Solicitation No. 19BH2026Q0028.pdf

WOMEN-OWNED SMALL

BUSINESS (WOSB)

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

1. REQUISITION NUMBER PAGE 1 OF

2. CONTRACT NUMBER 3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER 6. SOLICITATION ISSUE

DATE

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME b. TELEPHONE NUMBER (No collect calls)

8. OFFER DUE DATE/

LOCAL TIME

9. ISSUED BY

13b. RATING

14. METHOD OF SOLICITATION

CODE

15. DELIVER TO 16. ADMINISTERED BY CODE

18a. PAYMENT WILL BE MADE BY CODE17a. CONTRACTOR/

OFFEROR

CODE

FACILITY

CODE

CODE

TELEPHONE NUMBER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN

OFFER

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK

BELOW IS CHECKED

REQUEST

FOR QUOTE

(RFQ)

INVITATION

FOR BID

(IFB)

REQUEST

FOR

PROPOSAL

(RFP)

SEE ADDENDUM

19.

ITEM NUMBER

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Government Use Only)

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH

AND DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND

ON ANY ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS

SPECIFIED

29. AWARD OF CONTRACT: REFERENCE OFFER

DATED . . YOUR OFFER ON SOLICITATION

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR

30b. NAME AND TITLE OF SIGNER (Type or print) 30c. DATE SIGNED

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

31b. NAME OF CONTRACTING OFFICER (Type or print) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 11/2021)

Prescribed by GSA - FAR (48 CFR) 53.212

10. THIS ACQUISITION IS UNRESTRICTED OR

NORTH AMERICAN

INDUSTRY CLASSIFICATION

STANDARD (NAICS):

SIZE STANDARD:

13a. THIS CONTRACT IS A

RATED ORDER UNDER

THE DEFENSE PRIORITIES

AND ALLOCATIONS

SYSTEM - DPAS (15 CFR 700)

SET ASIDE: % FOR:

11. DELIVERY FOR FREE ON

BOARD (FOB) DESTINATION

UNLESS BLOCK IS MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

ARE ARE NOT ATTACHED

ARE ARE NOT ATTACHED

27a. SOLICITATION INCORPORATES BY REFERENCE (FEDERAL ACQUISITION REGULATION) FAR 52.212-1, 52.212-4. FAR 52.212-3

AND 52.212-5 ARE ATTACHED. ADDENDA

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

8(A)

ECONOMICALLY

DISADVANTAGED

WOMEN-OWNED SMALL

BUSINESS (EDWOSB)

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

(SDVOSB)

HUBZONE SMALL

BUSINESS

SMALL BUSINESS

NOTE: OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30. 40

5. SOLICITATION NUMBER

19BH2026Q0028

Salman Khalil 501-822-4011

American Embassy Belmopan 4 Floral Park Street Belmopan, Belize

19BH20

American Embassy Belmopan 4 Floral Park Street Belmopan, Belize

American Embassy Belmopan 4 Floral Park Street Belmopan, Belize

ATTN: FMO

Health and Life Insurance Service

10/05/2026

11/04/2026 5:00 pm

19BH20

American Embassy Belmopan 4 Floral Park Street Belmopan, Belize ATTN: Contracting

19BH20

STOCK RECORD (S/R)

STANDARD FORM 1449 (REV. 11/2021) BACK

19.

ITEM NUMBER

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

42c. DATE RECEIVED (MM/DD/YYYY) 42d. TOTAL CONTAINERS

40. PAID BY

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELPHONE NUMBER OF AUTHORZED GOVERNMENT REPRESENTATIVE

32g. EMAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIED

CORRECT FOR

PARTIAL FINAL

37. CHECK NUMBER

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER

36. PAYMENT

COMPLETE PARTIAL FINAL

Solicitation No_19BH2026Q0028_Health and Life Insurance Services Page | 3

TABLE OF CONTENTS

SECTION 1 - THE SCHEDULE

SF 1449 cover sheet Continuation To SF-1449, RFQ Number 19BH2026Q0028, Prices, Block 23 Continuation To SF-1449, RFQ Number 19BH2026Q0028, Schedule Of Supplies/Services, Block 20 Description/Specifications/Work Statement Attachment 1 to Description/Specifications/Performance Work Statement Exhibit A - Employee Statistics Exhibit B - ORE and Peace Corps Employees Rider Exhibit C - Peace Corp Employee Rider Exhibit D - Claims Paid out for the last three (3) years

SECTION 2 - CONTRACT CLAUSES

Contract Clauses Addendum to Contract Clauses - FAR and DOSAR Clauses not Prescribed in Part 12

SECTION 3 - SOLICITATION PROVISIONS

Solicitation Provisions Addendum to Solicitation Provisions - FAR and DOSAR Provisions not Prescribed in Part 12

SECTION 4 - EVALUATION FACTORS

Evaluation Factors Addendum to Evaluation Factors - FAR and DOSAR Provisions not Prescribed in Part 12

SECTION 5 - REPRESENTATIONS AND CERTIFICATIONS

Offeror Representations and Certifications Addendum to Offeror Representations and Certifications - FAR and DOSAR Provisions not Prescribed in Part 12

Page | 4

SECTION 1 - THE SCHEDULE

CONTINUATION TO SF-1449

RFP NUMBER 19BH2026Q0028

PRICES, BLOCK 23

PART 1: HEALTH INSURANCE SERVICES

I. SCOPE OF SERVICES

A. The Contractor shall provide the Health Insurance services to employees of the Government of the United States of America in Belize as described in Section 1.III Specifications / Statement of Work and the Exhibits. The groups of employees who shall be provided this insurance are listed in A.1.3 (medical) and B.1.3 (life). This insurance shall be provided in accordance with Attachment 1 and Exhibits.

