RFP___S-LE200-13-R-0004.pdf

SOLICITATION, OFFER AND AWARD 1. THIS CONTRACT IS A RATED ORDER

UNDER DPAS (15 CFR 350)

RATING PAGE OF PAGES

1 | 79

2. CONTRACT (Proc. Inst. Ident.) NO.

3. SOLICITATION NO.

S-LE200-13-R-0004

4. TYPE OF SOLICITATION

[ ] SEALED BID (IFB)

[x] NEGOTIATED (RFP)

5. DATE ISSUED

March 20, 2013

6. REQUISITION/PURCHASE NO.

7. ISSUED BY

CODE 8. ADDRESS OFFER TO (If other than item 7)

Contracting Office US Embassy Awkar Beirut, Lebanon

NOTE: In sealed bid solicitation "offer" and "offeror” mean "bid" and "bidder".

SOLICITATION

9. Sealed offers per Section L for furnishing the services in the Schedule must be delivered to: Michael Unglesbee, Contracting Officer, US Embassy, Awkar, Lebanon by or before 2:00 PM local time on April 24, 2013.

CAUTION - LATE Submissions, Modifications, and Withdrawals: See Section L. Provision No. 52.215-1. All offers are subject to all terms and conditions contained in this solicitation.

10. FOR INFORMATION

CALL:

A. NAME

Mr. Michael Unglesbee

B. TELEPHONE (NO COLLECT

CALLS)

AREA CODE NUMBER EXT

+961 4-542600 4243

C. E-MAIL ADDRESS

UnglesbeeMJ@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 43-56

X B SUPPLIES OR SERVICE AND PRICES/COSTS 2-19 PART III - LIST OF DOCUMENTS, EXHIBITS, AND OTHER ATTACH.

X C DESCRIPTION/SPECS/WORK STATEMENT 20-31 X J LIST OF ATTACHMENTS 57

X D PACKAGING AND MARKETING 32 PART IV - REPRESENTATIONS AND INSTRUCTIONS

X E INSPECTION AND ACCEPTANCE 33-34 X K REPRESENTATIONS, CERTIFICATIONS, AND 58-69

X F DELIVERIES OR PERFORMANCE 35-36 OTHER STATEMENTS OF OFFERORS

X G CONTRACT ADMINISTRATION 37-38 X L INSTRS., COND., AND NOTICES TO OFFERORS 70-76

X H SPECIAL CONTRACT REQUIREMENTS 38-42 X M EVALUATION FACTORS FOR AWARD 77-79

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 inserted 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

Contracting Office RFP # SLE200-13-R-0004 March 20, 2013 US Embassy, Beirut Health and Life Insurance Services

SECTION B

PART I PRICE - HEALTH INSURANCE

B.1. HEALTH INSURANCE SERVICES

The Contractor shall provide the Health Insurance services to employees of the Government of the United States of America in Beirut, Lebanon as described in Section C and the Exhibits in Section J. The groups of employees who shall be provided this insurance are listed in C.1.3 (medical) and C.2.3 (life). This insurance shall be provided in accordance with Section C and the Exhibits in Section J.

B.1.1. Official Residence Expense (ORE) Staff, Embassy Association Employees (EAE) and Retired Employees 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 the Retired Employees separately, at the rates specified below. See Section G for billing procedures.

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 premium prices and retention amounts are stated in ________________ currency (offeror to fill in currency).

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 and Total Premium per Category:

Category A- Estimated

Number B- Bi-Weekly Rate

C- Total

Premium

1-Employee 502

2- Spouse 329

3- Child 669

SUBTOTAL

TOTAL PRICE FOR BASE YEAR (SUBTOTAL x 26)

4.A- Retired

Employee

4.B- Retired

Employee Spouse

Contractor shall complete columns (B) and (C) above.

B.2.2. FIRST OPTION YEAR OF THE CONTRACT:

Category A- Estimated

TOTAL PRICE FOR FIRST OPTION YEAR

(SUBTOTAL x 26)

4.A-

Employee

B.2.3. SECOND OPTION YEAR OF THE CONTRACT:

Category A- Estimated

TOTAL PRICE FOR SECOND OPTION YEAR

Employee

B.2.4. THIRD OPTION YEAR OF THE CONTRACT:

Category A- Estimated

TOTAL PRICE FOR THIRD OPTION YEAR (SUBTOTAL

x 26)

Employee

B.2.5. FOURTH OPTION YEAR OF THE CONTRACT:

Category A- Estimated

TOTAL PRICE FOR FOURTH OPTION YEAR

Employee

B.2.6. PRICE SUMMARY FOR BASE AND FOUR OPTION YEARS OF CONTRACT

HEALTH INSURANCE

TOTAL PRICE FOR BASE PERIOD

(B.2.1)

TOTAL PRICE FOR OPTION YEAR ONE

(B.2.2)

TOTAL PRICE FOR OPTION YEAR TWO

(B.2.3)

TOTAL PRICE FOR OPTION YEAR

THREE

(B.2.4)

FOUR

(B.2.5)

GRAND TOTAL FOR BASE AND FOUR

OPTION YEARS OF THE CONTRACT

Contractor shall complete above table.

