CC15HQQ0032_-_Accident_Insurance_RFQ.pdf

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CODE 18a. PAYMENT WILL BE MADE BY

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FACILITYCODE

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

OFFEROR

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524113

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% FOR:SET ASIDE:UNRESTRICTED OROCC

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

SMALL BUSINESS

05/04/2015 1700 ET

04/20/2015

ALLISON VEASLEY

(No collect calls)

INFORMATION CALL:

FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBER a. NAME

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

CC15HQQ0032

5. SOLICITATION NUMBER

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 1. REQUISITION NUMBER PAGE OF

1 71 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

15. DELIVER TO

Washington DC 20219

400 7TH STREET SW

Acquisitions Management

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

$38.5

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW

ISSUE DATE

DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

11.

SEE SCHEDULE

12. DISCOUNT TERMS

THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13a.

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

8(A)

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

Comptroller of the Currency

EDWOSB

NAICS:

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

Please see following pages for additional information.

(Use Reverse and/or Attach Additional Sheets as Necessary)

HEREIN, IS ACCEPTED AS TO ITEMS:

XX

DATED

MARGUERITE G. RUSSELL

. YOUR OFFER ON SOLICITATION (BLOCK 5),

INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER

ARE

ARE

31c. DATE SIGNED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (Type or print)

ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL

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27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

26. TOTAL AWARD AMOUNT (For Govt. Use Only)

OFFER

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

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ARE NOT ATTACHED.

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PREVIOUS EDITION IS NOT USABLE

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30a. SIGNATURE OF OFFEROR/CONTRACTOR

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25. ACCOUNTING AND APPROPRIATION DATA

29. AWARD OF CONTRACT:

REF.

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32c. DATE 32b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

40. PAID BY39. S/R VOUCHER NUMBER38. S/R ACCOUNT NUMBER

37. CHECK NUMBER

FINALPARTIAL

36. PAYMENT

FINALPARTIAL

35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER33. SHIP NUMBER

COMPLETE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

42d. TOTAL CONTAINERS42c. DATE REC'D (YY/MM/DD)

42b. RECEIVED AT (Location)

42a. RECEIVED BY (Print)

41c. DATE41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

STANDARD FORM 1449 (REV. 2/2012) BACK

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

71 2 of

CC15HQQ0032

Accident Insurance Program

SECTION B – SERVICES AND PRICES

B.1 GENERAL

The contractor shall provide the services specified in Section C, Performance Work Statement, of this contract for a one-year base period and four one-year option periods at the rates specified in each Contract Line Item Number (CLIN). These prices shall be in effect through the base period of the contract and through all option periods, if exercised.

The contractor shall underwrite and administer the Office of the Comptroller of the Currency’s (OCC’s) 24-Hour Personal Accident Insurance (24-Hour PAI) Program for OCC employees and their eligible family members and Business Travel Accident (BTA) Insurance Program for OCC and the Office of Financial Research (OFR) employees.

For the 24-Hour Personal Accident Insurance Program, the OCC employees pay 100 percent of the premium via payroll deductions on a bi-weekly basis. The OCC will remit 24 Hour premium payments electronically via its payroll vendor, the National Finance Center (NFC) on a biweekly basis. For the Business Travel Accident Insurance Program, the OCC pays 100 percent of the premium for its employees. The OCC will pay the Contractor the full yearly premium in a lump sum payment in January of each year after being invoiced by the Contractor.

B.2 CONTRACT LINE ITEM NUMBER (CLIN) DESCRIPTION AND

ARRANGEMENT

This contract will be a firm fixed price contract. The number of eligible employees enrolled in the 24-Hour Personal Accident and Business Travel Accident insurance plans is estimated and used for the purposes of establishing a funding amount for each performance period. The OCC employee population may fluctuate within each performance period resulting in an increase or decrease throughout the year (i.e., there may be a variation in quantity). The OCC will remit an annual premium payment for Business Travel Accident insurance based on the number of active employees at the performance period.

B.2.1 24-HOUR PERSONAL ACCIDENT AND BUSINESS TRAVEL ACCIDENT

PRICING

The total price for the base and option periods is anticipated to be $__________________ (based on covered payroll). The unit rates for this contract are fixed for each year as specified below.

Annual and monthly premium payments are to be based on the actual number of employees and the monthly payroll at the time of payment. Rates shall not include commissions/fees to any selling agent.

0001 Base Year (July 1, 2015 through December 31, 2015)

A. 24-Hour Personal Accident

Benefit Amount Employee

Only Employee and Family $ 50,000 $ $ $ 75,000 $ $ $100,000 $ $ $125,000 $ $ $150,000 $ $ $175,000 $ $ $200,000 $ $ $225,000 $ $ $250,000 $ $ $300,000 $ $ $350,000 $ $ $400,000 $ $ $450,000 $ $ $500,000 $ $

B. Business Travel Accident

Maximum Estimated Total Price for Base Year (based on covered payroll)

$1,000,000 $

0002 Option Year 1 (January 1, 2016 through December 31, 2016)

A. 24-Hour Personal Accident

Benefit Amount Employee

Only Employee and Family $ 50,000 $ $ $ 75,000 $ $ $100,000 $ $ $125,000 $ $ $150,000 $ $ $175,000 $ $ $200,000 $ $ $225,000 $ $ $250,000 $ $ $300,000 $ $ $350,000 $ $ $400,000 $ $

