Request for Quotations

Medical, life and accident insurance coverage

Overview: DAI Global LLC, a legally registered company in Liberia and implementer of the USAID-funded Local Empowerment for Accountability and Decentralization in Liberia (LEAD) Project. The LEAD project will improve the capacities of targeted ministries, agencies, and commissions (MACs), to formulate and administer sound tax policies, improve budget transparency, deepen decentralization, and deliver much needed quality services at the sub-national level.

Attachment A:

Technical Specifications and Requirements

• Overview

DAI LEAD project is looking to receive a quotation for a long-term medical, life and accident insurance coverage services throughout the Liberia national territory from potential service provider(s) of DAI LEAD project for 22 employees and 126 dependents (spouse and three children 0 – 21-year-old) divided as follows:

• Technical requirements

• Responsibilities of insurer and insured.

The responsibilities excepted is, but not limited to the following:

• Responsibility of the insurer

• The insurer will provide all administrative documents to enroll the insured in the health insurance scheme;
• The insurer will issue a policy document to the insured after the covers have been arranged and all the documentation and payments of premium made;
• The insurer shall provide medical insurance card and card replacement in case of lost;
• Recompilation of leavers and joiners to the scheme in consultation with the LEAD point of contact;
• Upon exit of any member insured under this policy, there shall be a 30-day lapse period after which a refund shall accrue to the insured from the exiting member. The refund shall be in the pro-rated portion of the Premium;
• Provision of 24/7 helpline facilities to all the members covered.

• Responsibility of the insured

The insured will provide all the details of the members and dependents to be covered.

• The insured will ensure that all new members joining the scheme and those exiting the scheme are notified to the insurer promptly;
• The insured will assist the insurer to establish and rid of all cases of fraud in the scheme administration;
• When the insured employs new staff, they must inform the insurer and fill in the required forms. If the insured terminates the services of a member, they must inform the insurer immediately and also surrender the insurer’s membership card. The Insured must notify the insurer within 7 working days of the date of resignation of any staff;
• The insured will return the medical card of any existing member.

• Estimated performance

The period of performance will be for 12 months, with an estimated start date on/or March 1, 2024, and an estimated completion date of February 28, 2025.

• Purchase Order and amendment

The service provider will receive a purchase order for the services. The purchase order can be amended when new members and dependents join the health insurance scheme during the period of performance mentioned above.

• Payment terms

The payments will be made as follows:

• Premiums will be paid in full within 15 days of cover/invoice issued. The invoice should be addressed to DAI/LEAD project.
• Additional members to the policy will be invoiced, payable on the month the staff joined on a prorated basis if the staff did not join at the beginning of the month. The payment will be made by wire transfer within 30 days upon submission of invoices.
• Premium shall be refunded for members who leave the scheme midterm, on pro-rata basis, within 30 days.
  

ATTACHMENT B:

COVER LETTER

Instruction: submit on company letterhead

Dear DAI/LEAD:

We, the undersigned, provide the attached quotation in accordance with LEAD-RFQ-MON-24-0014 dated [Insert full date]. Our attached quote complies with the price schedule template provided as Attachment D in the subject RFQ and the prices provided are VAT exclusive. Our quote shall be binding upon us subject to the modifications.

I certify a validity period of 30 days for the rates provided in the attached quotation. I have read and understood fully the instructions provided in the subject RFQ and its Attachment F, which I intend to fully comply with.

We understand that DAI is not bound to accept any quotation it receives, and that DAI will not reimburse any costs associated with the preparation of this quotation.

Name and Title of Signatory:

Name of Firm:

Address:

Telephone:

Email:

___________________________________ ____________________

Authorized Signature Company Seal/Stamp

ATTACHMENT C:

Price Schedule

Instruction: Please Date, Sign, and Stamp Price Schedule on Company Letterhead

NB: Service provider shall not include VAT in their pricing. DAI is exempted under the United States Agency for International Development (USAID) bilateral agreement with the government of Liberia.

Name and Title of Signatory:

___________________________________ ____________________

Authorized Signature Company Seal/Stamp

Attachment D:

Past Performance Reference (Not applicable)

Client # 1

Client # 2

Client # 3

Name and Title of Signatory:

___________________________________ ____________________

Authorized Signature Company Seal/Stamp

Attachment E:

Representations and Certifications of Compliance

1. Federal Excluded Parties List – The Bidder Select is not presently debarred, suspended, or determined ineligible for an award of a contract by any Federal agency.

1. Executive Compensation Certification- FAR 52.204-10 requires DAI, as prime contractor of U.S. federal government contracts, to report compensation levels of the five most highly compensated subcontractor executives to the Federal Funding Accountability and Transparency Act Sub-Award Report System (FSRS)

1. Executive Order on Terrorism Financing– The Contractor is reminded that U.S. Executive Orders and U.S. law prohibits transactions with, and the provision of resources and support to, individuals and organizations associated with terrorism. It is the legal responsibility of the Contractor/Recipient to ensure compliance with these Executive Orders and laws. Recipients may not engage with, or provide resources or support to, individuals and organizations associated with terrorism. No support or resources may be provided to individuals or entities that appear on the Specially Designated Nationals and Blocked persons List maintained by the US Treasury (online at www.SAM.gov) or the United Nations Security Designation List (online at: http://www.un.org/sc/committees/1267/aq_sanctions_list.shtml). This provision must be included in all subcontracts/sub awards issued under this Contract.

1. Trafficking of Persons – The Contractor may not traffic in persons (as defined in the Protocol to Prevent, Suppress, and Punish Trafficking of persons, especially Women and Children, supplementing the UN Convention against Transnational Organized Crime), procure commercial sex, and use forced labor during the period of this award.

1. Certification and Disclosure Regarding Payment to Influence Certain Federal Transactions – The Bidder certifies that it currently is and will remain in compliance with FAR 52.203-11, Certification and Disclosure Regarding Payment to Influence Certain Federal Transactions.

1. Organizational Conflict of Interest – The Bidder certifies that will comply FAR Part 9.5, Organizational Conflict of Interest. The Bidder certifies that is not aware of any information bearing on the existence of any potential organizational conflict of interest. The Bidder further certifies that if the Bidder becomes aware of information bearing on whether a potential conflict may exist, that Bidder shall immediately provide DAII with a disclosure statement describing this information.

1. Prohibition of Segregated Facilities – The Bidder certifies that it is compliant with FAR 52.222-21, Prohibition of Segregated Facilities.

1. Equal Opportunity – The Bidder certifies that it does not discriminate against any employee or applicant for employment because of age, sex, religion, handicap, race, creed, color or national origin.

1. Labor Laws – The Bidder certifies that it is in compliance with all labor laws.

1. Federal Acquisition Regulation (FAR) – The Bidder certifies that it is familiar with the Federal Acquisition Regulation (FAR) and is in not in violation of any certifications required in the applicable clauses of the FAR, including but not limited to certifications regarding lobbying, kickbacks, equal employment opportunity, affirmation action, and payments to influence Federal transactions.

1. Employee Compliance – The Bidder warrants that it will require all employees, entities and individuals providing services in connection with the performance of an DAI Purchase Order to comply with the provisions of the resulting Purchase Order and with all Federal, State, and local laws and regulations in connection with the work associated therein.

By submitting a quote, bidders agree to fully comply with the terms and conditions above and all applicable U.S. federal government clauses included herein and will be asked to sign these Representations and Certifications upon award.

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