Attachment Y5.1 STO1 - Key Personnel_5-2.pdf
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- Solicitation number
- 36C10X24R0026
About this file
This document is an attachment to a Request for Proposal (RFP) for the Department of Veterans Affairs' (VA) Integrated Healthcare Transformation (IHT) 2.0 IDIQ contract, Solicitation Number 36C10X24R0026. The attachment provides a sample task order (STO1) and related key personnel requirements for the Human Factors Engineer, Modeling and Simulation Engineer, and Program Analyst roles.
The key personnel must meet specific education and experience criteria, such as a minimum of a Doctorate degree for Human Factors Engineers and 12-15 years of specialized experience. Offerors are required to complete and submit forms providing details on the proposed key personnel, including their education, experience, and a letter of commitment. The anticipated official release of the RFP is March 14, 2024, and offerors should continue to monitor SAM.gov for updates.
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2E. PHASE II: VIT PROPOSAL – TASK ORDER CAPABILITY - STO1 - KEY PERSONNEL
Sample Task Order 1 (STO1) - Key Personnel - Human Factors Engineer, Expert (1) Offeror shall complete and submit the form below for the proposed key person
OFFEROR (VITAL) NAME:
PROPOSED KEY PERSON’S NAME:
KEY PERSON LETTER OF COMMITMENT? ☐ YES ☐ NO
Education (List up to two relevant degrees and the area of focus) Note: The Human Factors Engineer, Expert (1) must have minimum education of a Doctorate degree in a program related field.
First Education Example Second Education Example (if more than one)
University:
Level/Type of Degree:
Major/Field:
Experience (List relevant experience to the role of the key person being proposed) The Human Factors Engineer, Expert (1) must have a minimum of 12 years of specialized experience detailed in Attachment A - Labor Categories
**Offeror acknowledges that Key Personnel are provided as dedicated resources Yes No
Solicitation: 36C10X24R0026 Attachment Y5.1 STO 1 - Key Personnel Form Offeror Name:
Solicita�on: 36C10X24R0026 Atachment: Y5.1 STO1 – Key Personnel Form
2E. PHASE II: VIT PROPOSAL – TASK ORDER CAPABILITY - STO1 - KEY PERSONNEL
Sample Task Order 1 (STO1) - Key Personnel - Human Factors Engineer, Expert (1)
Offeror shall complete and submit the form below for the proposed key person
OFFEROR (VITAL) NAME:
Experience continued (List relevant experience to the role of the key person being proposed) Note: The Human Factors Engineer, Expert (1) must have a minimum of 12 years of specialized experience detailed in Attachment A - Labor Categories
Sample Task Order 1 (STO1) - Key Personnel - Human Factors Engineer, Expert (2) Offeror shall complete and submit the form below for the proposed key person
OFFEROR (VITAL) NAME:
PROPOSED KEY PERSON’S NAME:
KEY PERSON LETTER OF COMMITMENT? ☐ YES ☐ NO
Education (List up to two relevant degrees and the area of focus) Note: The Human Factors Engineer, Expert (2) must have minimum education of a Doctorate degree in a program related field.
First Education Example Second Education Example (if more than one)
University:
Level/Type of Degree:
Major/Field:
Experience (List relevant experience to the role of the key person being proposed) The Human Factors Engineer, Expert (2) must have a minimum of 12 years of specialized experience detailed in Attachment A - Labor Categories
Solicitation: 36C10X24R0026
2E. PHASE II: VIT PROPOSAL – TASK ORDER CAPABILITY - STO1 - KEY PERSONNEL
Sample Task Order 1 (STO1) - Key Personnel - Human Factors Engineer, Expert (2)
Offeror shall complete and submit the form below for the proposed key person
OFFEROR (VITAL) NAME:
Experience continued (List relevant experience to the role of the key person being proposed) Note: The Human Factors Engineer, Expert (2) must have a minimum of 12 years of specialized experience detailed in Attachment A - Labor
Sample Task Order 1 (STO1) - Key Personnel - Human Factors Engineer, Expert (3) Offeror shall complete and submit the form below for the proposed key person
OFFEROR (VITAL) NAME:
PROPOSED KEY PERSON’S NAME:
KEY PERSON LETTER OF COMMITMENT? ☐ YES ☐ NO
Education (List up to two relevant degrees and the area of focus) Note: The Human Factors Engineer, Expert (3) must have minimum education of a Doctorate degree in a program related field.
