SF-30 - Solicitation Amendment 19T04026R0001-P0002.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE PAGE OF PAGES

1 7

2. AMENDMENT/MODIFICATION NO.

19T04026R0001 P0002

3. EFFECTIVE DATE

March 5, 2026

4. REQUISITION/PURCHASE REQ. NO.

PR15128714-V3

5. PROJECT NO. (If applicable)

6. ISSUED BY CODE T0400 7. ADMINISTERED BY (If other than Item 6) CODE

American Embassy Lome

4332, Blvd Eyadema, BP 852 Lome Togo

Phone: 228 22 61 54 70 Fax: Fax:

228 22 61 5503/228 22 61 5504

General Services Office-

American Embassy Lome

4332, Blvd Eyadema, BP 852 Lome Togo

Phone: 228 22 61 54 70 Fax: Fax:

228 22 61 5503/228 22 61 5504

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

X

9a. AMENDMENT OF SOLICITATION NO.

19T04026R0001

9b. DATED (SEE ITEM 11)

February 06, 2026

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

[X ] 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 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 include the questions and answers received and provided on February

27, 2026, for clarification purposes only. See attached Q&A document.

All other terms and conditions remain unchanged

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

Amruta Dixit

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

NSN 7540-01-152-8070 Standard Form 30 (revised 10/83) Previous edition unusable Prescribed by GSA FAR (48 CFR) 53.243

1. Question

Could we please have a copy of the actual benefits applied, along with their limits and percentages of coverage?

➢ Answer #1:

Medical benefits categories, definitions and coverage percentages are included in

Section C of the solicitation.

2. Question :

Confirm that section C describes the actual applied benefits, and there is no deviation or adjustment for the coming contract?

➢ Answer #2:

Section C reflects the required benefits level. We have updated our medical benefit categories to align with worldwide best practices. Minimum Coverage levels are standardized at 50%, 80%, and 100%. Higher coverage may be provided by lowest cost, technically acceptable contract, or if local law includes higher coverage.

3. Question:

What do minimum and maximum premiums mean?

➢ Answer #3:

Per FAR 16.504(a)(1), “The contract must require the Government to order and the contractor to furnish at least a stated minimum quantity of supplies or services. In addition, if ordered, the contractor must furnish any additional quantities, not to exceed the stated maximum. The contracting officer should establish a reasonable maximum quantity based on market research, trends on recent contracts for similar supplies or services, survey of potential users, or any other rational basis.

Check the link https://www.acquisition.gov/far/part-16#FAR_16_504 for more information.

4. Question:

How many people is the proposal addressed to?

➢ Answer #4:

https://www.acquisition.gov/far/part-16#FAR_16_504

This is a Full and Open Competition type of solicitation posted on central hub for anyone wanting to do business with the government.

5. Question:

Is Medical insurance mandatory or voluntary for LES? Is it mandatory for their dependents?

➢ Answer #5:

Medical insurance coverage is mandatory in regards of the US Government regulations and therefore mandatory for the Locally Employed Staff and their dependents.

6. Question:

Please specify the territoriality of the contract. Is Coverage valid only in Togo, or as

GMC worldwide?

➢ Answer #6:

The territoriality of the contract is address in Section C, specifically in Section

C.1.1.1-Location of Employment, C.1.1.16-Out of Country Medical treatment and

C1.1.17-Out of Country Medical Travel.

7. Question:

Can you provide five years of loss experience by contractual year, including total incurred claims and membership history (of insured per each year). No confidential or personal information is required, only aggregated statistics for the group. Claims information is essential for pricing, and understanding the relationship between claims and changes in employee numbers is a critical part of any analysis

➢ Answer #7

We do not provide a calculated claims ratio. Historical Claims paid and estimated number of employees are found in section J, Exhibit A & D. Historical expenditures under the legacy contract can be found at fpds.gov.

8. Question:

Must all the section in the solicitation be filled out and added to proposal before submission

➢ Answer #8

Yes, complete all necessary sections. Please read carefully Section L for Instructions, conditions and notice to offerors. Paragraph L2 provides the required contents of the offers. The Section M also explains the evaluation factors for award

9. Question

Do you have preferred medical facilities? Is there a list of hospitals, clinics, or other medical providers preferred by embassy employees? If so, please share the list.

➢ Answer #9:

There are no preferred medical facilities, list of hospitals, clinics other healthcare providers.

10. Question:

Please where should we find the completed IRS Form W-14

➢ Answer #10:

This question is addressed in the Section I, Paragraph I.3.6 (c)(1) “52.229-12 Tax on

Certain Foreign Procurements”. A link to the IRS Form W-14 is provided in this paragraph.

11. Question

Is this call for tender only for insurers or are brokers also included?

➢ Answer #11:

This is a Full and Open Competition type of solicitation posted on central hub for anyone wanting to do business with the government.

12. Question

Should we add to the bid all the clauses listed

➢ Answer #12:

See Answer #8.

13. Question

There are mismatches in total numbers in Exhibit A paragraph 4 and Exhibit C paragraph 5 compared to the detailed gender and age range tables

➢ Answer 13

The question is addressed in the SF30 Amendment of the solicitation number

19T04026R0001-P00001

14. Question

The table titled “Claims Paid Out for the past three years” appear to represent the claims experience for Embassy Staff and the two riders. Could you please provide the corresponding covered population for the following period

• 02/28/2021-02/27/2022

• 02/28/2022-02/27/2023

• 02/28/2023-02/27/2024

➢ Answer 14

We do not provide a calculated claims ratio. Historical Claims paid and estimated number of employees are found in section J, Exhibit A, C & D. Historical expenditures under the legacy contract can be found at fpds.gov

See “Note to the Offerors” on page 83 of 147 of the solicitation.

15. Question

Is the solicitation available in French?

➢ Answer 15

No, it is only available in English.

16. Question

Could you kindly share the total claims in USD for the current underwriting year

2025-2026, up to the end of January 2026 and the related active population for the same period.

➢ Answer 16

We do not provide a calculated claims ratio. Historical Claims paid and estimated number of employees are found in section J, Exhibit A, C & D. Historical expenditures under the legacy contract can be found at SAM.gov/fpds

See “Note to the Offerors” on page 83 of 147 of the solicitation.

17. Question

The contract starts on February 28 of each year. However, as per the tender document page 23 of 147- Period of Performance, the contract start date is indicated as July 28, 2026. Could you please confirm whether an extension was applied from February 28, 2024, until July 27, 2025

➢ Answer 17:

This plan is likely to commence in August 2026 or shortly thereafter, depending on the contract award process. The current contract was extended to satisfy all necessary solicitation criteria.

18. Question

To complete the actuarial assessment, we kindly request your assistance in completing the tables below with the corresponding number of insured lives and total claims paid in US Dollar for each coverage category for the corresponding period.

➢ Answer 18:

We do not provide a calculated claims ratio. Historical Claims paid and estimated number of employees are found in section J, Exhibit A, C & D. Historical expenditures under the legacy contract can be found at SAM.gov/fpds

See “Note to the Offerors” on page 83 of 147 of the solicitation.

Frequently Asked Questions

Questions Answers

1. Could the embassy provide French version of the solicitation?

No

2. Could the option years be guaranteed? No

3. Do I have to include all option years in the proposal?

Yes

4. Could the contract be modified? Yes, by mutual agreement

5. Can the retention amount change after the award of the contract?

No

6. Do you accept late offers? Offers received after the deadline will be marked “LATE” and will not be considered

7. Do you accept electronic bids? Only completed packages will be accepted electronically