This reflects the contract maximum.

of salary Total

Option 1 - U.S.M employees insurance - 30 days waiting period - Male -

5,700,000 CHF - CHF

Option 1 - U.S.M employees insurance - 30 days waiting period - Female

1,750,000 CHF - CHF

Option 2 - U.S.M employees insurance - 60 days waiting period - Male

5,700,000 CHF - CHF

Option 2 - U.S.M employees insurance - 60 days waiting period - Female

1,750,000 CHF - CHF

- CHF

- CHF

Annual rate per employee

B.2.9 Potential FAR 52.217-8 six-months extension

Total Price for Potential six-months extension - Option 2 Total Price for Potential six-months extension - Option 1

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B.3 ADMINISTRATIVE RETENTION AMOUNTS

B.3.1 If the Contractor requests a price adjustment under B.4 below, the Contractor must present cost experience data that includes the retention amount. For purposes of any economic price adjustment, this retention amount is a fixed amount that is a part of the premium amounts in B.2. This retention amount will not be adjusted for any reason.

The retention amount is part of the premium and may include, but not be limited to, such costs as overhead and general and administrative costs. It will also include any profit. Essentially, it includes all costs except the actual portion of the premium intended to fund claims paid to the health care provider/claimant. B.3.2 sets forth the retention amounts per premium paid for each category of premium and for each period of performance.

NOTE TO OFFEROR: Fill in the fixed bi-weekly retention amounts for each period of performance and for each category of premium. This fixed amount must be expressed in the currency in which the premium amount is proposed. The fixed retention amount shall NOT be expressed in terms of a percentage of the premium.

B.3.2 Retention Amounts per separate premium paid per single employee.

Period of Performance Employees

Base Period

First Option Year

Second Option Year

Third Option Year

Fourth Option Year

B.4. ECONOMIC PRICE ADJUSTMENT-SHORT-TERM DESABILITY INSURANCE

PREMIUM

B.4.1. Premium Adjustment Based on Experience - For short term disability insurance, prices may be adjusted upward or downward based on the experience rating of the Mission(s) covered by this contract. No adjustment will be allowed during the first twelve months. After such time, the Contractor or the Government may request an adjustment in premiums on an annual basis. Adjustments are not retroactive to previous contract terms. Before any such adjustment is made, the Contractor agrees to provide the Government a balance sheet showing three main components for the period: (1) receipts (premiums received) minus the retention amount, (2) number of insurance plans and (3) claims paid. This information shall be provided per type of premium, ie per line item. The retention amount is not subject to adjustment. The 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 mutual agreement of the parties and shall result in a written

19SZ3526R0002 – SHORT TERM DISABILITY SOLICITATION P a g e | 8 modification to the contract. Mutually agreed to adjustments shall be effective thirty days after complete information is received by the Government. Any failure to reach agreement under this clause shall be subject to the procedures in the Disputes clause.

B.4.2. 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. The Contractor agrees to provide all documentation necessary to support any requested adjustment.

B.4.2.1 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.

19SZ3526R0002 – SHORT TERM DISABILITY SOLICITATION P a g e | 9

SECTION C

DESCRIPTION/SPECIFICATION/WORK STATEMENT

C.1. SHORT-TERM DISABILITY INSURANCE

The Government of the United States of America requires short-term disability insurance coverage for its employees, as further described in C.1, in U.S. Mission Geneva Switzerland.

The Government has determined that the prevailing practice by employers in Switzerland is that short-term disability insurance coverage is representative of locally prevailing compensation practice and that the cost of such insurance protection is usually borne by the employer.

Therefore, the Government desires to adopt such locally prevailing practice as part of its compensation plan for its employees as further described in C.1 The specific group insurance coverage under this contract is set forth in this part of Section C and the Attachment in Section J.

Offerors shall provide separate pricing for Option 1 (30-day waiting period) and Option 2 (60-day waiting period) as specified in Section C. The Government will evaluate both options but will select and award only one option for performance. The Government reserves the right to select the option that represents the best value to the Government.

C.1.1. Short-term disability insurance Coverage.

The Contractor shall provide pricing for both Option 1 and Option 2 below. The Government will select only one option for implementation under this contract.