B. Official Residence Expense (ORE) Staff and Peace Corp Personal Service Contracts (PSC) 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), and Peace Corps at the rates specified below.

II. PRICES

A. GENERAL SALES TAX (GST)

A.1 General Sales Tax (GST) is not applicable to this contract and shall not be included in the CLIN rates or Invoices because the service is tax exemption.

A.2. This is a Fixed-Price with Economic Price Adjustment (EPA) contract under which will be issued firm, fixed-price (FFP) task orders. The fixed prices/premium rates for the health insurance services as specified in Section 1 are as follows:

JAMES ZADROGA 9/11 VICTIMS HEALTH AND COMPENSATION ACT OF

2010 NOTICE: UNLESS A WAIVER OR EXCEPTION APPLIES, PAYMENTS

SUBSEQUENT TO THIS PROCUREMENT ARE SUBJECT TO AN EXCISE TAX

OF 2% PERSUANT TO 26 U.S.C. 5000C.

Page | 5

A.2.1 CLIN 0001: Health Insurance - Base Year of Contract NAICS Code: 524114 Health insurance carriers, direct

Bi-Weekly Rates Per Premium Category Estimated Number of Premiums* Rate per Premium

Extended Bi-Weekly Total

SubCLIN a. Self 24 SubCLIN b. Self Plus One

SubCLIN c. Family (3 or more individual)

Subtotal (a + b + c)

CLIN 0001 Total Price for Base Year (d x 26)**

*Estimated number of premiums does not include any Riders (I. B) **does not include any premiums for Riders.

A.2.3 CLIN 0002: Rider Category*** NAICS Code: 524114 Health insurance carriers, direct

Biweekly Rate per Premium in ALL

A.1.1.21 Excess Coverage ***not included in the Total Price for Base Year Calculation

A.2.4 CLIN 1001: Health Insurance – First Option Year of Contract of Premiums* Rate per Premium

Extended Bi-Weekly Total

SubCLIN a. Self 26 SubCLIN b. Self Plus One

SubCLIN c. Family (3 or

Page | 6

CLIN 1001 Total Price for First Option Year (d x 26)**

*Estimated number of premiums does not include any Riders (I.B)

A.2.5 CLIN 1002: Rider Category*** carriers, direct

Biweekly Rate per Premium in ALL

A.2.6 CLIN 2001: Health Insurance – Second Option Year of Contract of Premiums* Rate per Premium

Extended Bi-Weekly Total

SubCLIN a. Self 28 SubCLIN b. Self Plus One

SubCLIN c. Family (3 or

CLIN 2001 Total Price for Second Option Year (d x 26)**

A.2.7 CLIN 2002: Rider Category*** carriers, direct

Biweekly Rate per Premium in ALL

Page | 7

A.2.8 CLIN 3001: Health Insurance – Third Option Year of Contract of Premiums* Rate per Premium

Extended Bi-Weekly Total

SubCLIN a. Self 30 SubCLIN b. Self Plus One

SubCLIN c. Family (3 or

CLIN 3001 Total Price for Third Option

A.2.9 CLIN 3002: Rider Category*** carriers, direct

Biweekly Rate per Premium in ALL

A.2.10 CLIN 4001: Health Insurance – Fourth Option Year of Contract of Premiums* Rate per Premium

Extended Bi-Weekly Total

SubCLIN a. Self 32 SubCLIN b. Self Plus One

SubCLIN c. Family (3 or

Page | 8

CLIN 4001 Total Price for Fourth Option

A.2.11 CLIN 4002: Rider Category*** carriers, direct

Biweekly Rate per Premium in ALL

A.2.12 CLIN 5001: Health Insurance – 52.217-8 Option to Extend Services of Contract (6 months) of Premiums* Rate per Premium

Extended Bi-Weekly Total

SubCLIN a. Self 32 SubCLIN b. Self Plus One

SubCLIN c. Family (3 or

CLIN 5001 Total Price for 52.217-8 Option To Extend Services (d x 13)**

A.2.13 CLIN 5002: Rider Category*** carriers, direct

Biweekly Rate per Premium in ALL

Page | 9

A.2.14 Grand Total of Health Insurance, Base plus All Options

CLIN 0001 Base Year Total

CLIN 1001 First Option Year Total

CLIN 2001 Second Option Year Total

CLIN 3001 Third Option Year Total

CLIN 4001 Fourth Option Year Total

CLIN 5001 52.217-8 (6 months) total

Health Insurance - Grand Total of Base plus All Options

MINIMUM AND MAXIMUM AMOUNTS

The United States Government (USG) shall place orders guaranteeing a minimum of BZ $787,936.07 for each period of performance. The amount of all orders, for the base year and all option years TBD. This reflects the contract maximum.

A.3 ADMINISTRATIVE RETENTION AMOUNTS

A.3.1. If the Contractor requests a price adjustment under E 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 II - PRICES. 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, as well as any profit. It includes all costs except the actual portion of the premium intended to fund claims paid to the health care provider/claimant. A.3.2 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 bi-weekly 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.