Maximum Estimated Total Price for Option Year 1 (based on covered payroll)

$1,000,000 $

0003 Option Year 2 (January 1, 2017 through December 31, 2017)

A. 24-Hour Personal Accident

Benefit Amount Employee

Only Employee and Family $ 50,000 $ $ $ 75,000 $ $ $100,000 $ $ $125,000 $ $ $150,000 $ $ $175,000 $ $ $200,000 $ $ $225,000 $ $ $250,000 $ $ $300,000 $ $ $350,000 $ $ $400,000 $ $

$1,000,000 $

0004 Option Year 3 (January 1, 2018 through December 31, 2018)

A. 24-Hour Personal Accident

Benefit Amount Employee

Only Employee and Family $ 50,000 $ $ $ 75,000 $ $ $100,000 $ $

$125,000 $ $ $150,000 $ $ $175,000 $ $ $200,000 $ $ $225,000 $ $ $250,000 $ $ $300,000 $ $ $350,000 $ $ $400,000 $ $

$1,000,000 $

0005 Option Year 4 (January 1, 2019 through December 31, 2019)

A. 24-Hour Personal Accident

Benefit Amount Employee

Only Employee and Family $ 50,000 $ $ $ 75,000 $ $ $100,000 $ $ $125,000 $ $ $150,000 $ $ $175,000 $ $ $200,000 $ $ $225,000 $ $ $250,000 $ $ $300,000 $ $ $350,000 $ $ $400,000 $ $

$1,000,000 $

SECTION C – PERFORMANCE WORK STATEMENT (PWS)

C.1. INTRODUCTION

The Office of the Comptroller of the Currency (OCC), headquartered at 400 7th Street, SW, Washington, DC 20219, is a non-appropriated federal financial regulatory bureau of the Department of the Treasury. The OCC charters, regulates, and supervises national banks, including supervision of federal branches and agencies of foreign banks. The OCC employs approximately 4,000 and there are approximately 1,000 employees at its headquarters location in Washington, DC. There are other employees in primary locations in Chicago, Dallas, Denver, Houston and New York. There are also employees who work in approximately 70 cities nationwide, including less than 10 employees in London.

The OCC is unique from most other federal government agencies because it has independent authority to offer its employees compensation and benefit programs that are not offered by other agencies. The OCC sponsored benefit programs include, but are not limited to, dental, vision, group life insurance, accidental, death & dismemberment (AD&D) insurance, flexible spending accounts, short and long-term disability and 401(k) programs.

OCC, as a governmental plan, is specifically exempted from Title I of ERISA.

C.2. SCOPE OF WORK

C.2.1. General

The OCC follows the procurement rules of the Federal Acquisition Regulations (FAR) and due to the upcoming expiration of the current contract with the Federal Insurance Company, referred to as Chubb on June 30, 2015, the OCC is required to undergo a competitive procurement process to award a new contract commencing July 1, 2015 for AD&D insurance for employees.

OCC is seeking an experienced and qualified Contractor to underwrite AD&D insurance for its 24-Hour Personal Accident (24-HR PAI) and Business Travel Accident (BTA) insurance programs. Also, under this contract, the Contractor is expected to insure approximately 250 employees who work for the Office of Financial Research (OFR). OFR was established as a result of Dodd-Frank as a small office within the Department of the Treasury and was given the same independent authority as the OCC to offer its employees other benefits that are not normally offered by the federal government. OFR determined that it would be best served by being a participating group under the OCC’s AD&D contract. In 2011, OFR chose to become a participating group only in the OCC’s BTA program (not the 24-HR PAI).

OCC will not utilize the services of an outside broker or consultant to assist with this procurement process. The OCC is seeking to contract with a single Contractor for services required under this contract.

In support of OCC’s efforts to educate its employees on the benefits of AD&D insurance coverage and wellness, the Contractor is expected to do the following:

Attend an onsite, one-day, benefits fair that is generally held in November of every year at OCC’s headquarters location at 400 7th Street, SW, Washington, DC. The Contractor shall supply program materials and giveaways for approximately 400 employees and be prepared to answer employee questions concerning the 24-HR PAI and BTA programs.

Provide in electronic form all documents and program brochures in support of the administration of the 24-HR PAI and BTA programs that can be posted on OCC’s intranet site.

Support OCC’s wellness initiatives by arranging for the attendance of a health or safety vendor at an OCC sponsored wellness event to be held annually starting in 2016 at OCC’s headquarters location. The Contractor shall be notified at least 120 days prior to the scheduling of the event.

The Contractor is expected to provide services in accordance with this Performance Work Statement (PWS) regardless of the actual amount of services or fluctuation in services. There is no guaranteed minimum amount of services to be covered. Any information in this PWS regarding estimated or historical services is intended to aid the Contractor in understanding the requirements associated with the services and in submitting an appropriate bid/proposal.

C.2.2. Eligibility

Employees who are hired on a full-time, part-time, or temporary appointment that is expected to last for more than one year can be participants. Employees can elect to provide coverage for their eligible dependents under the 24-HR PAI program. Eligible dependents are defined as follows:

• A lawful spouse or domestic partner (same or opposite sex);

• Children (defined as a natural, step, foster, legally adopted or child of the domestic partner) up to age 22 or up to age 25 if the child is a full-time student; and

• A child age 22 or older who is incapable of self-supported due to a physical or mental disability that existed before the child reached age 22.

