RFQ 19SN1026Q0019 for Work Injury Compensation Insurance.pdf

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1. REQUISITION NUMBER

PR15994547

PAGE 1 OF 36 PAGES

2. CONTRACT NO. 3. AWARD/ EFFECTIVE

DATE

4. ORDER NUMBER 5. SOLICITATION NUMBER

19SN1026Q0019

6. SOLICITATION ISSUE

DATE

07/09/2026

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME Saskia Luk

b. TELEPHONE NUMBER(No collect calls) (65) 64769244

8. OFFER DUE DATE/

LOCAL TIME

08/06/2026 / 16:309. ISSUED BY CODE SN100 10. THIS ACQUISITION IS UNRESTRICTED OR SET ASIDE: % FOR:

SMALL BUSINESS WOMEN-OWNED SMALL BUSINESS

HUBZONE SMALL

BUSINESS

(WOSB) ELLIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM NAICS: 524210

EDWOSB EMERGING SMALL BUSINESS

AMERICAN EMBASSY SINGAPORE

27 NAPIER ROAD, ATTN: GSO/PROCUREMENT

SINGAPORE 258508

SINGAPORE

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8 (A) SIZE STANDARD:

13b. RATING11. DELIVERY FOR FOB DESTINAT-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS 13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700) 14. METHOD OF SOLICITATION

x RFQ IFB RFP

15. DELIVER TO CODE 16. ADMINISTERED BY CODE

AMERICAN EMBASSY SINGAPORE

27 NAPIER ROAD

SINGAPORE 258508

SINGAPORE

AMERICAN EMBASSY SINGAPORE

27 NAPIER ROAD, ATTN: GSO/PROCUREMENT

SINGAPORE 258508

SINGAPORE

CODE FACILITY

CODE

17a. CONTRACTOR/

OFFERER

TELEPHONE NO.

18a. PAYMENT WILL BE MADE BY

AMERICAN EMBASSY SINGAPORE

27 NAPIER ROAD, ATTN: FMO (Vendors include PO# on invoice)

SINGAPORE 258508

SINGAPORE

CODE

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

OFFER

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

BELOW IS CHECKED SEE ADDENDUM

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

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

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only) x 27a.SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA x ARE ARE NOT ATTACHED

27b.CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _ __ COPIES

TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS

SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL SHEETS

SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED HEREIN.

29. AWARD OF CONTRACT: REF. _ _______________ OFFER DATED

_ __________. YOUR OFFER ON SOLICITATION (BLOCK 5), INCLUDING ANY

ADDITIONS OR CHANGES WHICH ARE SET FORTH HEREIN, IS ACCEPTED AS

TO ITEMS:30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

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

8/7/2026 4.30pm Singapore Time

SBU - CONTRACTING AND ACQUISITIONS

AUTORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 02/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

Work Injury Compensation Insurance and related Administration Services for Sept 1, 2026 - Aug 31, 2027

001 1 LOT

ITEM NO. 20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

32a. QUANTITY IN COLUMN 21 HAS BEEN

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

_______________________________32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIED

CORRECT FOR

36. PAYMENT 37. CHECK NUMBER

PARTIAL FINAL

COMPLETE PARTIAL FINAL

38. S/R ACCOUNT NO. 39. S/R VOUCHER NO. 40. PAID BY

41.a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT 42a. RECEIVED BY (Print) 41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41C. DATE

42b. RECEIVED AT (Location)

42c. DATE REC’D (YY/MM/DD) 42d. TOTAL CONTAINERS

SBU - CONTRACTING AND ACQUISITIONS

STANDARD FORM 1449 (REV. 2/2012) BACK

RFQ# 19SN1026Q0019

TABLE OF CONTENTS

SECTION 1 - THE SCHEDULE

• SF 1449 cover sheet

• Continuation To SF-1449, RFQ Number 19SN1026Q0019, Prices, Block 23

• Continuation To SF-1449, RFQ Number 19SN1026Q0019, Schedule Of

Supplies/Services, Block 20 Description/Specifications/Work Statement

• Attachment 1 to Description/Specifications/Statement of Work, Government

Furnished Property - Exhibit A – List of Manual Staff and Exhibit B – List of Non-Manual Staff

SECTION 2 - CONTRACT CLAUSES

• Contract Clauses

• Addendum to Contract Clauses - FAR and DOSAR Clauses not Prescribed in Part

SECTION 3 - SOLICITATION PROVISIONS

• Solicitation Provisions

• Addendum to Solicitation Provisions - FAR and DOSAR Provisions not

Prescribed in Part 12

SECTION 4 - EVALUATION FACTORS

• Evaluation Factors

SECTION 5 - OFFEROR REPRESENTATIONS AND CERTIFICATIONS

• Offeror Representations and Certifications

SECTION 1 - THE SCHEDULE

CONTINUATION TO SF-1449, RFQ NUMBER 19SN1026Q0019

PRICES, BLOCK 23

1.0 SCOPE OF SERVICES

1.1 Scope

The U.S. Embassy Singapore requires a comprehensive Firm-Fixed-Price (FFP) Work Injury Compensation Insurance program to provide statutory insurance coverage and related administrative services for eligible Locally Employed Staff.

The Contractor shall provide all insurance coverage, policy issuance, policy administration, endorsements, claims administration, account management, reporting, customer support, and related administrative services necessary to meet the requirements of this contract.