A.3.2 Bi-Weekly Retention Amounts per separate premium paid per single employee and per family plan.

Page | 10

Period of Performance

Single Employees (Self Only)

Self Plus One Family Plan (3 or more individual)

Base Period

First Option Year

Second Option Year

Third Option Year

Fourth Option Year

52.217-8 (6 months

A.4. ECONOMIC PRICE ADJUSTMENT-HEALTH INSURANCE PREMIUMS

A.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(s) covered by this contract, and it specifically excludes all riders in I.B. 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. Adjustments are not retroactive to previous contract terms. Before any such adjustment is made, the Contractor agrees to provide the Government a balance sheet showing three main components for the time period: (1) receipts (premiums received) minus the retention amount, (2) number of insurance plans and (3) claims paid. This information shall be provided per type of premium, i.e. per line item. The retention amount is not subject to adjustment. The Government reserves the right to have an independent third party review the balance sheet and claims 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. Mutually agreed to adjustments shall be effective thirty days after complete information is received by the Government. Any failure to reach agreement under this clause shall be subject to the procedures in the Disputes clause.

A.4.2 Premium Adjustment Based on Laws - The rates may also be adjusted during the performance period of the contract because 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 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.

A.4.3. 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.

Page | 11

PART II: PRICE - GROUP LIFE INSURANCE

B.5. GROUP LIFE INSURANCE SERVICES

A.5 SCOPE OF SERVICES

The Contractor shall provide the Group Life Insurance services described herein to employees of the Government of the United States of America in Belize. The groups of employees who shall be provided with this insurance are listed in B.1.3. This insurance shall be provided in accordance with Section 1.III Specifications/Statement of Work and the Exhibits.

A.5.1 Official Residence Expense (ORE) Staff and Peace Corp Personal Service Contracts (PSC) 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 Peace Corp Personal Service Contracts (PSC) separately, at the rates specified below. See Section 1.III Specifications / Statement of Work for billing procedures.

A.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 price/premium rate per one thousand Belize dollars of salary to provide life insurance, accidental death and dismemberment, and partial and total disability coverage are as follows:

A.6.1 CLIN 6001 Life Insurance - Base Year of Contract 524113 Life insurance carriers, direct

Type of Insurance Premium

(per 1,000 of Salary)

Estimated Payroll (Bi-Weekly in

Thousands)

Bi-Weekly Total

SubCLIN a. Basic Life 5309 SubCLIN b. Accidental Death & Dismemberment

SubCLIN c. Partial & Total Disability Coverage

JAMES ZADROGA 9/11 VICTIMS HEALTH AND COMPENSATION ACT OF

2010 NOTICE: UNLESS A WAIVER OR EXCEPTION APPLIES, PAYMENTS

SUBSEQUENT TO THIS PROCUREMENT ARE SUBJECT TO AN EXCISE TAX

OF 2% PERSUANT TO 26 U.S.C. 5000C.

Page | 12

CLIN 6001Total Price for Base

A.6.2 CLIN 7001 Life Insurance - First Option Year of Contract

(per 1,000 of Salary)

Estimated Payroll (Bi-Weekly in

Thousands)

Bi-Weekly Total

SubCLIN a. Basic Life 5468 SubCLIN b. Accidental Death & Dismemberment

SubCLIN c. Partial & Total

CLIN 7001 Total Price for First Option Year (d x 26)**

A.6.3 CLIN 8001 Life Insurance – Second Option Year of Contract

(per 1,000 of Salary)

Estimated Payroll (Bi-Weekly in

Thousands)

Bi-Weekly Total

SubCLIN a. Basic Life 5632 SubCLIN b. Accidental Death & Dismemberment

SubCLIN c. Partial & Total

CLIN 8001Total Price for Second Option Year (d x 26)**

Page | 13

A.6.4 CLIN 9001 Life Insurance – Third Option Year of Contract

(per 1,000 of Salary)

Estimated Payroll (Bi-Weekly in

Thousands)

Bi-Weekly Total

SubCLIN a. Basic Life 5801 SubCLIN b. Accidental Death &Dismemberment

SubCLIN c. Partial & Total

CLIN 9001 Total Price for Third Option Year (d x

A.6.5 CLIN 10001 Life Insurance – Fourth Option Year of Contract

(per 1,000 of Salary)

Estimated Payroll (Bi-Weekly in

Thousands)

Bi-Weekly Total

SubCLIN a. Basic Life 5975 SubCLIN b. Accidental Death & Dismemberment

SubCLIN c. Partial & Total

CLIN 10001 Total Price for Fourth Option Year (d x

Page | 14

A.6.6 CLIN 11001 Life Insurance – 52.217-8 Option to Extend Services of Contract (6 months)

(per 1,000 of Salary)

Estimated Payroll (Bi- Weekly in Thousands)

Bi-Weekly Total

SubCLIN a. Basic Life 5975 SubCLIN b. Accidental Death & Dismemberment

SubCLIN c. Partial & Total

CLIN 11001 Total Price for 52.217-8 (6 months) (d x 13) **

A.6.7 Grand Total of Life Insurance, Base plus All Options

CLIN 6001 Base Year Total CLIN 7001 First Option Year Total CLIN 8001 Second Option Year Total

CLIN 9001 Third Option Year Total

CLIN 10001 Fourth Option Year Total CLIN 11001 52.217-8 (6 months)

Life Insurance - Grand Total of Base plus All Option

A.7 ADMINISTRATIVE RETENTION AMOUNTS

A.7.1 If the Contractor requests a price adjustment under A.8 below, the Contractor must present cost experience data that includes the retention amount. For purposes of any economic

Page | 15 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.

