Attachment 1_Pricing.xlsx
XLSX spreadsheet 14 KB Posted
- Attached to
- Health Insurance, US Embassy Maputo
- Solicitation number
- 19GE5021R0052
About this file
This document includes a solicitation for health insurance services and an attached pricing table for a federal contract opportunity with the Department of State. The solicitation seeks proposals for providing health and life insurance to locally employed staff at the US Embassy in Maputo, Mozambique. Interested offerors must submit pricing in the attached Microsoft Excel spreadsheet by May 28, 2021 to be considered for the base year of performance from January 1, 2022 to December 31, 2022 as well as four option years extending to December 31, 2026. The pricing table includes estimated employee, spouse, and dependent counts and requires offered monthly rates and totals for the base and option years. The solicitation instructs offerors to submit proposals and any questions about the opportunity to the specified email address by the stated deadlines and to complete the representations and certifications in accordance with the instructions.
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Other files
| File | Type | Posted |
|---|---|---|
| 19GE5021R0052 questions set two.pdf | ||
| 19GE5021R0052_0002.pdf | ||
| Updated Attachment 1_Pricing.xlsx | XLSX spreadsheet | |
| Updated Exhibit A_Employee statistics list.xlsx | XLSX spreadsheet | |
| 19GE5021R0052_00001 questions and answers.pdf | ||
| Updated Attachment 1_Pricing.xlsx | XLSX spreadsheet | |
| 19GE5021R0052_00001.pdf | ||
| Exhibit A_MAPUTO MISSION EMPLOYEE STATISTICS.pdf | ||
| Attachment 2_ Past Performance.docx | DOCX document | |
| Attachment 3 - Form W-14.pdf | ||
| 19GE5021R0052.Maputo.pdf |
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Text version
Pricing Table CLIN 0001 Base Year of Contract - Performance Period :January 1,2022 - December 31,2022
| Monthly Rates per Employee | |||
| Category | Estimated Number | Rate per Premium | TOTAL |
| a. Employee | 447 | - 0 | |
| b. Employee's Spouse | 351 | - 0 | |
| c. Employee's Dependent Children | 970 | - 0 |
e.subtotal (a+b+c) - 0 f.Total Price for Base Year( e x 12 Months ) - 0
CLIN 1001 Option Year 1 of Contract - Performance Period :January 1,2023 - December 31,2023
| Monthly Rates per Employee | |||
| Category | Estimated Number | Rate per Premium | TOTAL |
| a. Employee | 447 | ||
| b. Employee's Spouse | 351 | ||
| c. Employee's Dependent Children | 970 |
e.subtotal (a+b+c) - 0 f.Total Price for Base Year( e x 12 Months ) - 0
CLIN 2001 Option Year 2 of Contract - Performance Period :January 1,2024 - December 31,2024
| Monthly Rates per Employee | |||
| Category | Estimated Number | Rate per Premium | TOTAL |
| a. Employee | 447 | - 0 | |
| b. Employee's Spouse | 351 | - 0 | |
| c. Employee's Dependent Children | 970 | - 0 |
e.subtotal (a+b+c) - 0 f.Total Price for Base Year( e x 12 Months ) - 0
CLIN 3001 Option Year 3 of Contract - Performance Period :January 1,2025 - December 31,2025
| Monthly Rates per Employee | |||
| Category | Estimated Number | Rate per Premium | TOTAL |
| a. Employee | 447 | - 0 | |
| b. Employee's Spouse | 351 | - 0 | |
| c. Employee's Dependent Children | 970 | - 0 |
e.subtotal (a+b+c) - 0 f.Total Price for Base Year( e x 12 Months ) - 0
CLIN 4001 Option Year 4 of Contract - Performance Period :January 1,2026 - December 31,2026
| Monthly Rates per Employee | |||
| Category | Estimated Number | Rate per Premium | TOTAL |
| a. Employee | 447 | - 0 | |
| b. Employee's Spouse | 351 | - 0 | |
| c. Employee's Dependent Children | 970 | - 0 |
e.subtotal (a+b+c) - 0 f.Total Price for Base Year( e x 12 Months ) - 0
| TOTAL FOR BASE + 4 OPTION YEARS | |
| Cost per Year | |
| Base Year Total | |
| Option Year 1 Total | - 0 |
| Option Year 2 Total | - 0 |
| Option Year 3 Total | - 0 |
| Option Year 4 Total | - 0 |
| Grand Total of Base Year plus all Option Years | - 0 | |
| CURRENCY: |
19GE5021R0052 – Health Insurance, US Embassy Maputo Attachment 1 Pricing Schedule
File details come from the government source that posted it. Updated .