ANNEX I.C.to the Tender specifications
FINANCIAL OFFER
Procedure Reference: GSA/OP/22/16
LOT 1
Title of the procedure: GSA and GSA Staff Members insurance package
NAME OF CANDIDATE:
The prices shall be firm and fixed for the duration of the contract and could only be improved by the tenderer.
1 / Annual price covering all Staff Members referred to in Annex I.E. / EUR2 / In case the price is different in respect of profile of staff members, the breakdown of prices per person and per profile is as follows:
3 / Comments:
Signature:
FINANCIAL OFFER
Procedure Reference: GSA/OP/22/16
LOT 2
Title of the procedure: GSA and GSA Staff Members insurance package
NAME OF CANDIDATE:
The prices shall be firm and fixed for the duration of the contract and could only be improved by the tenderer.
1 / Annual price covering all Staff Member referred to in Annex I.E. / EUR2 / In case the price is different in respect of profile of staff members, the breakdown of prices per person and per profile is as follows:
3 / Comments:
Signature:
FINANCIAL OFFER
Procedure Reference: GSA/OP/22/16
LOT 3
Title of the procedure: GSA and GSA Staff Members insurance package
NAME OF CANDIDATE:
The prices shall be firm and fixed for the duration of the contract and could only be improved by the tenderer.
1 / Annual price covering all Staff Members referred to in Annex I.E. / EUR2 / Option (not evaluated): Annual price covering Staff Members’ family members referred to in Annex I.E. / EUR
2 / In case the price is different in respect of profile of staff members, the breakdown of prices per person and per profile is as follows:
3 / Comments:
Signature:
FINANCIAL OFFER
Procedure Reference: GSA/OP/22/16
LOT 4
Title of the procedure: GSA and GSA Staff Members insurance package
NAME OF CANDIDATE:
The prices shall be firm and fixed for the duration of the contract and could only be improved by the tenderer.
1 / Annual price of insurance for the coverage of loss and damages to GSA movable assets / EUR2 / Annual price of insurance for the coverage of GSA’s third party liabilities / EUR
3 / Annual price of insurance for the coverage of third party liabilities of all Staff Members referred to in Annex I.E. / EUR
4 / Annual price of insurance for travel risks covering all Staff Members referred to in Annex I.E. / EUR
TOTAL ANNUAL PRICE FOR ALL INSURANCES ABOVE (for the purpose of evaluation) / EUR
OPTION 1A (not evaluated) for insurance under 1: Annual price of insurance of the GSA building in the Camp des Loges in Saint-Germain-en-Laye (France) for an insured value of 1.000.000 (one million) EUR / EUR
OPTION 1B (not evaluated) for insurance under 1: Annual price of insurance of the GSA building in the Camp des Loges in Saint-Germain-en-Laye (France) for an insured value of 5.000.000 (five millions) EUR / EUR
OPTION 2 (not evaluated) for insurance under 3: Annual price of insurance for the coverage of third party liabilities of Staff Members’ family members referred to in Annex I.E. / EUR
OPTION 3 (not evaluated) for insurance under 4: Annual price of insurance for travel risks covering Staff Members’ family members referred to in Annex I.E. / EUR
In case the price of any of the insurances above is different in respect of a type of assets or profile of staff members, the breakdown of prices per type of assets or per person and per profile is as follows:
3 / Comments:
Signature:
Page 1 of 5