A.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.

Retention Amounts per Separate Premium Paid per Employee:

Period of Performance Basic Life Accidental Death and

Dismemberment Partial and Total

Disability Coverage

Base Period

First Option Year

Second Option Year

Third Option Year

Fourth Option Year

52.217-8 (6 months)

A.8 ECONOMIC PRICE ADJUSTMENT (EPA)-LIFE INSURANCE PREMIUMS

A.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, and it specifically excludes all riders in I.B. 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. Adjustments are not retroactive to previous contract terms. Before any such adjustment is made, the Contractor agrees to provide the Government a balance sheet showing three main components for the time period: (1) receipts (premiums received) minus the retention amount, (2) number of insurance plans and (3) claims paid. The information shall be provided per type of premium, i.e. per line item. 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 claims and make recommendations regarding the appropriateness of the requested adjustment. Any adjustment shall be subject to mutual

Page | 16 agreement of the parties and shall result in a written modification to the contract. Mutually agreed to adjustments shall be effective thirty days after complete information is received by the Government. Any failure to reach agreement under this clause shall be subject to the procedures in the Disputes clause.

A.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.

Page | 17

CONTINUATION TO SF-1449,

RFQ NUMBER 19BH2026Q0028

SCHEDULE OF SUPPLIES/SERVICES, BLOCK 20

DESCRIPTION/SPECIFICATIONS/WORK STATEMENT

(Refer to Attachment 1 and Exhibits)

Page | 18

SECTION 2 - CONTRACT CLAUSES

52.212-4 CONTRACT TERMS AND CONDITIONS – COMMERCIAL ITEMS

(APR 2026) IS INCORPORATED BY REFERENCE. (SEE SF-1449,

BLOCK 27A)

ADDENDUM TO CONTRACT CLAUSES

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. Go to the internet at:

http://www.acquisition.gov/far/ or http://farsite.hill.af.mil/vffara.htm

These addresses are subject to change. If the Federal Acquisition Regulation (FAR) is not available at the locations indicated above, use the Department of State Acquisition Website at https://www.ecfr.gov/cgi-bin/text-idx?SID=2e978208d0d2aa44fb9502725ecac4e5&mc=true&tpl=/ecfrbrowse/Title48/48chapter6.t pl to access the link to the FAR. You may also use an internet “search engine” (for example, Google, Yahoo, Excite) to obtain the latest location of the most current FAR.

FEDERAL ACQUISITION REGULATION (48 CFR CH. 1)

THE FOLLOWING FEDERAL ACQUISITION REGULATIONS (FAR) CLAUSES ARE

INCORPORATED BY REFERENCE:

CLAUSE TITLE AND DATE

52.203-17 CONTRACTOR EMPLOYEE WHISTLEBLOWER RIGHTS (NOV 2023)

52.204-9 PERSONAL IDENTITY VERIFICATION OF CONTRACTOR PERSONNEL

(JAN 2011)

52.204-13 SYSTEM FOR AWARD MANAGEMENT MAINTENANCE (NOV 2025)

52.222-50 COMBATING TRAFFICKING IN PERSONS (APR 2026).

52.225-14 INCONSISTENCY BETWEEN ENGLISH VERSION AND TRANSLATION

OF CONTRACT (FEB 2000)

52.229-6 FOREIGN FIXED PRICE CONTRACTS (FEB 2013)

52.232-39 UNENFORCEABILITY OF UNAUTHORIZED OBLIGATIONS (JUNE 2013)

Page | 19

52.232-40 PROVIDING ACCELERATED PAYMENTS TO SMALL BUSINESS

SUBCONTRACTORS (MAR 2023)

52.240-90 SECURITY PROHIBITIONS AND EXCLUSIONS REPRESENTATIONS AND

CERTIFICATIONS (OCT 2025)

52.240-91 SECURITY PROHIBITIONS AND EXCLUSIONS (OCT 2025)

52.240-93 BASIC SAFEGUARDING OF COVERED CONTRACTOR INFORMATION

SYSTEMS (OCT 2025)

52.244-6 SUBCONTRACTS FOR COMMERCIAL PRODUCTS AND COMMERCIAL

SERVICES (NOV 2025)

THE FOLLOWING FAR CLAUSE(S) IS/ARE PROVIDED IN FULL TEXT:

52.216-18 ORDERING (AUG 2020)

(a) Any supplies and services to be furnished under this contract shall be ordered by issuance of delivery orders or task orders by the individuals or activities designated in the Schedule.

Such orders may be issued from the first day of performance through the last day of the performance period.

(b) All delivery orders or task orders are subject to the terms and conditions of this contract.

In the event of conflict between a delivery order or task order and this contract, the contract shall control.

(c) A delivery order or task order is considered “issued” when –

(1) If sent by mail (includes transmittal by U.S. mail or private delivery service), the Government deposits the order in the mail;

(2) If sent by fax, the Government transmits the order to the Contractor’s fax number; or

(3) If sent electronically, the Government either –

(i) Posts a copy of the delivery order or task order to a Government document access system, and notice is sent to the Contractor; or

(ii) Distributes the delivery order or task order via email to the Contractor’s email address.

