Appendix A - Fort Hamilton CDC-2.pdf
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- Solicitation number
- W912DS26RA018
About this file
This document is Appendix A containing sample evaluation forms for a federal contract opportunity related to Child Development Center services at Fort Hamilton, NY (Contract Number W912DS26RA011).
The appendix provides standardized individual evaluator proposal evaluation worksheets across five evaluation factors. Factor 1 – Past Performance includes four separate project worksheets requiring evaluators to assess project description and relevancy, project performance record summaries, strengths (marked with "S" for significant strengths), weaknesses (marked with "S" for significant weaknesses), deficiencies, and items for negotiation. Factor 2 addresses Proposed Contract Duration, Phasing and Summary Schedule for the overall submission. Factor 3 evaluates Organizational Approach using the same structure of strengths, weaknesses, deficiencies, and negotiation items. Factor 4 – Small Business contains two worksheets: one assessing Small Business Participation Plans and another evaluating Past Utilization of Small Business, both requiring identification of significant strengths and weaknesses with associated negotiation items. Each worksheet includes fields for evaluator name, offeror number, and standardized guidance that all identified weaknesses, significant weaknesses, deficiencies, and uncertainties require corresponding items for negotiation. The appendix concludes with a Minority Opinion Report template allowing evaluators to document dissenting views by RFP number, evaluator identification, offeror, evaluation factor, and detailed comments.
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Child Development Center Fort Hamilton, NY
CUI W912DS26RA011
APPENDIX A – SAMPLE EVALUATION FORMS
Factor 1 - Past Performance Individual Evaluator Proposal Evaluation Worksheet
Project #1
Evaluator: Offeror: #
Evaluation Factor: Factor 1 – Past Performance
Project Description/Relevancy:
Project Performance Record Summary:
Strengths: (Precede the strength with an (S) if it identifies a significant strength.)
Weaknesses: (Precede the weakness with an (S) if it identifies a significant weakness.)
Deficiencies:
Items for Negotiation: (Required for each weakness, significant weakness, deficiency and uncertainty.)
Project #2
Evaluator: Offeror: #
Evaluation Factor: Factor 1 – Past Performance
Project Description/Relevancy:
Project Performance Record Summary:
Strengths: (Precede the strength with an (S) if it identifies a significant strength.)
Weaknesses: (Precede the weakness with an (S) if it identifies a significant weakness.)
Deficiencies:
Project #3
Evaluator: Offeror: #
Evaluation Factor: Factor 1 – Past Performance
Project Description/Relevancy:
Project Performance Record Summary:
Strengths: (Precede the strength with an (S) if it identifies a significant strength.)
Weaknesses: (Precede the weakness with an (S) if it identifies a significant weakness.)
Deficiencies:
Project #4
Evaluator: Offeror: #
Evaluation Factor: Factor 1 – Past Performance
Project Description/Relevancy:
Project Performance Record Summary:
Strengths: (Precede the strength with an (S) if it identifies a significant strength.)
Weaknesses: (Precede the weakness with an (S) if it identifies a significant weakness.)
Deficiencies:
Project #1
Evaluator: Offeror: #
Evaluation Factor: Factor 1 – Past Performance
Project Description/Relevancy:
Project Performance Record Summary:
Strengths: (Precede the strength with an (S) if it identifies a significant strength.)
Weaknesses: (Precede the weakness with an (S) if it identifies a significant weakness.)
Deficiencies:
Project #2
Evaluator: Offeror: #
Evaluation Factor: Factor 1 – Past Performance
Project Description/Relevancy:
Project Performance Record Summary:
Strengths: (Precede the strength with an (S) if it identifies a significant strength.)
Weaknesses: (Precede the weakness with an (S) if it identifies a significant weakness.)
Deficiencies:
Project #3
Evaluator: Offeror: #
Evaluation Factor: Factor 1 – Past Performance
Project Description/Relevancy:
Project Performance Record Summary:
Strengths: (Precede the strength with an (S) if it identifies a significant strength.)
Weaknesses: (Precede the weakness with an (S) if it identifies a significant weakness.)
Deficiencies:
Project #4
Evaluator: Offeror: #
Evaluation Factor: Factor 1 – Past Performance
Project Description/Relevancy:
Project Performance Record Summary:
Strengths: (Precede the strength with an (S) if it identifies a significant strength.)
Weaknesses: (Precede the weakness with an (S) if it identifies a significant weakness.)
Deficiencies:
Project #1
Evaluator: Offeror: #
Evaluation Factor: Factor 1 – Past Performance
Project Description/Relevancy:
Project Performance Record Summary:
Strengths: (Precede the strength with an (S) if it identifies a significant strength.)
Weaknesses: (Precede the weakness with an (S) if it identifies a significant weakness.)
Deficiencies:
Project #2
Evaluator: Offeror: #
Evaluation Factor: Factor 1 – Past Performance
Project Description/Relevancy:
Project Performance Record Summary:
Strengths: (Precede the strength with an (S) if it identifies a significant strength.)
Weaknesses: (Precede the weakness with an (S) if it identifies a significant weakness.)
Deficiencies:
Project #3
Evaluator: Offeror: #
Evaluation Factor: Factor 1 – Past Performance
Project Description/Relevancy:
Project Performance Record Summary:
Strengths: (Precede the strength with an (S) if it identifies a significant strength.)
Weaknesses: (Precede the weakness with an (S) if it identifies a significant weakness.)
Deficiencies:
Project #4
Evaluator: Offeror: #
Evaluation Factor: Factor 1 – Past Performance
Project Description/Relevancy:
Project Performance Record Summary:
Strengths: (Precede the strength with an (S) if it identifies a significant strength.)
Weaknesses: (Precede the weakness with an (S) if it identifies a significant weakness.)
Deficiencies:
Factor 2 – Proposed Contract Duration, Phasing and Summary Schedule
Overall Submission for Factor 2
Evaluator: Offeror: #
Evaluation Factor: Factor 2 – Proposed Contract Duration, Phasing and Summary Schedule
Strengths: (Precede the strength with an (S) if it identifies a significant strength.)
Weaknesses: (Precede the weakness with an (S) if it identifies a significant weakness.)
Deficiencies:
Factor 3 – Organizational Approach
Overall Submission for Factor 3
Evaluator: Offeror: #
Evaluation Factor: Factor 3 – Organizational Approach
Strengths: (Precede the strength with an (S) if it identifies a significant strength.)
Weaknesses: (Precede the weakness with an (S) if it identifies a significant weakness.)
Deficiencies:
Factor 4 – Small Business
Small Business Participation Plan
Evaluator: Offeror: #
Evaluation Factor: Factor 5 – Small Business
Strengths: (Precede the strength with an (S) if it identifies a significant strength.)
Weaknesses: (Precede the weakness with an (S) if it identifies a significant weakness.)
Deficiencies:
Factor 4 – Small Business
Past Utilization of Small Business
Evaluator: Offeror: #
Evaluation Factor: Factor 5 – Small Business
Strengths: (Precede the strength with an (S) if it identifies a significant strength.)
Weaknesses: (Precede the weakness with an (S) if it identifies a significant weakness.)
Deficiencies:
Minority Opinion Report
RFP No. W912DS23R0003
Evaluator: Offeror:
Factor:
Comments:
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