For employee census data as of February 1, 2015, refer to Attachment 1 for the OCC population and Attachment 2 for the OFR population. The headcount for OCC and OFR is not expected to increase above 4,000 and 250 respectively over the next 10 years. The Contractor shall insure all employees, regardless of their work location (both U.S. and international work locations).

C.2.3. Enrollment Opportunities and Effective Dates

Employees must submit a completed enrollment form in order to participate in the 24-HR PAI program. An employee’s participation in the BTA is automatic (no enrollment form required).

Below is a chart that identifies instances when an employee’s enrollment starts under the 24- HR PAI and BTA programs, as well as the effective dates of those enrollments.

Enrollment Opportunity Description Effective Date New Hire or Change in Employment

Employee hired by the OCC or OFR on an appointment type that makes them eligible to enroll to participate in the 24-HR PAI and BTA programs.

Election of 24-HR PAI coverage will become effective on the first day of the pay period following receipt of the completed form by OCC Human Resources providing the form is received within 31 days of the effective date of the enrollment opportunity.

BTA coverage is effective on the date of the enrollment opportunity.

Life Event Only applicable to an employee who is currently enrolled in the 24-HR PAI program under the Employee Only option can switch to the Employee & Family option only at the same benefit amount due to a life event of marriage, establishment of a domestic partner relationship or gaining a new dependent child.

Election will become effective on the first day of the pay period following receipt of the completed form by OCC Human Resources providing the form is received within 31 days of the effective date of the enrollment opportunity.

Open Season The annual 4-week period during November and December that is announced by the OCC that allows employees to enroll in or make changes to their current 24-HR PAI election.

January 1 of the year following the end of the enrollment opportunity.

Voluntary Election to Decrease 24-HR PAI Coverage

A reduction in the benefit amount or a change from Employee & Family to Employee Only that does not increase the benefit amount.

Election will become effective on the first day of the pay period following receipt of the completed form by OCC Human Resources.

The Contractor shall agree to the enrollment opportunities and effective dates stated in the chart above.

OCC will retain all copies of the 24-HR PAI enrollment forms and will provide a copy of the actual enrollment form in the event of an AD&D claim for benefits. The

Contractor shall accept, as proof of enrollment, the most recent enrollment form on file by the OCC, or in lieu of an actual enrollment form, a copy of payroll records that confirms payroll deductions for the benefit election. OCC will not require employee who are currently enrolled in the 24-HR PAI program to complete a new enrollment due to the executive of this contract.

C.2.4. Termination of Employment When an employee’s employment ends, their coverage terminates on the date of they are last employed by OCC or OFR. The Contractor shall make available the opportunity for separated employees the option to continue or convert their coverage under the 24-HR PAI program to an individual policy within 31 days from the date they separated from OCC or OFR. The Contractor shall provide OCC with a coverage continuation or coverage conversion document that provides an applicant with all the information that need in order to make an informed decision.

C.2.5. Survivor Benefits

None applicable.

C.2.6. Funding

OCC pays 100 percent of the premium for the BTA insurance and will make a lump sum payment annually after receipt of an invoice from the Contractor. Employees pay 100 percent of the premium for the 24-HR PAI coverage. The current biweekly rates for the predetermined benefit amounts are as follows:

Employee’s Benefit Amount* Cost for Employee Only Cost for Employee &

Family $ 50,000 $0.27 $0.48 $ 75,000 $0.41 $0.71 $100,000 $0.54 $0.95 $125,000 $0.68 $1.19 $150,000 $0.81 $1.43 $175,000 $0.95 $1.66 $200,000 $1.08 $1.90 $225,000 $1.22 $2.14 $250,000 $1.35 $2.38 $300,000 $1.62 $2.85 $350,000 $1.89 $3.33 $400,000 $2.16 $3.80 $450,000 $2.43 $4.28 $500,000 $2.70 $4.75

* OCC has no desire to make any deviations from the current benefit amounts above.

OCC will remit to the Contractor automatically (without invoicing from the Contractor) premiums that have been deducted from employees’ pay on a biweekly basis. Upon request after contract award, the Contractor shall provide the OCC with required banking information so that the OCC, through its payroll vendor, the National Finance Center (NFC), can remit biweekly premium deductions electronically directly to the Contractor’s bank account. In January, of each year, the OCC will send the Contractor census data on employee participation in the 24-HR PAI program. The Contractor shall accept the annual census data from the OCC (for both OCC and OFR employee elections) in lieu of actual enrollment forms to reduce the transmission of Personally Identifiable Information (PII).

C.2.7. Pricing

The Contractor is to submit its offer of pricing for BTA as an annual premium amount for the OCC and OFR groups separately. The Contractor is to submit its offer of pricing for 24-HR PAI as a biweekly amount (Contractor needs to convert its monthly rate to a biweekly rate) based on the coverage increments as reflected in C.2.7. To assist the Contractor in providing its offer of pricing for BTA and 24-HR PAI insurance, refer to Attachment 3 for Business Travel for OCC Employees from September 2011 thru December 2014 (no data available for OFR at this time) and Attachment 4 for Premium Rate History from January 2010 thru June 2015 for both the BTA and 24-HR PAI insurance programs.