(d) Orders may be issued by methods other than those enumerated in this clause only if authorized in the contract.

Page | 20

(End of clause)

52.216-19 ORDER LIMITATIONS (OCT 1995)

(a) Minimum order. When the Government requires supplies or services covered by this contract in an amount of less than BZD68.00, the Government is not obligated to purchase, nor is the Contractor obligated to furnish, those supplies or services under the contract.

(b) Maximum order. The Contractor is not obligated to honor--TBD

(1) Any order for a single item in excess of BZD47,000.00;

(2) Any order for a combination of items in excess of BZD47,000.00; or

(3) A series of orders from the same ordering office within 7 days that together call for quantities exceeding the limitation in subparagraph (1) or (2) above.

(c) If this is a requirements contract (i.e., includes the Requirement clause at subsection

52.216-21 of the Federal Acquisition Regulation (FAR)), the Government is not required to order a part of any one requirement from the Contractor if that requirement exceeds the maximum-order limitations in paragraph (b) above.

(d) Notwithstanding paragraphs (b) and (c) above, the Contractor shall honor any order exceeding the maximum order limitations in paragraph (b), unless that order (or orders) is returned to the ordering office within 7 days after issuance, with written notice stating the Contractor's intent not to ship the item (or items) called for and the reasons. Upon receiving this notice, the Government may acquire the supplies or services from another source.

52.216-22 INDEFINITE QUANTITY (FEB 2026)

(a) This is an indefinite-quantity contract for the supplies or services specified, and effective for the period stated, in the Schedule. The quantities of supplies and services specified in the Schedule are estimates only and are not purchased by this contract.

(b) Delivery or performance shall be made only as authorized by orders issued in accordance with the Ordering clause. The Contractor shall furnish to the Government, when and if ordered, the supplies or services specified in the Schedule up to and including the quantity designated in the Schedule as the “maximum.” The Government shall order at least the quantity of supplies or services designated in the Schedule as the “minimum.”

(c) Except for any limitations on quantities in the Order Limitations clause or in the

Schedule, there is no limit on the number of orders that may be issued. The Government may issue orders requiring delivery to multiple destinations or performance at multiple locations.

Page | 21

(d) Any order issued during the effective period of this contract and not completed within that period shall be completed by the Contractor within the time specified in the order. The contract shall govern the Contractor’s and Government’s rights and obligations with respect to that order to the same extent as if the order were completed during the contract’s effective period; provided, that the Contractor shall not be required to make any deliveries under this contract after one year beyond the contract’s effective period.

52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

The Government may require continued performance of any services within the limits and at the rates specified in the contract. The option provision may be exercised more than once, but the total extension of performance hereunder shall not exceed 6 months. The Contracting Officer may exercise the option by written notice to the Contractor within the performance period of the contract.

52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

(a) The Government may extend the term of this contract by written notice to the Contractor within the performance period of the contract or within 30 days after funds for the option year become available, whichever is later.

(b) If the Government exercises this option, the extended contract shall be considered to include this option provision.

(c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed 5 years.

52.232-19 AVAILABILITY OF FUNDS FOR THE NEXT FISCAL YEAR (APR 1984)

Funds are not presently available for performance under this contract beyond September 30 of the current calendar year. The Government's obligation for performance of this contract beyond that date is contingent upon the availability of appropriated funds from which payment for contract purposes can be made. No legal liability on the part of the Government for any payment may arise for performance under this contract beyond September 30 of the current calendar year, until funds are made available to the Contracting Officer for performance and until the Contractor receives notice of availability, to be confirmed in writing by the Contracting Officer.

THE FOLLOWING DOSAR CLAUSE(S) IS/ARE PROVIDED IN FULL TEXT:

CONTRACTOR IDENTIFICATION (JULY 2008)

Contract performance may require contractor personnel to attend meetings with government personnel and the public, work within government offices, and/or utilize government email.

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Contractor personnel must take the following actions to identify themselves as non-federal employees:

1) Use an email signature block that shows name, the office being supported and company affiliation (e.g. “John Smith, Office of Human Resources, ACME Corporation Support Contractor”);

2) Clearly identify themselves and their contractor affiliation in meetings;

3) Identify their contractor affiliation in Departmental e-mail and phone listings whenever contractor personnel are included in those listings; and

4) Contractor personnel may not utilize Department of State logos or indicia on business cards.

(End of Clause)

652.215-70 EXAMINATION OF RECORDS

(a) With respect to matters related to this contract or a subcontract hereunder, the Department of State Office of the Inspector General, or an authorized representative, shall have upon request:

(1) Complete, prompt, and free access to all Contractor and Subcontractor files (in any format), documents, records, data, premises, and employees, except as limited by law; and

(2) The right to interview any current Contractor and Subcontractor personnel, individually and directly, with respect to such matters.

(b) This clause may not be construed to require the contractor or any subcontractor to create or maintain any record that the contractor or subcontractor does not maintain in the ordinary course of business or pursuant to a provision of law.

(c) The Contractor shall insert a clause containing all the terms of this clause, including this paragraph (c), in all subcontracts under this contract other than acquisitions described in Federal Acquisition Regulation 15.209(b)(1).