First Education Example Second Education Example (if more than one)
University:
Level/Type of Degree:
Major/Field:
Experience (List relevant experience to the role of the key person being proposed) The Human Factors Engineer, Expert (3) must have a minimum of 12 years of specialized experience detailed in Attachment A - Labor Categories
2E. PHASE II: VIT PROPOSAL – TASK ORDER CAPABILITY - STO1 - KEY PERSONNEL
Sample Task Order 1 (STO1) - Key Personnel - Human Factors Engineer, Expert (3)
Offeror shall complete and submit the form below for the proposed key person
OFFEROR (VITAL) NAME:
Experience continued (List relevant experience to the role of the key person being proposed) Note: The Human Factors Engineer, Expert (3) must have a minimum of 12 years of specialized experience detailed in Attachment A - Labor
Sample Task Order 1 (STO1) - Key Personnel - Human Factors Engineer, Senior (1) Offeror shall complete and submit the form below for the proposed key person
OFFEROR (VITAL) NAME:
PROPOSED KEY PERSON’S NAME:
KEY PERSON LETTER OF COMMITMENT? ☐ YES ☐ NO
Education (List up to two relevant degrees and the area of focus) Note: The Human Factors Engineer, Senior (1) must have minimum education of a Masters degree in a program related field.
First Education Example Second Education Example (if more than one)
University:
Level/Type of Degree:
Major/Field:
Experience (List relevant experience to the role of the key person being proposed) The Human Factors Engineer, Senior (1) must have a minimum of 10 years of specialized experience detailed in Attachment A - Labor Categories
2E. PHASE II: VIT PROPOSAL – TASK ORDER CAPABILITY - STO1 - KEY PERSONNEL
Sample Task Order 1 (STO1) - Key Personnel - Human Factors Engineer, Senior (1)
Offeror shall complete and submit the form below for the proposed key person
OFFEROR (VITAL) NAME:
Experience continued (List relevant experience to the role of the key person being proposed) Note: The Human Factors Engineer, Senior (1) must have a minimum of 10 years of specialized experience detailed in Attachment A - Labor
Sample Task Order 1 (STO1) - Key Personnel - Human Factors Engineer, Senior (2) Offeror shall complete and submit the form below for the proposed key person
OFFEROR (VITAL) NAME:
PROPOSED KEY PERSON’S NAME:
KEY PERSON LETTER OF COMMITMENT? ☐ YES ☐ NO
Education (List up to two relevant degrees and the area of focus) Note: The Human Factors Engineer, Senior (2) must have minimum education of a Masters degree in a program related field.
First Education Example Second Education Example (if more than one)
University:
Level/Type of Degree:
Major/Field:
Experience (List relevant experience to the role of the key person being proposed) The Human Factors Engineer, Senior (2) must have a minimum of 10 years of specialized experience detailed in Attachment A - Labor Categories
2E. PHASE II: VIT PROPOSAL – TASK ORDER CAPABILITY - STO1 - KEY PERSONNEL
Sample Task Order 1 (STO1) - Key Personnel - Human Factors Engineer, Senior (2)
Offeror shall complete and submit the form below for the proposed key person
OFFEROR (VITAL) NAME:
Experience continued (List relevant experience to the role of the key person being proposed) Note: The Human Factors Engineer, Senior (2) must have a minimum of 10 years of specialized experience detailed in Attachment A - Labor
Sample Task Order 1 (STO1) - Key Personnel - Human Factors Engineer, Senior (3) Offeror shall complete and submit the form below for the proposed key person
OFFEROR (VITAL) NAME:
PROPOSED KEY PERSON’S NAME:
KEY PERSON LETTER OF COMMITMENT? ☐ YES ☐ NO
Education (List up to two relevant degrees and the area of focus) Note: The Human Factors Engineer, Senior (3) must have minimum education of a Masters degree in a program related field.
First Education Example Second Education Example (if more than one)
University:
Level/Type of Degree:
Major/Field:
Experience (List relevant experience to the role of the key person being proposed) The Human Factors Engineer, Senior (3) must have a minimum of 10 years of specialized experience detailed in Attachment A - Labor Categories
2E. PHASE II: VIT PROPOSAL – TASK ORDER CAPABILITY - STO1 - KEY PERSONNEL
Sample Task Order 1 (STO1) - Key Personnel - Human Factors Engineer, Senior (3)
Offeror shall complete and submit the form below for the proposed key person
OFFEROR (VITAL) NAME:
Experience continued (List relevant experience to the role of the key person being proposed) Note: The Human Factors Engineer, Senior (3) must have a minimum of 10 years of specialized experience detailed in Attachment A - Labor
Sample Task Order 1 (STO1) - Key Personnel - Human Factors Engineer, Senior (4) Offeror shall complete and submit the form below for the proposed key person
OFFEROR (VITAL) NAME:
PROPOSED KEY PERSON’S NAME:
KEY PERSON LETTER OF COMMITMENT? ☐ YES ☐ NO
Education (List up to two relevant degrees and the area of focus) Note: he Human Factors Engineer, Senior (4) must have minimum education of a Masters degree in a program related field.
