Final_AMENDMENT_OF_SOLICITATION_No_001_insurance_solicitation.doc

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE

PAGES

2. AMENDMENT/MODIFICATION NO.

A001

3. EFFECTIVE DATE

March 20, 2014

4. REQUISITION/PURCHASE REQ. NO.

5. PROJECT NO. (If applicable)

6.

ISSUED BY

CODE

Department of State

American Embassy

General Services Office

Caracas, Venezuela

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

8.

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

SVE300-14-R-0001

9b. DATED (SEE ITEM 11)

10a. MODIFICATION OF CONTRACT/ORDER NO.

10b. DATED (SEE ITEM 13)

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

[X] The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

[ ] is extended, [X] is not extended

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods: (a) By completing Items 8 and 15, and returning _______ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (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 [X] is not, [ ] is required to sign this document and return 1 original copy to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.) The purpose of this Amendment is to reflect the following changes in the solicitation documents:

- The SF 33 form was dated 10/31/13 but has been corrected to read 03/14/14.

- The date for receipt of proposals was May 30, 2014 but has been revised to April 30, 2014.

- Section C (pages 23-23 of the original solicitation document) has been updated. Replacement pages attached.

- L.5 52.252-1 Solicitation Provisions Incorporated By Reference (Feb 1998). Insert the below provision as prescribed in 4.1005(a)(1): 52.204-7 System for Award Management (Jul 2013). Replacement page attached.

- L.8.

PRE-PROPOSAL CONFERENCE: L.8.1. The pre-proposal conference was scheduled for April 30, 2014 but has been corrected to read April 14, 2014. Replacement page attached.

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER (Type or print)

16A. NAME OF CONTRACTING OFFICER

Leslie A. Abitz Contracting Officer

15B. NAME OF CONTRACTOR/OFFEROR

SIGNED BY

(Signature of person authorized to sign)

15C.DATE SIGNED

16B. UNITED STATES OF AMERICA

BY

(Signature of Contracting Officer)

16C.DATE SIGNED

UNDER DPAS (15 CFR 350)

1 |

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

3. SOLICITATION NO.

SVE30014R0001

4. TYPE OF SOLICITATION

[] SEALED BID (IFB)

[ X ] NEGOTIATED (RFP)

5. DATE ISSUED

03/14/2014

6. REQUISITION/PURCHASE NO.

7. ISSUED BY CODE

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

American Embassy

General Services Office – Caracas Venezuela

Phone: 58-212 907-8590 Fax:58-212 907-8684

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

SOLICITATION

9. Sealed offers in original and 4 copies for furnishing the supplies or services in the Schedule will be received at the place specified, in the depository located in until April 30, 2014 local time 04:00 PM .

(hour)

(date)

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

Marisol Pacheco or Lilia Arocha

B. TELEPHONE

58-212 907-8583 or58-212- 907 - 8590

C. E-MAIL ADDRESS

pachecomj@state.gov

11. TABLE OF CONTENTS

PART III - LIST OF DOCUMENTS, EXHIBITS, AND OTHER ATTACH.

PART IV - REPRESENTATIONS AND INSTRUCTIONS

OTHER STATEMENTS OF OFFERORS

OFFER Health and Life Insurance services for LES

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

(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

AWARD (To be completed by Government)

19. ACCEPTED AS TO ITEM NUMBERED

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) Leslie A. Abitz

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.

Caracas, March 13 2014

Dear Prospective Offeror:

SUBJECT: Solicitation Number SVE30014R0001 Health and Life Insurance services for LES

The Embassy of the United States of America invites you to submit a proposal for customized Health and Life Insurance services for Local employees of the Government of the United States of America in Caracas, Venezuela.

The Embassy intends to conduct a pre-proposal conference, and all prospective offerors who have received a solicitation package are invited to attend. See Section L of the attached Request for Proposals (RFP).

Your proposal must be submitted in a sealed envelope marked "Proposal Enclosed" to Leslie A. Abitz, Contracting Officer, the United States Embassy, General Services Office, Calle F con Calle Suapure, Urb. Colinas de Valle Arriba, before 4:00 p.m. April 30, 2014.

No proposal will be accepted after this time.

In order for a proposal to be considered, you must also complete and submit the following:

1.

SF-33

2.

Section B, Pricing Schedule

3.

Section B, Retention Amounts in B.3 and B.7

3.

Section K, Representations and Certifications;

4.

Additional information as required in Section L.

Direct any questions regarding this solicitation to CaracasFSNHealthIns@state.gov. Clarifications will be advertised on FebBizOps (https://www.fbo.gov/)

Please note: proposals that contain more benefits (even if there is no increase in cost) or fewer benefits than those stated in the solicitation may be deemed technically unacceptable.