The Contractor shall provide coverage in accordance with the Republic of Singapore's Work Injury Compensation Act (WICA), as amended, applicable Common Law, applicable laws and regulations of the Republic of Singapore, U.S. Government contract requirements, and this Statement of Work.

The categories of employees to be covered are identified in Attachment 1, Exhibit A (Manual Staff) and Exhibit B (Non-Manual Staff).

1.2 PLACE OF PERFORMANCE

The services shall be performed in Singapore. The Contractor shall provide Work Injury Compensation Insurance coverage and related administrative services for eligible Locally Employed Staff of the U.S. Embassy Singapore.

1.3 PERIOD OF PERFORMANCE

The period of performance shall be September 1, 2026, through August 31, 2027. The Contractor shall provide continuous Work Injury Compensation Insurance coverage and related administrative services throughout the period of performance in accordance with the requirements of this contract.

2.0 PRICING

2.1 Type of Contract

This is a Firm-Fixed-Price (FFP) contract awarded in accordance with FAR Part 16.202.

The Contractor shall provide the services specified herein at the fixed price stated, and the Government shall make payment at that price. Except as expressly provided in this contract, the Contractor assumes full responsibility for all performance costs and the risk of profit or loss.

2.2 Direct and Indirect Costs

The contract price shall be fully inclusive of all direct and indirect costs necessary to provide the required insurance coverage and related administrative services. Except as otherwise specifically provided herein, no additional compensation shall be made for costs incurred in performance. Such costs include, but are not limited to, insurance premiums, policy issuance, policy administration, endorsements, renewals, claims administration, account management, customer support, reporting, licenses, regulatory fees, administrative expenses, overhead, profit, and all other costs necessary to perform the contract.

2.3 Goods and Services Tax (GST)

Goods and Services Tax (GST) is not included in the CLIN rates. Instead, it shall be priced as a separate line item in the contract and on invoices. Local law dictates the portion of the contract price that is subject to GST. The applicable GST percentage shall be applied only to the taxable portion of the contract price.

2.4 Currency

All contract pricing, invoicing, and payments shall be stated and made in Singapore Dollars (SGD).

2.5 Pricing Schedule

The Contractor shall provide pricing using the format below.

CLIN Category Annual Payroll Premium Rate (% of Annual Payroll)

Premium Payable

0001 Manual Staff 0002 Non-Manual Staff

Goods and Services Tax (GST) Grand Total

The annual payroll amounts provided by the Government are estimates for quotation evaluation purposes only and do not constitute a guarantee of actual payroll during the period of performance. The Government is not bound by these estimates, which are based on the best information currently available. The Contractor shall include all costs associated with providing the required insurance coverage and related administrative services in the quoted premium rates. In establishing premium rates, Offerors may consider that the U.S. Embassy Singapore separately provides life insurance and medical insurance benefits for eligible employees.

CONTINUATION TO SF-1449

RFQ NUMBER 19SN1026Q0019

SCHEDULE OF SUPPLIES/SERVICES, BLOCK 20

DESCRIPTION/SPECIFICATIONS/WORK STATEMENT

1. PURPOSE

The United States Government (Government), acting through the U.S. Embassy Singapore, requires the services of a qualified insurance provider to furnish Work Injury Compensation Insurance and related claims administration services for eligible Locally Employed (LE) Staff employed under the Embassy's Local Compensation Plan.

The Contractor shall provide statutory Work Injury Compensation Insurance coverage and associated administrative services for eligible employees identified by the Government during the period of performance.

The Contractor shall furnish all personnel, management, supervision, administrative support, facilities, equipment, and services necessary to perform the requirements of this contract unless otherwise specified herein.

The Contractor shall perform all services in accordance with the terms of this Performance Work Statement (PWS), the resulting contract, and all applicable laws and regulations of the Republic of Singapore.

2. APPLICABLE LAWS AND REGULATIONS

The Contractor shall provide Work Injury Compensation Insurance and claims administration services in full compliance with all applicable laws and regulations of the Republic of Singapore governing such insurance, including but not limited to:

a. The Work Injury Compensation Act (WICA), as amended.

b. Applicable subsidiary legislation and implementing regulations.

c. Directives, guidance, and requirements issued by the Ministry of Manpower (MOM).

d. Applicable laws and regulations governing insurers authorized to provide Work Injury Compensation Insurance in Singapore.

The Contractor shall comply with all statutory requirements, benefit provisions, compensation formulas, reporting requirements, claims administration procedures, and payment timelines in effect during the period of performance.

In the event of any conflict between this PWS and applicable Singapore law, the applicable provisions of Singapore law shall govern the administration and payment of statutory Work Injury Compensation benefits.

3. DEFINITIONS

For purposes of this contract, the following definitions apply:

Contractor means the successful Offeror awarded the resulting contract.

Government means the United States Government acting through the U.S. Embassy Singapore.

Contracting Officer (CO) means the U.S. Government official authorized to enter into, administer, modify, and terminate this contract.

Contracting Officer's Representative (COR) means the individual designated in writing by the Contracting Officer to provide technical oversight of contractor performance.

Human Resources Office (HRO) means the Human Resources Office of the U.S.

Embassy Singapore or its designated representative.

Eligible Employee means an employee identified by the Government as eligible for coverage under this contract.

Policy Period means the period during which insurance coverage is in effect under the insurance policy issued pursuant to this contract.

Claim means a request for benefits or compensation arising from a compensable work-related injury, occupational disease, or other event covered under the applicable insurance policy and Singapore law.