C.2.8. Plan Design

Refer to Attachments 5 and 6 for a copy the current AD&D insurance policies for BTA and 24- HR PAI coverage, respectively. There are a few areas within the existing policies that require modification to the language as followings:

A. In Attachment 6, page 24, the definition of Dependent Child is to be changed to read as follows:

1) under the age of twenty-two (22);

2) under the age of twenty-five (25) if enrolled as a full-time student at an Institution of

Higher Learning; or

3) classified as an Incapacitated Dependent Child.

B. In Attachment 5, page 29 and in Attachment 6, page 24, the definition of Domestic

Partner is to be changed to read as follows:

1) is at least 18 years of age and mentally competent;

2) is not related to the Primary Insured Person by blood;

3) has a close and committed personal relationship with the Primary Insured Person and is each other’s sole domestic partner not married to or partnered with any other spouse, spouse equivalent or domestic partner;

4) is in a financially interdependent relationship with the Primary Insured Person in which both parties mutually agree to be responsible for each other’s common welfare and share financial obligations; and

5) has exclusively lived with the Primary Insured Person for at least six months prior to the effective date of enrollment.

C. In Attachment 5, page 26 and in Attachment 6, page 32, the definition of Incapacitated Dependent Child is to be changed to read as follows:

Incapacitated Dependent Child means a child who, as result of being mentally or physically challenged, is permanently incapable of self-support and permanently dependent on the Primary Insured Person for support and maintenance. The incapacity must have occurred prior to the child attaining age 22.

The Contractor should note that for the BTA insurance, OCC does not own, lease or operate any aircrafts. Also, for this same coverage, OCC approves travel for approximately 200 prospective employees and approximately 30 authorized guests per year. OCC authorizes business travel for less than 50 employees for company approved relocation trips.

The Contractor shall insure the following class types:

Class BTA Insurance Program 24-HR PAI Program

Employee

Prospective Employee and an authorized Guest of the OCC or OFR

Employee & Family

Spouse of Domestic Partner of the Employee

N/A

4.

Dependent Children of the

N/A

At a minimum, the Contractor shall include, but not be limited to, the following additional benefit features in its summary of AD&D benefits:

BTA Insurance Program:

Travel and Medical Assistance Services – A toll-free number to a service provider that can provide assistance 24/7 to employees when traveling and they need medical assistance, travel assistance, worldwide destination intelligence, or medical evacuation and repatriation services.

Carjacking – Additional 10% of the principal sum up to a maximum of $25,000 if loss occurs during a carjacking.

Rehabilitation – Additional 10% of the principal sum up to a maximum of $25,000 will be reimbursed for rehabilitation expenses incurred within 24 months of loss.

Bereavement/Trauma Counseling – Up to $1,000 for counseling due to a loss.

24-HR PAI Program:

Travel and Medical Assistance Services – A toll-free number to a service provider that can provide assistance 24/7 to employees when traveling and they need medical assistance, travel assistance, worldwide destination intelligence, or medical evacuation and repatriation services.

Employment Training Expense for a Spouse or Domestic Partner - Up to $50,000 if enrolled at a college or trade school within three (3) years from date of death of employee.

Psychological Therapy – Up to 5% of the loss of life benefit amount, subject to a maximum of $25,000, shall be paid to the insured person if an accidental bodily injury occurs and results in a physician determining that rehabilitation therapy is required.

Rehabilitation – Additional 10% of the principal sum up to a maximum of $25,000 will be reimbursed for rehabilitation expenses incurred within 24 months of loss.

Carjacking – Additional 10% of the principal sum up to a maximum of $25,000 if loss occurs during a carjacking.

Bereavement/Trauma Counseling – Up to $1,000 for counseling due to a loss.

C.3. PERSONNEL REQUIREMENTS

The Contractor shall provide a single point of contact that will serve as a liaison to the OCC to address day-to-day matters. The person is expected to ensure that all issues are addressed and responded to in a timely manner. If an issue (other than a claim issue) cannot be resolved by the next business day, then the person must provide the OCC with a reasonable date that the issue will be resolved. The individual must have a minimum of five (5) years of account management experience in the life insurance industry.

C.4. CLAIMS EXPERIENCE

The Contractor is expected to process all claims accurately and timely. There have been no claims filed against the Business Travel Accident Insurance program in the past 15 years.

However, in 2011, the OCC had one death benefit claim under the 24-Hour Personal Accident Insurance program for a dependent child. The claim data is below.

24-Hour Personal Accident Insurance Claim Data Relationship Event Age Date of Loss Coverage

Amount Claims Amount Paid

Other Expenses Paid

Male Child Death 16 May 4, 2011 $500,000.00 $50,000.00 $75.00* *Other expenses amount was due to the insurance company’s need of an interpreter to translate the accident report documents and death certificate since the accident occurred in Costa Rica.

C.5. PERIOD OF PERFORMANCE

OCC’s contract with the current Contractor commenced on January 1, 2010 and is scheduled to expire on June 30, 2015. OCC is seeking to award a single contract to one Contractor that covers the services for its BTA and 24-HR PAI programs. The contract award period under this solicitation will include a 6-month Base Period, which will commence on July 1, 2015, and four (4) one-year Option Year Periods for a total period of performance of 4½ years.