The amount of short-term disability insurance due to Illness or accident insurance coverage is as follows:

Option 1: 30-Day Waiting Period

Disability due to sickness: After thirty days (30), the insurer will provide short-term disability benefits for sickness equal to 80% of basic salary up to 24 months or until the employee is eligible for the long-term disability benefits under the Mission's pension plan, whichever comes first Minimum coverage: 80% Disability due to accident: After thirty days (30) of waiting period, the insurer will provide short-term disability benefits for work-related or non-work-related accidents equal to 80% of basic salary up to 24 months or until the employee is eligible for the long-term disability benefits under the Mission's pension plan, whichever comes first.

Minimum coverage: 80%

Option 2: 60-Day Waiting Period

Disability due to sickness: After sixty days (60), the insurer will provide short-term disability benefits for sickness equal to 80% of basic salary up to 24 months or until the employee is eligible for the long-term disability benefits under the Mission's pension plan, whichever comes first Minimum coverage: 80%

19SZ3526R0002 – SHORT TERM DISABILITY SOLICITATION P a g e | 10

Disability due to accident: After sixty days (60) of waiting period, the insurer will provide short-term disability benefits for work-related or non-work-related accidents equal to 80% of basic salary up to 24 months or until the employee is eligible for the long-term disability benefits under the Mission's pension plan, whichever comes first.

Minimum coverage: 80%

C.1.2 Loss-of-income insurance Benefits Conditions and Limitations

Conditions and limitations on the entitlement to short-term disability insurance benefits under this contract are as follows:

Short-term disability will take effect if the policy holder becomes incapacitated and hence unable to work due to illness or accident. The benefits are paid out as a daily allowance.

Loss-of-income insurance takes effect after the applicable waiting period as specified in the option selected by the Government: either thirty days (30) for Option 1 or sixty days (60) for Option 2.

The maximum duration of Loss-of-income insurance is twenty-four (24) months.

No benefit shall be payable under this contract if the employee's bodily injuries have been caused directly or indirectly and totally or partially by:

Violating the law or resisting detention or arrest, An accident resulting from the employee being under the influence of alcohol, drugs or other toxic substance unless administered by a physician.

Dependents are not covered.

Retirees are not covered.

C.1.3. Eligible Participants

C.1.3.1 Eligible Employees. The employees eligible for the short-term disability insurance coverage include the following:

Eligible employees are Locally Employed (LE) Staff who are (1) working on a full-time or part-time basis under non-temporary direct-hire appointments and under personal services agreements/contracts that are not time limited to less than one year and (2) paid under the terms of the Local Compensation Plan

C.1.3.2 Location of Employment

The individuals covered by C.1.1 must be employed within the geographic boundaries of U.S.

Mission Geneva 11 route de Pregny 1292 Chambesy Switzerland

C.1.4 Individuals not Eligible for Coverage

19SZ3526R0002 – SHORT TERM DISABILITY SOLICITATION P a g e | 11

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

and Peace Corps personal services contractors as indicated in MS 743..

C.1.5 Eligibility and Effective Date

C.1.5.1. Term of Eligibility and Effective Date

Each current active eligible employee is enrolled for short-term disability insurance benefits under this contract upon award and thereafter during the performance period of this contract. Each new eligible employee 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.

During a period of Leave Without Pay (LWP) or unpaid leave that is one pay period or less, coverage under the insurance contract will continue. The USG will pay the total premium cost to the Contractor.

C.1.5.2. Period of Ineligibility

Employees are not entitled to short-term disability insurance hereunder during any period of employment for which premiums are not paid.

During a period of extended (beyond one pay period) of Leave Without Pay

(LWP) or unpaid leave, the employee is responsible for the full cost of the insurance premiums. 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 that employee prefers not to pay the premium.

C.1.6. BROCHURE REQUIREMENT

C.1.6.1. The Contractor shall provide a document (brochure/pamphlet/other written document) in French and English that sets forth a complete listing of the short-term disability 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.1.6.2. The document described in C.2.7.1 shall be provided to the COR not later than 10 (ten) days after date of contract award. The Contractor shall provide additional brochures for new employees within ten days of the COR’s request.