Ministry of Manpower (MOM) means the Ministry of Manpower of the Republic of Singapore.

Work Injury Compensation Act (WICA) means the Work Injury Compensation Act of the Republic of Singapore, together with applicable regulations and amendments in effect during the period of performance.

4. SCOPE OF SERVICES

4.1 General

The Contractor shall provide and maintain Work Injury Compensation Insurance coverage and related claims administration services for all Eligible Employees identified by the Government during the period of performance.

The Contractor shall furnish all labor, supervision, management, administrative support, facilities, equipment, materials, and other resources necessary to perform the requirements of this contract.

Services shall be performed in accordance with this Performance Work Statement (PWS), the resulting contract, and all applicable laws and regulations of the Republic of Singapore.

4.2 Insurance Coverage

The Contractor shall provide Work Injury Compensation Insurance coverage that meets or exceeds the minimum statutory requirements established under applicable Singapore law.

Coverage shall include all statutory benefits required under the Work Injury Compensation Act (WICA) and any applicable subsidiary legislation or regulations in effect during the policy period.

Nothing in this contract shall be construed to limit or reduce any statutory benefit required by applicable law.

4.3 Claims Administration

The Contractor shall administer all covered claims arising under the insurance policy, including investigation, evaluation, processing, settlement, and payment of benefits, in accordance with applicable Singapore law.

Claims shall be administered in a timely, professional, and impartial manner consistent with accepted insurance industry practices and all applicable statutory requirements.

4.4 Customer Service

The Contractor shall provide customer support to Eligible Employees and designated Government representatives regarding:

a. Reporting work-related injuries or occupational diseases.

b. Required claim documentation.

c. Claim status.

d. Benefit eligibility.

e. Payment status.

f. General policy and claims inquiries.

The Contractor shall designate a primary point of contact and provide telephone and electronic mail contact information for routine claims administration.

4.5 Coordination

The Contractor shall coordinate, as necessary, with:

• the Government;

• the Contracting Officer (CO);

• the Contracting Officer's Representative (COR);

• the Human Resources Office (HRO);

• the Ministry of Manpower (MOM);

• medical providers; and

• other authorized parties, to facilitate administration of claims under this contract.

4.6 Open Claims

The Contractor shall remain responsible for administering, investigating, settling, and paying all covered claims arising from compensable events occurring during the applicable policy period, regardless of whether such claims remain pending after expiration, termination, or non-renewal of the contract or insurance policy.

The Contractor's obligations under this section shall survive expiration or termination of the contract until all covered claims have been finally resolved.

4.7 Regulatory Changes

The Contractor shall comply with all statutory changes to the Work Injury Compensation Act (WICA), subsidiary legislation, or other applicable Singapore laws and regulations that become effective during the period of performance.

Unless otherwise provided by law or the contract, implementation of statutory changes shall not require modification of this PWS.

5. ELIGIBLE EMPLOYEES

5.1 Covered Employees

The Contractor shall provide insurance coverage for all Eligible Employees identified by the Government as requiring coverage under this contract.

Eligible Employees shall consist of Locally Employed (LE) Staff and any other personnel specifically designated by the Government for coverage.

The Government reserves the right to determine employee eligibility under this contract.

5.2 Employee Rosters

The Government shall provide the Contractor with employee rosters and other information reasonably necessary to establish and maintain insurance coverage.

Employee rosters may be updated during contract performance to reflect:

• new hires;

• separations;

• salary adjustments;

• changes in employment status;

• additions or deletions of covered employees; and

• other changes affecting insurance coverage.

The Contractor shall promptly update coverage based upon information provided by the Government.

5.3 Effective Coverage

Coverage for Eligible Employees shall become effective on the date of employment, subject to applicable Singapore law.

Where permitted by applicable law, the Contractor shall provide retroactive coverage for newly identified Eligible Employees to the effective date specified by the Government.

Any resulting premium adjustment shall be handled in accordance with Section 10.

Premium

5.4 Changes During Contract Performance

The Government may add, delete, or modify covered employees throughout the contract period.

The Contractor shall adjust policy coverage and premiums accordingly.

Changes in employee rosters shall not, by themselves, constitute a contract modification.

5.5 Excluded Personnel

Unless specifically identified by the Government for coverage, this contract does not provide insurance coverage for:

• employees of other contractors;

• subcontractor personnel;

• individuals performing services under non-personal services contracts;

• consultants; or

• other personnel not designated by the Government as Eligible Employees.

6. INSURANCE COVERAGE REQUIREMENTS

6.1 General

The Contractor shall issue and maintain Work Injury Compensation Insurance policies covering all Eligible Employees identified by the Government throughout the policy period.

The Contractor shall maintain uninterrupted coverage during the contract period.

6.2 Coverage Requirements

The insurance policy shall provide not less than the statutory benefits required by the Work Injury Compensation Act (WICA) and all applicable Singapore laws and regulations.

Coverage shall include all statutory compensation and benefits applicable to Eligible Employees under WICA.

The Contractor shall automatically implement any statutory changes that become effective during the policy period.

6.3 Policy Documents

Within fourteen (14) calendar days after policy inception or renewal, the Contractor shall provide:

a. Certificate of Insurance.

b. Policy Schedule.

c. Applicable endorsements.

d. Claims reporting procedures.

e. Claims contact information.

f. Emergency contact information.

6.4 Policy Changes

The Contractor shall notify the Contracting Officer in writing of any proposed change affecting insurance coverage provided under this contract.