C.6. PLACE OF PERFORMANCE

The Contractor shall perform all of its duties relating to this contract at the Contractor’s work location. The OCC will inspect the Contractor’s place of performance prior to the award of this contract and annually at the OCC’s discretion.

APPENDIX A: PERFORMANCE REQUIREMENTS SUMMARY

1.0 OVERVIEW

All services under this contract will be subject at all times to inspection by the government.

Although the government retains the right to specifically enforce all provisions in the contract, the Performance Requirements Summary identifies those contract requirements considered most important to acceptable contract performance and the government’s intended quality assurance procedures. Below is a chart that identifies the qualitative performance standards (objectives), the government’s intended quality assurance procedures and frequency of inspection (measures), and what the government believes is the minimum satisfactory rating (expectations) at this time.

Following the actual contract award, the Contractor shall meet with the OCC and collectively develop a mutually agreed upon Performance Requirements Summary that will serve over the life of the contract.

The Measurement Tool and Expectations are can be modified by the Contractor to reflect their Should the Contractor feel that they cannot

PERFORMANCE REQUIREMENT SUMMARY

Objectives Measurement Tool Expectations Incentive/Disincentive Adjudicate claims timely and accurately.

- Loss Claims Summary Report

- 96% of all claim decisions made within 10 business days of receipt of completed claims.

- 99% accuracy rate on all claim payments.

- Incentive:

Favorable past performance

- Disincentive: 1% deduction of monthly invoice amount

Contractor’s day-to-day point of contact must be responsive to the OCC in a timely manner.

Email; COR will communicate all requests made of the Contractor via email and the Contractor shall respond via email.

- Acknowledge receipt of the email from the OCC no later than the next business day; and

- Respond to the OCC with a resolution or status within two (2) business days of acknowledgement.

- Incentive:

Favorable past performance

- Disincentive: 1% deduction of monthly invoice amount

Submit BTA premium

OCC’s account payable invoicing tracking

Invoice is to be submitted to the OCC

- Incentive:

Favorable past invoice to the

OCC

accurately and timely.

system. electronically as instructed no later than December 1 of each year. The invoice must contain all information required by the OCC for payment processing.

performance

- Disincentive: 1% deduction of monthly invoice amount

Provide required reports listed in Appendix B in accordance with the agreed upon schedule.

Email; COR will use retain the email notification of electronically transmitted as recordkeeping purposes.

All reports sent to COR electronically, in a secured manner, by the scheduled due date, but no later than one business day.

- Incentive:

Favorable past performance

- Disincentive: 1% deduction of monthly invoice amount

APPENDIX B: REQUIRED REPORTS/LETTERS/DOCUMENTS LISTING

The Contractor must be able to produce the following items:

Reports/ Letters/ Documents Description Due Date

Loss Claims Summary Report

Claims activity for the year that lists BTA and 24-HR PAI claims separately for each billing group (OCC and OFR).

After contract award, OCC and Contractor are to agree upon the data elements that will be contained in the report.

January 31 of each year

Annual Premium Invoice for

BTA

Identifies the annual premium and billing period for OCC and OFR separately.

December 1

Premium Summary Report

Identifies the premium amount received and the date of receipt. Report is to be comprehensive of all payments sent to the Contractor by the

OCC.

January 10 of each year

Claim Notification Letter Claim decision notification letter sent to claimant

Five (5) business days after claim decision has been made.

SECTION D – PACKAGING AND MARKING

D.1 PAYMENT OF POSTAGE AND FEES

All postage and fees related to submitting information, including forms, reports, etc., to the Contracting Officer (CO) or the Contracting Officer’s Representative (COR) shall be paid by the Contractor.

D.2 MARKING

All information submitted to the CO or the COR shall be clearly marked to show the following:

1. Name of the Contractor

2. Contract Number

3. Consignee’s name and address

4. Date of Submission

D.3 REPORT COVER SHEET

Each report submitted by the Contractor shall have a cover sheet containing the following information:

1. Title of report

2. Report number or type

3. Period covered by the report

4. Contract number

5. Name and address of the Contractor

6. Name of the COR

7. Date of Submission

SECTION E – INSPECTION AND ACCEPTANCE

See Section C.8.1, Acceptance Criteria for deliveries.

SECTION F – DELIVERIES OR PERFORMANCE

F.1 FAR 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this address: http://www.acquisition.gov/far/.

(End of Clause)

FAR

Clause

Title Date

52.242-15 Stop-Work Order Aug 1989

F.2 DELIVERABLES

The list of deliverables for this contract can be found in Appendix B (Required Reports/Letters/Documents Listing) of Section C, Performance Work Statement, of this

RFQ.

F.3 OCC 1052.242-8002 PERIOD OF PERFORMANCE (SEP 2012)

The base period of performance of this contract is from July 1, 2015 through December 31, 2015.

If exercised, the first option period/year will extend the contract period of performance from January 1, 2016 through December 31, 2016.

If exercised, the second option period/year will extend the contract period of performance from January 1, 2017 through 1 December 31, 2017.