B.3 ADMINISTRATIVE RETENTION AMOUNTS

B.3.1 If the Contractor requests a price adjustment under B.4 below, the Contractor must present cost experience data that includes the retention amount. For purposes of any economic price adjustment, this retention amount is a fixed amount that is a part of the premium amounts in B.2. This retention amount will not be adjusted for any reason.

The retention amount is part of the premium and may include, but not be limited to, such costs as overhead and general and administrative costs. It will also include any profit. Essentially, it includes all costs except the actual portion of the premium intended to fund claims paid to the health care provider/claimant. B.3.2.1 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.3.2.1 Bi-Weekly Retention Amount per separate premium paid per single employee and eligible dependents:

NOTE TO OFFEROR - the offeror must state the currency which its retention amounts are offered (i.e. Lebanese pounds or US$s)

Period of Performance

Employee Spouse Child

Base Period

Option Year 1

Option Year 2

Option Year 3

Option Year 4

B.4. ECONOMIC PRICE ADJUSTMENT-HEALTH INSURANCE PREMIUMS

B.4.1. Premium Adjustment based on Experience - For health insurance, prices may be adjusted upward or downward based on the experience rating of the Mission covered by this contract. No adjustment will be allowed during the first twelve months. After such time, the contractor or the

Government may request an adjustment in premiums on an annual basis. Before any such adjustment is made, the contractor agrees to provide the Government a balance sheet showing two main components for the time period: (1) receipts (premiums received) minus the retention amount and (2) claims paid. The retention amount is not subject to adjustment. The Government reserves the right to have an independent third party review the balance sheet and make recommendations regarding the appropriateness of the requested adjustment. Any adjustment shall be subject to mutual agreement of the parties and shall result in a written modification to the contract. Any failure to reach agreement under this clause shall be subject to the procedures in the Disputes clause.

B.4.2. Premium Adjustment Based on Laws - The rates may also be adjusted during the performance period of the contract as a result of laws enacted by the host Government, if such change in the laws has a direct impact on the cost to the contractor to perform this contract at the contracted rate. In that event, the Contracting Officer may enter into negotiations with the Contractor to modify the contract to adjust the premium rate. The contractor agrees to provide all documentation necessary to support any requested adjustment.

B.4.2.1 Employee Pool – This clause is only in effect if the contractor included details in its offer regarding a pooling arrangement, of which this contract is a part.

Before any adjustment is made under this price adjustment clause, the Contractor must include in its proposal for adjustment, details setting forth how the pool impacts the request for equitable adjustment.

PART II PRICE - GROUP LIFE INSURANCE

B.5. GROUP LIFE INSURANCE SERVICES

The Contractor shall provide the Group Life Insurance services described herein to employees of the Government of the United States of America in Beirut, Lebanon. The groups of employees who shall be provided this insurance are listed in C.2.3. This insurance shall be provided in accordance with Section C and the Exhibits in Section J.

B.5.1. Official Residence Expense (ORE) Staff, Embassy Association Employees (EAE) and Retired Employees 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 the Retired Employees separately, at the rates specified below. See Section G for billing procedures.

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 in Lebanese Pounds (LBP) 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

Bi-Weekly Rates and Total Premium per Employee:

Type of Insurance A-Premium (per

1,000) of salary B-Estimated Payroll (biweekly, in thousands LBP)

C-Total Premium

Basic Life 750,966,335

Permanent Total Disability Coverage

Subtotal

Total Price for Base Year of Contract (SUBTOTAL x 26)

Contractor shall complete columns (A) and (C) above.

B.6.2. FIRST OPTION YEAR OF CONTRACT:

Type of Insurance A-Premium (per

1,000) of salary B-Estimated Payroll (biweekly, in thousands LBP)

C-Total Premium

Total Price for First Option Year of Contract (SUBTOTAL x 26)

B.6.3. SECOND OPTION YEAR OF CONTRACT:

B-Estimated Payroll (biweekly, in thousands LBP)

C-Total Premium

Total Price for Second Option Year of Contract (SUBTOTAL x 26)

B.6.4. THIRD OPTION YEAR OF CONTRACT:

B-Estimated Payroll (biweekly, in thousands LBP)

C-Total Premium

Total Price for Third Option Year of Contract (SUBTOTAL x 26)

B.6.5. FOURTH OPTION YEAR OF CONTRACT:

Type of Insurance A-Premium (per

1,000) of salary B-Estimated Payroll (biweekly, in thousands LBP)

C-Total Premium

Total Price for Fourth Option Year of Contract (SUBTOTAL x 26)

B.6.6 PRICE SUMMARY FOR BASE AND FOUR OPTION YEARS OF CONTRACT

LIFE INSURANCE

TOTAL PRICE FOR BASE PERIOD

(B.6.1)

TOTAL PRICE FOR OPTION YEAR ONE

(B.6.2)

TOTAL PRICE FOR OPTION YEAR TWO

(B.6.3)

THREE

(B.6.4)

TOTAL PRICE FOR OPTION YEAR FOUR

(B.6.5)

GRAND TOTAL FOR BASE AND FOUR

OPTION YEARS OF THE CONTRACT

Contractor shall complete above table.

