Attachment 1 - Pricing.xlsx

XLSX spreadsheet 20 KB Posted

Attached to
Health insurance, US Embassy Ouagadougou, Burkina Faso
Solicitation number
19GE5024R0003
Issued by

About this file

This document contains a pricing table attachment for a federal solicitation seeking health insurance for locally engaged staff at the US Embassy in Ouagadougou, Burkina Faso. The pricing table lists estimated employee counts and leaves unit pricing blank for offerors to provide, for both a base year and four option years. Coverage options include individual, employee plus one, and family plans. The solicitation number is 19GE5024R0003 and was issued by the Department of State Office of Acquisition Management. The pricing table provides the framework for offerors to submit proposed rates for locally engaged staff health insurance over five potential years of performance at the US Embassy in Burkina Faso.

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Other files

File Type Posted
19GE5024R0003_0001.pdf PDF
Cover Letter_19GE5024R0003.pdf PDF
19GE5024R0003.pdf PDF
Attachment 3 - Form W-14.pdf PDF
Exhibit A - Employee Statistic.docx DOCX document
Attachment 2 - Past Performance.docx DOCX document

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Pricing Tables

19GE5024R0003 - Attachment 1 - Pricing
BASE YEAR
Sub-CLINDescriptionNumber of EmployeesUNITRate per monthRate per YearSubtotal
0001ASingle Employees (Self Only)41PER PERSON0- 0
0001BEmployee + 1 (either plus one spouse or plus one child)5PER COUPLE0- 0
0001CFamily Plan528PER FAMILY0- 0
BASE YEAR TOTAL- 0
OPTION YEAR 1
Sub-CLINDescriptionNumber of EmployeesUNITRate per monthRate per YearSubtotal
1001ASingle Employees (Self Only)50PER PERSON0- 0
1001BEmployee + 1 (either plus one spouse or plus one child)7PER COUPLE0- 0
1001CFamily Plan550PER FAMILY0- 0
OPTION YEAR 1 TOTAL- 0
OPTION YEAR 2
Sub-CLINDescriptionNumber of EmployeesUNITRate per monthRate per YearSubtotal
2001ASingle Employees (Self Only)55PER PERSON0- 0
2001BEmployee + 1 (either plus one spouse or plus one child)7PER COUPLE0- 0
2001CFamily Plan565PER FAMILY0- 0
OPTION YEAR 2 TOTAL- 0
OPTION YEAR 3
Sub-CLINDescriptionNumber of EmployeesUNITRate per monthRate per YearSubtotal
3001ASingle Employees (Self Only)60PER PERSON0- 0
3001BEmployee + 1 (either plus one spouse or plus one child)7PER COUPLE0- 0
3001CFamily Plan585PER FAMILY0- 0
OPTION YEAR 3 TOTAL- 0
OPTION YEAR 4
Sub-CLINDescriptionNumber of EmployeesUNITRate per monthRate per YearSubtotal
4001ASingle Employees (Self Only)65PER PERSON0- 0
4001BEmployee + 1 (either plus one spouse or plus one child)10PER COUPLE0- 0
4001CFamily Plan600PER FAMILY0- 0
OPTION YEAR 4 TOTAL- 0
GRAND TOTAL (BASE + ALL OPTIONS)- 0
Currency

SGE50017R0136

Locally Engaged Staff Health Insurance Attachment 1 Pricing Schedule

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