No change shall reduce the level of required coverage without prior written approval of the Contracting Officer.

6.5 Continuous Responsibility

The Contractor shall remain responsible for all obligations arising under insurance policies issued pursuant to this contract, including the administration and payment of covered claims arising during the applicable policy period.

7. CLAIMS ADMINISTRATION

7.1 General

The Contractor shall administer all claims arising under this contract in accordance with the Work Injury Compensation Act (WICA), applicable Singapore laws and regulations, accepted insurance industry practices, and the terms of the insurance policy.

The Contractor shall investigate, evaluate, process, settle, and pay covered claims in a timely, impartial, and professional manner.

7.2 Claims Assistance

The Contractor shall provide assistance to Eligible Employees and designated Government representatives regarding:

a. Reporting workplace injuries or occupational diseases.

b. Required claim documentation.

c. Claim status.

d. Benefit eligibility.

e. Payment status.

f. General claims administration.

The Contractor shall maintain a dedicated telephone number and electronic mail address for claims inquiries throughout the period of performance.

7.3 Claims Processing

The Contractor shall process all claims in accordance with:

• applicable Singapore law;

• Ministry of Manpower (MOM) requirements;

• applicable insurance regulations; and

• the terms and conditions of the insurance policy.

The Contractor shall comply with all statutory reporting, notification, investigation, and payment requirements established by applicable law.

7.4 Requests for Information

If additional documentation or information is required to process a claim, the Contractor shall promptly notify the claimant and the Government, identifying the information necessary to continue claim processing.

7.5 Claims Payment

The Contractor shall pay all covered benefits directly to the appropriate recipient(s) as required by applicable Singapore law and the insurance policy.

Upon request by the Government, the Contractor shall confirm when payment has been made or provide the status of pending claims, subject to applicable privacy laws.

7.6 Open Claims

The Contractor shall remain responsible for administering, investigating, settling, defending, and paying all covered claims arising from compensable events occurring during the applicable policy period, regardless of whether such claims remain pending after expiration, termination, or non-renewal of the contract or insurance policy.

The Contractor's obligations under this section shall survive expiration or termination of the contract until all covered claims have been finally resolved.

7.7 Claims Escalation

The Contractor shall designate a Claims Manager authorized to resolve claim administration issues.

Upon request of the Contracting Officer or COR, the Claims Manager shall participate in meetings or teleconferences regarding claim administration, contract performance, or unresolved issues.

7.8 Government Cooperation

The Government shall reasonably cooperate with the Contractor by providing employment records, payroll information, accident reports, and other documentation necessary to administer claims, subject to applicable privacy laws.

7.9 Disputed Claims

If the Contractor disputes coverage or determines that a claim is not payable, the Contractor shall process the claim in accordance with WICA and applicable Singapore law and shall promptly notify the Government that the claim has been denied or disputed, together with a general explanation of the basis for the determination, to the extent permitted by law and without disclosing protected medical or personal information.

8. REPORTING REQUIREMENTS

8.1 Quarterly Claims Activity Report

The Contractor shall submit a Quarterly Claims Activity Report to the COR and HRO no later than the tenth (10th) calendar day following the end of each calendar quarter.

The report shall include, at a minimum:

a. Number of new claims received during the reporting period.

b. Number of claims closed during the reporting period.

c. Number of claims remaining open.

d. General status of each open claim.

e. Total compensation paid during the reporting period.

f. Total compensation paid to date for each open claim.

g. A brief explanation for any claim that remains outstanding.

The report shall not include personally identifiable information (PII), medical diagnoses, or other protected information beyond that necessary for contract administration.

8.2 Significant Claims Notification

The Contractor shall notify the COR within five (5) business days of becoming aware of any claim involving:

• a fatality;

• permanent total incapacity;

• litigation;

• suspected fraud;

• circumstances reasonably expected to result in significant financial exposure; or any matter likely to materially affect contract performance.

Such notification shall include a general description of the matter without disclosing protected medical or personal information unless disclosure is authorized by law.

8.3 Government Information Requests

Upon reasonable request, the Contractor shall provide information necessary for the Government to administer this contract, including information regarding:

• policy status;

• premium calculations;

• claims administration;

• contract performance; and

• reports required by this contract.

9. CONTRACTOR RESPONSIBILITIES

9.1 General

The Contractor shall furnish all personnel, supervision, management, facilities, equipment, administrative support, and other resources necessary to perform the requirements of this contract.

The Contractor shall be solely responsible for the management and supervision of its employees.

9.2 Licensing and Authority

Throughout the period of performance, the Contractor shall maintain all licenses, registrations, approvals, and authorizations required under applicable Singapore law to issue and administer Work Injury Compensation Insurance.

The Contractor shall promptly notify the Contracting Officer of any regulatory action, suspension, restriction, or other event that materially affects its authority or ability to perform this contract.

9.3 Contractor Representatives

The Contractor shall designate, at a minimum:

• an Account Manager;

• a Claims Manager; and

• an alternate point of contact.

The Contractor shall provide current telephone numbers and email addresses for each representative and shall notify the COR within five (5) business days of any change.

9.4 Confidentiality and Data Protection

The Contractor shall safeguard all Government information obtained in the performance of this contract.

Protected information includes, but is not limited to:

• Personally Identifiable Information (PII);

• payroll records;

• salary information;

• medical information;

• personnel records;

• claim documentation; and

• any other information designated by the Government as sensitive.