C.1.6.3. The Contractor assumes full responsibility for ensuring that the document described in C.2.7.1 accurately reflects the requirements of the contract, as implemented by the

19SZ3526R0002 – SHORT TERM DISABILITY SOLICITATION P a g e | 12

Contractor’s technical proposal. In all cases, the contract shall take precedence. Should the COR discover that the brochure contains inaccuracies, the Contractor will be notified in writing;

however, failure on the part of the 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.2.0. DEFINITIONS

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 C.1.3 e

Employer The United States Government GSO General Services Officer in charge of the General Services Office at post.

This officer is usually the Contracting Officer (CO) for this contract.

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.

Salary Monthly salary is one-twelfth of the employee's annual basic salary, exclusive of premium pay, allowances, bonuses, or any other separate payments

19SZ3526R0002 – SHORT TERM DISABILITY SOLICITATION P a g e | 13

SECTION D

PACKAGING AND MARKING

D.1 Packaging Requirements

• Brochures shall be packaged to prevent damage in transit.

• Packing must protect documents from moisture, tearing, or crushing.

D.2 Marking Requirements

• Each box or bundle must be clearly marked with: • Contract number

• Contractor name

• “Brochures – English/French”

• Quantity enclosed

• Delivery location (e.g., COR name and office)

D.3 Delivery Instructions

• All brochures must be shipped/delivered to the COR (not directly to employees).

• Include any required delivery schedule or method (if applicable).

19SZ3526R0002 – SHORT TERM DISABILITY SOLICITATION P a g e | 14

SECTION E

INSPECTION AND ACCEPTANCE

E.1. 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

This contract 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. In addition, the full text of a clause may be accessed electronically at: Acquisition.gov this address is subject to change.

If the Federal Acquisition Regulation (FAR) is not available at the location indicated above, use the Department of State Acquisition website at e-CFR to see the links to the FAR. You may also use an Internet “search engine” (for example, Google, Yahoo or Excite) to obtain the latest location of the most current FAR.

THE FOLLOWING FEDERAL ACQUISITION REGULATION CLAUSE(S) IS/ARE

INCORPORATED BY REFERENCE:

CLAUSE TITLE AND DATE

52.246-4 INSPECTION OF SERVICES - FIXED PRICE (AUG 1996)

E.2. QUALITY ASSURANCE AND SURVEILLANCE PLAN (QASP)

This plan is designed to provide an effective surveillance method to promote effective Contractor performance. The QASP provides a method for the Contracting Officer's Representative (COR) to monitor Contractor performance, advise the Contractor of unsatisfactory performance, and notify the Contracting Officer of continued unsatisfactory performance. The Contractor, not the Government, is responsible for management and quality control to meet the terms of the contract.

The role of the Government is to conduct quality assurance to ensure that contract standards are achieved.

Performance Objective

PWS

Paragraph Performance Threshold Services

Performs all the insurance services set forth in the Performance Work Statement (PWS)

C.1.0 thru C.2.0

All required services are performed and no more than one

(1) customer complaint is received per month

E.2.1 Surveillance. The COR will receive and document all complaints from Government personnel regarding the services provided. If appropriate, the COR will send the complaints to the Contractor for corrective action.

19SZ3526R0002 – SHORT TERM DISABILITY SOLICITATION P a g e | 15

E.2.2 Standard. The performance standard is that the Government receives no more than one

(1) customer complaint per month. The COR shall notify the Contracting Officer of the complaints so that the Contracting Officer may take appropriate action to enforce the inspection clause (FAR 52.246-4, Inspection of Services – Fixed Price (AUG 1996) or the appropriate Inspection of Services clause), if any of the services exceed the standard.

E.2.3 Procedures

(a) If any Government personnel observe unacceptable services, either incomplete work or required services not being performed, they should immediately contact the COR.

(b) The COR will complete appropriate documentation to record the complaint.

(c) If the COR determines the complaint is invalid, the COR will advise the complainant. The COR will retain the annotated copy of the written complaint for his/her files.

(d) If the COR determines the complaint is valid, the COR will inform the Contractor and give the Contractor additional time to correct the defect, if additional time is available. The COR shall determine how much time is reasonable.