The U.S. Government intends to award a contract to the responsible company submitting an acceptable offer at the lowest price. We intend to award a contract based on initial proposals, without holding discussions, although we may hold discussions with companies in the competitive range if there is a need to do so.

Sincerely, Leslie A. Abitz

Contracting Officer

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 Venezuela. The Government has determined that the prevailing practice by employers in Venezuela 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 as follow:

For Basic Coverage:

For Excess Coverage:

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/CM.

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.

Reimbursements or payments shall be made for the following covered benefits, subject to reasonable and customary costs in the locality where treatment was provided.

Basic Coverage: With the exception of expenses incurred under paragraph J. below, the insurance company will reimburse covered expenses up to a limit of Bs. 250,000 per event and per contact year.

For active employees who are regularly scheduled to work 30 or more hours per week: the USG will pay 100% of the premium cost for employee coverage. The USG will pay 90% of the premium cost for coverage of the eligible spouse and children and the employee will pay 10%. The USG will pay 66% and the employee will pay 34% of the premium cost for coverage of eligible parents.

For active employees who are regularly scheduled to work less than 30 hours per week: the USG will pay 50% of the premium cost and the employee will pay 50% of the premium cost for employee coverage. The employee will pay 100% of the premium cost for dependent coverage.

Excess Coverage: With the exception of expenses incurred under paragraph J. below, the insurance company will reimburse covered expenses up to a limit of Bs. 475,000 per event and per contact year.

For active employees who are regularly scheduled to work 30 or more hours per week: the USG will pay 60% and the employee will pay 40% of the premium cost for employee coverage. The USG will pay 60% and the employee will pay 40% of the premium cost for coverage of the eligible spouse and children. The USG will pay 66% and the employee will pay 34% of the premium cost for coverage of eligible parents.

For active employees who are regularly scheduled to work less than 30 hours per week: the USG will pay 50% of the premium cost and the employee will pay 50% of the premium cost for employee coverage. The employee will pay 100% of the premium cost for dependent coverage.

Active Employees shall elect up-front if they are interested on the Excess Coverage. Excess Coverage is not mandatory.

Deductible: 1,000 per event per year

C.1.1.1.

Hospitalization:

100% coverage of room and board expenses for a ward room or semi-private room.

100% coverage of room and board expenses for a private room, not to exceed 100% of the cost of a semi-private room.

100% coverage of hospital medical expenses including laboratory tests and x-rays, nursing care, operating room expenses, intensive care, prescription medicines, and physical therapy.

100% coverage of land ambulance service; air transportation is not covered.

C.1.1.2.

Surgery:

100% coverage of surgeons' fees incurred while hospitalized

C.1.1.3.

Doctor Visits:

100% coverage of doctors’ fees incurred while hospitalized, at a hospital on an out-patient basis, at a clinic or doctor's office, or at home.

C.1.1.4.

Prescription Drugs:

100% coverage of expenses when hospitalized, and 100% coverage of expenses when not hospitalized, of the cost 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.1.1.5.

Maternity:

Obstetrical expenses, including prenatal and postnatal care, are covered 100% with maximums as follows:

Normal Delivery: Maximum: Bs. 33,000

Caesarean Delivery: Maximum: Bs. 33,000

Miscarriage: Maximum: Bs. 31,500 Amniocentesis, checking test (including laboratory tests) of pregnancy status, routine basic exam, and medicines, are included under prenatal care.

Family Planning: not covered

C.1.1.6.

Hospital Outpatient Services:

100% coverage of for medical services and expenses when not hospitalized such as laboratory tests and x-rays, prescription medicines, physical therapy, routine annual physical examinations, and home care assistance.

C.1.1.7.

Optical Service:

50% coverage of expenses for eye examination and treatment.

40% coverage for and prescription eyeglass lenses.

Bs. 300 maximum for coverage of expenses for eyeglass frames.

Bs. 400 maximum coverage for contact lenses.

No coverage for nonprescription lenses or tinting

C.1.1.8

Dental Service:

50% coverage of expenses for dental services: preventative, minor and major restorative care, including dentists' fees, x-rays, examination and treatment, cleaning, fillings, extractions, false teeth, crowns, and bridges.

Orthodontia treatment is covered only if treatment is required as the result of an accident.

C.1.1.9.

Physical Therapy:

Physiotherapeutic treatment is included as long as it is required for illness, recovering, or for injuries caused by an accident covered by this policy.

C.1.1.10.

Psychiatric Treatment:

Not Covered

C.1.1.11.

Ambulance Service:

100% coverage of land ambulance service; air transportation is not covered

C.1.1.12.

Hearing Aids:

Not covered

C.1.1.13.

Expenses Incurred Out-of-Country:

Medical expenses incurred out of country will be covered to a maximum of Bs. 260,000.

C.1.1.14 Funeral services costs:

The coverage annual amount is Bs.6,000.00 for each member of the group family.

