Amendment 0002_19TH2025R0002_SIGNED.pdf

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 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 you 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.

E. IMPORTANT: Contractor is not is required to sign this document and return copies to the issuing office.

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE

2. AMENDMENT/MODIFICATION NUMBER 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQUISITION NUMBER 5. PROJECT NUMBER (If applicable)

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

STANDARD FORM 30 (REV. 11/2016)

Prescribed by GSA FAR (48 CFR) 53.243

FACILITY CODE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED (SEE ITEM 11)

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED (SEE ITEM 13)

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

The 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.

12. ACCOUNTING AND APPROPRIATION DATA (If required) copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS 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 data, 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)

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.

15C. DATE SIGNED

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

16C. DATE SIGNED

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

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

PAGE OF PAGES

6. ISSUED BY CODE

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

CODE

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

16B. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

Previous edition unusable

Amendment No. 0002 Solicitation No. 19TH2025R0002

1. SECTION C, DESCRIPTION/SPECIFICATION/WORK STATEMENT, is changed by deleting paragraph C.1.5.1(2) and replaced with the following:

(2) Paid under the terms of the Local Compensation Plan (LCP); and unless local law provides otherwise, working a regular tour of duty of 30 hours or more per week. Not eligible employees are those working under temporary direct hire appointment; those working on When Actually Employed (WAE) schedules; those working under PSC or PSA that is:

-Time limited to less than one year; non personal services contract personnel and their employees, supplied by an independent contractor licensed to do business in Thailand.

-who provides services to other local organizations as well as the U.S. Mission; employees of USAID institutional contractors; and Recreation Association employers.

2. SECTION C, DESCRIPTION/SPECIFICATION/WORK STATEMENT, is changed by deleting paragraph C.1.1.9 and replaced with the following:

C.1.1.9 Hearing Aids: Minimum Coverage –

Examination and Treatment: 80% Minimum Coverage

Hearing Aid Apparatus: Limited to one apparatus per ear up to a maximum of THB 51,795 per covered individual per three-year period with applicable cap. 80% Minimum Coverage: with annual cap. Any claim under this part shall be considered to initiate year one of a three-year period. Coverage shall not exceed the stated maximum within a period that includes the first contract year coverage under this section is used and the following two contract years. If after the completion of this three-year period the contract is still in force, coverage under this part up to the listed maximum shall once again be available to the insured, regardless of total years remaining on the overall contract. Contract year shall be understood to be the entire one-year period starting on the first day of coverage.

3. SECTION C, DESCRIPTION/SPECIFICATION/WORK STATEMENT, is changed by deleting paragraph C.1.1.10 and replaced with the following:

C.1.1.10 Optical Care: Minimum Coverage – 80%

Examinations and Treatment: 80% Minimum Coverage

Prescription lenses and frames, or contact lenses: The maximum coverage is THB 10,359 per covered individual every two years. 80% Minimum coverage; with applicable cap. Any claim under this part shall be considered to initiate year one of a two-year period. Coverage shall not exceed the stated maximum within a period that includes the first contract year coverage under

Amendment No. 0002 Solicitation No. 19TH2025R0002 this section is used and the following contract year. If after the completion of this two-year period the contract is still in force, coverage under this part up to the listed maximum shall once again be available to the insured, regardless of total years remaining on the overall contract.

Contract year shall be understood to be the entire one-year period starting on the first day of coverage.

GSO/Procurement 120-122 Wireless Rd., Lumpini, Pathumwan, Bangkok, Thailand 10330