(e) The COR shall, as a minimum, orally notify the Contractor of any valid complaints.

(f) If the Contractor disagrees with the complaint and challenges the validity of the complaint, the Contractor will notify the COR. The COR will review the matter to determine the validity of the complaint.

(g) The COR will consider complaints as resolved unless notified otherwise by the complaint.

(h) Repeat customer complaints are not permitted for any services. If a repeat customer complaint is received for the same deficiency during the service period, the COR will contact the Contracting Officer for appropriate action under the Inspection clause.

19SZ3526R0002 – SHORT TERM DISABILITY SOLICITATION P a g e | 16

SECTION F

DELIVERIES OR PERFORMANCE

F.1. 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

they were given in full text. Upon request, the Contracting Officer will make their full text available. In addition, the full text of a clause may be accessed electronically at: Acquisition.gov this address is subject to change.

If the Federal Acquisition Regulation (FAR) is not available at the location indicated above, use the Department of State Acquisition website at e-CFR to see the links to the FAR. You may also

THE FOLLOWING FEDERAL ACQUISITION REGULATION CLAUSES ARE

INCORPORATED BY REFERENCE:

CLAUSE TITLE AND DATE

52.242-15 STOP WORK ORDER (AUG 1989)

52.242-17 GOVERNMENT DELAY OF WORK (APR 1984)

F.2 PERIOD OF PERFORMANCE. The performance period of this contract is one year beginning on July 1st, 2026, with four (4) one-year options to renew.

F.3 OPTIONS

(a) The Government may extend this contract in accordance with the option clause at Section I, clause I.2, FAR Clauses Incorporated by Full Text (FAR 52.217-9, Option to Extend the Term of the Contract), which also specifies the total potential duration of the contract.

(b) The Government may exercise the option set forth at Section I, "FAR 52.217-8, Option to Extend Services".

F.4 REPORTS AND OTHER DELIVERABLES

All reports and other deliverables required under this contract shall be delivered to the following address:

US MISSION GENEVA

ROUTE DE PREGNY 11

1292 CHAMBESY

SWITZERLAND

19SZ3526R0002 – SHORT TERM DISABILITY SOLICITATION P a g e | 17

SECTION G

CONTRACT ADMINISTRATION DATA

G.1. 652.242-70 CONTRACTING OFFICER’S REPRESENTATIVE (COR) (AUG 1999)

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

(b) The COR for this contract is the Human Resources Officer.

G.2 COR DUTIES

G.2.1 The COR is responsible for inspection and acceptance of services. These duties include review of Contractor invoices, including the supporting documentation required by the contract. The COR may provide technical advice, substantive guidance, inspections, invoice approval, and other purposes as deemed necessary under the contract.

G.2.2 In addition, the COR shall maintain updated list of employees and dependents insured, which will supersede the initial list provided under this contract and as reported to the insurer without prejudice to the ineligibility clause.

G.2.3. The COR has the additional responsibility of maintaining the eligible listing of employees and dependents for insurance coverage.

G.2.4 The COR may not change the terms and conditions of the contract. While the COR is authorized to provide the Contractor with updated listings of eligible employees and dependents, only the Contracting Officer may modify existing task orders or issue new task orders, reflecting these changes, since only the Contracting Officer can obligate funding and commit the Government.

G.3. Payment shall be made in Swiss Francs (CHF)

G.4 SUBMISSION OF INVOICES AND PAYMENT

G.4.1. Invoices for U.S. Government employees shall be submitted in an original and three (3) copies to the following address (designated billing office only for the purpose of submitting invoices):

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U.S. MISSION GENEVA

FMO, Billing Office

Route de Pregny 11

CP2354

1211 Geneva 2, Switzerland

GenevaFmoBilling@state.gov

G.4.2. Frequency of Payments. All funds under this contract will be obligated by issuance of task orders, as described in H.3. Each task order will fund a specific period of time and number of employees, and the task orders will be issued at the frequency described in H.3.

Contractor may submit invoices annually for payment to be made at the beginning of the year for which insurance coverage is provided in accordance with FAR 32.404.