C.1.1.15 Maximum Limits:

100% coverage, with the exception of expenses incurred under paragraph J above. The insurance company will reimburse covered expenses up to a limit of Bs. 250,000 per event and per contract year for Basic Coverage and Bs. 475,000.00 per event and per contract year for Excess Coverage.

C.1.2 Health Benefits Conditions and Limitations

Expenses will not be covered 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.

No coverage of will be made for expenses that will be reimbursed or paid directly under a host country medical program, the U.S. workers' compensation program, or any Venezuelan workers' compensation type program.

No coverage of will be made 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.

No coverage of will be made for expenses incurred after an employee leaves the service of the U.S. Mission, except in the case of retired employees who elect to continue coverage

There is no reimbursement for medical expenses incurred outside of Venezuela. There is no reimbursement for round trip transportation expenses to travel out of country for medical treatment.

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 Venezuela paid under the Local Compensation Plan, and certified by the Contracting Officer. Covered employees include

C.1.3.1.2.

Foreign Service Nationals (FSNs) employed under direct hire appointments, Personal Services Agreements (PSAs) and Personal Services Contracts (PSCs);

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 Venezuela by:

Department of State, DAO = Defense Attaché Office, MLGP= Military Group, FAS= Foreign Agriculture Service, APHIS = Animal, Plant, Health and Inspection Service, DEA = Drug Enforcement Agency, FCS= Foreign Commercial Service, DHS = Department for Homeland Security, USAID= U.S. Agency for International Development.

C.1.3.3 Participants Covered Under a Rider

C.1.3.3.1 All current active employees of the Chief of Mission and the Deputy Chief of Mission assigned to their respective official Government residences and paid under an ORE account (see separate rider, Exhibit B). All costs for ORE employees are the responsibility of the employing officer, not the U.S. Government.

C.1.3.3.2 Reserved

C.1.4

Individuals Not Eligible for Coverage

Individuals not eligible for coverage under this contract are non-personal services contract personnel; employees working on a temporary basis; employees with an intermittent, seasonal, or WAE (when actually employed) schedule; and any other individual not falling within one of the categories of employees described in this clause.

C.1.5.

Other Eligible Participants

The following additional categories of persons are covered by this insurance:

Expenses incurred by an enrolled employee's eligible dependents are covered under this plan. For the purposes of this plan, an employee's dependents are defined as the employee's legal spouse (limit one), the employee’s parents, and each unmarried, economically dependent child who primarily resides with the employee unless away at school.

Child is defined as the employee's natural child, adopted child, stepchild, or foster child. An eligible child will be covered until the end of the calendar year in which the child turns age 23, or in the case of a child who is a full-time student, until the end of the calendar year in which the child turns age 25. 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.

An eligible parent will be covered until the end of the calendar year in which the parent turns age 88.

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. An employee is considered active ("on the rolls") whenever such employee is on approved leave, whether paid or unpaid.

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.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 on a quarterly basis. 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 Spanish 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 10 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 Venezuela. The Government has determined that the prevailing practice by employers in Venezuela is to provide: 100% of the premium costs; and that such group life insurance protection is representative of locally prevailing compensation practice. 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 life insurance coverage under this contract are 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.

The amount of life insurance coverage for each employee is based upon the annual basic salary (12 months) of the individual.

C.2.1.2 Amount of Accidental Death and Dismemberment Coverage.

The employee's estate or employee will receive an amount equal to:

Natural Death: 20 x monthly basic salary

Accidental or work related death or disability: 26 x monthly basic salary

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 benefits shall be payable if an employee's death or other insurance event was caused directly or indirectly by war. War shall be defined as declared or non-declared war or any martial operations or invasion, hostile acts of foreign powers, rebellion, riot, civil war, uprising, mutiny, operations by military or usurpatory authorities, martial law or state of siege or any other similar event or reason for declaring martial law or war. A terrorist attack shall not be considered war.

No benefit shall be payable under this contract if the employee's bodily injuries have been caused directly or indirectly and totally or partially by:

1. self-inflicted wounds or wounds inflicted at the employee's request, irrespective of the employee being sane or insane, including a suicide

2. violating the law or in resisting detention or arrest,

3. participation in competitions involving the use of wheeled vehicles, horses, boats or water skis,

4. an accident resulting from the employee being under the influence of alcohol, drugs or other toxic substance unless administered by a physician.

Death as a result of a disease or physical or mental infirmities and medical or surgical treatment thereof (except pyogenic infection due to an accidental cut or wound) shall be considered a natural and not an accidental death.

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 Venezuela, paid under the Local Compensation Plan, and certified by the Contracting Officer. Covered employees include:

C.2.3.1.2.

