MURIEL BOWSER
MAYOR
October 21, 2024
The Honorable Phil Mendelson
Chairman, Council of the District of Columbia
1350 Pennsylvania Avenue NW, Suite 504
Washington, DC 20004
Dear Chairman Mendelson:
Pursuant to section 451 of the District of Columbia Home Rule Act (D.C. Official Code § 1-
204.51) and section 202 of the Procurement Practice Reform Act of 2010 (D.C. Official Code § 2-
352.02), enclosed for consideration and approval by the Council of the District of Columbia is
proposed Modification No. M0002 to Contract No. CW109927 with Vision Service Plan Insurance
Company (VSP) to exercise option period one in the not-to-exceed amount of $4,112,526. The
period of performance is from December 31, 2024, through December 30, 2025.
Under the proposed modification, VSP will continue to provide and administer fully insured vision
care benefits for District employees and their dependents.
My administration is available to discuss any questions you may have regarding the proposed
contract modification. In order to facilitate a response to any questions you may have, please have
your staff contact Marc Scott, Chief Operating Officer, Office of Contracting and Procurement, at
(202) 724-8759.
I look forward to the Council’s favorable consideration of this contract modification.
Sincerely,
Muriel Bowser
 GOVERNMENT OF THE DISTRICT OF COLUMBIA
Office of Contracting and Procurement
Pursuant to section 202(c-3) of the Procurement Practices Reform Act of 2010, as amended, D.C.
Official Code § 2-352.02(c-3), the following contract summary is provided:
COUNCIL CONTRACT SUMMARY
(Options)
(A) Contract Number: CW109927
Modification No. M0002
Proposed Contractor: Vision Service Plan Insurance Company
Contract Amount (Option Period One): Not-to-exceed (NTE) $4,112,526
Term of Contract: December 31, 2024, through December 30, 2025
Type of Contract: Requirements Contract
(B) Identifying number of the underlying contract, including the identifiers assigned to the
underlying contract by the Council for the base period and any subsequent option periods:
Base Period Amount: NTE $4,191,974
Council Approval Legislation: CA25-0542
Option Period One Amount: NTE $4,112,526
Explanation of difference from base period (if applicable): The not-to-exceed amount for option
period one has been adjusted based on projected changes in District workforce enrollment in the
vision plans offered.
(C) A statement that the Clean Hands database indicates that the proposed contractor is current
with its District taxes. If the Citywide Clean Hands Database indicates that the proposed
contractor is not current with its District taxes, either: (1) a certification that the contractor has
worked out and is current with a payment schedule approved by the District; or (2) a
certification that the contractor will be current with its District taxes after the District recovers
any outstanding debt as provided under D.C. Official Code § 2-353.01(b):
The contractor’s Citywide Clean Hands report, received on October 8, 2024, indicates no
outstanding liabilities with the District.
1
(D) A statement that the proposed contract is within the appropriated budget authority for the
agency for the fiscal year and is consistent with the financial plan and budget adopted in
accordance with D.C. Official Code §§ 47-392.01 and 47-392.02:
On October 8, 2024, the Office of the Chief Financial Officer certified that funds are available for
option period one.
 Government of the District of Columbia
Office of the Chief Financial Officer 1101 4th Street, SW
Office of Tax and Revenue Washington, DC 20024
Date of Notice: October 8, 2024 Notice Number: L0012772626
VISION SERVICE PLAN INSURANCE COMPANY FEIN: **-***7840
3333 QUALITY DR Case ID: 18241508
RANCHO CORDOVA CA 95670-7985
CERTIFICATE OF CLEAN HANDS
As reported in the Clean Hands system, the above referenced individual/entity has no outstanding
CO
liability with the District of Columbia Office of Tax and Revenue or the Department of Employment
Services. As of the date above, the individual/entity has complied with DC Code § 47-2862, therefore
this Certificate of Clean Hands is issued.
TITLE 47. TAXATION, LICENSING, PERMITS, ASSESSMENTS, AND FEES
CHAPTER 28 GENERAL LICENSE
SUBCHAPTER II. CLEAN HANDS BEFORE RECEIVING A LICENSE OR PERMIT
D.C. CODE § 47-2862 (2006)
PY
§ 47-2862 PROHIBITION AGAINST ISSUANCE OF LICENSE OR PERMIT
Authorized By Melinda Jenkins
Branch Chief, Collection and Enforcement Administration
To validate this certificate, please visit MyTax.DC.gov. On the MyTax DC homepage, click the
“Validate a Certificate of Clean Hands” hyperlink under the Clean Hands section.
1101 4th Street SW, Suite W270, Washington, DC 20024/Phone: (202) 724-5045/MyTax.DC.gov
 GOVERNMENT OF THE DISTRICT OF COLUMBIA
OFFICE OF THE CHIEF FINANCIAL OFFICER
Glen Lee
Chief Financial Officer
MEMORANDUM
TO: Julius Wiggins
Supervisory Contract Specialist / Contracting Officer
Office of Contracting and Procurement
FROM: Glen Lee
Chief Financial Officer
DATE: October 8, 2024
SUBJECT: Certification of Available Funds for 2025 Optical Insurance Contract
The District’s share of premiums (100% of the coverage) for the second year of the optical plan
contract (contract number CW109927) with Vision Service Plan Insurance Company (“Optical
Plan Contract”) is estimated at $4,112,526 based on provided enrollment data and premiums. This
is to certify that $3,084,395 is available to fund the Optical Plan Contract from January 1, 2025
through September 30, 2025. For the remaining period of the second year of the Optical Plan
Contract, October 1, 2025 through December 31, 2025, the District will seek budget authority
through the FY 2026 appropriation in the estimated amount of $1,028,132. Premiums have been
set per bi-weekly pay period at $3.46 for self-only coverage, $6.91 for self-plus-1 coverage, and
$10.91 for family coverage. The cost of the optical coverage is included in account 7014, which is
part of each agency's budget.