G.4.3. U.S. Government Employees. The Government shall make payments directly to the Contractor for all Government employees, whether or not the employee is contributing to the premium amount.

G.5 REFUNDS TO THE GOVERNMENT

If at any time during performance of the contract the Government finds that the Contractor has been overpaid because the number of employees covered has decreased, the Contracting Officer may either allow that overpayment to be credited to the Government’s account or require that the Contractor refund the overpayment. If the Contracting Officer requests a refund, the Contractor shall make that refund to the Government within ten calendar days of receipt of the request.

G.6 VALUE ADDED TAX

VALUE ADDED TAX (VAT). The Government will not reimburse the Contractor for VAT under this contract. The Contractor shall not include a line for VAT on Invoices as the U.S.

Embassy has a tax exemption certificate with the host government.

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SECTION H

SPECIAL CONTRACT REQUIREMENTS

H.1 SECURITY. On occasion, a contractor employee may require entry into U.S.

Government-owned or -operated facilities. If so, the Contractor should be prepared to provide the necessary identification to permit escorted access within that facility.

H.2 STANDARDS OF CONDUCT. The Contractor shall maintain satisfactory standards of employee competency, conduct, cleanliness, appearance, and integrity and shall be responsible for taking such disciplinary action with respect to employees as may be necessary. Each Contractor employee is to adhere to standards that reflect credit on themselves, their employer, and the United States Government.

H.3 ORDERING PROCEDURES. The Government will issue a task order as soon as possible after contract award to identify all employees to be covered by the insurance described in this contract and the coverage selected by each employee.

The COR will make subsequent additions or deletions to this list in writing and provide the revised list to the Contractor. All such revisions shall be consolidated, and a new or modified task order will be issued by the Contracting Officer. If any changes have been made to the coverage listing, the Government anticipates issuance of a new task order on a quarterly basis.

This new task order will include all changes made since the previous task order was issued and will include any increase or decrease in necessary funding. The changes to the list of eligible individuals will supersede the initial list provided under prior task orders without prejudice to the ineligibility clause. Task orders will indicate the effective date of employment, for purposes of calculating the premium due.

H.4. CONTRACTOR RESPONSIBILITY IN CLAIMS AND REIMBURSEMENT TO

CLAIMANTS

General.

The Contractor shall be responsible for all planning, estimating, programming, project management, scheduling, dispatching, supervision, and inspection of work. The Contractor shall maintain his own reference library of technical reference works and local laws and regulations, including current tariffs and registries. The Contractor shall treat the information provided by the U.S. Mission concerning employee' personal data, medical information, and salaries as highly sensitive and not divulge any employee information to unauthorized persons. The Contractor shall establish procedures for handling medical insurance claims as follows:

(a) Administrative Records

(1) The Contractor shall maintain medical insurance files for each covered employee and each covered dependent including receipts and proof of paid claims, requests for claim reimbursements, and accounting of paid benefits with balances of amounts remaining in the annual per person reimbursement ceiling.

(2) The Contractor shall provide the COR with the necessary claim forms for each type of benefit that can be claimed under the contract. These forms specify a list of

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(3) The Contractor shall use the English spelling of the employees' names in all transactions, including reimbursement checks.

(4) The Contractor shall provide acceptance of the employee claim to the COR not later than one month after the claim has been submitted.

(5) The Contractor shall date stamp and screen all claims submitted on the day of receipt. If there are any missing documents or information thereby disallowing said claim to be payable, the Contractor shall notify the employee within two days, with a copy to the COR (if notification is written).

(6) The Contractor shall settle the claims no later than two weeks from the date the claim is submitted to the Contractor.

(7) Settlement shall be by issuance of funds transfer in the name of the employee or employer as requested by the COR for each claim submitted. Each funds transfer shall be accompanied by a form providing details of the amount reimbursed with an explanation of deductions, if any.

H.5. REPORT REQUIREMENTS.

Employee Claims Report. The report will list all claims paid by the Contractor to a claimant, including the name of the claimant, date claim is received by the Contractor, and the amount claimed. This report shall also include all outstanding claims and a brief description of why claim has not been paid.