B.7 ADMINISTRATIVE RETENTION AMOUNTS

B.7.1 If the Contractor requests a price adjustment under B.8 below, the Contractor must present cost experience data that includes the retention amount. For purposes of any economic price adjustment, this retention amount is a fixed amount that is a part of the premium amounts in B.6. This retention amount will not be adjusted for any reason.

The retention amount is part of the premium and may include, but not be limited to, such costs as overhead and general and administrative costs. It will also include any profit. Essentially, it includes all costs except the actual portion of the premium intended to fund claims paid to the claimant.

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 Bi-Weekly Retention Amount per separate premium paid per employee:

NOTE TO OFFEROR - the offeror must state the currency which its retention amounts are offered (i.e. Lebanese pounds or US$s)

Period of Performance

Basic Life Permanent and Total Disability Coverage

Base Period

Option Year 1

Option Year 2

Option Year 3

Option Year 4

B.8 ECONOMIC PRICE ADJUSTMENT-LIFE INSURANCE PREMIUMS

B.8.1. Premium Adjustment Based on Experience - For life insurance, prices may be adjusted upward or downward based on the experience rating of the Mission(s) covered by this contract.

No adjustment will be allowed during the first twelve months. After such time, the contractor or the Government may request an adjustment in premiums on an annual basis. Before any such adjustment is made, the contractor agrees to provide the Government a balance sheet showing two main components for the time period: (1) receipts (premiums received) minus the retention amount and (2) claims paid. The retention amount is not subject to adjustment. The Government reserves the right to select an independent third party to review the balance sheet and make recommendations regarding the appropriateness of the requested adjustment. Any adjustment shall be subject to mutual agreement of the parties and shall result in a written modification to the contract. Any failure to reach agreement under this clause shall be subject to the procedures in the Disputes clause.

B.8.2. Premium Adjustment Based on Law - The rates may also be adjusted during the performance period of the contract as a result of laws enacted by the host Government, if such change in the laws has a direct impact on the cost to the contractor to perform this contract at the rate contracted for herein. In that event, the Contracting Officer may enter into negotiations with the Contractor to modify the contract to adjust the premium rate. The contractor agrees to provide all documentation necessary to support any requested adjustment.

SECTION C

DESCRIPTION/SPECIFICATION/WORK STATEMENT

PART I - HEALTH INSURANCE

C.1. HEALTH INSURANCE SERVICES

The Government of the United States of America requires Health Insurance coverage for its employees as further described in C.1.2 in Lebanon. The Government has determined that the prevailing practice by employers in Lebanon is to provide for their employees’ health insurance protection and that the cost of such insurance protection is usually borne by both the employee and the employer; the employee pays 15% of the premium cost and the employer pays 85% of the premium cost. Health insurance protection will be representative of locally prevailing compensation practice as further described in C.1.2. The specific health benefit coverage under this contract is set forth in Section C and the Exhibits in Section J.

The Contractor shall insure that health care under this contract does not exclude HIV/AIDS care, unless exclusion has been authorized by HR/OE/CMD.

The insurance company will reimburse covered medical expenses incurred, subject to the stated limits. Payment will be made for reasonable and customary costs of covered benefits. The medical treatment must be prescribed or provided by a physician or nurse licensed in Lebanon or the United States.

C.1.1 Employee and Dependent Health Services Benefits

The health benefits under this contract are as follows. Reimbursement of covered expenses is limited to the stated percentages of reasonable and customary costs. Proposals that contain more benefits (even if there is no increase in cost) or fewer benefits than stated in the solicitation may be deemed technically unacceptable.

C.1.1.1. Hospitalization: 100% reimbursement of room and board for a ward room or semi-private room. 80% reimbursement of room and board for a private room, not to exceed 100% of the cost of a semi-private room. 100% reimbursement of hospital medical expenses including laboratory tests and x-rays, nursing care, operating room costs, intensive care, prescription medicines, and physical therapy.

C.1.1.2 Professional services and treatment: 100% reimbursement of doctors’ and surgeons’ fees incurred while hospitalized at a hospital on in-patient and out-patient basis.

90% reimbursement of doctors’ fees for visits in hospital, office or home up to LBP. 75,000 per visit. 90% reimbursement for medical services and expenses when not hospitalized such as laboratory tests and x-rays, prescription medicines, physical therapy, routine annual physical examination, and inoculations. 90% reimbursement of physical therapy up to LBP. 300,000 per patient per year.

