8-DHHS25038 Attachment F Score Sheet.xlsx

XLSX spreadsheet 24 KB Posted

Attached to
Audiology Services
Solicitation number
DHHS25038
Issued by
Utah

About this file

This is an RFP evaluation scoresheet for Solicitation DHHS25038, issued by the Utah Department of Health and Human Services (DHHS) for audiology services at Utah State Correctional Facility (USCF) and Central Utah Correctional Facility (CUCF). The solicitation seeks an all-inclusive audiology services provider to deliver on-site hearing evaluations, fitting and maintenance of hearing aids, and minor repairs for inmates at both facilities. The scoresheet is designed to evaluate multiple offerors (up to seven) and includes three mandatory pass/fail requirements: providing a certified audiologist, delivering on-site hearing evaluations and hearing aid services, and interpreting and providing patient testing results for review.

The evaluation framework allocates 70% weight to technical criteria worth a maximum of 1,000 points and 30% weight to cost evaluation worth a maximum of 429 points, for a combined total of 1,429 possible points. Technical scoring is divided into four criteria: qualifications and experience (200 points), staff training and correctional facility experience (150 points), certified audiologist oversight capabilities (275 points), and scope of work fulfillment including service frequency and response times (375 points). A minimum technical score of 600 points (60% of technical points) is required to pass. Cost points are calculated using a formula where the lowest-priced proposal receives full points, and other proposals receive points based on how much higher their price is compared to the lowest bid, with proposals exceeding double the lowest cost receiving no cost points. The scoresheet contains signature lines for five evaluators and summary sections for tabulating scores across all offerors.

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Score Sheet

TITLE: Audiology Service
SOLICITATION # DHHS25038
ATTACHMENT F: RFP EVALUATION SCORESHEET

Vendor:

Evaluator: Date:

Minimum Mandatory RequirementsEvaluation (Pass/Fail)
1The Offeror will provide certified Audiologist to administer audiology services. The Offeror is responsible for ensuring the licensing and qualifications of staff.
2The Offeror will provide on-site hearing evaluations, fitting and maintenance of hearing aids, and minor repairs.
3The Offeror will interpret and provide patient testing results for review.
Score will be assigned as follows:`
0 = The proposal fails to address the requirements or criteria described in the RFP or cannot be assessed due to missing information.
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 in the RFP in an unsatisfactory manner.
3 = Satisfactory, the proposal addresses all of the 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.
5 = Excellent, the proposal addresses and exceeds all of the requirements or criteria described in the RFP.
Scoreable Technical CriteriaEvaluator Score (0-5)Criteria Weight% of Tech CriteriaPoints PossiblePoints
EarnedMinimum Required
1Describe the Offeror’s qualifications, skills, experience, training, and management procedures to successfully administer the audiology services.4020.0%200.00.0120.0
2Describe how staff are trained in administering audiology services and have experience in providing services in a correctional facility. Describe training that staff have received within the last three years. Provide licensure/qualifications of the staff.3015.0%150.00.090.0
3Describe Offeror’s capabilities on providing a certified Audiologist to oversee audiology services and comply with the licensure and qualification requirements of the staff.5527.5%275.00.0165.0
4Describe Offeror’s plan to fulfill the scope of work, including the available frequency of on-site hearing evaluations, fitting and maintenance of hearing aids, and minor repairs. Describe how quickly the Offeror can respond to requests for on-site audiology services. Describe how quickly the Offeror will interpret and submit patient results, interpreted by a qualified individual, to DHHS.7537.5%375.00.0225.0
Totals:100.0%1000.00.0600.0
Required Technical Point ThresholdMin PercentMin Points RequiredPoints EarnedPercent EarnedStatus
60%6000.00.0%Fail
CostLow Cost OptionOffered CostPercent of TotalPoints PossiblePoints Earned
30%428.60.0
* The following cost formula will be used: 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. An offeror whose Proposed Price is more than double (200%) the Lowest Proposed Price will receive no points. The formula to compute the points is: Cost Points x (2- Proposed Price/Lowest Proposed Price).
Total Evaluation PointsPercent of TotalPoints PossiblePoints Earned
Total Technical Evaluation Points70%10000.0
Total Cost Evaluation Points30%4290.0
Total Evaluation Points100%14290.0

Scoresheet Summary XX##### Solicitation Name Scoresheet Summary

Signatures:Date:
Evaluator 1__________________
Evaluator 2__________________
Evaluator 3__________________
Evaluator 4__________________
Evaluator 5__________________
Minimum Mandatory RequirementsOfferor AOfferor BOfferor COfferor DOfferor EOfferor FOfferor G
1
2
3
WeightTechnical ScoresOfferor AOfferor BOfferor COfferor DOfferor EOfferor FOfferor G
Criteria #1
Evaluator 1
Evaluator 2
Evaluator 3
Evaluator 4
Evaluator 5
Total Average Score0.00.00.00.00.00.00.0
Criteria #1 - Total Points (Total Possible Points = XX)0.00.00.00.00.00.00.0
Criteria #2
Evaluator 1
Evaluator 2
Evaluator 3
Evaluator 4
Evaluator 5
Total Average Score0.00.00.00.00.00.00.0
Criteria #2 - Total Points (Total Possible Points = XX)0.00.00.00.00.00.00.0
Criteria #3
Evaluator 1
Evaluator 2
Evaluator 3
Evaluator 4
Evaluator 5
Total Average Score0.00.00.00.00.00.00.0
Criteria #3 - Total Points (Total Possible Points = XX)0.00.00.00.00.00.00.0
Criteria #4
Evaluator 1
Evaluator 2
Evaluator 3
Evaluator 4
Evaluator 5
Total Average Score0.00.00.00.00.00.00.0
Criteria #4 - Total Points (Total Possible Points = XX)0.00.00.00.00.00.00.0
Criteria #5
Evaluator 1
Evaluator 2
Evaluator 3
Evaluator 4
Evaluator 5
Total Average Score0.00.00.00.00.00.00.0
Criteria #5 - Total Points (Total Possible Points = XX)0.00.00.00.00.00.00.0
Criteria #6
Evaluator 1
Evaluator 2
Evaluator 3
Evaluator 4
Evaluator 5
Total Average Score0.00.00.00.00.00.00.0
Criteria #6 - Total Points (Total Possible XX)0.00.00.00.00.00.00.0
Criteria #7
Evaluator 1
Evaluator 2
Evaluator 3
Evaluator 4
Evaluator 5
Total Average Score0.00.00.00.00.00.00.0
Criteria #7 - Total Points (Total Possible Points = XX)0.00.00.00.00.00.00.0
Total Technical Points (Total Possible Points = XX) Minimum Threshold = XX0.00.00.00.00.00.00.0
Total Cost PointsCost ScoresOfferor AOfferor BOfferor COfferor DOfferor EOfferor FOfferor G
Cost
Cost Points0.00.00.00.00.00.00.0
Score SummaryOfferor AOfferor BOfferor COfferor DOfferor EOfferor FOfferor G
Total Technical Points (Total Possible = XX)0.00.00.00.00.00.00.0
Total Cost Points (Total Possible = XX)0.00.00.00.00.00.00.0
Grand Total Points (Total Possible = XX)0.00.00.00.00.00.00.0

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