652.216-70 ORDERING - INDEFINITE-DELIVERY CONTRACT (APR 2004)

The Government shall use one of the following forms to issue orders under this contract:

(a) The Optional Form 347, Order for Supplies or Services, and Optional Form 348, Order for Supplies or Services Schedule - Continuation; or,

(b) The DS-2076, Purchase Order, Receiving Report and Voucher, and DS-2077, Continuation Sheet.

652.225-71 SECTION 8(A) OF THE EXPORT ADMINISTRATION ACT OF 1979, AS

AMENDED (AUG 1999)

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(a) Section 8(a) of the U.S. Export Administration Act of 1979, as amended (50 U.S.C.

2407(a)), prohibits compliance by U.S. persons with any boycott fostered by a foreign country against a country which is friendly to the United States and which is not itself the object of any form of boycott pursuant to United States law or regulation. The Boycott of Israel by Arab League countries is such a boycott, and therefore, the following actions, if taken with intent to comply with, further, or support the Arab League Boycott of Israel, are prohibited activities under the Export Administration Act:

(1) Refusing, or requiring any U.S. person to refuse to do business with or in Israel, with any Israeli business concern, or with any national or resident of Israel, or with any other person, pursuant to an agreement of, or a request from or on behalf of a boycotting country;

(2) Refusing, or requiring any U.S. person to refuse to employ or otherwise discriminating against any person on the basis of race, religion, sex, or national origin of that person or of any owner, officer, director, or employee of such person;

(3) Furnishing information with respect to the race, religion, or national origin of any

U.S. person or of any owner, officer, director, or employee of such U.S. person;

(4) Furnishing information about whether any person has, has had, or proposes to have any business relationship (including a relationship by way of sale, purchase, legal or commercial representation, shipping or other transport, insurance, investment, or supply) with or in the State of Israel, with any business concern organized under the laws of the State of Israel, with any Israeli national or resident, or with any person which is known or believed to be restricted from having any business relationship with or in Israel;

(5) Furnishing information about whether any person is a member of, has made contributions to, or is otherwise associated with or involved in the activities of any charitable or fraternal organization which supports the State of Israel; and,

(6) Paying, honoring, confirming, or otherwise implementing a letter of credit which contains any condition or requirement against doing business with the State of Israel.

(b) Under Section 8(a), the following types of activities are not forbidden ``compliance with the boycott,'' and are therefore exempted from Section 8(a)'s prohibitions listed in paragraphs (a)(1)-(6) above:

(A) Complying or agreeing to comply with requirements:

(i) Prohibiting the import of goods or services from Israel or goods produced or services provided by any business concern organized under the laws of Israel or by nationals or residents of Israel; or, Page | 24

(ii) Prohibiting the shipment of goods to Israel on a carrier of Israel, or by a route other than that prescribed by the boycotting country or the recipient of the shipment;

(B) Complying or agreeing to comply with import and shipping document requirements with respect to the country of origin, the name of the carrier and route of shipment, the name of the supplier of the shipment or the name of the provider of other services, except that no information knowingly furnished or conveyed in response to such requirements may be stated in negative, blacklisting, or similar exclusionary terms, other than with respect to carriers or route of shipments as may be permitted by such regulations in order to comply with precautionary requirements protecting against war risks and confiscation;

(C) Complying or agreeing to comply in the normal course of business with the unilateral and specific selection by a boycotting country, or national or resident thereof, of carriers, insurance, suppliers of services to be performed within the boycotting country or specific goods which, in the normal course of business, are identifiable by source when imported into the boycotting country;

(D) Complying or agreeing to comply with the export requirements of the boycotting country relating to shipments or transshipments of exports to Israel, to any business concern of or organized under the laws of Israel, or to any national or resident of Israel;

(E) Compliance by an individual or agreement by an individual to comply with the immigration or passport requirements of any country with respect to such individual or any member of such individual's family or with requests for information regarding requirements of employment of such individual within the boycotting country; and,

(F) Compliance by a U.S. person resident in a foreign country or agreement by such person to comply with the laws of that country with respect to his or her activities exclusively therein, and such regulations may contain exceptions for such resident complying with the laws or regulations of that foreign country governing imports into such country of trademarked, trade named, or similarly specifically identifiable products, or components of products for his or her own use, including the performance of contractual services within that country, as may be defined by such regulations.

652.232-70 PAYMENT SCHEDULE AND INVOICE SUBMISSION (FIXED-PRICE)

(AUG 1999)

(a) General. The Government shall pay the Contractor as full compensation for all work required, performed, and accepted under this contract the firm fixed-price stated in this contract.

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(b) Invoice Submission. The Contractor shall submit invoices in an original and three (3) copies to the office identified in Block 18b of the SF-1449. To constitute a proper invoice, the invoice shall include all the items required by FAR 32.905(e).

(c ) Contractor Remittance Address. The Government will make payment to the

Contractor’s address stated on the cover page of this contract, unless a separate remittance address is shown below:

652.237-72 Observance of Legal Holidays and Administrative Leave (FEB 2015)

(a) The Department of State observes the following days as holidays:

DATE DAY HOLIDAY ORIGIN

1-Jan Thursday New Year’s Day U.S. & Belizean 15-Jan Thursday George Price Day Belizean 19-Jan Monday Martin Luther King Jr. Day U.S.

16-Feb Monday Washington’s Birthday U.S.