First Education Example Second Education Example (if more than one)
University:
Level/Type of Degree:
Major/Field:
Experience (List relevant experience to the role of the key person being proposed) The Human Factors Engineer, Senior (4) must have a minimum of 10 years of specialized experience detailed in Attachment A - Labor Categories
2E. PHASE II: VIT PROPOSAL – TASK ORDER CAPABILITY - STO1 - KEY PERSONNEL
Sample Task Order 1 (STO1) - Key Personnel - Human Factors Engineer, Senior (4)
Offeror shall complete and submit the form below for the proposed key person
OFFEROR (VITAL) NAME:
Experience continued (List relevant experience to the role of the key person being proposed) Note: The Human Factors Engineer, Senior (4) must have a minimum of 10 years of specialized experience detailed in Attachment A - Labor
Sample Task Order 1 (STO1) - Key Personnel - Program Analyst, Informatics Senior (1) Offeror shall complete and submit the form below for the proposed key person
OFFEROR (VITAL) NAME:
PROPOSED KEY PERSON’S NAME:
KEY PERSON LETTER OF COMMITMENT? ☐ YES ☐ NO
Education (List up to two relevant degrees and the area of focus) Note: The Program Analyst, Informatics Senior (1) must have minimum education of a Bachelor's degree in a program related field.
First Education Example Second Education Example (if more than one)
University:
Level/Type of Degree:
Major/Field:
Experience (List relevant experience to the role of the key person being proposed) The Program Analyst, Informatics Senior (1) must have a minimum of 10 years of specialized experience detailed in Attachment A - Labor Categories
2E. PHASE II: VIT PROPOSAL – TASK ORDER CAPABILITY - STO1 - KEY PERSONNEL
Sample Task Order 1 (STO1) - Key Personnel - Program Analyst, Informatics Senior (1)
Offeror shall complete and submit the form below for the proposed key person
OFFEROR (VITAL) NAME:
Experience continued (List relevant experience to the role of the key person being proposed) Note: The Program Analyst, Informatics Senior (1) must have minimum education of a Bachelor's degree in a program related field.
Sample Task Order 1 (STO1) - Key Personnel - Modeling and Simulation Engineer, Expert (1) Offeror shall complete and submit the form below for the proposed key person
OFFEROR (VITAL) NAME:
PROPOSED KEY PERSON’S NAME:
KEY PERSON LETTER OF COMMITMENT? ☐ YES ☐ NO
Education (List up to two relevant degrees and the area of focus) Note: The Modeling and Simulation Engineer, Expert (1) must have minimum education of a Masters degree in a program related field.
First Education Example Second Education Example (if more than one)
University:
Level/Type of Degree:
Major/Field:
Experience (List relevant experience to the role of the key person being proposed) The Modeling and Simulation Engineer, Expert (1) must have a minimum of 15 years of specialized experience detailed in Attachment A - Labor Categories
2E. PHASE II: VIT PROPOSAL – TASK ORDER CAPABILITY - STO1 - KEY PERSONNEL
Sample Task Order 1 (STO1) - Key Personnel - Modeling and Simulation Engineer, Expert (1)
Offeror shall complete and submit the form below for the proposed key person
OFFEROR (VITAL) NAME:
Experience continued (List relevant experience to the role of the key person being proposed) Note: The Modeling and Simulation Engineer, Expert (1) must have minimum education of a Masters degree in a program related field.
