A008_SF-30_ _Attachment_to_Solicitation_Number_S-MX530-15-R-0025.doc

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE

PAGE OF PAGES

1 12

2. AMENDMENT/MODIFICATION NO.

A008

3. EFFECTIVE DATE

July 29, 2015

4. REQUISITION/PURCHASE REQ. NO.

5. PROJECT NO. (If applicable)

6.

ISSUED BY

CODE

American Embassy

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

American Embassy

General Services Office/Contracts

Paseo de la Reforma No. 305

Colonia Cuauhtemoc

06500 Mexico, D. F.

Human Resources Office Paseo de la Reforma No. 305

Colonia Cuauhtemoc

06500 Mexico, D. F.

8.

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

9a. AMENDMENT OF SOLICITATION NO.

S-MX530-15-R-0025

April 22, 2015

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 __ original 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 to the above mentioned Solicitation Number is to make various changes throughout the Solicitation as follows:

1. Section B – Supplies/Services and Prices/Costs:

- Delete from the second sentence in the paragraph under Section B.6, Group Life Insurance Rates and from the first column of each subsection under B.6, the words: “dismemberment” and “partial”.

- Correct the amounts under the third column in subsections B.6.1.1, through B.6.5.2.

- Deletion the words “and Dismemberment” from the third column and the words “Partial and” from the fourth column under subsection B.7.2(a).

2. Exhibit D – Cumulative Historical Claims Paid and Premium History:

- Delete Exhibit D in its entirety and replace it with the updated Exhibit D (attached). Specifically, to insert the amounts of Claims Paid for Life Insurance Coverage under D.1, after the chart of claims paid provided for Health Insurance coverage. Also, correct the amounts in D.2, Premium History, and to insert the amounts of premium history for Life Insurance coverage after the chart of premium history for Health Insurance coverage.

3. Exhibit H – Employee Census

- Add the words “and Annual” to the heading of the first column before the words “Salary Range”.

- Add “Note to Offerors: the * (asterisk) indicates a bodyguard is included in this range. Two bodyguards are under the age range of 20-34 with the same salary range.” Add six various asterisks throughout the exhibit and replace it in its entirety.

See the enclosed “Attachment 1 to Amendment Number A008” which is the continuation sheet to this SF-30.

4. Block 11: The hour and date specified for receipt of Offers is extended. The deadline to receive offers is by Wednesday, August 5, 2015, before 12:00.

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 AND TITLE OF CONTRACTING OFFICER (Type or print) Jonathan A. Schools General Services Officer

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

(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

ATTACHMENT 1 TO

AMENDMENT NUMBER A008

CONTINUATION TO SF-30, BLOCK 14

SOLICITATION NUMBER S-MX530-15-R-0025

Solicitation Number S-MX530-15-R-0025

Amendment Number A008

1. SECTION B – SUPPLIES/SERVICES AND PRICES/COSTS

PART II – GROUP LIFE INSURANCE

- Delete from the second sentence in the paragraph under Section B.6, Group Life Insurance Rates and from the first column entitled “Type of Insurance” of each subsection under B.6.1.1, through B.6.5.2, the words: “dismemberment” and “partial”. Therefore, B.6, is to read as follows:

“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 Pesos, Mexican Currency per one thousands of salary to provide life insurance, accidental death and total disability coverage are as follows:”

- Correct the amounts in the third column entitled “Estimated Payroll (Bi-weekly in Thousands)” under subsections B.6.1.1, through B.6.5.2, to read as follows:

“B.6.1. BASE YEAR OF THE CONTRACT (12 month period) The pricing is to be based on the benefit levels stated in C.2.1.

As per paragraphs B.2.2.1, and B.2.2.2, above, insert currency: _______________

B.6.1.1. BI-WEEKLY RATES PER EMPLOYEE

a. Basic Life

12,521

b. Accidental Death

12,521

c. Total Disability Coverage

12,521

d. Subtotal (a + b + c)

e. Total Price for Base Year (d x 26)

B.6.1.2. BI-WEEKLY RATES PER BODYGUARD

a. Basic Life

b. Accidental Death

c. Total Disability Coverage

d. Subtotal (a + b + c)

e. Total Price for Base Year (d x 26)

B.6.2. OPTION YEAR 1 OF THE CONTRACT (12 month period)

As per paragraphs B.2.2.1, and B.2.2.2, above, insert currency: _______________

B.6.2.1. BI-WEEKLY RATES PER EMPLOYEE

a. Basic Life

12,521

b. Accidental Death

12,521

c. Total Disability Coverage

12,521

d. Subtotal (a + b + c)

e. Total Price for Option Year 1 (d x 26)

B.6.2.2. BI-WEEKLY RATES PER BODYGUARD

a. Basic Life

b. Accidental Death

c. Total Disability Coverage

d. Subtotal (a + b + c)

e. Total Price for Option Year 1 (d x 26)

B.6.3. OPTION YEAR 2 OF THE CONTRACT (12 month period)

As per paragraphs B.2.2.1, and B.2.2.2, above, insert currency: _______________

B.6.3.1. BI-WEEKLY RATES PER EMPLOYEE

a. Basic Life

12,521

b. Accidental Death

12,521

c. Total Disability Coverage

12,521

d. Subtotal (a + b + c)

e. Total Price for Option Year 2 (d x 26)

B.6.3.2. BI-WEEKLY RATES PER BODYGUARD

a. Basic Life

b. Accidental Death

c. Total Disability Coverage

d. Subtotal (a + b + c)

e. Total Price for Option Year 2 (d x 26)

B.6.4. OPTION YEAR 3 OF THE CONTRACT (12 month period)

