Amendment_A002.doc

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LES Health/Life Insurance Service
Solicitation number
SCH50012R2003
Issued by

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Amend A002 to the LES Health/Life Insurance Service

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AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE

PAGE OF PAGES

1 9

2. AMENDMENT/MODIFICATION NO.

A002

3. EFFECTIVE DATE

September 28, 2012

4. REQUISITION/PURCHASE REQ. NO.

5. PROJECT NO. (If applicable)

6.

ISSUED BY

CODE

7. ADMINISTERED BY (If other than Item 6) CODE

American Embassy Beijng

GSO/Procurement Office

# 55 An Jia Lou Lu

Beijing 100600, China

8.

NAME AND ADDRESS OF CONTRACTOR (NO., street,city,county,State,and ZIP Code)

X
9a. AMENDMENT OF SOLICITATION NO.

SCH50012R2003

X
9b. DATED (SEE ITEM 11)

August 2, 2012

10a. MODIFICATION OF CONTRACT/ORDER NO.

10b. DATED (SEE ITEM 13)

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

[ ] The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

[X ] is extended, [] is not extended

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods: (a) By completing Items 8 and 15, and returning ___1__ copies of the amendment;(b) By acknowledging receipt of this amendment on each copy of the offer submitted; or(c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers.

FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE

CONTRACT ORDER NO. IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b)

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor [ ] is not, [ ] is required to sign this document and return ___ copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

The purpose of this Amendment is to make changes in the solicitation as set forth in the attached pages.

SEE NEXT PAGE

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER (Type or print)

16A. NAME OF CONTRACTING OFFICER

Benedict Robinette

15B. NAME OF CONTRACTOR/OFFEROR

BY

(Signature of person authorized to sign)

15C.DATE SIGNED
16B. UNITED STATES OF AMERICA

BY

(Signature of Contracting Officer)

16C.DATE SIGNED

NSN 7540-01-152-8070

Standard Form 30 (revised 10/83) Previous edition unusable

Prescribed by GSA FAR (48 CFR) 53.243

1. Section B.2 PRICES on page 2 through page 4: Single Employees (Self only) in the price chart is deleted and replaced with Employees; Family Plan is deleted and replace with Dependents. The numbers of employees and dependents are changed. As a result of the change, Section B.2. is hereby deleted in their entirety and replaced with Section B.2 as set forth below:

B.2.

PRICES

This is a fixed price with economic price adjustment requirements type contract under which will be issued firm, fixed-price task orders. The fixed prices/premium rates for the health insurance services as specified in Section C are as follows:

B.2.1.

BASE YEAR OF CONTRACT:

Bi-Weekly Rates Per Employee:

Category
Estimated Number of Employees
Rate per Employee
Total
Employees
1,253
Dependents
1,209

SUBTOTAL

Total Price for Base Year (Subtotal x 26): _______

B.2.2.

FIRST OPTION YEAR OF THE CONTRACT:

Category
Estimated Number of Employees
Rate per Employee
Total
Employees
1,253
Dependents
1,209

SUBTOTAL

Total Price for Option Year 1 (Subtotal x 26): _______

B.2.3.

SECOND OPTION YEAR OF THE CONTRACT:

Category
Estimated Number of Employees
Rate per Employee
Total
Employees
1,253
Dependents
1,209

SUBTOTAL

Total Price for Option Year 2 (Subtotal x 26): _______

B.2.4.

THIRD OPTION YEAR OF THE CONTRACT:

Category
Estimated Number of Employees
Rate per Employee
Total
Employees
1,253
Dependents
1,209

SUBTOTAL

Total Price for Option Year 3 (Subtotal x 26): _______

B.2.5.

FOURTH OPTION YEAR OF THE CONTRACT:

Category
Estimated Number of Employees
Rate per Employee
Total
Employees
1,253
Dependents
1,209

SUBTOTAL

Total Price for Option Year 4 (Subtotal x 26): _______________

GRAND TOTAL BASE PERIOD PLUS OPTION YEARS: __________________

2. Section B.6 GROUP LIFE INSURANCE RATES on page 6 through page 8: Dismemberment, Partial and Total Disability Coverage are deleted from the price chart. As a result of the change, Section B.6. is hereby deleted in their entirety and replaced with Section B.6. as set forth below:

B.6.

GROUP LIFE INSURANCE RATES

This is a fixed-price with economic-price-adjustment-requirements type contract under which the Government will issue firm-fixed price task orders. The fixed prices/premium rates are in Chinese Renminbi (RMB) per one thousand of salary to provide life insurance, accidental death and dismemberment and partial and total disability coverage are as follows:

B.6.1.

BASE YEAR OF CONTRACT

Type of Insurance
Premium (per 1,000) of salary
Estimated Payroll (biweekly, in thousands)
Total

Basic Life

3,363.67

Accidental Death

3,363.67

Total Price for Base Year: __________x 26 = _____________

Page5 of 9 B.6.2.

