Exhibit_C.pdf

LE Staff Group Life Insurance Benefit Plan – AEEA Staff Rider Exhibit C

LES Group Life Insurance Services Solicitation

STC10017R0005

Exhibit C

AEEA Staff Rider

All locally hired employees of the American Embassy Employees’ Association (AEEA) are eligible to fully participate in the group life insurance plan for U.S. Embassy, Abu Dhabi, if the following conditions are met:

1. Insurance provider will bill the employer (AEEA) directly.

2. All current active employees of the AEEA and paid under an AEEA account are eligible. All cost for AEEA employees are the responsibility of the employing office, not the U.S. Government.

3. The AEEA employees shall be identified under a separate task order. The

COR will make subsequent additions or deletions to this list in writing. All such revisions shall be consolidated and a new task order will be issued by the

Contracting Officer.

4. The AEEA has the discretion to include their staff in the life insurance plan, that fact will be specified in the individual employment contract(s).

AEEA staff insurance benefits coverage and levels will be the same as coverage and levels outlined in the U.S. Embassy Life Insurance Plan.

Nu Number of All Insured AEEA Staff Members Abu Dhabi Dubai Total

0 0 0

Nu Number of Employees 0 0 0 Number of Employees (Male) 0 0 0

Number of Employees (Female) 0 0 0

Number of Employees (Married) 0 0 0

Number of Employees (Single) 0 0 0

Total of All AEEA Insured Members 0 0 0