If exercised, the third option period/year will extend the contract period of performance from January 1, 2018 through December 31, 2018.

If exercised, the fourth option period/year will extend the contract period of performance from January 1, 2019 through December 31, 2019.

http://www.acquisition.gov/far/

F.4 BUSINESS HOURS AND COVERAGE

The contractor shall provide customer service between the hours of 7:00 AM - 6:00 PM ET, Monday through Friday.

F.5 LEGAL HOLIDAYS

The following legal holidays are observed:

New Year’s Day* January 1 Martin L. King’s Birthday Third Monday in January President’s Day Third Monday in February Memorial Day Last Monday in May Independence Day* July 4 Labor Day First Monday in September Columbus Day Second Monday in October Veteran’s Day* November 11 Thanksgiving Day Fourth Thursday in November Christmas Day* December 25

*Holidays that fall on Saturday are observed on Friday and holidays that fall on Sunday are observed on Monday.

SECTION G – CONTRACT ADMINISTRATION DATA

G.1 OCC 1052.201-8000 CONTRACTING OFFICER'S REPRESENTATIVE

(COR) DELEGATION AND AUTHORITY (DEC 2013)

(a) The contracting officer's representative will be identified via separate letter to the contractor.

(b) Performance of work under this contract is subject to the technical direction of the COR, as delegated in writing. The term "technical direction" includes, without limitation, direction to the contractor that directs or redirects the labor effort, shifts the work between work areas or locations, fills in details and otherwise serves to ensure that tasks outlined in the work statement are accomplished satisfactorily.

(c) Technical direction must be within the scope of the specification(s)/work statement.

The COR does NOT have authority to issue technical direction that:

(1) changes any of the terms, conditions, or specification(s)/work statement of the contract;

(2) in any manner causes an increase or decrease in the contract price, or the time required for contract performance;

(3) interferes with the contractor's right to perform under the terms and conditions of the contract; or,

(4) directs, supervises or otherwise controls the actions of the contractor's employees.

(d) Technical direction may be oral or in writing. The COR shall confirm oral direction in writing within five work days, with a copy to the contract administrator.

(e) The contractor shall proceed promptly with performance resulting from the technical direction issued by the COR. If, in the opinion of the contractor, any direction of the COR, falls within the limitations in (c), above, the contractor shall immediately notify the contracting officer no later than the beginning of the next Government work day.

(f) Failure of the contractor and the contracting officer to agree that technical direction is within the scope of the contract shall be subject to the terms of the clause entitled "Disputes."

G.2 OCC 1052.215-8003 KEY PERSONNEL (APR 2014)

(a) The Contractor shall assign to this contract the following key personnel: account manager.

(b) During the first ninety (90) days of performance, the Contractor shall make no substitutions of key personnel unless the substitution is necessitated by illness, death, or termination of employment. The Contractor shall notify the Contracting Officer within 15 calendar days after the occurrence of any of these events and provide the information required by paragraph (c) below. After the initial 90-day period, the contractor shall submit the information required by paragraph (c) to the Contracting Officer at least 15 days prior to making any permanent substitutions.

(c) The Contractor shall provide a detailed explanation of the circumstances necessitating the proposed substitutions complete résumés for the proposed substitutes, and any in additional information requested by the contracting Officer. Proposed substitutes shall have comparable qualifications to those of the persons being replaced. The Contracting Officer will notify the Contractor within 15 calendar days after receipt of all required information of the decision on substitutions. The contract will be modified to reflect any approved changes of key personnel.

G.3 OCC 1052.232-8000 SUPPLEMENTAL INVOICING REQUIREMENTS (FEB

2014)

(a) The contractor shall ensure all invoices adhere to the requirements as stated in either FAR 52.212-4(g) or FAR 52.232-25(a)(3), whichever is referenced in the award.

(b) The contractor shall ensure the OCC award number (beginning with "TCC") is on the face sheet of all invoices.

(c) The contractor shall include any Prompt Payment Discount terms on the face sheet of all invoices.

(d) The contractor shall submit invoices in a format that replicates the contract line item number(s) (CLIN) and subCLIN structure of the contractual document.

(e) If the contract allows for the submission of partial or periodic invoices, the contractor shall include a “Cumulative Invoiced Amount” column. In this column, the contractor shall enter the total amount that has been billed for each CLIN to date.

(f) The contractor shall submit an electronic invoice to

i. OCC’s Accounts Payable at OMAPVendorInvoice@occ.treas.gov,

ii. The POC or COR (email provided under separate letter), and

iii. The Contract Administrator (email provided under separate letter)

(g) If the contractor does not have the means to submit an electronic invoice, a hardcopy invoice shall be sent to:

Comptroller of the Currency Accounts Payable, MS #5W-3 400 7th Street SW

Washington, DC 20219

(h) The OCC may deem any invoice that does not fully comply with the invoicing requirements specified in this clause as an improper invoice and return the invoice to the contractor for correction and resubmission.

G.5 OCC 1052.243-8001 AUTHORIZED CHANGES ONLY BY THE

CONTRACTING OFFICER (SEP 2012)

(a) Except as specified in paragraph (b) below, no order, statement, or conduct of Government personnel who provide technical direction or in any other manner communicates with contractor personnel during the performance of this contract shall constitute a change under the “Changes” clause of this contract.