H.6. MISCELLANEOUS CONTRACTOR REQUIREMENTS

H.6.1. General. The Contractor shall take all such steps as are necessary, and obtain and pay for all permits, taxes and fees as are required by the Swiss government to establish and/or operate a commercial venture locally. A contract with the U.S. Government conveys no special privileges or immunities to the Contractor. The Contractor is an independent commercial concern and not a part of the U.S. mission. The Contractor's employees are not U.S.

Government employees. Registration of this contract with the Swiss government, if required by law, will be the sole responsibility of the Contractor, and any fees, taxes, or other duties shall be payable by the Contractor without recourse to the Government of the amounts thereof.

H.6.2. Licenses and Local Laws. The Contractor shall possess all permits, licenses, and any other appointments required for the prosecution of work under this contract, all at no additional cost to the Government. The Contractor shall perform this contract in accordance with local laws.

H.7 ERRONEOUS PAYMENTS. If the Government becomes eligible for a refund of payment because of erroneous overpayment or other cause, the Contractor shall refund the amounts or use them to offset future payments owed by the Government, whichever the Government prefers. The Contractor shall refund any refunds not complete or discovered after the completion date of this contract.

H.8 REQUIRING ACTIVITY. The requiring activity under this contract is the U.S.

Embassy/Consulate.

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SECTION I

CONTRACT CLAUSES

I.1. 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

they were given in full text. Upon request, the Contracting Officer will make their full text available. In addition, the full text of a clause may be accessed electronically at: Acquisition.gov this address is subject to change.

If the Federal Acquisition Regulation (FAR) is not available at the location indicated above, use the Department of State Acquisition website at e-CFR to see the links to the FAR. You may also

THE FOLLOWING FAR CLAUSES ARE INCORPORATED BY REFERENCE:

CLAUSES TITLE AND DATE

52.202-1 DEFINITIONS (JUN 2020)

52.203-3 GRATUITIES (APR 1984)

52.203-5 COVENANT AGAINST CONTINGENT FEES (MAY 2014)

52.203-6 RESTRICTIONS ON SUBCONTRACTOR SALES TO THE

GOVERNMENT (JUN 2020)

52.203-7 ANTI-KICKBACK PROCEDURES (JUN 2020)

52.203-8 CANCELLATION, RESCISSION, AND RECOVERY

OF FUNDS FOR ILLEGAL OR IMPROPER ACTIVITY (MAY 2014)

52.203-10 PRICE OR FEE ADJUSTMENT FOR ILLEGAL OR IMPROPER

ACTIVITY (MAY 2014)

52.203-12 LIMITATION ON PAYMENTS TO INFLUENCE CERTAIN FEDERAL

TRANSACTIONS (JUN 2020)

52.203-17 CONTRACTOR EMPLOYEE WHISTLEBLOWER RIGHTS AND

REQUIREMENT TO INFORM EMPLOYEES OF WHISTLEBLOWER

RIGHTS (NOV 2023)

52.203-19 Prohibition on Requiring Certain Internal Confidentiality Agreements or

Statements (JAN 2017)

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52.204-4 RESERVED

52.204-10 REPORTING EXECUTIVE COMPENSATION AND FIRST-TIER

SUBCONTRACT AWARDS (JAN 2026)

52.204-13 SYSTEM FOR AWARD MANAGEMENT MAINTENANCE (JAN

2026)

52.204-18 RESERVED

52.204-19 INCORPORATION BY REFERENCE OF REPRESENTATIONS AND

CERTIFICATIONS (DEC 2014)

52.204-23 RESERVED

52.204-25 RESERVED

52.204-27 RESERVED

52.209-6 PROTECTING THE GOVERNMENT'S INTEREST WHEN

SUBCONTRACTING WITH CONTRACTORS DEBARRED,

SUSPENDED, OR PROPOSED FOR DEBARMENT (JAN 2026)

52.209-9 UPDATES OF PUBLICLY AVAILABLE INFORMATION

REGARDING RESPONSIBILITY MATTERS (JAN 2026)

52.215-2 AUDIT AND RECORDS – NEGOTIATION (JAN 2026)

