Attachment 1 - Pricing.xlsx

XLSX spreadsheet 21 KB Posted

Attached to
LES Health Insurance, U. S. Embassy Malta
Solicitation number
19GE5026R0020
Issued by

About this file

This is a pricing template for health insurance services for locally engaged staff (LES) and their dependents at the U.S. Embassy in Valletta, Malta, under Solicitation No. 19GE5026R0020. The spreadsheet requires offerors to submit monthly and annual cost proposals in their chosen currency (which cannot be changed after submission) for a base year plus four option years. The pricing structure breaks down costs by three categories: employees (99 estimated), adult dependents (76 estimated), and child dependents (42 estimated), with separate line items for each year and a grand total section combining all base and option year costs.

Proposals must be submitted by March 11, 2026, at 14:00 hours Central European Time via email to Ms. Alexandra Perez Acevedo at PerezAcevedoA@state.gov with the subject line "Proposal 19GE5026R0020." The completed Attachment 1 pricing spreadsheet must be submitted as a Microsoft Excel file, while all other proposal documents should be in Microsoft Word or Adobe PDF format, with individual email file size limits of 50MB and no zipped files permitted. Offerors must have active SAM registration as a condition of award and must submit required representations, certifications, and Form W-14 if applicable, with all communications and award documents to be in English.

View the file

Other files

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

Pricing

ALL OFFERORS SHALL SUBMIT A PRICING

SOLICITATION NO. 19GE5026R0020 - Health Insurance for Local Employeed Staff, U.S Embassy Malta

CLINCategoryEstimated number of employeesCost in Euros / MonthCost in Euros / Year
001BASE YEAR
001AEmployees99
001BAdult Dependents76
001CChild Dependents42
TOTAL BASE YEAR
1001OPTION YEAR ONEEstimated number of employeesCost in Euros / MonthCost in Euros / Year
1001AEmployees99
1001BAdult Dependents76
1001CChild Dependents42
TOTAL OPTION YEAR ONE
2001OPTION YEAR TWOEstimated number of employeesCost in Euros per monthCost in Euros per year
2001AEmployees99
2001BAdult Dependents76
2001CChild Dependents42
TOTAL OPTION YEAR TWO
3001OPTION YEAR THREEEstimated number of employeesCost in Euros per monthCost in Euros per year
3001AEmployees99
3001BAdult Dependents76
3001CChild Dependents42
TOTAL OPTION YEAR THREE
4001OPTION YEAR FOUREstimated number of employeesCost in Euros per monthCost in Euros per year
4001AEmployees99
4001BAdult Dependents76
4001CChild Dependents42
TOTAL OPTION YEAR FOUR
GRAND TOTAL OF BASE PLUS ALL OPTION YEARS
BASE YEAR TOTAL
OPTION YEAR ONE TOTAL
OPTION YEAR TWO TOTAL
OPTION YEAR THREE TOTAL
OPTION YEAR FOUR TOTAL
GRAND TOTAL
CURRENCY

&"Times New Roman,Regular"&10 19GE5026R0020 Locally Engaged Staff Health Insurance, U.S. Embassy Malta &"Times New Roman,Regular"&10Attachment 1 Pricing Schedule

&1#&"Times New Roman"&10&K000000SENSITIVE BUT UNCLASSIFIED

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