Foreign Service Nationals (FSNs) employed under direct hire appointments, Personal Services Agreements (PSAs) and Personal Services Contracts (PSCs);

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

C.2.3.2

The individuals covered by C.2.3.1 must be employed within the geographic boundaries of Venezuela by: Department of State, DAO = Defense Attaché Office, MLGP = Military Group, DEA = Drug Enforcement Agency, FAS = Foreign Agriculture Service, APHIS = Animal, Plant, Health and Inspection Service, FCS= Foreign Commercial Service, DHS = Department for Homeland Security, USAID= U.S. Agency for International Development

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

C.2.3.3.2

C.2.4

Individuals Not Eligible for Coverage

C.2.4.1.

C.2.4.2

Individuals not eligible for coverage under this contract are nonpersonal services contract personnel; employees working on a temporary basis; employees with an intermittent, seasonal, or WAE (when actually employed) schedule; and any other individual not falling within one of the categories of employees described in this clause.

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, life 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. An employee is considered active ("on the rolls") whenever such employee is on approved leave, whether paid or unpaid.

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 hereunder during any period of employment for which premiums are not paid. The employee is responsible for paying (directly to the insurance contractor) his/her share of the life insurance premiums for periods beyond one full pay period of accumulated leave without pay (LWOP) during any calendar year. Alternatively, the employee may elect to have coverage cease if that employee prefers not to pay the premium.

Additionally, employees’ dependents are not entitled to health benefits during any period of employment during which the employee was not eligible to participate. The mission will pay premiums directly to the contractor and will collect the full cost from the employee on a quarterly basis.

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. The Mission will pay the premiums directly to the contractor, and will collect the full cost from the employee on a quarterly basis. 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 Spanish 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 10 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 (Post’s Human Resources Officer).

Contributory Insurance for which the employee contributes toward the premium.

Dependent Spouses, children under 25 and parents up to 88 years old.

Disability A physical or mental impairment which precludes the individual from performing ordinary motor or bodily functions. 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

GSO

General Services Officers in charge of the General Services Office at post. This officer is usually the Contracting Officer for this contract.

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 employee for injury or disease.

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.

Qualified Accidental Death A loss of life incurred in the following accidental instances: (1) While the insured is riding as a passenger within any mechanically propelled, public conveyance operated by a common carrier which regularly dispatches for hire over an established route in a regular passenger service but not while or in consequence of attempting to enter or leave the conveyance; (2) while the insured is riding as a passenger in a regular passenger elevator car (elevators in mines excluded); or (3) in consequence of a burning of any theater, hotel, or other public building in which the insured is present at the commencement of the fire.

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

L.5

52.252‑1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998)

This contract incorporates the following provisions 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. The offeror is cautioned that the listed provisions may include blocks that must be completed by the offeror and submitted with its quotation or offer. In lieu of submitting the full text of those provisions, the offeror may identify the provision by paragraph identifier and provide the appropriate information with its quotation or offer. Also, the full text of a solicitation provision 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 of a network “search engine” (e.g., Yahoo, Infoseek, Alta Vista, etc.) is suggested to obtain the latest location of the most current FAR.

FEDERAL ACQUISITION REGULATION (48 CFR CH. 1)

52.204-7

SYSTEM FOR AWARD MANAGEMENT (JUL 2013)

52.209-7 INFORMATION REGARDING RESPONSIBILITY

MATTERS (FEB 2012)

52.209-9 UPDATES OF INFORMATION REGARDING RESPONSIBILITY

MATTERS (FEB 2012)

52.214-34

SUBMISSION OF OFFERS IN ENGLISH LANGUAGE (APR 1991)

52.215-1

INSTRUCTIONS TO OFFERORS—COMPETITIVE ACQUISITION

(JAN 2004)

L.8.

PRE-PROPOSAL CONFERENCE

L.8.1.

A pre-proposal conference to discuss the requirements of this solicitation will be held on American Embassy Caracas Calle F con Calle Suapure Urb. Valle Arriba at 10:00 a.m. at the date April 14, 2014. Offerors interested in attendance should contact the following individual:

NAME

EMAIL

Marisol Pacheco pachecomj@state.gov

L.8.2.

Offerors are urged to submit written questions at least three days before the scheduled pre-proposal conference date, using the address provided in block 9 of Standard Form 33, Solicitation, Offeror and Award, of this solicitation or by faxing the questions to the above fax number, marked to the attention of the above-named individual.

L.8.3.

Attendees may also bring written questions to the proposal conference; however, if the answer requires research, there is no guarantee that the question will be able to be answered at that conference.

L.8.4.

The Government’s statements at the pre-proposal conference shall not be considered to be a change to the solicitation unless a written amendment is issued.

L.8.5.

Following the conference, all prospective offerors who received a copy of the solicitation will be provided a copy of all questions presented in writing prior to the conference, along with answers. If the answer requires a change to the solicitation, a solicitation amendment will also be issued.