As per paragraphs B.2.2.1, and B.2.2.2, above, insert currency: _______________

B.6.4.1. BI-WEEKLY RATES PER EMPLOYEE

a. Basic Life

12,521

b. Accidental Death

12,521

c. Total Disability Coverage

12,521

d. Subtotal (a + b + c)

e. Total Price for Option Year 3 (d x 26)

B.6.4.2. BI-WEEKLY RATES PER BODYGUARD

a. Basic Life

b. Accidental Death

c. Total Disability Coverage

d. Subtotal (a + b + c)

e. Total Price for Option Year 3 (d x 26)

B.6.5. OPTION YEAR 4 OF THE CONTRACT (12 month period)

As per paragraphs B.2.2.1, and B.2.2.2, above, insert currency: _______________

B.6.5.1. BI-WEEKLY RATES PER EMPLOYEE

a. Basic Life

12,521

b. Accidental Death

12,521

c. Total Disability Coverage

12,521

d. Subtotal (a + b + c)

e. Total Price for Option Year 4 (d x 26)

B.6.5.2. BI-WEEKLY RATES PER BODYGUARD

a. Basic Life

b. Accidental Death

c. Total Disability Coverage

d. Subtotal (a + b + c)

e. Total Price for Option Year 4 (d x 26)

- Deletion the words “and Dismemberment” from the third column and the words “Partial and” from the fourth column under subsection B.7.2(a). Therefore, B.7.2(a) is to read as follows.

“B.7.2.(a) Retention Amounts per Separate Premium Paid per Employee based on the benefit levels stated in C.2.1:

Base Period

Option Year 1

Option Year 2

Option Year 3

Option Year 4

2. EXHIBIT D – CUMULATIVE HISTORICAL CLAIMS PAID AND PREMIUM HISTORY

- Add the amounts of claims paid for the Life Insurance coverage. Therefore, insert the following chart under D.1, Claims Paid, after the Health Insurance amounts of claims paid:

“Claims Paid Life Insurance Period Amounts paid in

U. S. Dollars Amounts paid in

Local Currency

- Correct the amounts in Section D.2, Premium History under the columns entitled “U. S. Dollars” and “Local Currency”. The correct amounts are to read as follows?

“HEALTH INSURANCE

PERIOD

Premium History payments U. S. Dollars Premium History payments

Local Currency

- Add the amounts of premium history for the Life Insurance coverage. Therefore, insert the following chart under D.2, Premium History, after the Health Insurance amounts of premium history:

LIFE INSURANCE

PERIOD

Premium History payments U. S. Dollars Premium History payments

Local Currency

- Delete Exhibit D, Cumulative Historical Claims Paid and Premium History in its entirety and replace with the attached Exhibit D.

3. EXHIBIT H – EMPLOYEE CENSUS

- Add the words “and Annual” to the heading of the first column before the words “Salary Range”. Therefore, the title is to read:

“Age Range and Annual Salary Range (Pesos, Local Currency)”

- Add the following note to offerors at the end of Exhibit H:

“Note to Offerors: the * (asterisk) indicates a bodyguard is included in this range.”

Therefore, delete Exhibit H in its entirety and replace it with the attached Exhibit H which contains various asterisks added throughout the exhibit.

EXHIBIT D

CUMULATIVE HISTORICAL CLAIMS PAID AND PREMIUM HISTORY

D.1. CLAIMS PAID

Claims Paid Health Insurance

Period Amounts paid in

U. S. Dollars Amounts paid in

Local Currency

Claims Paid Life Insurance

Period Amounts paid in

U. S. Dollars Amounts paid in

Local Currency

D.2. PREMIUM HISTORY

Premium History Health Insurance

Period Amounts Paid in

U. S. Dollars Amounts Paid in

Local Currency

Premium History Life Insurance

Period Amounts Paid in

U. S. Dollars Amounts Paid in

Local Currency

NOTE TO OFFERORS:

The claims paid and the premium history by the incumbent contractor are provided for informational purposes only and under no circumstances shall it be construed to change any terms or conditions or requirements within the solicitation. Under no circumstances shall the U.S. Government be liable for this data or shall it become the basis for a request to adjust the premium rates after contract award. Offerors are advised any adjustments to contract premium rates shall be in accordance with the B.4.

EXHIBIT H

EMPLOYEE CENSUS

SALARY RANGE (Pesos, Local Currency)

<100,000 MXP

*100,000- 199,000 MXP (two)

200,000- 299,000 MXP

300,000- 399,000 MXP

400,000- 499,000 MXP

500,000- 599,000 MXP

<100,000 MXP

*100,000- 199,000 MXP

*200,000- 299,000 MXP

300,000- 399,000 MXP

400,000- 499,000 MXP

500,000- 599,000 MXP

600,000- 699,000 MXP

700,000- 799,000 MXP

800,000- 899,000 MXP

52,601-59,184 USD

<100,000 MXP

*100,000- 199,000 MXP

*200,000- 299,000 MXP

300,000- 399,000 MXP

400,000- 499,000 MXP

500,000- 599,000 MXP

600,000- 699,000 MXP

700,000- 799,000 MXP

800,000- 899,000 MXP

52,601-59,184 USD

<100,000 MXP

100,000- 199,000 MXP

200,000- 299,000 MXP

300,000- 399,000 MXP

400,000- 499,000 MXP

500,000- 599,000 MXP

700,000- 799,000 MXP

800,000- 899,000 MXP

<100,000 MXP

<6,623 USD

100,000- 199,000 MXP

6,623- 13,101 USD

200,000- 299,000 MXP

300,000- 399,000 MXP

400,000- 499,000 MXP

500,000- 599,000 MXP

700,000- 799,000 MXP

800,000- 899,000 MXP

52,601-59,184 USD

Note to Offerors: the * (asterisk) indicates a bodyguard is included in this range. Two bodyguards are under the age range of 20-34 with the same salary range.