The Contractor shall use such information solely for the performance of this contract and shall not disclose it except as authorized by the Government or required by applicable law.

The Contractor shall comply with applicable Singapore data protection laws and any applicable U.S. Government privacy requirements identified elsewhere in the contract.

9.5 Records Retention

The Contractor shall maintain policy, premium, and claims records for the period required by applicable Singapore law.

Upon reasonable request and subject to applicable privacy laws, the Contractor shall make records available to the Government for purposes of verifying compliance with this contract.

9.6 Transition Assistance

Upon expiration or termination of the contract, the Contractor shall cooperate with the Government and any successor contractor to ensure an orderly transition of insurance services.

Such cooperation shall include the transfer of policy information, claim status information, and other documentation reasonably necessary to ensure continuity of service.

The Contractor shall continue to administer and resolve covered claims arising during the applicable policy period in accordance with Section 7.6 of this PWS.

10. GOVERNMENT RESPONSIBILITIES

The Government shall:

a. Identify Eligible Employees for coverage under this contract.

b. Provide the Contractor with employee information reasonably necessary to establish and maintain insurance coverage.

c. Notify the Contractor of additions, deletions, salary adjustments, and other changes affecting coverage.

d. Designate a Contracting Officer's Representative (COR) to provide technical oversight of contract performance.

e. Cooperate with the Contractor by providing employment records, payroll information, accident reports, and other documentation reasonably necessary for claims administration, subject to applicable privacy requirements.

f. Review reports and deliverables submitted by the Contractor and promptly notify the Contractor of any identified discrepancies.

11. PREMIUM ADJUSTMENTS

11.1 Premium

The Government shall pay the Contractor the premiums established in the resulting contract for insurance coverage provided under this contract.

Premiums shall be calculated using the Contractor's awarded rates and the payroll information provided by the Government.

11.2 Payroll Changes

The Government may periodically provide revised payroll information reflecting:

• additions or deletions of Eligible Employees;

• salary adjustments;

• position changes; or

• other changes affecting insurance premiums.

The Contractor shall adjust premiums accordingly using the rates established in the contract.

11.3 Premium Reconciliation

The premium payable shall be based on the salary paid by the Government to eligible employees during the Period of Performance. If the total amount of salary paid by the Government during the Period of Performance differs from the payroll indicated in 2.5 Pricing Schedule of the resulting contract, the difference in the premium shall be met by an additional payment or by a refund as the case may be, unless otherwise required by applicable Singapore law.

The Contractor shall provide documentation supporting any premium adjustment.

11.4 Annual Reconciliation

Within thirty (30) calendar days following the end of the policy year, the Contractor shall submit a final premium reconciliation reflecting all premium adjustments made during the policy year.

Any premium credits or additional premiums shall be settled in accordance with the terms of the resulting contract.

12. DELIVERABLES

Deliverable Due Date Recipient Certificate of Insurance Within 14 calendar days after policy inception, renewal, or modification

COR

Policy Schedule and Endorsements

With Certificate of Insurance COR

Claims Contact Information At contract start and as updated COR/HRO Quarterly Claims Activity Report

By the 10th calendar day following each calendar quarter

COR/HRO

Nil Report (if applicable) Same as Quarterly Report COR/HRO Annual Premium Reconciliation

Within 30 calendar days after the end of each policy year

COR

Notice of Significant Claims Within 5 business days of awareness COR Updated Contractor Contact Information

Within 5 business days of any change COR

SECTION 2 - CONTRACT CLAUSES

52.212-4 CONTRACT TERMS AND CONDITIONS – COMMERCIAL ITEMS

(NOV 2023) IS INCORPORATED BY REFERENCE. (SEE SF-1449,

BLOCK 27A)

ADDENDUM TO CONTRACT CLAUSES

FAR AND DOSAR CLAUSES NOT PRESCRIBED IN PART 12

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. In addition, the full text of a clause may be accessed electronically at: Acquisition.gov this address is subject to change.

If the Federal Acquisition Regulation (FAR) is not available at the location indicated above, use the Department of State Acquisition website at e-CFR to see the links to the FAR. You may also use an Internet “search engine” (for example, Google, Yahoo or Excite) to obtain the latest location of the most current FAR.

THE FOLLOWING FEDERAL ACQUISITION REGULATIONS (FAR) CLAUSES

ARE INCORPORATED BY REFERENCE:

CLAUSE TITLE AND DATE

52.203-17 CONTRACTOR EMPLOYEE WHISTLEBLOWER RIGHTS AND

REQUIREMENT TO INFORM EMPLOYEES OF WHISTLEBLOWER

RIGHTS (Nov 2023)

52.204-9 PERSONAL IDENTITY VERIFICATION OF CONTRACTOR

PERSONNEL (JAN 2011)

52.204-13 SYSTEM FOR AWARD MANAGEMENT MAINTENANCE

(OCT 2018)

52.204-18 RESERVED

52.204-25 RESERVED

52.204-27 RESERVED

52.222-19 CHILD LABOR-COOPERATION WITH AUTHORITIES AND

REMEDIES (JAN 2025)

52.225-14 INCONSISTENCY BETWEEN ENGLISH VERSION AND

TRANSLATION OF CONTRACT (FEB 2000)

52.229-6 FOREIGN FIXED PRICE CONTRACTS (FEB 2013)

https://acquisition.gov/browse/index/far https://gov.ecfr.io/cgi-bin/text-idx?SID=d9a7851186785ba2b1896db79b1b6b29&mc=true&tpl=/ecfrbrowse/Title48/48tab_02.tpl

