Att 1 - Pricing.xlsx

XLSX spreadsheet 28 KB Posted

Attached to
LE Staff Health and Group Life / Accidental Insurance - US Embassy Bridgetown, Barbados and US Embassy St. Georges, Grenada
Solicitation number
19GE5024R0008
Issued by

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This document is an attachment to a federal contract opportunity solicitation, specifically a pricing template for a health and life insurance contract for locally engaged staff at the U.S. Embassy Bridgetown, Barbados, and U.S. Embassy St. George's, Grenada.

The pricing template covers base year and four option years for health insurance (single, employee+1, and family plans) and life insurance (basic life and accidental death and dismemberment). The estimated number of employees and average biweekly payroll are provided as reference. Offerors are required to complete the highlighted cells with their proposed pricing. The overall grand total for the base year and four option years must be calculated. The related federal contract opportunity has a solicitation number of 19GE5024R0008 and is due by April 26, 2024, 15:00 German Time. Any questions regarding the solicitation must be submitted by April 12, 2024, 15:00 German Time.

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Other files

File Type Posted
Exh. E - Barbados LES basic salaries.pdf PDF
Exh. G - Claims over $10,000.pdf PDF
19GE5024R0008 0001.pdf PDF
Exh. C - Claims Report 2018 - 2024.pdf PDF
Questions-Answers 24R0008.pdf PDF
Exh. D - Claims data 2022 - 2023.pdf PDF
Exh. F - Grenada LES basic salaries.pdf PDF
Solicitation 24R0008.pdf PDF
Att 3 - W14 Certificate.pdf PDF
Exh. A - Employee Statistics.pdf PDF
Cover Letter 24R0008.pdf PDF
Att 4 - Instructions W-14.pdf PDF
Att 2 - Experience.pdf PDF
Exh. B - Salary Statistics.pdf PDF
Show all 14

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D.1 Health Insurance

D.1.1 Base year
CLIN 0001Bi weekly Rate per employeeestimated number of employees*rate per employeeBi-weekly total
0001aSingle Employees (Self only)600
0001bEmployee + 1420
0001cFamily Plan410
Sub Total0
Total Price for Base year**0
D.1.2 Option year one
CLIN 1001Bi weekly Rate per employeeestimated number of employees*rate per employeeBi-weekly total
1001aSingle Employees (Self only)600
1001bEmployee + 1420
1001cFamily Plan450
Sub Total0
Total Price for Option year one**0
D.1.3 Option year two
CLIN 2001Bi weekly Rate per employeeestimated number of employees*rate per employeeBi-weekly total
2001aSingle Employees (Self only)600
2001bEmployee + 1420
2001cFamily Plan450
Sub Total0
Total Price for Option year two**0
D.1.4 Option year three
CLIN 3001Bi weekly Rate per employeeestimated number of employees*rate per employeeBi-weekly total
3001aSingle Employees (Self only)600
3001bEmployee + 1420
3001cFamily Plan450
Sub Total0
Total Price for Option year three**0
D.1.5 Option year four
CLIN 4001Bi weekly Rate per employeeestimated number of employees*rate per employeeBi-weekly total
4001aSingle Employees (Self only)600
4001bEmployee + 1420
4001cFamily Plan450
Sub Total0
Total Price for Option year four**0
D.1.6 Grand Total for Base plus 4 Option Years
Base year total0
Option year one total0
Option year two total0
Option year three total0
Option year four total0
Grand Total Base plus 4 Option years0
highlighted cells to be completed by offeror
*estimated number of premiums does not include any Riders (III, D)
**does not include any premiums for Riders.
Note: All quantities are reasonable estimates per year based on past experience. They do not obligate the USG to order those quantities.

D.2 Life Insurance

D.2.1 Base year
CLIN 0002Bi weekly Rate per employeePremium per 1,000 of Salaryestimated avarage payroll (bi weekly in thousands)Bi-weekly total
0002aBasic Life12,298.070
0002bAccidental Death and Dismemberment12,298.070
Sub Total0
Total Price for Base year0
D.2.2 Option year one
CLIN 1002Bi weekly Rate per employeePremium per 1,000 of Salaryestimated avarage payroll (bi weekly in thousands)Bi-weekly total
1002aBasic Life12,298.070
1002bAccidental Death and Dismemberment12,298.070
Sub Total0
Total Price for Option year one0
D.2.3 Option year two
CLIN 2002Bi weekly Rate per employeePremium per 1,000 of Salaryestimated avarage payroll (bi weekly in thousands)Bi-weekly total
2002aBasic Life12,298.070
2002bAccidental Death and Dismemberment12,298.070
Sub Total0
Total Price for Option year two0
D.2.4 Option year three
CLIN 3002Bi weekly Rate per employeePremium per 1,000 of Salaryestimated avarage payroll (bi weekly in thousands)Bi-weekly total
3002aBasic Life12,298.070
3002bAccidental Death and Dismemberment12,298.070
Sub Total0
Total Price for Option year three0
D.2.5 Option year four
CLIN 4002Bi weekly Rate per employeePremium per 1,000 of Salaryestimated avarage payroll (bi weekly in thousands)Bi-weekly total
4002aBasic Life12,298.070
4002bAccidental Death and Dismemberment12,298.070
Sub Total0
Total Price for Option year four0
D.2.6 Grand Total for Base plus 4 Option Years
Base year total0
Option year one total0
Option year two total0
Option year three total0
Option year four total0
Grand Total Base plus 4 Option years0
highlighted cells to be completed by offeror
Note: All quantities are reasonable estimates per year based on past experience. They do not obligate the USG to order those quantities.

E.1 Retention amounts

Section 1, III Prices, E.1. Bi weekly administrative retention amounts
Period of PerformanceSingle Employees (Self Onyl)Employee + 1Family Plan
Base year
Option year one
Option year two
Option year three
Option year four
highlighted cells to be completed by offeror

Grand Total

Total estimated contract amount
Total Health Insurance0
Total Life Insurance0
Grand Total0
Currency:Barbados Dollars

File details come from the government source that posted it. Updated .