Attachment 1 Statement of Work.docx

Attachment 1 – Statement of Work (SOW)

Statement of Work (SOW) – Helicopter Liability Insurance Services Summary:

The contractor shall review these terms and conditions to examine its proposal as follows:

Procurement of Accidental Medical Expense and Liability Insurance policy for EIGHT (8) Bell twin engine UH-1ST helicopters, each with a standard configuration of ten (10) seats in the cabin and two (2) pilot seats in the cockpit, property of the U.S. Department of State, operating in support of official activities. Aircraft do not participate in commercial operations (i.e., flying passengers for hire, etc.).

Fleet Description:

1. Dual-engine UH-1ST helicopter - Serial Number 135116, Registration Number N91378

2. Dual-engine UH-1ST helicopter - Serial Number 158774, Registration Number N774WR

3. Dual-engine UH-1ST helicopter - Serial Number 158240, Registration Number N8528D

4. Dual-engine UH-1ST helicopter - Serial Number 160838, Registration Number N8529Q

5. Dual-engine UH-1ST helicopter - Serial Number 159194, Registration Number N194WB

6. Dual-engine UH-1ST helicopter - Serial Number 135109, Registration Number N83033

7. Dual-engine UH-1ST helicopter - Serial Number 135130, Registration Number N90845

8. Dual-engine UH-1ST helicopter - Serial Number 158274, Registration Number N274AW

Seat Configuration:

Per the helicopter operator’s manual, each aircraft can transport up to 10 passengers and 2 pilots. The crew chief is considered a crewmember and occupies a passenger seat in the cabin. The fleet’s current standard configuration is 6 passengers, 1 crew chief, and 2 pilots, but this may vary based on mission requirements, up to the maximum referenced above.

Type:

Seat insurance; Group insurance; Personal Accident Law and Jurisdiction:

Panama City, Republic of Panama Territorial Limits:

North, Central, and South America, including the Caribbean (excluding Cuba) Specific Requirements:

1. Insurance company (or service provider) shall have Spanish-speaking support staff with offices in the Republic of Panama.

2. Shall provide customer support in the Republic of Panama.

3. Shall be familiar with the Government of Panama’s Ministry of Public Security activities.

4. Shall have a minimum of three (3) years of satisfactory support.

5. When authorized by the insured, the Ministry of Public Security can act as the executive agent for coordinating and processing claims under this coverage.

Period:

One (1) year: 06/01/2026 – 05/31/2027 Interest:

Seat insurance, providing aviation accidental coverage for crew and passengers participating in official government support, flight training, border security, and humanitarian contingency operations.

Operating Time:

Coverage for up to twelve (12) manifested occupants per aircraft during aircraft loading and unloading, including flights to and from airports and unimproved landing zones throughout Panama and the territorial limits listed above. Operating hours do not exceed an average per aircraft of 250 hours per year.

Sum Insured:

Personal Accidents Benefits percentage of the sum insured (per person):

· Death: 100%

· Total and non-recoverable loss of sight in both eyes: 100%

· Total and non-recoverable loss of sight in one eye: 100%

· Loss of two limbs: 100%

· Loss of one limb: 100%

· Total and non-recoverable vision loss in one eye and the loss of an extremity: 100%

· Total and permanent disability: 100% (benefits other than 2-6 above)

· Passenger/Crew: US $100,000.00 per person Third Party Liability

· US $10,000,000.00 per event, covering aviation operations, border security, and humanitarian contingency operations.

Accidental Medical Expense

· Medical expense only payable for expenses occurring under the personal accident benefit clause.

· No deductible for each loss.

· Passenger/Crew: US $40,000.00 per person, any claim, in excess of $150 USD each and every loss.

Deductible

· Personal Accident: None Uses:

As required by the insured in support of official government support, training, border security, contingency operations, and support during natural disasters.

Crewmembers:

As approved by the insured. Pilots must have completed, at a minimum, an initial entry rotary wing pilot course or have reached an equivalent level of proficiency as prescribed in the U.S. Department of State Office of Aviation Aircrew Training Program.

Named Insured:

EMBAJADA DE LOS ESTADOS UNIDOS EN PANAMA. Names of pilots and crew members are not listed on the policy.

Loss Experience:

No losses in the last seven (7) years. No claims have been filed in the current period of coverage.

Claims Procedures:

All policy payments and claims shall be made in USD.

Aircraft Maintenance:

Each aircraft is subject to maintenance requirements according to the Original Equipment Manufacturers (OEM).

Inspection:

The helicopters are assigned to a U.S. Department of State Aviation Program in Panama that meets and maintains the Department of State Air Wing Aviation Safety, Logistics Quality Assurance, Maintenance, Quality Control, and Flight Training standards. The vendor is invited to inspect the program to verify the standards of operation.

Pilot Warranty:

Open warranty is preferred; named pilots are not required.