C.1.1.3. Prescription drugs and medicines: 100% reimbursement of the cost of when hospitalized, and 90% reimbursement of the cost when not hospitalized, of medicines and drugs for which a prescription is legally required. Expenses incurred for medicines, vitamins, cold remedies, etc., that are available over the counter without a prescription will not be reimbursed even if prescribed by a physician.

C.1.1.4 For employees only: 100% reimbursement for medications to suppress opportunistic infections, such as tuberculosis and toxoplasmosis, for employees who have HIV/AIDS as well as brief courses of brief courses of anti-retroviral drugs during childbirth to prevent the transmission of HIV to the employee’s child. The duration of this treatment is to be determined by the employee’s physician following WHO or CDC guidelines.

The maximum limit for expenses reimbursed under section C.1.1.4 is LBP 15,000,000 (fifteen million) per patient per contract year.

C.1.1.5 Obstetrical care: 100% reimbursement of obstetrical related medical expenses, including normal and caesarean prenatal and postnatal care.

C.1.1.6 Family Planning: None

C.1.1.7 Hearing Aids: None

C.1.1.8 Optical care: 40% reimbursement for eye examination and treatment and prescription eyeglass or contact lenses. No reimbursement for eyeglass frames, nonprescription lenses, or tinting.

C.1.1.9 Dental care: 40% reimbursement of expenses for dental services including dentists’ fees, x-rays, examination and treatment, cleaning, fillings, extractions, false teeth, crowns, and bridges.

C.1.1.10 Psychiatric Treatment: None

C.1.1.11 Medical expenses incurred out of country: Medical expenses incurred out of country will be covered for employees and dependents when (a) a life threatening condition occurs when the individual is out of the country and treatment is medically necessary before the individual returns home or (b) the individual’s attending physician certifies in advance that such treatment is medically necessary and unavailable locally. Reimbursement will be made at the same percentage rate and subject to the same annual maximum limit as for expenses incurred in country.

C.1.1.12 Transportation for Out of Country Treatment: Transportation for out of country treatment will be a covered expense for employees and dependents. The patient’s attending physician must certify in advance that the treatment is medically necessary and unavailable locally. 80% of the patient’s transportation expenses by the least expensive, appropriate means of transportation to the nearest city with adequate medical facilities will be reimbursed. 80% of the transportation expenses of an attendant will be reimbursed if the patient’s attending physician certifies that an attendant for the patient is necessary, e.g., a parent in the case of a patient who is minor or a family member to make medical decisions in the case of a patient who is unconscious. All reimbursements for transportation expenses are subject to the annual maximum limit.

C.1.1.13 Annual Maximum Limit: The maximum annual reimbursement per patient per contract year, not including expenses covered under C.1.1.4, is LBP 225,000,000 (two hundred twenty five million Lebanese Pounds).

C.1.2 Health Benefits Conditions and Limitations

There is no reimbursement for elective cosmetic surgery; spa cures; rejuvenation cures; massage;

exercise therapy; long term rehabilitative therapy; eyeglass frames; non-medical hospital charges such as telephones or television; home help, family help, or similar household assistance; fees of persons who are not licensed physicians or nurses; or services or supplies which have not been prescribed or approved by a physician or nurse.

There is no reimbursement for expenses that will be reimbursed or paid directly under a host country medical program or workers' compensation program; or the U.S. workers’ compensation program.

There is no reimbursement for expenses related to an illness or injury that is a result of an unlawful action on the part of the patient; the practice of a dangerous sport; excessive or illegal use of alcohol or drugs; a self-inflicted wound; or service in the armed forces of any country.

C.1.3 Eligible Participants

C.1.3.1 Eligible Employees - The employees eligible for the health insurance services include the following:

C.1.3.1.1 All current active employees of the United States Government, employed within the geographic boundaries of Lebanon paid under the Local Compensation Plan, and certified by the Contracting Officer. Covered employees include

C.1.3.1.2. Locally Employed Staff who are working on a full-time or part-time basis under non-temporary direct hire appointments or under personal services agreements/contracts (PSA/PSC) that are not time limited to less than one year and (2) paid under the terms of the Local Compensation Plan.

C.1.3.1.3. Locally hired U.S. citizens employed under direct hire appointments, PSAs, and PSCs.

C.1.3.2 Location of Employment

The individuals covered by C.1.3.1 must be employed within the geographic boundaries of Lebanon by:

Department of State U.S. Agency for International Development Department of Defense Foreign Commercial Service Department of Justice

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, Section J 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 Employee Association at

Embassy Beirut (see separate rider, Section J Exhibit C). All costs for American Embassy Employee Association (BRASS) are the responsibility of the Employee Association, not the U.S. Government.

C1.3.3.3 All current retirees of the United States Government will be grandfathered under this plan (see separate rider Section J Exhibit D). All health benefits and limitations outlined apply for the retired employee and his/her remaining dependents.