(b) The Contractor shall not comply with any order, direction or request of Government personnel unless it is issued in writing and signed by the Contracting Officer (CO), or is pursuant to specific authority otherwise included as a part of this contract.

(c) The CO is the only person authorized to approve changes in any of the requirements of this contract and notwithstanding provisions contained elsewhere in this contract, the said authority remains solely the CO’s. In the event the Contractor effects any change at the direction of any person other than the CO, the change will be considered to have been made without authority and no adjustment will be made in the contract price to cover any increase in charges incurred as a result thereof. The CO will be identified via separate letter to the contractor.

SECTION H – SPECIAL CONTRACT REQUIREMENTS

H.1 OCC 1052.239-8000 ELECTRONIC AND INFORMATION TECHNOLOGY

ACCESSIBILITY (JUNE 2014)

(a) Pursuant to Section 508 of the Rehabilitation Act of 1973 (29 U.S.C. 794d), as amended by the Workforce Investment Act of 1998, all electronic and information technology (EIT) products and services developed, acquired, maintained, or used under this contract/order must comply with the “Electronic and Information Technology Accessibility Provisions” set forth by the Architectural and Transportation Barriers Compliance Board (also referred to as the “Access Board”) in 36 CFR Part 1194. Information about Section 508 is available at http://www.section508.gov/. The complete text of Section 508 Final Provisions can be accessed at http://www.access-board.gov/sec508/standards.htm.

(b) The Section 508 accessibility standards applicable to this contract/order are identified in the Statement of Work/Specification/Performance Work Statement. If it is determined by the Government that EIT products and services provided by the Contractor do not conform to the described accessibility standards in the Product Assessment Template, remediation of the products or services to the level of conformance specified in the Contractor’s Product Assessment Template will be the responsibility of the Contractor at its own expense.

(c) In the event of a modification(s) to this contract/order, which adds new EIT products or services or revises the type of, or specifications for, products or services the Contractor is to provide, including EIT deliverables such as electronic documents and reports, the Contracting Officer may require that the contractor submit a completed Voluntary Product Accessibility Template found at http://www.itic.org/public-policy/accessibility, to assist the Government in determining that the EIT products or services support Section 508 accessibility standards.

H.2 OCC 1052.245-8003 CONFIDENTIAL OR SENSITIVE INFORMATION (JAN

2014)

(a) Because of the proprietary nature of such information, the contractor understands that work performed by and information released to the contractor is sensitive in nature and shall not be disclosed to anyone other than the Office of the Comptroller of the Currency (OCC) (Government) employees assigned to the contract and other contractor personnel the Government authorizes to receive the information.

The contractor agrees to protect all confidential and/or proprietary information received by or provided to the contractor pursuant to this contract from unauthorized disclosure or use for as long as the information remains proprietary or confidential and further agrees http://www.law.cornell.edu/uscode/29/794d.html http://ecfr.gpoaccess.gov/cgi/t/text/text-idx?c=ecfr&tpl=/ecfrbrowse/Title36/36cfr1194_main_02.tpl http://www.section508.gov/ http://www.access-board.gov/sec508/standards.htm http://www.itic.org/public-policy/accessibility http://www.itic.org/public-policy/accessibility that it will not use such information for any purpose other than that relating to the performance of this contract. For purposes of the contract, all information provided to or received by the contractor is deemed confidential and proprietary.

(b) The contractor shall execute and is responsible for having all of its employees, subcontractor employees, and agents working under the contract and/or having access to sensitive information under this contract execute a “Conditional Access to Sensitive but Unclassified Information Non-Disclosure Agreement,” hereafter referred to as an NDA, provided as Attachment 7. This NDA provides that sensitive but unclassified information provided to the contractor or its employees, subcontractors, or agents, shall not, except as permitted in connection with the performance of the contract, be further disclosed or used without the prior written approval of the Government.

(c) Contractor employees processed in the Personnel and Administration Security System (PASS), will complete the NDA electronically.

(d) Contractor employees processed outside of PASS, will complete the attached hard copy NDA and submit to the Contracting Officer (CO).

(e) Executed copies of the NDA are required by each contractor employee, subcontractor employee or agent who will perform work on the contract before they can begin actual performance under the contract.

H.3 OCC 1052.245-8004, GENERAL REQUIREMENTS FOR BACKGROUND

INVESTIGATIONS (JAN 2014)

All contractor personnel assigned to this contract who would have access to OCC facilities or systems, shall submit to a background investigation before beginning work under this contract

The number and type of investigations will depend on factors including, but not limited to, the length of time the individual will work on a contract, the individual’s role, the sensitivity of information the individual will have access to, and the results of past investigations on that individual. Investigations typically conducted by the OCC include an FBI criminal check and/or a suitability investigation.

Contractor personnel must submit information for background investigations electronically through the e-QIP system (http://www.opm.gov/e-QIP/). The Office of Security (OS) will notify contractor personnel when e-QIP is ready to receive their information. After submitting their information, contractor personnel must print required security forms from e-QIP. Printed forms must be signed by the employee and provided to OS.

For background investigation purposes, contractor personnel are required to provide a set of fingerprints. Contractor personnel must appear in-person to provide fingerprints. See OCC Clause 1052.245-8007 for requirements regarding in-person appearances for security purposes.

