SF30 LE Staff Health Insurance Solicitation Amendment 00012025.doc
DOC document 52 KB Posted
- Solicitation number
- 19NG6023R0001A0002
- Issued by
-
Department of State
About this file
This is a Standard Form 30 (SF30) Amendment for a Medical Health Plan Services solicitation for Local Employees (LES) in Niger. The amendment extends the Request for Proposal (RFP) closing date to 05/20/2025 at 5:00 p.m. local time and provides answers to vendor questions. The solicitation covers health insurance services for 584 total employees (543 male, 41 female), with pricing tables suggesting potential coverage for 800 employees across different plan types (Self, Self-Plus-One, and Family Coverage). The document includes an Exhibit F showing claims paid out from 03/13/2022 to 01/12/2023, with total claims of 339,880,765 XOF (573,154.74 USD) and a subsequent period from 05/23/2024 to 04/02/2025 showing 588,006,806 XOF (1,026,637.81 USD) in claims. The solicitation is issued by the American Embassy in Niamey, Niger, under the Department of State.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment 1 Questions and Answers Solicitation 19NG6025R0001.docx | DOCX document |
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Text version
AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT
1. CONTRACT ID CODE
PAGE OF PAGES
1 2
2. AMENDMENT/MODIFICATION NO.
A00001
3. EFFECTIVE DATE
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 Niamey
Rue des Ambassades BP 11201, Niamey - Niger
8.
NAME AND ADDRESS OF CONTRACTOR (NO., street,city,county,State,and ZIP Code)
9a. AMENDMENT OF SOLICITATION NO.
19NG6025R0001
9b. DATED (SEE ITEM 11)
04/29/2025
10a. MODIFICATION OF CONTRACT/ORDER NO.
10b. DATED (SEE ITEM 13)
11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
[X] 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 __1_ 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 provide answers to the questions submitted by potential vendors and to update Exhibit F as follows:
See the attached questions from vendors with the US Government’s answers (Attachment #1).
And below:
· The RFP closing date is extended to 05/20/2025 at 5:00 p.m. local time.
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
Konold Mark, C
15B. NAME OF CONTRACTOR/OFFEROR
BY
(Signature of person authorized to sign)
| 15C.DATE SIGNER |
| 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
Exhibit F – CLAIMS PAID OUT FROM 03/13/2022 TO 01/12/2023.
| Year |
| Total XOF |
| total USD |
| 3/13/2022 – 1/12/2023 |
| 339,880,765 |
| 573,154.74 |
| 05/23/2024 – 04/02/2025 |
| 588,006,806 |
| 1,026,637.81 |
File details come from the government source that posted it. Updated .