The retired employee will pay 100% of the premium cost for employee and dependent coverage. Current employees who will be retiring when this new plan is into effect will not be eligible for enrollment.

C.1.4 Individuals Not Eligible for Coverage

Not eligible are those working under temporary direct hire appointments; those working on WAE (when actually employed) schedule; those working under a PSC or PSA that is time limited to less than one year. Individuals not eligible for coverage under this contract are non-personal services contract personnel and their employees supplied by an independent contractor licensed to do business in Lebanon who provides services to other local organizations as well to the U.S. Mission; employees of USAID institutional contractors; and Peace Corps personal services contractors as indicated in MS 743.

C.1.5 Other Eligible Participants

Covered dependents include the participating employee’s spouse and children. For the purpose of this plan, an employee’s dependents are defined as the employee’s legal spouse. A limit of one spouse per employee is covered. An eligible child is defined as the employee’s natural child, adopted child, stepchild, or foster child. The child must be unmarried, economically dependent upon the employee, and reside with the employee unless away at school. An eligible child will be covered from birth until the end of the contract year in which he/she reaches age of 20, or age 25 if a full time student. There is no age limit for an eligible child who is physically or mentally handicapped so as to be unable to live independently. There is no limit on the number of children covered per employee. Parents, grandparents, siblings and other relatives are not eligible dependents.

C.1.6. Eligibility

C.1.6.1. Term of Eligibility and Effective Date

Each current active eligible employee is enrolled for health benefits under this contract upon award and thereafter during the performance period of this contract. Each new eligible employee will be enrolled upon entering on duty with the United States Government. For active employees who are regularly scheduled to work 30 or more hours per week; the USG will pay 85% of the premium cost and the employee will pay 15% of the premium cost for employee and dependent coverage.

For eligible employees who are regularly scheduled to work less than 30 hours per week;

the USG will pay a prorated share of the premium cost for employee and dependent coverage, based on the number of hours the employee is regularly scheduled to work.

C.1.6.2. Period of Ineligibility.

Employees and their dependents are not entitled to health benefits during any period of employment for which premiums are not paid.

Additionally, employee's dependents are not entitled to health benefits during any period of employment during which the employee was not eligible to participate.

During a period of extended (beyond one pay period) of Leave Without Pay or unpaid leave, the employee is responsible for the full cost of the insurance premiums for self and dependents. The Mission will pay the premiums directly to the contractor, and will collect the full cost from the employee. Alternatively, the employee may elect to have coverage cease if that employee prefers not to pay the premium.

C.1.7. BROCHURE REQUIREMENT.

C.1.7.1. The contractor shall provide a document (brochure/pamphlet/other written document) in English and Arabic that sets forth a complete listing of the health insurance benefits to be provided under this contract. This brochure shall be provided in sufficient quantities so that each covered employee receives a copy. The contractor shall furnish all copies of the brochures to the COR, who will ensure that appropriate distribution is made.

C.1.7.2. The contractor shall provide the document described in C.1.7.1 to the COR not later than 15 calendar days after date of contract award. The Contractor shall provide additional brochures for new employees within ten (10) days of the COR’s request.

C.1.7.3. The contractor assumes full responsibility for ensuring that the document described in C.1.7.1 accurately reflects the requirements of the contract, as implemented by the contractor’s technical proposal. In all cases, the contract shall take precedence. Should the COR discover that the brochure contains inaccuracies, the contractor will be notified in writing;

however, failure on the part of the Government to notice any inaccuracies shall in no way limit, revise or otherwise affect the requirement under this contract for the contractor to fully comply with all contract terms.

PART II GROUP LIFE INSURANCE

C.2.0 GROUP LIFE INSURANCE

The Government of the United States of America requires group life insurance coverage for its employees, as further described in C.2.2, in Lebanon. The Government has determined that the prevailing practice by employers in Lebanon is that group life insurance coverage is representative of locally prevailing compensation practice and that the cost of such insurance protection is usually borne by both the employee and the employer. The employee pays 17% of the premium cost and the employer pays 83% of the premium cost. Therefore, the Government desires to adopt such locally prevailing practice as part of its compensation plan for its employees as further described in C.2.2. The specific group insurance coverage under this contract is set forth in this part of Section C and the Attachments in Section J.

C.2.1. Group Life Insurance Coverage.

The amount of group life insurance coverage is as follows:

C.2.1.1 Amount of Employee Life Insurance.

In case of death, whether natural or accidental or due to war, the Contractor shall pay to the employee’s designated beneficiary or beneficiaries a “Life Benefit” lump sum payment equal to three times the amount of annual basic salary of the employee. The life insurance policy shall cover natural or accidental death for insured employees whether death occurs within Lebanon or abroad. Death which occurs as a direct result of the employee’s active participation in war outside official duties with the Embassy as determined by the Contracting Officer is not covered.

