SF-33 - Yerevan Health Insurance.doc
DOC document 69 KB Posted
- Solicitation number
- 19-AM10-24-R-0002
- Issued by
-
Department of State
About this file
This document is a Solicitation, Offer and Award (Standard Form 33) for a contract to provide locally employed staff health insurance coverage for the U.S. Embassy in Yerevan, Armenia. The U.S. Department of State is seeking proposals for an off-the-shelf health insurance plan that meets the minimum benefit levels required. Proposals are due by September 26, 2024 at 17:00 local time. The government intends to award a contract to the responsible offeror submitting the lowest priced acceptable proposal, without holding discussions, though discussions may be held if needed. Proposals must be submitted in English, in specific file formats, and with a file size not exceeding 30MB. The contract will be awarded based on this SF-33 form or another authorized official written notice.
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| File | Type | Posted |
|---|---|---|
| RFP - Yerevan Health Insurance.doc | DOC document |
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Text version
SOLICITATION, OFFER AND AWARD
1. THIS CONTRACT IS A RATED ORDER
UNDER DPAS (15 CFR 350)
| RATING |
| PAGE OF PAGES |
1 | 71
2. CONTRACT (Proc. Inst. Ident.) NO.
3. SOLICITATION NO.
19-AM10-24-R-0002
4. TYPE OF SOLICITATION
[ ] SEALED BID (IFB)
[x] NEGOTIATED (RFP)
5. DATE ISSUED
08/26/2024
6. REQUISITION/PURCHASE NO.
PR12285094
7. ISSUED BY CODE
8. ADDRESS OFFER TO (If other than item 7)
GSO, AMERICAN EMBASSY YEREVAN ARMENIA
Phone: +374 10 44 42 00 Fax: +374 10 46 47 42 1 American Avenue, Yerevan 0082, Armenia
NOTE: In sealed bid solicitation "offer" and "offeror” mean "bid" and "bidder".
SOLICITATION
9. Sealed offers in original and 2 (two) copies for furnishing the supplies or services in the Schedule will be received at the place specified, in the depository located in American Avenue 1, Yerevan, Armenia, U.S. Embassy Yerevan main entrance until September 26, 2024, local time 17:00.
CAUTION - LATE Submissions, Modifications, and Withdrawals: See Section L. Provision No. 52.215-1. All offers are subject to all tems and conditions contained in this solicitation.
10. FOR NFORMATION
CALL:
+374 10 44 42 00
A. NAME
Sarah Swatzburg
B. TELEPHONE (NO COLLECT CALLS) AREA CODE NUMBER EXT - NA
C. E-MAIL ADDRESS
SwatzburgSH@state.gov
11. TABLE OF CONTENTS
| (x) |
| SEC. |
| DESCRIPTION |
| PAGE(S) |
| (x) |
| SEC. |
| DESCRIPTION |
| PAGE(S) |
| PART I - THE SCHEDULE |
| PART II - CONTRACT CLAUSES |
| X |
| A |
| SOLICITATION/CONTRACT FORM |
| 1 |
| X |
| I |
| CONTRACT CLAUSES |
| 23 |
| X |
| B |
| SUPPLIES OR SERVICE AND PRICES/COSTS |
| 2 |
| PART III - LIST OF DOCUMENTS, EXHIBITS, AND OTHER ATTACH. |
| X |
| C |
| DESCRIPTION/SPECS/WORK STATEMENT |
| 8 |
| X |
| J |
| LIST OF ATTACHMENTS |
| 39 |
| X |
| D |
| PACKAGING AND MARKING |
| 14 |
| PART IV - REPRESENTATIONS AND INSTRUCTIONS |
| X |
| E |
| INSPECTION AND ACCEPTANCE |
| 15 |
| X |
| K |
| REPRESENTATIONS, CERTIFICATIONS, AND |
| 41 |
| X |
| F |
| DELIVERIES OR PERFORMANCE |
| 17 |
OTHER STATEMENTS OF OFFERORS
| X |
| G |
| CONTRACT ADMINISTRATION |
| 18 |
| X |
| L |
| INSTRS., COND., AND NOTICES TO OFFERORS |
| 62 |
| X |
| H |
| SPECIAL CONTRACT REQUIREMENTS |
| 20 |
| X |
| M |
| EVALUATION FACTORS FOR AWARD |
| 69 |
OFFER (Must be fully completed by offeror)
NOTE: ITEM 12 does not apply if the solicitation includes the provisions at 52.214-16, Minimum Bid Acceptance Period.
12. In compliance with the above, the undersigned agrees, if this offer is accepted within calendar days (120 calendar days unless a different period is inseted by the offer) from the date for receipt of offers specified above, to furnish any or all items upon which prices are offered at the price set opposite each item, delivered at the designated point(s), within the time specified in the schedule.
13. DISCOUNT FOR PROMPT PAYMENT
SEE 14
(See section I, Clause No 52.232-8)
10 CALENDAR DAYS
20 CALENDAR DAYS
30 CALENDAR DAYS
CALENDAR DAYS
| 14. ACKNOWLEDGMENT OF AMENDMENTS |
| AMENDMENT NO. |
| DATE |
| AMENDMENT NO. |
| DATE |
(The offeror acknowledges receipt of amendments to the solicitation and related documents ) numbered and dated:
15A.
NAME
CODE
FACILITY
16. NAME AND TITLE OF PERSON AUTHORIZED
AND
ADDRESS
OF
OFFEROR
TO SIGN OFFER (Type or print)
15B. TELEPHONE NO. (Include area code)
15C. CHECK IF REMITTANCE ADDRESS [ ]
IS DIFFERENT FROM ABOVE - ENTER
SUCH ADDRESS
| 17. SIGNATURE |
| 18. OFFER DATE |
AWARD (To be completed by Government)
19. ACCEPTED AS TO ITEM NUMBERED
| 20. AMOUNT |
| 21. ACCOUNTING AND APPROPRIATION |
22. AUTHORITY FOR USING OTHER THAN FULL AND OPEN COMPETITION:
[ ] 10 U.S.C. 2304(c)( ) [ ] 41 U.S.C. 253(c)( )
23. SUBMIT INVOICES TO ADDRESS SHOWN IN
(4 copies unless otherwise specified)
ITEM
24. ADMINISTRATION BY (If other than Item 7) CODE
25. PAYMENT WILL BE MADE BY CODE
26. NAME OF CONTRACTING OFFICER (Type or print)
27. UNITED STATES OF AMERICA
(Signature of Contracting Officer)
28. AWARD DATE
IMPORTANT - Award will be made on this form, or on the Standard Form 26, or by other authorized official written notice.
NSN 7540-01-152-8064
STANDARD FORM 33 (REV 9-97)
PREVIOUS EDITION NOT USABLE
Prescribed by GSA
File details come from the government source that posted it. Updated .