Attachment 3 Price Proposal Breakdown.xlsx
XLSX spreadsheet 22 KB Posted
- Solicitation number
- 19GE5024R0023
About this file
This document is an Attachment 3 Price Proposal Breakdown for the federal contract opportunity 19GE5024R0023 for Health Insurance for Local Employed Staff (LES) at the U.S. Embassy in Luanda, Angola.
The price proposal breakdown provides pricing details for three contract line items (CLINs) covering employee-only, employee-plus-one, and family health insurance coverage for a base year and four option years. The required quantities and firm-fixed unit prices are provided for each CLIN. The total estimated cost for the base year and each option year is presented in a tabular format. The federal agency issuing this solicitation is the Department of State Office of Acquisition Management. Proposals are due by June 14, 2024, at 15:00 hours Central European Summer Time. Questions must be submitted by May 10, 2024, and responses will be provided prior to the proposal due date.
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ALL
| 19GE5024R0023 |
| Health Insurance for LES, U.S. Embassy Luanda |
PRICE PROPOSAL BREAKDOWN
| BASE YEAR | |||||||||
| A | B | C | D | E | F | G | |||
| CLIN | Description | Unit | Quantity | Month | Firm-fixed Price | Amount | |||
| [D x E x F] | Currency: | ||||||||
| 0001 | Employee Only Coverage (One Individual) | EA | 21 | 12 | |||||
| 0002 | Employee Plus One Coverage (Two Individuals) | EA | 15 | 12 | BASE YEAR | 0.00 | |||
| 0003 | Family Coverage (Three or More Individual) | EA | 125 | 12 | FIRST OPTION YEAR | 0.00 | |||
| GRAND TOTAL COST (CLINs 0001-0003) | - 0 | SECOND OPTION YEAR | 0.00 | ||||||
| THIRD OPTION YEAR | 0.00 | ||||||||
| FIRST OPTION YEAR | FOURTH OPTION YEAR | 0.00 | |||||||
| A | B | C | D | E | F | G | |||
| CLIN | Description | Unit | Quantity | Month | Firm-fixed Price | Amount | |||
| [D x E x F] | GRAND TOTAL | 0.00 | |||||||
| 1001 | Employee Only Coverage (One Individual) | EA | 21 | 12 | |||||
| 1002 | Employee Plus One Coverage (Two Individuals) | EA | 15 | 12 | |||||
| 1003 | Family Coverage (Three or More Individual) | EA | 125 | 12 | |||||
| GRAND TOTAL COST (CLINs 1001-1003) | - 0 |
| SECOND OPTION YEAR | ||||||
| A | B | C | D | E | F | G |
| CLIN | Description | Unit | Quantity | Month | Firm-fixed Price | Amount |
[D x E x F]
| 2001 | Employee Only Coverage (One Individual) | EA | 21 | 12 | |
| 2002 | Employee Plus One Coverage (Two Individuals) | EA | 15 | 12 | |
| 2003 | Family Coverage (Three or More Individual) | EA | 125 | 12 | |
| GRAND TOTAL COST (CLINs 2001-2003) | - 0 |
| THIRD OPTION YEAR | ||||||
| A | B | C | D | E | F | G |
| CLIN | Description | Unit | Quantity | Month | Firm-fixed Price | Amount |
[D x E x F]
| 3001 | Employee Only Coverage (One Individual) | EA | 21 | 12 | |
| 3002 | Employee Plus One Coverage (Two Individuals) | EA | 15 | 12 | |
| 3003 | Family Coverage (Three or More Individual) | EA | 125 | 12 | |
| GRAND TOTAL COST (CLINs 3001-3003) | - 0 |
| FIRST OPTION YEAR | ||||||
| A | B | C | D | E | F | G |
| CLIN | Description | Unit | Quantity | Month | Firm-fixed Price | Amount |
[D x E x F]
| 4001 | Employee Only Coverage (One Individual) | EA | 21 | 12 | |
| 4002 | Employee Plus One Coverage (Two Individuals) | EA | 15 | 12 | |
| 4003 | Family Coverage (Three or More Individual) | EA | 125 | 12 | |
| GRAND TOTAL COST (CLINs 4001-4003) | - 0 |
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