C.2.1.2 Reserved

C.2.1.3 Permanent and Total Disability Coverage

When as the result of injury, whether by accident, due to sickness, or due to a war situation, and commencing within 180 days of the date of the accident/sickness an insured employee is totally and permanently disabled or prevented from engaging in each and every occupation or employment for compensation or profit for which he is qualified by reason of his her education, training and experience, the contractor shall pay (provided such disability has continued for a period of twelve consecutive months and is total, continuous and permanent at the end of this period) the insured employee a lump sum equal to the “Life Benefit”, which is 36 times the amount of monthly basic salary, less any other amount paid or payable from the “Life Benefit” under this contract as the result of the same injury. Disability which occurs as a direct result of the employee’s active participation in war outside the official duties with the Embassy as determined by the Contracting Officer is not covered.

C.2.2 Life Insurance Benefits Conditions and Limitations.

Conditions and limitations on the entitlement to life insurance benefits under this contract are as follows:

No entitlement for life insurance benefit will be made if death occurs as a direct result of employee’s active participation in war outside official duties with the Embassy as determined by the Contracting Officer.

No entitlement will be made for permanent total or partial disability benefit which occurs as a direct result of the employee’s active participation in war outside official duties with the Embassy as determined by the Contracting Officer.

C.2.3. Eligible Participants.

C.2.3.1 Eligible Employees. The employees eligible for the group life insurance coverage include the following:

C.2.3.1.1 All current active employees of the United States Government, employed within the geographic boundaries of Lebanon paid under the Local Compensation Plan, and certified by the Contracting Officer. Covered employees include

C.2.3.1.2. Locally Employed Staff who are working on a full-time or part-time basis under non-temporary direct hire appointments or under personal services agreements/contracts (PSA/PSC) that are not time limited to less than one year and (2) paid under the terms of the Local Compensation Plan.

C.2.3.1.3. Locally hired U.S. citizens employed under direct hire appointments, PSAs, and PSCs.

C.2.3.2 Location of Employment

The individuals covered by C.1.3.1 must be employed within the geographic boundaries of Lebanon by:

Department of State U.S. Agency for International Development Department of Defense Foreign Commercial Service Department of Justice

C.2.3.3 Participants Covered Under a Rider

C.2.3.3.1 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, Section J, Exhibit B). All costs for ORE employees are the responsibility of the employing officer, not the U.S. Government.

C.2.3.3.2 All current active employees of the Employee Association at

Embassy Beirut (see separate rider, Section J, Exhibit C). All costs for American Embassy Employee Association (BRASS) are the responsibility of the Employee Association, not the U.S. Government.

C.2.4 Individuals Not Eligible for Coverage

C.2.4.1. Reserved.

C.2.4.2 Not eligible are those working under temporary direct hire appointments;

those working on WAE (when actually employed) schedule; those working under a PSC or PSA that is time limited to less than one year. Individuals not eligible for coverage under this contract are non-personal services contract personnel and their employees supplied by an independent contractor licensed to do business in Lebanon who provides services to other local organizations as well to the U.S. Mission; employees of USAID institutional contractors; and Peace Corps personal services contractors as indicated in

MS 743.

C.2.5. Reserved

C.2.6 Eligibility and Effective Date

C.2.6.1. Term of Eligibility and Effective Date

Each current active eligible employee is enrolled for life insurance and disability benefits under this contract upon award and thereafter during the performance period of this contract. Each new eligible employee will be enrolled upon entering on duty with the United States Government.

For active employees who are regularly scheduled to work 30 or more hours per week;

the USG will pay 83% of the premium cost and the employee will pay 17% of the premium cost for employee and dependent coverage.

For eligible employees who are regularly scheduled to work less than 30 hours per week;

the USG will pay a prorated share of the premium cost for employee and dependent coverage, based on the number of hours the employee is regularly scheduled to work.

During a period of Leave Without Pay or unpaid leave that is one pay period or less, coverage under the insurance contract will continue. The USG will pay the total premium cost to the contractor. The employee’s share of the premium will be collected through payroll deduction in that or the subsequent pay period.

C.2.6.2. Period of Ineligibility

Employees are not entitled to life insurance and disability benefit hereunder during any period of employment for which premiums are not paid.

During a period of extended (beyond one pay period) of Leave Without Pay or unpaid leave, the employee is responsible for the full cost of the insurance premiums for self and dependents. The Mission will pay the premiums directly to the contractor, and will collect the full cost from the employee. Alternatively, the employee may elect to have coverage cease if that employee prefers not to pay the premium.

C.2.7. Brochure Requirement

C.2.7.1. The contractor shall provide a document (brochure/pamphlet/other written document) in English and Arabic that sets forth a complete listing of the life insurance benefits to be provided under this contract. This brochure shall be provided in sufficient quantities so that each covered employee receives a copy. The contractor shall furnish all copies of the brochures to the COR, who will ensure that appropriate distribution is made.