9-Mar Monday National Heroes and Benefactor Day Belizean 3-Apr Friday Good Friday Belizean 6-Apr Monday Easter Monday Belizean 1-May Friday Labor Day Belizean 25-May Monday Memorial Day U.S.

19-Jun Friday Juneteenth U.S.

3-Jul Friday Independence Day U.S.

1-Aug Saturday Emancipation Day Belizean 7-Sep Monday Labor Day U.S.

10-Sep Thursday St. George's Caye Day Belizean 21-Sep Monday Independence Day Belizean 12-Oct Monday Columbus Day/Indigenous People’s Day U.S. & Belizean 11-Nov Wednesday Veterans Day U.S.

Financial Management Office (FMO) U.S. Embassy Belmopan 4 Floral Park Road Belmopan, Belize Email: BelmopanInvoices@state.gov

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19-Nov Thursday Garifuna Settlement Day Belizean 26-Nov Thursday Thanksgiving Day U.S.

25-Dec Friday Christmas U.S. & Belizean 26-Dec Saturday Boxing Day Belizean

Any other day designated by Federal law, Executive Order, or Presidential Proclamation.

(b) When New Year’s Day, Independence Day, Veterans Day or Christmas Day falls on a Sunday, the following Monday is observed; if it falls on Saturday the preceding Friday is observed. Observance of such days by Government personnel shall not be cause for additional period of performance or entitlement to compensation except as set forth in the contract. If the contractor’s personnel work on a holiday, no form of holiday or other premium compensation will be reimbursed either as a direct or indirect cost, unless authorized pursuant to an overtime clause elsewhere in this contract.

(c) When the Department of State grants administrative leave to its Government employees, assigned contractor personnel in Government facilities shall also be dismissed. However, the contractor agrees to continue to provide sufficient personnel to perform round-the-clock requirements of critical tasks already in operation or scheduled, and shall be guided by the instructions issued by the contracting officer or his/her duly authorized representative.

(d) For fixed-price contracts, if services are not required or provided because the building is closed due to inclement weather, unanticipated holidays declared by the President, failure of Congress to appropriate funds, or similar reasons, deductions will be computed as follows:

(1) The deduction rate in dollars per day will be equal to the per month contract price divided by 21 days per month.

(2) The deduction rate in dollars per day will be multiplied by the number of days services are not required or provided.

If services are provided for portions of days, appropriate adjustment will be made by the contracting officer to ensure that the contractor is compensated for services provided.

(e) If administrative leave is granted to contractor personnel as a result of conditions stipulated in any “Excusable Delays” clause of this contract, it will be without loss to the contractor. The cost of salaries and wages to the contractor for the period of any such excused absence shall be a reimbursable item of direct cost hereunder for employees whose regular time is normally charged, and a reimbursable item of indirect cost for employees whose time is normally charged indirectly in accordance with the contractors accounting policy.

(End of clause)

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652.242-70 CONTRACTING OFFICER'S REPRESENTATIVE (COR) (AUG 1999)

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

652.242-73 AUTHORIZATION AND PERFORMANCE (AUG 1999)

(a) The Contractor warrants the following:

(1) That is has obtained authorization to operate and do business in the country or countries in which this contract will be performed;

(2) That is has obtained all necessary licenses and permits required to perform this contract; and,

(3) That it shall comply fully with all laws, decrees, labor standards, and regulations of said country or countries during the performance of this contract.

(a) If the party actually performing the work will be a subcontractor or joint venture partner, then such subcontractor or joint venture partner agrees to the requirements of paragraph (a) of this clause.

652.243-70 NOTICES (AUG 1999)

Any notice or request relating to this contract given by either party to the other shall be in writing. Said notice or request shall be mailed or delivered by hand to the other party at the address provided in the schedule of the contract. All modifications to the contract must be made in writing by the Contracting Officer.

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SECTION 3 - SOLICITATION PROVISIONS

52.212-1 INSTRUCTIONS TO OFFERORS -- COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (JAN 2026) IS INCORPORATED BY

REFERENCE (SEE SF-1449, BLOCK 27A)

ADDENDUM TO 52.212-1

The Offeror shall include Defense Base Act (DBA) insurance premium costs covering employees. The offeror may obtain DBA insurance directly from any Department of Labor approved providers at the DOL website at http://www.dol.gov/owcp/dlhwc/lscarrier.htm

A. Summary of instructions. Offerors shall submit their proposals in two separate volumes:

VOLUME 1: PRICE PROPOSAL

VOLUME 2: TECHNICAL PROPOSAL

A.1 VOLUME 1: PRICE PROPOSAL

Tab A – SF 1449 Tab B –Pricing Tables Tab C – completed Section 5: Representations and Certifications Tab D – SAM Registration and Unique Entity Identifier

(A) Standard Form 1449 (SF-1449) The Offeror shall complete blocks 12, 17, 19-24 and 30, as appropriate, of the SF1449.

The Offeror shall acknowledge all amendments by signing and returning the SF30.

Acknowledgement can only be executed by an authorized company official responsible for the offer.

(B) Pricing (Attachment 1) All applicable portions of this form shall be completed in each relevant category.

(C) Representations and Certifications The Offeror is required to complete all Representations, Certifications, and other Statements of Offerors or Respondents and other certifications required in Section IV.

