Attachment 3 - Form W-14.pdf

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Attached to
Health Insurance, US Embassy Maputo
Solicitation number
19GE5021R0052
Issued by

About this file

This document is a solicitation for health and life insurance services for locally employed staff at the US Embassy in Maputo, Mozambique. The Regional Procurement Support Office Frankfurt is seeking proposals by May 28, 2021 for insurance to cover locally employed staff at the embassy. Offerors should submit pricing in the attached Microsoft Excel spreadsheet and complete representations and certifications in Attachments 2 and 5. Proposals should be emailed to JacobsenW@state.gov and any questions submitted to that address by April 30. The Department of State Office of Acquisition Management will administer this contract for health and life insurance services benefitting locally employed staff at the US Embassy in Maputo, Mozambique.

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Other files

File Type Posted
19GE5021R0052 questions set two.pdf PDF
19GE5021R0052_0002.pdf PDF
Updated Attachment 1_Pricing.xlsx XLSX spreadsheet
Updated Exhibit A_Employee statistics list.xlsx XLSX spreadsheet
19GE5021R0052_00001 questions and answers.pdf PDF
Updated Attachment 1_Pricing.xlsx XLSX spreadsheet
19GE5021R0052_00001.pdf PDF
Exhibit A_MAPUTO MISSION EMPLOYEE STATISTICS.pdf PDF
Attachment 2_ Past Performance.docx DOCX document
19GE5021R0052.Maputo.pdf PDF
Attachment 1_Pricing.xlsx XLSX spreadsheet
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