Attachment B - Pricing.xlsx

XLSX spreadsheet 17 KB Posted

Attached to
Accident Insurance for Locally Employed Staff (LES) - U. S. Embassy Brussels, Belgium
Solicitation number
19GE5026Q0001
Issued by

About this file

This file is a pricing attachment (Attachment B - Pricing.xlsx) for a solicitation for accident insurance for Locally Employed Staff (LES) at the U.S. Embassy in Brussels, Belgium. The pricing template requires offerors to complete pricing details for a base year and four option years, with a consistent estimated 271 premiums per year covering total salaries up to €55,841.37. The document includes separate pricing line items (CLINs) for accident insurance, with columns for total annual premium, taxes (3.29%), and total annual premium with taxes. Offerors must insert their price offer in the "Total annual premium" column and provide fixed monthly retention amounts for each performance period. The solicitation is issued by the Regional Procurement Support Office Frankfurt, Germany, under the Department of State Office of Acquisition Management, with a proposal submission deadline of December 4, 2025, at 15:00 hrs CET.

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Sheet1 Attachment II - Pricing

NOTE TO OFFEROR #1: Insert your price offer in Column E "Total annual premium" For the Base year and all Option Year periods
NOTE TO OFFEROR #2: For" Monthly Retention Amounts" fill in the fixed monthly retention amounts for each period of performance. This fixed amount shall be expressed in the currency in which the premium amount is proposed. The fixed retention amount shall NOT be expressed in terms of a percentage of the premium. (Columns C55 to C59)
Base Year
CATEGORYEstimated number of premiums*Total salaries legal coverage (EUR 0 -EUR 55,841.37Total annual premium EUR (Without taxes)Taxes (3.29%)Total Annual Premium (With taxes)
CLIN 001: Accident insurance for ONSS/RSZ Covered LES Employees27114,756,622.0700
Total price for the Base Year period**0
First Option Year
CATEGORYEstimated number of premiums*Total salaries legal coverage (EUR 0 -EUR 55,841.37Total annual premium EUR (Without taxes)Taxes (3.29%)Total Annual Premium (With taxes)
CLIN 101: Accident insurance for ONSS/RSZ Covered LES Employees27114,756,622.0700
Total price for the First Option Year period**0
Second Option Year
CATEGORYEstimated number of premiums*Total salaries legal coverage (EUR 0 -EUR 55,841.37Total annual premium EUR (Without taxes)Taxes (3.29%)Total Annual Premium (With taxes)
CLIN 201: Accident insurance for ONSS/RSZ Covered LES Employees27114,756,622.0700
Total price for the Second year period**0
Third Option Year
CATEGORYEstimated number of premiums*Total salaries legal coverage (EUR 0 -EUR 55,841.37Total annual premium EUR (Without taxes)Taxes (3.29%)Total Annual Premium (With taxes)
CLIN 301: Accident insurance for ONSS/RSZ Covered LES Employees27114,756,622.0700
Total price for the Third Option Year period**0
Fourth Option Year
CATEGORYEstimated number of premiums*Total salaries legal coverage (EUR 0 -EUR 55,841.37Total annual premium EUR (Without taxes)Taxes (3.29%)Total Annual Premium (With taxes)
CLIN 401: Accident insurance for ONSS/RSZ Covered LES Employees27114,756,622.0700
Total price for the Fourth Option Year period**0
* Estimated number of premiums does not include any Riders
** Does not include any premiums for Riders
Monthly Retention Amounts per separate premium paid by the U.S. Government:
Period of PerformanceONSS/RSZ Covered LES
Base Period
First Option Year
Second Option Year
Third Option Year
Fourth Option Year

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