6-Attachment D Score Sheet.xls
XLS spreadsheet 80 KB Posted
- Attached to
- Independent Medical Examiners
- Solicitation number
- KK26-10
- Issued by
- Utah
About this file
This is a Score Sheet for an Independent Medical Examiners Request for Proposal (RFP) issued by the State of Utah Division of Purchasing. The RFP seeks to establish a statewide cooperative contract for professional medical review and examination services, with the potential for multiple awards. The contract will have a 5-year term, with vendors required to guarantee pricing for the first year. Vendors must submit technical and cost proposals, with evaluation conducted across five key criteria: Experience and Qualifications (40%), Approach and Methodology (35%), Reporting and Deliverables (25%), Communication and Customer Service (20%), and Compliance and Data Security (20%).
The evaluation methodology requires offerors to achieve a minimum of 70% (490 points) of the 700 available technical points to advance to the cost evaluation stage. Cost points (300 total) will be awarded using a comparative pricing formula, where the lowest market basket price receives 100% of cost points, and other offerors receive proportional points based on how their pricing compares to the lowest bid. An administrative fee of 0.25% will be applied to the contract. The scoring is conducted by multiple evaluators using a 0-5 point scale, with 5 representing an excellent proposal that exceeds all requirements and 0 representing a failure to address requirements or missing critical information.
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Other files
| File | Type | Posted |
|---|---|---|
| 7-Attachment E Technical Criteria.docx | DOCX document | |
| 2-Vendor Prerequisites - Statewide RFP.pdf | ||
| 4-Attachment B Scope of Work.docx | DOCX document | |
| 3-Attachment A Terms and Conditions.docx | DOCX document | |
| 1-Claim of Business Confidentiality Updated.pdf.pdf | ||
| 5-Attachment C Cost Sheet.xlsx | XLSX spreadsheet |
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Score Sheet
| Independent Medical Examiners | |||||||
| KK26-10 | |||||||
| RFP EVALUATION SCORESHEET | |||||||
| Score will be assigned as follows: | |||||||
| 0 = Fail, the proposal fails to address the requirements or criteria described in the RFP or cannot be assessed due to missing information | |||||||
| Firm Name: | 1 = Poor, the proposal inadequately addresses the requirements or criteria described in the RFP or cannot be assessed due to incomplete information | ||||||
| 2 = Unsatisfactory, the proposal addresses the requirements or criteria described in the RFP in an unsatisfactory manner | |||||||
| Evaluator: | 3 = Satisfactory, the proposal addresses all requirements or criteria described in the RFP in a minimum satisfactory manner | ||||||
| 4 = Good, the proposal addresses all requirements or criteria described in the RFP and in some respects exceeds them | |||||||
| Date: | 5 = Excellent, the proposal addresses and exceeds all of the requirements or criteria described in the RFP | ||||||
| Minimum Mandatory Requirements | RFP Section | Evaluation (Pass/Fail) | |||||
| 1 | Vendor must upload a proposal in response to the technical criteria listed Attachment E Technical Criteria. | ||||||
| 2 | Vendor must upload a completed Attachment C Cost Sheet. | ||||||
| 3 | |||||||
| 4 | |||||||
| 5 | |||||||
| 6 | |||||||
| 0 | |||||||
| Scoreable Technical Criteria | RFP Section | Evaluator Score (0-5) | Criteria Weight | % of Tech Criteria | Points Possible | Points |
Earned
| 1 | Experience and Qualifications | Att B | 40 | 28.6% | 200.00 | 0.00 | |
| 2 | Approach and Methodology | Att B | 35 | 25.0% | 175.00 | 0.00 | |
| 3 | Reporting and Deliverables | Att B | 25 | 17.9% | 125.00 | 0.00 | |
| 4 | Communication, Responsiveness, and Customer Service | Att B | 20 | 14.3% | 100.00 | 0.00 | |
