Attachment 1 - Pricing Table Section 1.xlsx

XLSX spreadsheet 13 KB Posted

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Health Insurance Local Employed Staff, U. S. Embassy Valletta, Malta
Solicitation number
19GE5021R0035
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File Type Posted
Exhibit B - Dependents Estimate.pdf PDF
Form W-14.pdf PDF
19GE5021R0035 Cover Letter.pdf PDF
Attachment 2 - Experience.pdf PDF
Solicitation 19GE5021R0035-.pdf PDF
Exhibit A - Employee Statistic.pdf PDF

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Number Of Employees

Pricing Schedule
BASE YEAR
Sub-CLINDescriptionRate per monthRate per YearSubtotal
0001AEmployee
0001BAdult Dependent
0001CChildren Dependent
Base Year TOTAL
OPTION YEAR 1
Sub-CLINDescriptionRate per monthRate per YearSubtotal
1001AEmployee
1001BAdult Dependent
1001CChildren Dependent
OPTION YEAR 1 TOTAL
OPTION YEAR 2
Sub-CLINDescriptionRate per monthRate per YearSubtotal
2001AEmployee
2001BAdult Dependent
2001CChildren Dependent
OPTION YEAR 2 TOTAL
OPTION YEAR 3
Sub-CLINDescriptionRate per monthRate per YearSubtotal
3001AEmployee
3001BAdult Dependent
3001CChildren Dependent
OPTION YEAR 3 TOTAL
OPTION YEAR 4
Sub-CLINDescriptionRate per monthRate per YearSubtotal
4001AEmployee
4001BAdult Dependent
4001CChildren Dependent
OPTION YEAR 4 TOTAL- 0
TOTAL BASE + ALL OPTIONS
VAT (if applicable)Percentage: _______ %
GRAND TOTAL- 0

19GE5021R0035

Locally Engaged Staff Health Insurance U.S. Embassy Valletta, Republic of Malta Attachment 1 Pricing Schedule

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

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