Vendor Vision Service Plan Insurance Company
Contract Number CW109927
Contract Option/Modification Option Period One
FY 2025 - From 1/1/2025 to 9/30/2025
Certified Amount and FY 2026 - From 10/1/25 to 12/31/25 $ 4,112,526
If there are any questions regarding this matter, please feel free to contact Samuel Terry, Director,
Financial Planning, Analysis, and Management Services, Office of Budget and Planning, at 202-
724-7477 or via Microsoft TEAMS.
John A. Wilson Building * 1350 Pennsylvania Avenue, N.W. * Suite 203 * Washington, D.C. 20004
Phone: (202) 727-2476 * Fax: (202) 727-1643 * www.cfo.dc.gov
 CERTIFICATION OF THE AVAILABILITY OF FUNDING
FOR THE OPTICAL PLAN PROVIDER FOR
NON-UNION DISTRICT EMPLOYEES AND
DISTRICT EMPLOYEES IN COMPENSATION UNITS 1 AND 2,
COMPENSATION UNIT 10 (UNIVERSITY OF THE DISTRICT OF COLUMBIA
FACULTY ASSOCIATION/NATIONAL EDUCATION ASSOCIATION),
COMPENSATION UNIT 13 (DC NURSING ASSOCIATION), AND COMPENSATION
UNIT 33 (AMERICAN FEDERATION OF GOVERNMENT EMPLOYEES
ATTORNEYS)
FOR THE PERIOD January 1, 2025 THROUGH September 30, 2025
and
FOR THE PERIOD October 1, 2025 THROUGH December 31, 2025
The District’s share of premiums (100% of the coverage) for the second year of the optical plan
contract (contract number CW109927) with Vision Service Plan Insurance Company (“Optical
Plan Contract”) is estimated at $4,112,526 based on provided enrollment data and premiums. This
is to certify that $3,084,395 is available to fund the Optical Plan Contract from January 1, 2025
through September 30, 2025. For the remaining period of the second year of the Optical Plan
Contract, October 1, 2025 through December 31, 2025, the District will seek budget authority
through the FY 2026 appropriation in the estimated amount of $1,028,132. Premiums have been
set per bi-weekly pay period at $3.46 for self-only coverage, $6.91 for self-plus-1 coverage, and
$10.91 for family coverage. The cost of the optical coverage is included in account 7014, which is
part of each agency's budget.
Please certify the availability of funding by signing below:
________________________ October 8, 2024
Glen Lee Date
Chief Financial Officer
 1. Contract Number Page of Pages
MODIFICATION OF CONTRACT CW109927 1 1
2. Modification No. 3. Effective Date 4. Requisition/Purchase 5. Caption
Request No.
M0002 Block 16C D.C. Employees Vision Benefits
6. Issued by: Code MT 7. Administered by (If other than line 6)
District of Columbia Government District of Columbia Government
Office of Contracting and Procurement Department of Human Resources
441 4th Street, NW, Suite 330 South 1015 Half Street, SE, 8th Floor
Washington, DC 20001 Washington, DC 20003
Phone: 202-727-0252, Fax: 202-727-9385 Phone: 202-442-9700, Fax: 202-727-0154
8. Name and Address of Contractor (No. street, city, county, state, and zip code) 9A. Amendment of Solicitation No.
Vision Service Plan Insurance Company
9B. Dated (See Item 11)
3333 Quality Drive
Rancho Cordova, CA 95670
10A. Modification of Contract/Order No.
CW109927
10B. Dated (See Item 13)
Code Facility 12/31/2023
11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
The above numbered solicitation is amended as set forth in item 14. The hour and date specified for receipt of Offers is extended. 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 one (1) copy of the amendment: (b) By acknowledging receipt of this amendment on each copy of the offer
submitted; or (c) BY separate letter or fax which includes a reference to the solicitation and amendment number. 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 may be made by letter or fax, provided each letter or
telegram 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 CONTRACTORS/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 data,
etc.) set forth in item 14, pursuant to the authority of: 27 DCMR § 3601.3(c)
C. This supplemental agreement is entered into pursuant to authority of: 27 DCMR § 3601.2(c)
X
D. Other (Specify type of modification and authority):
E. IMPORTANT: Contractor is not is required to sign this document and return ( 1 ) copy to the issuing office.
14. Description of Modification (Organized by UCF Section headings, including solicitation/contract subject matter where feasible.)
CW109927 is modified as follows:
1. Purusant to contract section 4, Option to Extend the Term, the Government of the District of Columbia hereby
exercises option period one (OP1). The period of performance of OP1 is from December 31, 2024, through
December 30, 2025.
2. The not-to-exceed amount for OP1 is $4,112,526.00.
Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A remain unchanged and in full force and effect.
15A. Name and Title of Signer (Type or print) 16A. Name of Contracting Officer
Usha Patil, Chief Officer of Insurance Julius Wiggins
15B. Vision Service Plan Insurance Company (Sign) 15C. Date Signed 16B. District of Columbia 16C. Date Signed
(Signature of person authorized to sign) 10/14/24 (Signature of Contracting Officer)