Attachment 2 - Experience and Past Performance.docx

DOCX document 18 KB Posted

Attached to
Health and Life Insurance, US Embassy Cairo
Solicitation number
19GE5021R0009
Issued by

About this file

This document contains a federal contract solicitation and related attachments for health and life insurance services. The Regional Procurement Support Office in Frankfurt, Germany is seeking proposals on behalf of the U.S. Embassy in Cairo, Egypt for health and life insurance coverage for locally engaged staff. Offerors are invited to submit pricing using the attached Microsoft Excel spreadsheet by February 26, 2021 at 3:00pm German time. Proposals should be emailed to JacobsenW@state.gov with the subject line "Proposal 19GE5021R0009" and include completed representations and certifications in Section 5 as well as relevant past performance and experience details on the provided templates in Attachment 2. Questions are due by February 9th and responses will be anonymized and posted as an amendment. The Department of State Office of Acquisition Management is the contracting agency.

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Other files

File Type Posted
19GE5021R0009_0009.pdf PDF
DOB report_amendent 0009.xlsx XLSX spreadsheet
Attachment 1 - Pricing_amendment 0009.xlsx XLSX spreadsheet
Q and A set four 21R0009.pdf PDF
19GE5021R0009_0008.pdf PDF
19GE5021R0009_0007.pdf PDF
19GE5021R0009_0006.pdf PDF
Embassy Egypt CS Claims Analysis May 1 through Oct 31 2018.pdf PDF
19GE5021R0009_00005.pdf PDF
Claims Report_Life insurance_corrected_00004.xlsx XLSX spreadsheet
19GE5021R0009_0004.pdf PDF
DOB report_19GE5021R0009_A0003.pdf PDF
19GE5021R0009_00003_Q and A_set three.pdf PDF
19GE5021R0009_0003.pdf PDF
DEPENDENT_DATA_19GE5021R0009_A0003.pdf PDF
Claims Report_Life insurance.xlsx XLSX spreadsheet
19GE5021R0009_0002.pdf PDF
19GE5021R0009_Q and A_ set two.pdf PDF
19GE5021R0009_00001_Q and A_set one.pdf PDF
SAM.zip ZIP file
DOB report.pdf PDF
19GE5021R0009_00001.pdf PDF
Table of Benefits 2019.pdf PDF
Claims analysis.zip ZIP file
19GE5021R0009.pdf PDF
Attachment 3 - Form W-14.pdf PDF
Attachment 1 - Pricing.xlsx XLSX spreadsheet
Exhibits A_ B and C.pdf PDF
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Text version

Solicitation No. 19GE5020R0009 Attachment 2

CONTRACT INFORMATION SHEET / EXPERIENCE LISTING

Minimum 3 – maximum 5 contracts, 1 listing per contract

Experience and Past Performance

Offeror: __________________________________

(For Joint Venture Offeror) This project experience is being provided by

Name of firm

Contract Title:

Contact Location:

Contract number:

Owner of the project (to evaluate performance):

Phone number:

E-mail address:

Alternate point of contact (to evaluate performance):

Phone number:

E-mail address:

Role of the offeror on this contact (check one):

Prime Contractor joint Venture Partner

If Joint Venture, list other Joint Venture partner

If Joint Venture, state % of work that the offeror was responsible for %

Describe Contract in detail, including services that are similar to the project covered in this solicitation. Include all aspects of the Contract that will demonstrate relevancy, as described in the solicitation.

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