C.2.7.2. The document described in C.2.7.1 shall be provided to the COR not later than 15 working days after date of contract award. The contractor shall provide additional brochures for new employees within ten days of the COR’s request.

C.2.7.3. The contractor assumes full responsibility for ensuring that the document described in C.2.7.1 accurately reflects the requirements of the contract, as implemented by the contractor’s technical proposal. In all cases, the contract shall take precedence.

Should the COR discover that the brochure contains inaccuracies, the contractor will be notified in writing; however, failure on the part of the Government to notice any inaccuracies shall in no way limit, revise or otherwise affect the requirement under this contract for the contractor to fully comply with all contract terms.

C.3.0 DEFINITIONS

FMO The Financial Management Officer or the paying office for all U.S. Government Agencies except AID.

COR Contracting Officer's Representative (Human Resources Officer or Human Resources Management Specialist at post).

Contributory Insurance for which the employee contributes toward the premium.

Dependent Covered dependent for health insurance. Dependents are defined as the employee’s spouse and unmarried economically dependent children who primarily reside with the employee unless away at school. A limit of one spouse per employee will be covered. An eligible child is defined as the employee’s natural child, adopted child, stepchild, or foster child. An eligible child will be covered from birth until the end of the contract year in which he/she reaches age of 20, or age of 25 if a full time student. There is no age limit for an eligible child who is physically or mentally handicapped so as to be unable to live independently.

Disability, Total and Permanent A physical or mental impairment which precludes the individual from performing ordinary motor or bodily functions and which requires separation from employment. If the impairment is the result of a previous impairment, it shall be considered a continuation of the prior impairment.

Employee An individual employed by the U.S. Government, under a direct-hire appointment, personal services contract, or personal services agreement, as further defined in Section C.1.3 for health insurance and C.2.3 for life insurance. This may also include ORE Staff, EAE and Peace Corp PSCs, if this category of individual is listed as participating under a rider in C.1.3.3 for health insurance and C.2.3.3 or life insurance.

Employer The United States Government or in the case of ORE and Employee Association at Embassy Beirut (BRASS) employees, the Chief of Mission/Deputy Chief of Mission and Employee Association, respectively.

GSO General Services Officer in charge of the General Services Office at post.

Hospital An institution established and operated for the care and treatment of sick and injured persons. It provides 24-hour nursing care and has diagnostic, laboratory, treatment, and surgical facilities. Any institution which does not meet this definition is not considered a hospital.

Hospital Patient An individual who has been admitted to a hospital, is assigned a bed, and is given diagnostic tests or receives treatment for a disease or an injury.

Maximum Benefit The total amount that will be paid to any one covered individual for covered medical expenses or life insurance/disability benefit.

Customary and Reasonable Treatment

A diagnostic test or medical treatment which is usually performed in the community where the individual is being treated.

Physician An individual who has graduated from an accredited medical school and is licensed to practice medicine in the jurisdiction in which the contract is to be performed. If the individual is a medical specialist, then he or she is Board Certified in that specialty.

Retiree An individual previously employed by the U.S. Government who has reached the age of 60 or 64 and was terminated from work because he/she has reached the official retirement age. The official retirement age at the Embassy is 64. Security section staff retire at the age of 60. A retiree is an individual who has opted to remain covered under this contract and is certified by the Human Resources Officer or Contracting Officer to (1) have completed 10 years of service as an employee with the U.S. Government and (2) have reached the official retirement age at the Embassy. .

Surgical procedure Any invasive medical procedure by manual or instrument operation undertaken for diagnosis or treatment of a diseased patient.

SECTION D

PACKAGING AND MARKING

(RESERVED)

SECTION E

INSPECTION AND ACCEPTANCE

E.1. 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

This contract incorporates the following 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. Also, the full text of a clause may be accessed electronically at this address:

http://acqusition.gov/far/index.html or, http://farsite.hill.af.mil/search.htm

These addresses are subject to change. If the Federal Acquisition Regulation (FAR) is not available at the locations indicated above, use the Dept. of State Acquisition Website at http://www.statebuy.state.gov to see the links to the FAR. You may also use a network “search engine” (e.g., Yahoo, Excite, Alta Vista, etc.) to obtain the latest location of the most current

FAR.

FEDERAL ACQUISITION REGULATION (48 CFR CH. 1)

52.246-4 Inspection of Services - Fixed Price (AUG 1996)

E.2. QUALITY ASSURANCE AND SURVEILLANCE PLAN (QASP)

This plan is designed to provide an effective surveillance method to promote effective contractor performance. The QASP provides a method for the Contracting Officer's Representative (COR) to monitor contractor performance, advise the contractor of unsatisfactory performance, and notify the Contracting Officer of continued unsatisfactory performance. The contractor, not the Government, is responsible for management and quality control to meet the terms of the contract.

The role of the Government is to conduct quality assurance to ensure that contract standards are achieved.

Performance Objective PWS Para Performance Threshold Services.