| VITAL Name: |
| PROPOSED HFE Expert 1 Name: |
| University 1 (HFE E1): |
| Level of Degree 1 (HFE E1): |
| Major Field 1 (HFE E1): |
| Experience (HFE E1): |
| University 2 (HFE E1): |
| Level of Degree 2 (HFE E1): |
| Major Field 2 (HFE E1): |
| PROPOSED HFE Expert 2 Name: |
| University 1 (HFE E2): |
| Level of Degree 1 (HFE E2): |
| Major Field 1 (HFE E2): |
| University 2 (HFE E2): |
| Level of Degree 2 (HFE E2): |
| Major Field 2 (HFE E2): |
| Experience (HFE E2): |
| PROPOSED HFE Expert 3 Name: |
| University 1 (HFE E3): |
| Level of Degree 1 (HFE E3): |
| Major Field 1 (HFE E3): |
| University 2 (HFE E3): |
| Level of Degree 2 (HFE E3): |
| Major Field 2 (HFE E3): |
| Experience (HFE E3): |
| PROPOSED HFE Expert 4 Name: |
| University 1 (HFE E4): |
| Level of Degree 1 (HFE E4): |
| Major Field 1 (HFE E4): |
| Experience (HFE E4): |
| University 2 (HFE E4): |
| Level of Degree 2 (HFE E4): |
| Major Field 2 (HFE E4): |
| PROPOSED HFE Senior 1 Name: |
| University 1 (HFE S1): |
| Level of Degree 1 (HFE S1): |
| Major Field 1 (HFE S1): |
| University 2 (HFE S1): |
| Level of Degree 2 (HFE S1): |
| Major Field 2 (HFE S1): |
| Experience (HFE S1): |
| PROPOSED HFE Senior 2 Name: |
| University 1 (HFE S2): |
| Level of Degree 1 (HFE S2): |
| Major Field 1 (HFE S2): |
| University 2 (HFE S2): |
| Major Field 2 (HFE S2): |
| Level of Degree 2 (HFE S2): |
| Experience (HFE S2): |
| PROPOSED HFE Senior 3 Name: |
| University 1 (HFE S3): |
| Level of Degree 1 (HFE S3): |
| Major Field 1 (HFE S3): |
| Experience (HFE S3): |
| University 2 (HFE S3): |
| Level of Degree 2 (HFE S3): |
| Major Field 2 (HFE S3): |
| PROPOSED PA Informatics Senior 1 Name: |
| University 1 (PAI S1): |
| Level of Degree 1 (PAI S1): |
| Major Field 1 (PAI S1): |
| Experience (PAI S1): |
| University 2 (PAI S1): |
| Level of Degree 2 (PAI S1): |
| Major Field 2 (PAI S1): |
| PROPOSED MSE Expert 1 Name: |
| University 1 (MSE E1): |
| Level of Degree 1 (MSE E1): |
| Major Field 1 (MSE E1): |
| University 2 (MSE E1): |
| Major Field 2 (MSE E1): |
| Level of Degree 2 (MSE E1): |
| Experience (MSE E1): |
| Check Box3: Off |
| Check Box4: Off |
| Check Box1: Off |
| Check Box2: Off |
| Check Box5: Off |
| Check Box6: Off |
| Check Box7: Off |
| Check Box8: Off |
| Check Box9: Off |
| Check Box10: Off |
| Check Box11: Off |
| Check Box12: Off |
| Check Box13: Off |
| Check Box14: Off |
| Check Box15: Off |
| Check Box16: Off |
| Check Box17: Off |
| Check Box18: Off |
| Experience continued List relevant experience to the role of the key person being proposed Note The Human Factors Engineer Expert 1 must have a minimum of 12 years of specialized experience detailed in Attachment A Labor CategoriesRow1: |
| Experience continued List relevant experience to the role of the key person being proposed Note The Human Factors Engineer Expert 2 must have a minimum of 12 years of specialized experience detailed in Attachment A Labor CategoriesRow1: |
| Experience continued List relevant experience to the role of the key person being proposed Note The Human Factors Engineer Expert 3 must have a minimum of 12 years of specialized experience detailed in Attachment A Labor CategoriesRow1: |
| Experience continued List relevant experience to the role of the key person being proposed Note The Human Factors Engineer Expert 4 must have a minimum of 12 years of specialized experience detailed in Attachment A Labor CategoriesRow1: |
| Experience continued List relevant experience to the role of the key person being proposed Note The Human Factors Engineer Senior 1 must have a minimum of 10 years of specialized experience detailed in Attachment A Labor CategoriesRow1: |
| Experience continued List relevant experience to the role of the key person being proposed Note The Human Factors Engineer Senior 2 must have a minimum of 10 years of specialized experience detailed in Attachment A Labor CategoriesRow1: |
| Experience continued List relevant experience to the role of the key person being proposed Note The Human Factors Engineer Senior 3 must have a minimum of 10 years of specialized experience detailed in Attachment A Labor CategoriesRow1: |
| Experience continued List relevant experience to the role of the key person being proposed Note The Program Analyst Informatics Senior 1 must have minimum education of a Bachelors degree in a program related fieldRow1: |
| Experience continued List relevant experience to the role of the key person being proposed Note The Modeling and Simulation Engineer Expert 1 must have minimum education of a Masters degree in a program related fieldRow1: |
| Check Box19: Off |
| Check Box20: Off |
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