The results of all background investigations will be reviewed and adjudicated by OS.

Based on investigation results, the OCC has the unilateral right to bar an individual from working under a contract or otherwise restrict the individual’s role under a contract.

The costs for all investigations required under this contract will be borne by the OCC.

H.4 OCC 1052.245-8008 INFORMATION SECURITY REQUIREMENTS

FOR UNCLASSIFIED OCC INFORMATION TECHNOLOGY

RESOURCES (JAN 2014)

I. DEFINITIONS – Definitions, as used in this clause, generally refer to the Code of Federal Regulations (CFR) unless a more specific provision is noted below.

Adequate Security Security that is commensurate with the risk and magnitude of harm resulting from the loss, misuse, or unauthorized access to or modification of information. This includes assuring that systems and applications in use operate effectively and provide appropriate confidentiality, integrity, and availability through the use of managerial, operational, and technical security controls.

Availability To ensure the timely and reliable access to, and use of, information.

Confidentiality Preserving authorized restrictions on access and disclosure, including means for protecting personal privacy and proprietary information.

Information Assurance Information Assurance (IA) are the measures that protect and defend information and information systems by ensuring their availability, integrity, authentication, confidentiality, and non-repudiation. This includes providing for restoration of information systems by incorporating protection, detection, and reaction capabilities.

Information Resource An information resource encompasses both information and information related resources such as personnel, equipment, data, and information technology.

Information System A discrete set of information resources organized for the collection, processing, maintenance, transmission, and dissemination of information, in accordance with defined procedures, whether automated or manual.

Information Technology With respect to the Office of the Comptroller of the Currency (OCC), information technology means any equipment or interconnected system or subsystem of equipment, used in the automatic acquisition, storage, analysis, evaluation, manipulation, management, movement, control, display, switching, interchange, transmission, or reception of data or information by the OCC, if the equipment is used by the OCC directly or is used by a contractor under a contract with the OCC that requires the use:

(i) of that equipment; or

(ii) of that equipment to a significant extent in the performance of a service or the furnishing of a product.

Information technology includes computers, ancillary equipment (including imaging peripherals, input, output, and storage devices necessary for security and surveillance), peripheral equipment designed to be controlled by the central processing unit of a computer, software, firmware and similar procedures, services (including support services), and related resources; but does not include any equipment acquired by a federal contractor incidental to a federal contract.

Integrity Guarding against improper information modification or destruction, and includes ensuring information non-repudiation and authenticity.

Service Provider Service Providers are non-OCC entities that support the OCC mission and information systems. These are any individual or other legal entity that (1) directly or indirectly (e.g., through an affiliate), submits offers for or is awarded, or reasonably may be expected to submit offers for or be awarded, a Government contract, including a contract for carriage under Government or commercial bills of lading, or a subcontract under a Government contract; or (2) conducts business, or reasonably may be expected to conduct business, with the Government as an agent or representative of another service provider.

Service providers are classified one of two ways: contracted or shared.

• Contracted Service Provider

A Contracted Service Provider (CSP) is a general term used to refer to outsourced business processes supported by private sector information systems, outsourced information technologies, or outsourced information services. A CSP performs clearly defined functions for which there are readily identifiable security considerations and needs that are addressed in both acquisition and operations.

• Shared Service Provider

A Shared Service Provider (SSP) is another federal agency functioning as a service provider for the OCC. The OCC and other federal agency would sign a Memorandum of Understanding (MOU), Interagency Agreement (IAA) or Data Exchange Agreement.

II. GENERAL REQUIREMENTS

(1) The service provider shall be responsible for adhering to OCC information technology (IT) security requirements for all information systems connected to an OCC network or operated by the service provider for, or on behalf of, the OCC, regardless of location.

This clause applies to all or any part of the contract that includes information technology, information resources or services for which the service provider must have physical or electronic access to OCC information.

(2) OCC information technology and information assigned to service providers shall remain in the United States. The maintenance, operation, and/or processing of said technology and information shall take place, and originate from, within the United States.

(3) The service provider shall maintain a complete and accurate inventory of all OCC-provided information resources. The inventory shall be made available for inspection immediately upon request by the OCC.

(4) The service provider facility hosting OCC information resources shall meet all applicable federal, state, and local zoning, environmental, and building laws and regulations. The facility shall include protection against unauthorized access at all hours, including alarms and notification systems should such protection be breached.

(5) Confirmed security compromises to OCC information shall be reported to the Contracting Officer (CO), the Contracting Officer’s Representative (COR), and the Officer of Security (OS) within 60 minutes of discovery by the service provider.

(6) The service provider shall ensure that its employees, in the performance of the contract, receive and document annual information security awareness training (see Clause No. 1052.245-8001) in accordance with Office of Management and Budget (OMB) Circular A-130 and Federal Information Security Management Act of 2002 (FISMA) requirements.

(7) The service provider shall grant the Government access to any and all facilities and information resources used in support of the contract. The OCC will conduct annual reviews to ensure that the security requirements in the contract are implemented, enforced, effective, and operating as intended. These reviews include, but are not limited to, comprehensive technical testing of the control environment used to safeguard OCC information resources.

(8) At the expiration of the contract, the service provider shall return all OCC information resources provided to, or generated by, the service provider during the period of the contract.