52.232-39 UNENFORCEABILITY OF UNAUTHORIZED OBLIGATIONS

(JUNE 2013)

52.244-6 SUBCONTRACTS FOR COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (JAN 2025)

ADD THE FOLLOWING CLAUSE IN FULL TEXT:

52.232-19 AVAILABILITY OF FUNDS FOR THE NEXT FISCAL YEAR (APR

1984)

Funds are not presently available for performance under this contract beyond September 30 of the current calendar year. The Government's obligation for performance of this contract beyond that date is contingent upon the availability of appropriated funds from which payment for contract purposes can be made. No legal liability on the part of the Government for any payment may arise for performance under this contract beyond September 30 of the current calendar year, until funds are made available to the Contracting Officer for performance and until the Contractor receives notice of availability, to be confirmed in writing by the Contracting Officer.

(End of clause)

THE FOLLOWING DOSAR CLAUSES ARE PROVIDED IN FULL TEXT:

CONTRACTOR IDENTIFICATION (JULY 2008)

Contract performance may require contractor personnel to attend meetings with government personnel and the public, work within government offices, and/or utilize government email.

Contractor personnel must take the following actions to identify themselves as non-federal employees:

1) Use an email signature block that shows name, the office being supported and company affiliation (e.g. “John Smith, Office of Human Resources, ACME Corporation Support Contractor”);

2) Clearly identify themselves and their contractor affiliation in meetings;

3) Identify their contractor affiliation in Departmental e-mail and phone listings whenever contractor personnel are included in those listings; and

4) Contractor personnel may not utilize Department of State logos or indicia on business cards.

(End of clause)

652.232-70 PAYMENT SCHEDULE AND INVOICE SUBMISSION (FIXED-

PRICE) (AUG 1999)

General. The Government shall pay the Contractor as full compensation for all work required, performed, and accepted under this contract the firm fixed-price stated in this contract.

Invoice Submission. The Contractor shall submit invoices to the office identified in Block 18b of the SF-1449. To constitute a proper invoice, the invoice shall include all the items required by FAR 32.905(e).

Invoices are to be submitted electronically in PDF format to the e-mail:

SingaporeDBO@state.gov with attention to Financial Management Office (FMO- Vouchering).

U.S. Embassy Singapore Attn: FMO-Vouchering 27 Napier Road Singapore 258508

Singapore Invoice Requirements:

Singapore invoice requirements apply to all companies performing construction or services in Singapore, regardless of where the company is based, because the services are being rendered locally in Singapore.

The contractor shall submit an invoice that complies with Singaporean law. According to Singapore legislation, a tax invoice must include the following elements (as required under the Goods and Services Tax (GST) Act):

• Invoice date

• Unique invoice number

• Contractor’s full name and address

• Contractor’s GST registration number (if GST-registered in Singapore)

• Embassy name and address (as specified above)

• Description of goods or services supplied

• Quantity and unit price of goods/services

• Date of delivery or service provision (if different from the invoice date)

• Total amount payable (excluding GST)

• GST rate applied and amount of GST (if applicable; currently 9% as of 2024)

• Total amount payable (including GST) mailto:SingaporeDBO@state.gov

• Payment terms (as stated in the contract)

The invoice must clearly reference the contract number and the applicable Contract Line Item Number (CLIN).

Please include the following banking information on each invoice:

Bank name and address Account number IBAN code (if available) SWIFT code

Note: The Financial Management Office will receive invoices, log them in, and forward them to the COR for review and approval.

Timing of Payments. Payments will be made annually in advance after either: (1) The date of receipt of a proper invoice in the designated payment office, or (2) insurance policy is accepted by the Government, whichever is later. The Contractor will receive payment 30 days after receipt of invoice or policy whichever is later.

(e)The Contractor shall show Value Added Tax (VAT) as a separate item on invoices submitted for payment.

Contractor Remittance Address. The Government will make payment to the contractor’s address stated on the cover page of this contract, unless a separate remittance address is shown below:

652.242-70 CONTRACTING OFFICER'S REPRESENTATIVE (COR) AUG 1999)

(a) The Contracting Officer may designate in writing one or more Government employees, by name or position title, to take action for the Contracting Officer under this contract. Each designee shall be identified as a Contracting Officer’s Representative (COR). Such designation(s) shall specify the scope and limitations of the authority so delegated; provided, that the designee shall not change the terms or conditions of the contract, unless the COR is a warranted Contracting Officer and this authority is delegated in the designation.

(b) The COR for this contract is [TBA]

652.242-73 AUTHORIZATION AND PERFORMANCE (AUG 1999)

(a) The Contractor warrants the following:

(1) That is has obtained authorization to operate and do business in the country or countries in which this contract will be performed;

(2) That is has obtained all necessary licenses and permits required to perform this contract; and,

(3) That it shall comply fully with all laws, decrees, labor standards, and regulations of said country or countries during the performance of this contract.

(b) If the party actually performing the work will be a subcontractor or joint venture partner, then such subcontractor or joint venture partner agrees to the requirements of paragraph (a) of this clause.

652.243-70 NOTICES (AUG 1999)

Any notice or request relating to this contract given by either party to the other shall be in writing. Said notice or request shall be mailed or delivered by hand to the other party at the address provided in the schedule of the contract. All modifications to the contract must be made in writing by the Contracting Officer.