| 5 | Compliance and Data Security | Att B | 20 | 14.3% | 100.00 | 0.00 | |
| 6 | 0.0% | 0.00 | 0.00 | ||||
| 7 | 0.0% | 0.00 | 0.00 | ||||
| 8 | 0.0% | 0.00 | 0.00 | ||||
| 9 | 0.0% | 0.00 | 0.00 | ||||
| 10 | 0.0% | 0.00 | 0.00 | ||||
| 11 | 0.0% | 0.00 | 0.00 | ||||
| 12 | 0.0% | 0.00 | 0.00 | ||||
| 13 | 0.0% | 0.00 | 0.00 | ||||
| 14 | 0.0% | 0.00 | 0.00 | ||||
| 15 | 0.0% | 0.00 | 0.00 | ||||
| 16 | 0.0% | 0.00 | 0.00 | ||||
| 17 | 0.0% | 0.00 | 0.00 | ||||
| 18 | 0.0% | 0.00 | 0.00 | ||||
| 19 | 0.0% | 0.00 | 0.00 | ||||
| 20 | 0.0% | 0.00 | 0.00 | ||||
| 21 | 0.0% | 0.00 | 0.00 | ||||
| 22 | 0.0% | 0.00 | 0.00 | ||||
| 23 | 0.0% | 0.00 | 0.00 | ||||
| 100.0% | 700.00 | 0.00 | |||||
| Required Technical Point Threshold | RFP Section | Min Percent | Min Points Required | Points Earned | Percent Earned | Evaluation | |
| 70% | 490.0 | 0.0 | 0.0% | 0 | |||
| Cost | RFP Section | Low Cost Option | Offered Cost | Percent of Total | Points Possible | Points Earned | |
| 30% | 300.0 | 0.0 | |||||
| * Purchasing will use the following cost formula: The points assigned to each offerors cost proposal will be based on the lowest proposal price. The offeror with the lowest Proposed Price will receive 100% of the price points. All other offerors will receive a portion of the total cost points based on what percentage higher their Proposed Price is than the Lowest Proposed Price. The formula to compute the points is: Cost Points x (Lowest Proposed Price/Proposed Price). | |||||||
| Total Evaluation Points | Percent of Total | Points Possible | Points Earned | ||||
| Total Technical Evaluation Points | 70% | 700.0 | 0.0 | ||||
| Total Cost Evaluation Points | 30% | 300.0 | 0.0 | ||||
| Total Evaluation Points | 100% | 1,000.0 | 0.0 |
Scoresheet Summary
| XX##### Solicitation Name Scoresheet Summary | |||||||||||||||||||||
| Instructions: | |||||||||||||||||||||
| Enter the solicitation number and name. | |||||||||||||||||||||
| Enter each Offeror name. | |||||||||||||||||||||
| Enter the Criteria name for each category. | |||||||||||||||||||||
| Enter the Weight in column B that corresponds to the Criteria Weight on the Score Sheet tab column J for each criterion. | |||||||||||||||||||||
| Enter the Total Possible Points for each Criterion, Cost Points, and Score Summary section. | |||||||||||||||||||||
| Mandatory Minimum Requirements: Evaluate each offer and enter pass or fail | |||||||||||||||||||||
| Ensure that the number of evaluator lines matches the number of evaluators. | |||||||||||||||||||||
| Offers not meeting the Minimum Mandatory Requirements will not be evaluated further. | |||||||||||||||||||||
| Ensure that the Total Average Score formula includes all of the evaluator line items. | |||||||||||||||||||||
| Technical Scores: Enter each evaluator score for each offer. | |||||||||||||||||||||
| Signatures: | Date: | ||||||||||||||||||||
| Evaluator 1 | __________________ | ||||||||||||||||||||
| Evaluator 2 | __________________ | ||||||||||||||||||||
| Evaluator 3 | __________________ | ||||||||||||||||||||
| Evaluator 4 | __________________ | ||||||||||||||||||||
| Evaluator 5 | __________________ | ||||||||||||||||||||
| Minimum Mandatory Requirements | Offeror A | Offeror B | Offeror C | Offeror D | Offeror E | Offeror F | Offeror G | Offeror H | Offeror I | Offeror J | Offeror K | Offeror L | Offeror M | Offeror N | Offeror O | Offeror P | Offeror Q | Offeror R | Offeror S | Offeror T | |
| 1 | |||||||||||||||||||||
| 2 | |||||||||||||||||||||
| 3 | |||||||||||||||||||||
| Weight | Technical Scores | Offeror A | Offeror B | Offeror C | Offeror D | Offeror E | Offeror F | Offeror G | Offeror H | Offeror I | Offeror J | Offeror K | Offeror L | Offeror M | Offeror N | Offeror O | Offeror P | Offeror Q | Offeror R | Offeror S | Offeror T |
| Criteria #1 | |||||||||||||||||||||
| Evaluator 1 | |||||||||||||||||||||
| Evaluator 2 | |||||||||||||||||||||