FIRST OPTION YEAR OF CONTRACT:

Type of Insurance
Premium (per 1,000) of salary
Estimated Payroll (biweekly, in thousands)
Total

Basic Life

3,363.67

Accidental Death

3,363.67

Total Price for Option Year 1: __________x 26 = _____________

B.6.3.

SECOND OPTION YEAR OF CONTRACT:

Type of Insurance
Premium (per 1,000) of salary
Estimated Payroll (biweekly, in thousands)
Total

Basic Life

3,363.67

Accidental Death

3,363.67

Total Price for Option Year 2: __________x 26 = _____________

B.6.4.

THIRD OPTION YEAR OF CONTRACT:

Type of Insurance
Premium (per 1,000) of salary
Estimated Payroll (biweekly, in thousands)
Total

Basic Life

3,363.67

Accidental Death

3,363.67

Total Price for Option Year 3: __________x 26 = _____________

B.6.5.

FOURTH OPTION YEAR OF CONTRACT:

Type of Insurance
Premium (per 1,000) of salary
Estimated Payroll (biweekly, in thousands)
Total

Basic Life

3,363.67

Accidental Death

3,363.67

Total Price for Option Year 4: __________x 26 = _____________

GRAND TOTAL PRICE FOR ALL YEARS: __________________

3. As a result of the change in Section B.6, Section B.7.2. on page 9 is hereby deleted in their entirety and replaced with Section B.7.2. as set forth below:

B.7.2 sets forth the retention amounts per premium paid for each category of premium and for each period of performance.

NOTE TO OFFEROR - Fill in the fixed retention amounts for each period of performance and for each category of premium. This fixed amount must be expressed in the currency in which the premium amount is proposed. The fixed retention amount shall NOT be expressed in terms of a percentage of the premium.

B.7.2 Retention Amounts per separate premium paid per employee

Period of Performance
Basic Life
Accidental Death

Base Period

Option Year 1

Option Year 2

Option Year 3

Option Year 4

4. Section C.1.1 Employee and Dependent Health Services Benefits, subparagraph C.1.1.15 is added on page 12 as follows:

C.1.1.15.

Routine annual physical examinations 90%

90%

5. Section C.2.1. Group Life Insurance Coverage on page 16 is hereby deleted in its entity and replaced with C.2.1 as set forth below:

C.2.1.

Group Life Insurance Coverage.

The amount of group life insurance coverage is as follows:

C.2.1.1 Amount of Natural Death Insurance:

The employee’s estate will receive an amount equal to 20 times of monthly basic salary in the event the employee dies of natural causes.

C.2.1.2 Amount of Accidental Death and Coverage.

The employee's estate or employee will receive an amount equal to 24 times the amount of monthly basic salary, in the event the employee is killed in an accident.

C.2.1.3 Partial and Total Disability Coverage

N/A

6. Section H.4 subparagraph (b)(1) on page 29 is hereby deleted in its entirety and replaced with subparagraph (b)(1) as set forth below:

(1) All medical claims shall be submitted directly to the Contractor by employees, through a drop box in the COR's office. The claims shall be picked up from the COR each month.

7. Section H.4 subparagraph (b)(5) on page 29 is hereby deleted in its entirety and replaced with subparagraph (b)(5) as set forth below:

(5) The Contractor shall accept the employee's or dependent's choice to go for surgery to hospitals designated by the local social insurance bureau.

8. Section J, Exhibit A, is hereby deleted in its entirety and replaced with Section J, Exhibit A, attached hereto and hereby made a part of the contract by this modification.

SCH50012R2003

Page8 of 9

SECTION J

LIST OF EXHIBITS/ATTACHMENTS

Exhibit A – EMPLOYEE STATISTICS

Exhibit A should cover 1253 employees and 1209 dependents. The average bi-weekly salaries RMB 3,363.67 apply to all 1253 employees.

No. of Employees
1253
No. of Dependents
1209
Average Bi-weekly Salary
RMB 3,363.67
Post
Employees
Dependents
Total Enrollees
Beijing
631
560
1,191
Chengdu
93
105
198
Guangzhou
208
248
456
Shanghai
213
183
396
Shenyang
104
111
215
Wuhan
4
2
6
Total
1,253
1,209
2,462

Page9 of 9

Age information as follows:

Employees’ Age Range Chart:

Age Range
Male
Female
Under 20
0
0
20 - 29
61
97
30 - 39
245
318
40 - 49
154
154
50 - 59
147
50
60 - 64
18
3
65 - 69
5
1
Total
630
623

Dependents’ Age Range Chart:

Age Range
Male
Female
0 - 3
75
59
4 - 9
95
105
10 - 14
50
47
15 - 19
39
32
20 - 29
44
71
30 - 39
118
165
40 - 49
76
91
50 - 59
33
93
60 - 64
5
9
65 - 69
2
0
Total
537
672

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