SAM REGISTRATION

System updates may lag policy updates. The System for Award Management (SAM) may continue to require entities to complete representations based on provisions that are not included in agency solicitations, including 52.223-22, Public Disclosure of Greenhouse Gas Emissions and Reduction Goals—Representation, and paragraph (t) of 52.212-3, Offeror Representations and Certifications—Commercial Products and Commercial Services (MAY 2024) (DEVIATION FEB 2025). Agencies will not consider or use these representations. Entities are not required to, nor are they able to, update their entity registration to remove these representations in SAM.

(End of provision)

SECTION 3 - SOLICITATION PROVISIONS

52.212-1 INSTRUCTIONS TO OFFERORS -- COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (SEP2023) IS INCORPORATED BY REFERENCE (SEE

SF-1449, BLOCK 27A)

ADDENDUM TO 52.212-1

VOLUME I. PRICING

1) Completed SF-1449 and Section 1. A completed solicitation, in which the SF- 1449 cover page (Blocks 12, 17, 19-24, and 30 as appropriate),and Section 1, Price Table has been filled out. The offeror must ensure that the SF-1449 block 30 is signed.

2) Representations and Certifications. A completed Section 5 of the Solicitation must be submitted with the offer.

VOLUME II. TECHNICAL EVALUATION

1) Project Manager. Name of a Project Manager (or other liaison to the Embassy) who understands written and spoken English;

2) Local Licenses, Permits and Tax Registration. Since the service will be performed in Singapore, Offerors must submit a copy of their valid Singapore business license, all required local permits, and their tax identification number (GST or equivalent) with their quote, in accordance with DOSAR 652.242-73. If these are not yet available, the Offeror must provide a brief statement explaining how and when they will be obtained.

3) Past Performance – Contractor Qualifications. The Offeror must provide information on their past experience in handling work injury compensation insurance services in Singapore. The Government may also use this data to assess the Offeror’s capability to perform the required services. In addition, the Contracting Officer may use past performance information in making a determination of responsibility.

4) Proof of System for Award Management Registration (SAM). The offeror is required to be registered in SAM when submitting an offer or quotation, and shall continue to be registered until time of award, during performance, and through final payment of any contract, basic agreement, basic ordering agreement, or blanket purchasing agreement resulting from this solicitation.

https://sam.gov/content/entity-landing https://sam.gov/content/entity-landing

ADDENDUM TO SOLICITATION PROVISIONS

FAR AND DOSAR PROVISIONS NOT PRESCRIBED IN PART 12

52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE

(FEB 1998)

This solicitation incorporates one or more solicitation provisions 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. In addition, the full text of a clause may be accessed electronically at Acquisition.gov this address is subject to change.

If the Federal Acquisition Regulation (FAR) is not available at the location indicated above, use the Department of State Acquisition website at e-CFR to see the links to the FAR. You may also use an Internet “search engine” (for example, Google, Yahoo or Excite) to obtain the latest location of the most current FAR.

THE FOLLOWING FAR SOLICITATION PROVISIONS ARE INCORPORATED BY

REFERENCE:

PROVISION TITLE AND DATE

52.204-7 SYSTEM FOR AWARD MANAGEMENT (OCT 2018)

52.204-16 COMMERCIAL AND GOVERNMENT ENTITY CODE REPORTING

(AUG 2020)

52.211-1 RESERVED

52.212-1 INSTRUCTIONS TO OFFERORS -- COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (SEP 2023)

52.214-34 SUBMISSION OF OFFERS IN THE ENGLISH LANGUAGE

(APR 1991)

THE FOLLOWING DOSAR PROVISIONS ARE PROVIDED IN FULL TEXT:

652.206-70 ADVOCATE FOR COMPETITION/OMBUDSMAN (FEB 2015)

(a) The Department of State’s Advocate for Competition is responsible for assisting industry in removing restrictive requirements from Department of State solicitations and removing barriers to full and open competition and use of commercial items. If such a solicitation is considered competitively restrictive or does not appear properly conducive to competition and commercial practices, potential offerors are encouraged first to contact the contracting office for the solicitation. If concerns remain unresolved, contact:

SBU - CONTRACTING AND ACQUISITIONS

https://acquisition.gov/browse/index/far https://gov.ecfr.io/cgi-bin/text-idx?SID=d9a7851186785ba2b1896db79b1b6b29&mc=true&tpl=/ecfrbrowse/Title48/48tab_02.tpl

For solicitations issued by the Office of Acquisition Management (A/LM/AQM) or a Regional Procurement Support Office, the A/LM/AQM Advocate for Competition, at AQMCompetitionAdvocate@state.gov.

For all others, the Department of State Advocate for Competition at cat@state.gov.

(b) The Department of State’s Acquisition Ombudsman has been appointed to hear concerns from potential offerors and contractors during the pre-award and post-award phases of this acquisition. The role of the ombudsman is not to diminish the authority of the contracting officer, the Technical Evaluation Panel or Source Evaluation Board, or the selection official. The purpose of the ombudsman is to facilitate the communication of concerns, issues, disagreements, and recommendations of interested parties to the appropriate Government personnel, and work to resolve them. When requested and appropriate, the ombudsman will maintain strict confidentiality as to the source of the concern. The ombudsman does not participate in the evaluation of proposals, the source selection process, or the adjudication of formal contract disputes. Interested parties are invited to contact the contracting activity ombudsman. For an American Embassy or overseas post, refer to the numbers below for the Department Acquisition Ombudsman.

