Attachment I - Price schedule.xlsx
XLSX spreadsheet 21 KB Posted
- Attached to
- Health Insurance for Locally Employed Staff at the U. S. Embassy Bangui, Central African Republic
- Solicitation number
- 19GE5024R0095
About this file
This document is a Pricing Schedule attachment for a federal contract opportunity related to providing health insurance services for locally employed staff at the U.S. Embassy in Bangui, Central African Republic.
The Pricing Schedule lists the estimated number of employees, including employees, spouses, and dependent children, along with monthly premium amounts and total prices for the base year and four option years. The grand total price is listed as $0. The currency for the pricing is to be specified by the offerors. The related federal contract opportunity is Solicitation Number 19GE5024R0095, issued by the Department of State Office of Acquisition Management, seeking Health Insurance Services for Locally Employed Staff at the U.S. Embassy Bangui.
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Other files
| File | Type | Posted |
|---|---|---|
| QUESTIONS AND ANSWERS.pdf | ||
| 19GE5024R0095 0001.pdf | ||
| Attachment III - Instructions for W14 Form.pdf | ||
| 19GE5024R0095 Cover Letter.pdf | ||
| 19GE5024R0095.pdf | ||
| Attachment II - W14 Form.pdf |
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Text version
Pricing Schedule
| BASE YEAR | |||
| CLIN | Estimated Number of employees | Monthly premium | Total |
| 0001 Employee | 107 | - 0 | |
| 0002 Employee's Spouse | 86 | - 0 | |
| 0003 Employee's Dependent Children | 365 | - 0 |
Monthly total (0001 + 0002 + 0003) - 0
Total Price for Base Year (x 12 Months ) - 0
| OPTION YEAR ONE | |||
| CLIN | Estimated Number | Monthly premium | Total |
| 1001 Employee | 107 | - 0 | |
| 1002 Employee's Spouse | 86 | - 0 | |
| 1003 Employee's Dependent Children | 365 | - 0 |
Monthly total (1001 + 1002 + 1003) - 0
Total Price for Base Year (x 12 Months ) - 0
| 2001 OPTION YEAR TWO | |||
| CLIN | Estimated Number | Monthly premium | Total |
| 2001 Employee | 107 | - 0 | |
| 2002 Employee's Spouse | 86 | - 0 | |
| 2003 Employee's Dependent Children | 365 | - 0 |
Monthly total (2001 + 2002 + 2003) - 0
Total Price for Base Year (x 12 Months ) - 0
| 3001 OPTION YEAR THREE | |||
| CLIN | Estimated Number | Monthly premium | Total |
| 3001 Employee | 107 | - 0 | |
| 3002 Employee's Spouse | 86 | - 0 | |
| 3003 Employee's Dependent Children | 365 | - 0 |
Monthly total (3001 + 3002 + 3003) - 0
Total Price for Base Year (x 12 Months ) - 0
| 4001 OPTION YEAR FOUR | |||
| CLIN | Estimated Number | Monthly premium | Total |
| 4001 Employee | 107 | - 0 | |
| 4002 Employee's Spouse | 86 | - 0 | |
| 4003 Employee's Dependent Children | 365 | - 0 |
Monthly total (4001 + 4002 + 4003) - 0
Total Price for Base Year (x 12 Months ) - 0
| GRAND TOTAL | - 0 | |
| CURRENCY: | ||
| Offerors shall fill in prices in colum C "Monthly premium" as well as specify the currency of their offer in colum 53D. |
File details come from the government source that posted it. Updated .