AMENDMENT_OF_SOLICITATION.pdf

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Health Insurance services for US Embassy Tbilisi LES
Solicitation number
SGG80014R0001
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The purpose of this amendment is to add US Peace Corp Personal Services Contractors under separate rider

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AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE

PAGES

2. AMENDMENT/MODIFICATION NO.

A001

3. EFFECTIVE DATE

03/07/2014

4. REQUISITION/PURCHASE REQ. NO.

5. PROJECT NO. (If applicable)

6. ISSUED BY CODE

US Embassy Tbilisi 11 George Balanchine St

7. ADMINISTERED BY (If other than Item 6)

CODE

Tbilisi, 0131, Georgia Phone: (995) 32 2277-71-72

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

9a. AMENDMENT OF SOLICITATION NO.

SGG80014R0001

9b. DATED (SEE ITEM 11)

Feb 21, 2014 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

[ ] is extended, [X ] 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 _______ copies of the amendment;(b) By acknowledging receipt of this amendment on each copy of the offer submitted; or© 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 add US Peace Corp Personal Services Contractors under separate rider.

Paragraphs B1.1., C.1.3.2, C.1.3.3, C.1.4., G4, H.3.1, and Section J changed to read the following:

Solicitation due date is unchanged. Proposals shall be submitted on or before 5:00pm local time (GMT+4) 8:00am

US Central Time on March 28, 2014

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

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

Standard Form 30

B.1.1. Official Residence Expense (ORE) Staff, Tbilisi Embassy Association Employees (EAE) and Peace Corps Personal Services Contractors (PSC) staff are included under this contract only as a rider; the Contractor shall bill the Chief of Mission and Deputy Chief of Mission (for ORE

Staff), the Embassy Association (for EAEs) and Peace Corp (for PC PSC) at the rates specified below. See Section G for billing procedures.

C.1.3.2 Location of Employment

The individuals covered by C.1.3.1 must be employed within the geographic boundaries of Georgia by the agencies under the Chief of Mission authority:

US Department of State

Open Source Center (OSC)

Defense Security Cooperation Agency (ODC)

Defense Wide Program (PFP)

U.S. Agency for International Development (USAID)

Center for Disease Control (CDC)

Office of Bilateral Agreement (BAO)

Export Control and Related Border Security (EXBS)

US Department of Justice (DOJ)

US Department of Defense (DAO)

US Department of Treasury

US Army Corp of Engineers (USACE)

US Department of Agriculture (USDA)

International Narcotics Liaison (INL)

Defense Threat Reduction Agency (DTRA)

Force Protection Detachment (FPD)

EUCOM

NAVY-GDP –ICAF

Population, Refugee and Migration (PRM)

Army Medical Research Center (WRAIR)

Millennium Challenge Corporation (MCC)

US Peace Corps – employees eligible in accordance with C.1.3.1 and Personal

Services Contractors (PSC) under separate rider (see C.1.3.3.3)

C.1.3.3 Participants Covered Under a Rider

C.1.3.3.1 All current active employees of the Chief of Mission and the Deputy Chief of Mission assigned to their respective official Government residences and paid under an

ORE account (see separate rider, Exhibit B). All costs for ORE employees are the responsibility of the employing officer, not the U.S. Government.

C.1.3.3.2 All current active employees of the Tbilisi Employee Association (TEA) at Embassy Tbilisi (see separate rider, Exhibit C). All costs for TEA employees are the responsibility of the Employee Association, not the U.S. Government.

C.1.3.3.3 Employees separated due to retirement are eligible. Premium costs are entirely borne by the retiree.

C.1.3.3.4 All current active Peace Corp PSCs (see separate rider, Exhibit D). All costs for PC PSC employees are the responsibility of the Peace Corps

C.1.4 Individuals Not Eligible for Coverage

Not eligible are those working under temporary appointments; those working under a

PSC or PSA that is time limited to less than one year; those with an intermittent, seasonal, or WAE (when actually employed) schedule; non-personal services contract personnel and their employees, supplied by an independent contractor licensed to do business in Georgia who provides services to other local organizations as well as to the

U.S. Mission; employees of USAID institutional contractors.

G.4 SUBMISSION OF INVOICES AND PAYMENT

G.4.1. Invoices for U.S. Government employees shall be submitted in an original and three (3) copies to the following address (designated billing office only for the purpose of submitting invoices):

Financial Management Office

US Embassy Tbilisi

11 George Balanchine St

Tbilisi, Georgia 0131

G.4.2. Frequency of Payments. All funds under this contract will be obligated by issuance of task orders, as described in H.3. Each task order will fund a specific period of time and number of employees, and the task orders will be issued at the frequency described in H.3. Contractor may submit invoices monthly for payment to be made at the beginning of the month for which insurance coverage is provided in accordance with

FAR 32.404.

G.4.3. U.S. Government Employees. The Government shall make payments directly to the contractor for all Government employees, whether or not the employee is contributing to the premium amount.

G.4.4 ORE Staff. The Chief of Mission (CM) and/or Deputy Chief of Mission (DCM) will make payment directly to the contractor for the entire premium amount of the ORE staff, whether or not the ORE employee is contributing to the premium amount.

G.4.5. EAE Staff. The Employee Association will make payment directly to the contractor for the entire premium amount of the EA employee, whether or not the EA employee is contributing to the premium amount.

G.4.6. PC PSC. Peace Corps will make payment directly to the contractor for the entire premium amount of their PSC employees, whether or not the employee is contributing to the premium amount.

H.3.1. The ORE staff, TEA employees and Peace Corps PSCs under separate riders are not included under the task orders issued by the Contracting Officer. Because their coverage is under a rider, their employer is responsible for directly interacting with the contractor to order any coverage for their employees. When contacted by the employer, the contractor shall advise the employer of the paperwork and payment that will be necessary to order coverage for the identified individuals. Because more than one employer may have ORE staff, the contractor may be contacted by more than one employer (typically the Chief of Mission and Deputy Chief of

Mission).

SECTION J

LIST OF EXHIBITS/ATTACHMENTS

Exhibit A – EMPLOYEE STATISTICS

Listing of the number of eligible employees and dependents

These figures shall not be considered as final

Male Female Total

Employees 344 142 486 Spouses 61 300 361 Children 270 244 514 # of single employees 59 53 112 # of employees with family 61 313 374 Children-0 106 Children-1 63 63 126 Children-2 124 130 254 Children-3 47 39 86 Children-4 or more 13 9 22

Exhibit B - ORE EMPLOYEES RIDER

Employees 0 8 8 Spouses 4 0 4 Children 2 1 3 # of single employees 0 4 4 # of employees with family 0 4 4 Children-0 2 Children-1 2 1 3

Exhibit C – EMPLOYEE ASSOCIATION EMPLOYEES RIDER

Employees 3 6 9 Spouses 1 2 3 Children 4 2 6 # of single employees 1 3 4 # of employees with family 2 3 5

Exhibit D- PEACE CORPS PSC RIDER

Employees 14 16 30 Spouses 11 11 22 Children 13 15 28 # of single employees 3 4 7 # of employees with family 11 12 23 Children-0 2 1 3 Children-1 3 2 5 Children-2 3 4 7 Children-3 1 2 3 Children-4 or more 0 0 0

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