Concerns, issues, disagreements, and recommendations which cannot be resolved at a contracting activity level may be referred to the Department of State Acquisition Ombudsman at (703) 516-1696 or write to: Department of State, Acquisition Ombudsman, Office of the Procurement Executive (A/OPE), Suite 1060, SA-15, Washington, DC 20520.

(End of provision) mailto:AQMCompetitionAdvocate@state.gov mailto:cat@state.gov

SECTION 4 - EVALUATION FACTORS

• Award will be made to the lowest priced, acceptable, responsible quoter. The quoter shall submit a completed solicitation, including Sections 1 and 5.

• The Government reserves the right to reject proposals that are unreasonably low or high in price.

• The lowest price will be determined by multiplying the offered prices times the estimated quantities in “Prices - Continuation of SF-1449, block 23”, and arriving at a grand total, including all options, if any.

• The Government will determine acceptability by assessing the offeror's compliance with the terms of the RFQ to include the technical information required by Section 3.

• The Government will determine quoter responsibility by analyzing whether the apparent successful quoter complies with the requirements of FAR 9.1, including:

o adequate financial resources or the ability to obtain them;

o ability to comply with the required performance period, taking into consideration all existing commercial and governmental business commitments;

o satisfactory record of integrity and business ethics;

o necessary organization, experience, and skills or the ability to obtain them;

o necessary equipment and facilities or the ability to obtain them; and o be otherwise qualified and eligible to receive an award under applicable laws and regulations.

ADDENDUM TO EVALUATION FACTORS

FAR AND DOSAR PROVISION(S) NOT PRESCRIBED IN PART 12

THE FOLLOWING FAR PROVISIONS ARE PROVIDED IN FULL TEXT:

52.225-17 EVALUATION OF FOREIGN CURRENCY OFFERS (FEB 2000)

If the Government receives offers in more than one currency, the Government will evaluate offers by converting the foreign currency to United States currency using the exchange rate used by the Embassy in effect as follows:

For acquisitions conducted using sealed bidding procedures, on the date of bid opening.

For acquisitions conducted using negotiation procedures—

On the date specified for receipt of offers, if award is based on initial offers; otherwise

(2) On the date specified for receipt of proposal revisions.

SECTION 5 - REPRESENTATIONS AND CERTIFICATIONS

52.204-24 RESERVED

52.204-26 RESERVED

52.212-3 RESERVED

52.240-90 Security Prohibitions and Exclusions Representations and Certifications As prescribed in 40.205(a), insert the following provision:

SECURITY PROHIBITIONS AND EXCLUSIONS REPRESENTATIONS AND CERTIFICATIONS

(DEVIATION DATE)

(a) Definitions. As used in this provision—

Backhaul, covered article, covered telecommunications equipment or services, critical technology, FASCSA order, Intelligence community, interconnection arrangements, national security system, roaming, sensitive compartmented information, sensitive compartmented information system, source, and substantial or essential component have the meanings provided in the clause 52.240-91, Security Prohibitions and Exclusions.

Business operations means engaging in commerce in any form, including by acquiring, developing, maintaining, owning, selling, possessing, leasing, or operating equipment, facilities, personnel, products, services, personal property, real property, or any other apparatus of business or commerce.

Marginalized populations of Sudan means—

(1) Adversely affected groups in regions authorized to receive assistance under section 8(c) of the Darfur Peace and Accountability Act (Pub. L. 109-344) (50 U.S.C. 1701 note); and

(2) Marginalized areas in Northern Sudan described in section 4(9) of such Act.

Restricted business operations means business operations in Sudan that include power production activities, mineral extraction activities, oil-related activities, or the production of military equipment, as those terms are defined in the Sudan Accountability and Divestment Act of 2007 (Pub. L. 110-174). Restricted business operations do not include business operations that the person (as that term is defined in Section 2 of the Sudan Accountability and Divestment Act of 2007) conducting the business can dem onstrate—

(1) Are conducted under contract directly and exclusively with the regional government of southern Sudan;

(2) Are conducted under specific authorization from the Office of Foreign Assets Control in the Department of the Treasury, or are expressly exempted under Federal law from the requirement to be conducted under such authorization;

(3) Consist of providing goods or services to marginalized populations of Sudan;

(4) Consist of providing goods or services to an internationally recognized peacekeeping force or humanitarian organization;

(5) Consist of providing goods or services that are used only to promote health or education; or

(6) Have been voluntarily suspended.

Sensitive technology—

(1) Means hardware, software, telecommunications equipment, or any other technology that is to be used specifically—

(i) To restrict the free flow of unbiased information in Iran; or

(ii) To disrupt, monitor, or otherwise restrict speech of the people of Iran; and

(2) Does not include information or informational materials the export of which the President does not have the authority to regulate or prohibit pursuant to section 203(b)(3) of the International Emergency Economic Powers Act (50 U.S.C. 1702(b)(3)).

(b) Procedures.

(1) Covered telecommunications and video surveillance. The Offeror shall review the list of excluded parties in the System for Award Management (SAM) at https://www.sam.gov for entities excluded from receiving federal awards for “covered telecommunications equipment or services.”

(2) FASCSA Orders.

(i) The Offeror shall search in SAM for the phrase “FASCSA order” for any covered article, or any products or services produced or provided by a source, if there is an applicable FASCSA order described in paragraph (e) of FAR 52.240-91, Security Prohibitions and Exclusions.

(ii) The Offeror shall review…