If applicable an IRS Form W-14 shall be submitted (see 52.229-11 Tax on Certain Foreign Procurements—Notice and Representation).

(D) SAM Registration and Unique Entity Identifier The offeror shall provide proof of SAM registration to include the SAM UEI number.

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The Offeror is required to be registered in the System for Award Management (SAM) database in accordance with FAR 52.204-13 and have a registered Unique Identifier Number in accordance with FAR 52.204-6.

If the offeror is not registered in the SAM, it may do so through the SAM website at https://www.sam.gov/portal/public/SAM/ .

Contract award is subject to an active SAM registration for contracts.

A.2 VOLUME 2: TECHNICAL PROPOSAL

The technical proposal shall demonstrate that the offeror understands the requirement listed in Section I of the solicitation, and shall set forth current, accurate, and complete information as required by this solicitation.

The technical evaluation criteria in Section IV of this solicitation will be used by the technical panel to evaluate technical proposals. The technical proposal shall specifically address the following aspects in detail. Simply repeating or paraphrasing solicitation sections is not acceptable and may cause the USG to give the offeror an unacceptable technical rating.

The Technical Proposal shall be prepared as follows:

Tab A – Management Plan Tab B – Experience and Past Performance Tab C – Licensing Information Tab D – Profit Sharing Credit Tab E – Employee Pool

A. Management Plan

(a) Understanding of the Requirement

(i) The offeror must demonstrate that it understands the requirement set forth in Sections I, Parts I and II of the solicitation. The offeror must demonstrate a knowledge and familiarity in providing the insurance and services required in the aforementioned sections of the solicitation. For health insurance, if the proposal is for a health maintenance organization (HMO) or clinic type, describe the facilities and medical personnel that will be available. The offeror must also describe the pool of coverage in which the covered employees will be contained, and a description of how the experience rating would be determined in regard to Section I.

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(ii) Proposals shall contain only the benefit levels stated in Section 1. Proposals offering benefit levels greater or less than those levels required in Section I may be rejected as unacceptable.

(b) Plan Administration

(a) The offeror must demonstrate how it plans to perform the contract, especially as it relates to:

(i) Providing the insurance

(ii) Maintaining adequate reserves to pay claims, including accounting procedures

(iii)Administering and prompt payment of insured claims for reimbursement

(iv)Procedures for reviewing claims (including where and how claims will be processed and settled)

(v) Description of the system for tracking utilization of services by claimants by diagnostic or other actuarial categories/profiles and comparing them against regional or national norms

(vi)Availability of central point of contact and phone number for employees to call regarding claims or information

(vii) Providing periodic reporting and accounting of financial results of the plan, including reporting formats

(viii) The overall management of the contract.

(B) Experience and Past Performance

List all contracts and subcontracts your company has held over the past three years for the same or similar work. Provide the following information for each contract and subcontract:

(a) Customer's name, address, and the telephone numbers of previous contractors for whom similar insurance and services were provided;

(b) Contract number and type of contract;

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(c) Date and place of performance of the contract and delivery dates and period of performance;

(d) Scope of the contract, i.e., types of insurance provided and range of population covered, as well as total dollar amount;

(e) Brief description of the performance requirements;

(f) Comparability to the work required under this solicitation;

(g) Brief discussion of any major technical problems and their resolutions.

(C ) Licensing Information

The offeror shall include a notarized copy of the most current license/certificate/-accreditation, which demonstrates that the offeror is licensed/certified/accredited or otherwise authorized by the Government of Belize or its agent (e.g., insurance commission, board) to provide health insurance coverage to persons (to include organizations, companies, groups) within the host country. If the offeror is not licensed/certified/accredited or otherwise authorized by the Government of Belize it must demonstrate that it is licensed/certified/accredited by a government other than Belize to provide health insurance for persons in Belize and must demonstrate its capacity to provide health benefits in Belize to meet the minimum requirements and other conditions set forth in this solicitation.

This section shall demonstrate that the offeror is licensed/certified/accredited through no less than the final day of the base performance period and that the offeror is eligible for renewal for the option periods. This section shall also summarize and describe any probationary, disciplinary or actions taken upon the offeror, which are in force or are about to be imposed upon the offeror by the Government of Belize or its agents.

Failure to demonstrate that the offeror is an authorized insurance company permitted to write and administer health insurance policies in Belize be grounds for rejection of the proposal.

(D)Profit Sharing Credit

The offeror shall indicate whether any insurance plan offered will be subject to participation in any profit-sharing credit program, pooling agreement (including multinational agreements) or any other premium credit procedure. If this is applicable, please describe. This is for evaluation only to distinguish between otherwise equally priced, technically acceptable proposals and will not be considered in determining the lowest-priced offeror.

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(E) Employee Pool

The offeror shall describe the pool that will apply to the employees under this contract. The offeror will describe the size of the pool, whether it is a mixture of commercial and government (if applicable), alternative pools that are available in the event the economic price adjustment clause becomes effective.

A.3 PRE-PROPOSAL CONFERENCE

A pre-proposal conference to discuss the requirements of this solicitation will be held on October 15, 2026 at 9:00 am (local time) at the U.S. Embassy Belmopan. Offerors interested in attendance should contact the following individual:

Name: Elisa Gillet, Procurement Supervisor E-mail: GillettER@state.gov Telephone Number: 501-610-4013 no later than October 8, 2026, and must provide for each attendee the…