Performs all the insurance services set forth in the performance work statement (PWS)

C.1.0 thru C.3.0

All required services are performed and no more than one customer complaint is received per month

E.2.1 Surveillance. The COR will receive and document all complaints from Government personnel regarding the services provided. If appropriate, the COR will send the complaints to the Contractor for corrective action.

E.2.2 Standard. The performance standard is that the Government receives no more than one customer complaint per month. The COR shall notify the Contracting Officer of the complaints http://www.statebuy.state.gov/� so that the Contracting Officer may take appropriate action to enforce the inspection clause (FAR 52.246-4, Inspection of Services – Fixed Price (AUG 1996) or the appropriate Inspection of Services clause), if any of the services exceed the standard.

E.2.3 Procedures

(a) If any Government personnel observe unacceptable services, either incomplete work or required services not being performed, they should immediately contact the COR.

(b) The COR will complete appropriate documentation to record the complaint.

(c) If the COR determines the complaint is invalid, the COR will advise the complainant. The COR will retain the annotated copy of the written complaint for his/her files.

(d) If the COR determines the complaint is valid, the COR will inform the Contractor and give the Contractor additional time to correct the defect, if additional time is available. The COR shall determine how much time is reasonable.

(e) The COR shall, as a minimum, orally notify the Contractor of any valid complaints.

(f) If the Contractor disagrees with the complaint and challenges the validity of the complaint, the Contractor will notify the COR. The COR will review the matter to determine the validity of the complaint.

(g) The COR will consider complaints as resolved unless notified otherwise by the complaint.

(h) Repeat customer complaints are not permitted for any services. If a repeat customer complaint is received for the same deficiency during the service period, the COR will contact the Contracting Officer for appropriate action under the Inspection clause.

SECTION F

DELIVERIES OR PERFORMANCE

F.1. 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this address:

http://acqusition.gov/far/index.html or, http://farsite.hill.af.mil/search.htm

These addresses are subject to change. If the Federal Acquisition Regulation (FAR) is not available at the locations indicated above, use the Dept. of State Acquisition Website at http://www.statebuy.state.gov to see the links to the FAR. You may also use a network “search engine” (e.g., Yahoo, Excite, Alta Vista, etc.) to obtain the latest location of the most current

FAR.

FEDERAL ACQUISITION REGULATION (48 CFR CH. 1)

52.242-15 Stop Work Order (AUG 1989) 52.242-17 Government Delay of Work (APR 1984)

F.2 PERIOD OF PERFORMANCE. The performance period of this contract is from the start date established in the Notice to Proceed and continuing for 12 months, with four (4), one-year options to renew.

After contract award and submission of all submittals, the Government will send the Contractor a Notice to Proceed. That Notice to Proceed will establish a date (a minimum of ten (10) days from date of contract award unless the Contractor agrees to an earlier date) on which performance shall start.

F.3 OPTIONS

(a) The Government may extend this contract in accordance with the option clause at Section I, clause I.2, FAR Clauses Incorporated by Full Text (FAR 52.217-9, Option to Extend the Term of the Contract), which also specifies the total potential duration of the contract.

(b) The Government may exercise the option set forth at Section I, "FAR 52.217-8, Option to Extend Services".

F.4 REPORTS AND OTHER DELIVERABLES

All reports and other deliverables required under this contract shall be delivered to the following address:

http://www.statebuy.state.gov/�

Human Resources Office US Embassy Amine Gemayel St.

Awkar, Lebanon

SECTION G

CONTRACT ADMINISTRATION DATA

G.1. 652.242-70 CONTRACTING OFFICER’S REPRESENTATIVE (COR) (AUG 1999)

(a) The Contracting Officer may designate in writing one Government employee, by name or position title, to take action for the Contracting Officer under this contract. This designee shall be identified as a Contracting Officer’s Representative (COR). Such designation 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 the Human Resources Officer.

G.2 COR DUTIES

G.2.1 The COR is responsible for inspection and acceptance of services. These duties include review of Contractor invoices, including the supporting documentation required by the contract. The COR may provide technical advice, substantive guidance, inspections, invoice approval, and other purposes as deemed necessary under the contract.

G.2.2 In addition, the COR shall maintain updated list of employees and dependents insured, which will supersede the initial list provided under this contract and as reported to the insurer without prejudice to the ineligibility clause.

G.2.3. The COR has the additional responsibility of maintaining the eligible listing of employees and dependents for insurance coverage.

G.2.4 The COR may not change the terms and conditions of the contract. While the COR is authorized to provide the Contractor with updated listings of eligible employees and dependents, only the Contracting Officer may modify existing task orders or issue new task orders, reflecting these changes, since only the Contracting Officer can obligate funding and commit the Government.

G.3. Payment shall be made in the currency identified in the section B pricing.

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 Amine Gemayel St.

Awkar, Lebanon

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 and/or Deputy Chief of Mission 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 Retired Employees. Retired Employees will make payment…