52.215-8 ORDER OF PRECEDENCE--UNIFORM CONTRACT FORMAT (JAN

2026)

52.215-11 PRICE REDUCTION FOR DEFECTIVE CERTIFIED COST OR

PRICING DATA – MODIFICATIONS (JAN 2026)

52.215-13 SUBCONTRACTOR CERTIFIED COST OR PRICING DATA –

MODIFICATIONS (JAN 2026)

52.215-21 REQUIREMENTS FOR COST OR PRICING DATA OR

INFORMATION OTHER THAN COST OR PRICING DATA

MODIFICATIONS (JAN 2026)

52.222-19 CHILD LABOR – COOPERATION WITH AUTHORITIES AND

REMEDIES ((JAN 2026)

52.225-5 TRADE AGREEMENTS (NOV 2023)

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52.225-13 RESERVED

52.225-14 INCONSISTENCY BETWEEN ENGLISH VERSION AND

TRANSLATION OF CONTRACT (FEB 2000)

52.226-8 ENCOURAGING CONTRACTOR POLICIES TO BAN TEXT

MESSAGING WHILE DRIVING (MAY 2024)

52.228-3 WORKERS’ COMPENSATION INSURANCE (Defense Base Act)

(JUL 2014)

52.228-4 WORKERS COMPENSATION AND WAR-HAZARD INSURANCE

OVERSEAS (APR 1984)

52.228-5 INSURANCE-WORK ON A GOVERNMENT INSTALLATION (JAN

1997)

52.229-6 TAXES - FOREIGN FIXED-PRICE CONTRACTS (JUL 2025)

52.232-1 PAYMENTS ( APR 1984)

52.232-8 DISCOUNTS FOR PROMPT PAYMENT (FEB 2002)

52.232-11 EXTRAS (APR 1984)

52.232-17 INTEREST (MAY 2014)

52.232-18 AVAILABILITY OF FUNDS (APR 1984)

52.232-22 LIMITATIONS OF FUNDS (NOV 2025)

52.232-24 PROHIBITION OF ASSIGNMENT OF CLAIMS (MAY 2014)

52.232-25 PROMPT PAYMENT (JAN 2017)

52.232-32 PERFORMANCE-BASED PAYMENTS (APR 2012)

52.232-33 PAYMENT BY ELECTRONIC FUNDS TRANSFER - SYSTEM FOR

AWARD MANAGEMENT (OCT 2018)

52.232-34 PAYMENT BY EFT – OTHER THAN SAM (JULY 2013)

52.232-40 PROVIDING ACCELERATED PAYMENTS TO SMALL BUSINESS

SUBCONTRACTORS (MAR 2023)

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52.233-1 DISPUTES (JAN 2026)

52.233-3 PROTEST AFTER AWARD (JAN 2026)

52.233-4 APPLICABLE LAW FOR BREACH OF CONTRACT CLAIM

(JAN 2026)

52.237-2 PROTECTION OF GOVERNMENT BUILDINGS, EQUIPMENT, AND

VEGETATION (APR 1984)

52.237-3 CONTINUITY OF SERVICES (JAN 1991)

52.242-13 BANKRUPTCY (JULY 1995)

52.243-1 CHANGES - FIXED-PRICE (JUN 2025)

52.245-2 GOVERNMENT PROPERTY INSTALLATION OPERATION

SERVICES (APR 2012)

52.245-9 USE AND CHARGES (APR 2012)

52.246-25 LIMITATION OF LIABILITY – SERVICES (FEB 1997)

52.246-26 REPORTING NONFORMING ITEMS (AUG 2024)

52.248-1 VALUE ENGINEERING (JAN 2026)

52.249-2 TERMINATION FOR CONVENIENCE OF THE GOVERNMENT

(FIXED-PRICE) (APR 2012)

52.249-4 TERMINATION FOR CONVENIENCE OF THE GOVERNMENT

(SERVICES) (SHORT FORM) (APR 1984)

52.249-8 DEFAULT (FIXED-PRICE SUPPLY AND SERVICE) (APR 1984)

52.253-1 COMPUTER GENERATED FORMS (JAN 2026)

I.2. FEDERAL ACQUISITION REGULATION (FAR) CLAUSES INCORPORATED IN

FULL TEXT

52.212-4 TERMS AND CONDITIONS – COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES. (JAN 2026)

As prescribed in 12.205(b)(3), insert the following clause:

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(a) Definitions. The clause at Federal Acquisition Regulation (FAR) 52.202-1, Definitions, is incorporated by reference.