| Evaluator 3 | |||||||||||||||||||||
| Evaluator 4 | |||||||||||||||||||||
| Evaluator 5 | |||||||||||||||||||||
| Total Average Score | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | |
| Criteria #1 - Total Points (Total Possible Points = XX) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | |
| Criteria #2 | |||||||||||||||||||||
| Evaluator 1 | |||||||||||||||||||||
| Evaluator 2 | |||||||||||||||||||||
| Evaluator 3 | |||||||||||||||||||||
| Evaluator 4 | |||||||||||||||||||||
| Evaluator 5 | |||||||||||||||||||||
| Total Average Score | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | |
| Criteria #2 - Total Points (Total Possible Points = XX) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | |
| Criteria #3 | |||||||||||||||||||||
| Evaluator 1 | |||||||||||||||||||||
| Evaluator 2 | |||||||||||||||||||||
| Evaluator 3 | |||||||||||||||||||||
| Evaluator 4 | |||||||||||||||||||||
| Evaluator 5 | |||||||||||||||||||||
| Total Average Score | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | |
| Criteria #3 - Total Points (Total Possible Points = XX) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | |
| Criteria #4 | |||||||||||||||||||||
| Evaluator 1 | |||||||||||||||||||||
| Evaluator 2 | |||||||||||||||||||||
| Evaluator 3 | |||||||||||||||||||||
| Evaluator 4 | |||||||||||||||||||||
| Evaluator 5 | |||||||||||||||||||||
| Total Average Score | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | |
| Criteria #4 - Total Points (Total Possible Points = XX) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | |
| Criteria #5 | |||||||||||||||||||||
| Evaluator 1 | |||||||||||||||||||||
| Evaluator 2 | |||||||||||||||||||||
| Evaluator 3 | |||||||||||||||||||||
| Evaluator 4 | |||||||||||||||||||||
| Evaluator 5 | |||||||||||||||||||||
| Total Average Score | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | |
| Criteria #5 - Total Points (Total Possible Points = XX) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | |
| Criteria #6 | |||||||||||||||||||||
| Evaluator 1 | |||||||||||||||||||||
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| Evaluator 5 | |||||||||||||||||||||
| Total Average Score | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | |
| Criteria #6 - Total Points (Total Possible XX) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | |
| Criteria #7 | |||||||||||||||||||||
| Evaluator 1 | |||||||||||||||||||||
| Evaluator 2 | |||||||||||||||||||||
| Evaluator 3 | |||||||||||||||||||||
| Evaluator 4 | |||||||||||||||||||||
| Evaluator 5 | |||||||||||||||||||||
| Total Average Score | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | |
| Criteria #7 - Total Points (Total Possible Points = XX) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | |
| Total Technical Points (Total Possible Points = XX) Minimum Threshold = XX | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | |
| Total Cost Points | Cost Scores | Offeror A | Offeror B | Offeror C | Offeror D | Offeror E | Offeror F | Offeror G | Offeror H | Offeror I | Offeror J | Offeror K | Offeror L | Offeror M | Offeror N | Offeror O | Offeror P | Offeror Q | Offeror R | Offeror S | Offeror T |
| Cost | |||||||||||||||||||||
| 300.0 | Cost Points | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 |
| Score Summary | Offeror A | Offeror B | Offeror C | Offeror D | Offeror E | Offeror F | Offeror G | Offeror H | Offeror I | Offeror J | Offeror K | Offeror L | Offeror M | Offeror N | Offeror O | Offeror P | Offeror Q | Offeror R | Offeror S | Offeror T | |
| Total Technical Points (Total Possible = XX) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | |
| Total Cost Points (Total Possible = XX) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | |
| Grand Total Points (Total Possible = XX) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 |
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