(b) Inspection/Acceptance. The Contractor shall only tender for acceptance those items that conform to the requirements of this contract. The Government reserves the right to inspect or test any supplies or services that have been tendered for acceptance. The Government may require repair or replacement of nonconforming supplies or reperformance of nonconforming services at no increase in contract price. If repair/replacement or reperformance will not correct the defects or is not possible, the Government may seek an equitable price reduction or adequate consideration for acceptance of nonconforming supplies or services. The Government must exercise its post acceptance rights—

(1) Within a reasonable time after the defect was discovered or should have been discovered; and

(2) Before any substantial change occurs in the condition of the item, unless the change is due to the defect in the item.

(c) Assignment. The Contractor or its assignee may assign its rights to receive payment due as a result of performance of this contract to a bank, trust company, or other financing institution, including any Federal lending agency in accordance with the Assignment of Claims Act (31 U.S.C. 3727). However, when a third party makes payment (e.g., use of the Governmentwide commercial purchase card), the Contractor may not assign its rights to receive payment under this contract.

(d) Changes. Changes in the terms and conditions of this contract may be made only by written agreement of the parties.

(e) Disputes. This contract is subject to 41 U.S.C. chapter 71, Contract Disputes. Failure of the parties to this contract to reach agreement on any request for equitable adjustment, claim, appeal, or action arising under or relating to this contract shall be a dispute to be resolved in accordance with the clause FAR 52.233-1, Disputes, which is incorporated in this contract by reference. The Contractor shall proceed diligently with performance of this contract, pending final resolution of any dispute arising under the contract.

(f) Excusable delays. The Contractor shall be liable for default unless nonperformance is caused by an occurrence beyond the reasonable control of the Contractor and without its fault or negligence. Examples of occurrences include acts of God or the public enemy, acts of the Government in either its sovereign or contractual capacity, fires, floods, epidemics, quarantine restrictions, strikes, unusually severe weather, and delays of common carriers. When an excusable delay occurs, the Contractor shall—

(1) Notify the Contracting Officer in writing as soon as possible;

(2) Remedy the delay as quickly as possible; and

(3) Notify the Contracting Officer when the occurrence is over.

(g) Invoice. 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 address designated in the contract to receive invoices. An invoice must include the information required by 5 CFR part 1315.9(b).

(h) Patent indemnity. The Contractor shall indemnify the Government and its officers, employees, and agents against liability, including costs, for actual or alleged direct or contributory infringement of, or inducement to infringe, any United States or foreign patent, trademark, or copyright, arising out of the performance of this contract, provided the Contractor is reasonably notified of such claims and proceedings.

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(i) Payment—

(1) Items accepted. Payment shall be made for items accepted by the Government that have been delivered to the delivery destinations set forth in this contract.

(2) Prompt payment. The Government will make payment in accordance with the Prompt Payment Act ( 31 U.S.C. 3903) and prompt payment regulations at 5 CFR part 1315.

(3) Discount. In connection with any discount offered for early payment, time shall be computed from the date of the invoice. For the purpose of computing the discount earned, payment shall be considered to have been made on the date that appears on the payment check or the specified payment date if an electronic funds transfer payment is made.

(4) Overpayments. If the Contractor becomes aware of a duplicate contract financing or invoice payment or that the Government has otherwise overpaid on a contract financing or invoice payment, the Contractor shall—

(i) Remit the overpayment amount to the payment office cited in the contract along with a description of the overpayment including the—

(A) Circumstances of the overpayment (e.g., duplicate payment, erroneous payment, liquidation errors, date(s) of overpayment);

(B) Affected contract number and delivery order number, if applicable;

(C) Affected line item or subline item, if applicable;

(D) Contractor point of contact; and

(ii) Provide a copy of the remittance and supporting documentation to the Contracting Officer.

(5)…