Attach 4_Self Scoring Worksheet.xlsx

XLSX spreadsheet 28 KB Posted

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DHA OMNIBUS IV MILITARY MEDICAL RESEARCH AND DEVELOPMENT DRAFT RFP
Solicitation number
HT0011-21-R-0004
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Instructions

[Version 110520]
OMNIBUS IV SELF SCORING WORKSHEET (draft)
INSTRUCTIONS TO OFFERORS
1Fill in Offeror's name.
2Go to one or more of the Market Segment tabs that you are proposing on.
3Fill in for each Proficiency Area being proposed, whether information is from the Prime or Subcontractor/Team Member
4If answer to above is Subcontractor or Team Member, then fill in Subcontractor's Name or Team Member's Name.
5See definition of "Level" in RFP Section L and enter your scores based on the following:
OfferorLevel
8Highest Score
7Above Normal Score (upper range)
6Above Normal Score
5Above Normal Score (lower range)
4Normal Score
3Below Normal Score (upper range)
2Below Normal Score
1Below Normal Score (lower range)
0Lowest Score (or Not Applicable)
6Save file.

R&D

0
MARKET SEGMENT 1: RESEARCH & DEVELOPMENT (R&D)
Proficiency Demonstration Scores
PROFICIENCY AREAS (See SOO for further description)Prime or Sub / Partner?Sub Name or Partner NamePD Part A: Offeror's Core CompetenciesPD Part B: What is requred to deliver Part APD Part C: Company Experience and Personnel Qualifications satisfying Part B requirementsScore Total
1Collaborations in DoD Medical Research0000
2Transitioning of Programs through Funding Continuum0000
3Maintenance of Quality, Safetry, Security, and Surety Standards0000
4Success in Research Deliverables and Outcomes applying all Federal (e.g., HHS and FDA) and DoD Rules and Regulations0000

R&D SS

0
MARKET SEGMENT 2: RESEARCH & DEVELOPMENT SUPPORT SERVICES (R&D SS)
Proficiency Demonstration Scores
PROFICIENCY AREAS (See SOO for further description)Prime or Sub / Partner?Sub Name or Partner NamePD Part A: Offeror's Core CompetenciesPD Part B: What is requred to deliver Part APD Part C: Company Experience and Personnel Qualifications satisfying Part B requirementsScore Total
5Administrative Support Services0000
6Information Technology Support Services0000
7Scientific & Technical Support Services0000
8Facilities Support Services0000
9Medical Services Support0000
10Supplies & Equipment0000
11Logistical Support Services0000
12Task Order Administrative, Technical & Other Support0000

RP

0
MARKET SEGMENT 3: REGULATORY PROCESSES (RP)
Proficiency Demonstration Scores
PROFICIENCY AREAS (See SOO for further description)Prime or Sub / Partner?Sub Name or Partner NamePD Part A: Offeror's Core CompetenciesPD Part B: What is requred to deliver Part APD Part C: Company Experience and Personnel Qualifications satisfying Part B requirementsScore Total
13Animal Use Programs & Vivaria0000
14Research Involving Human Subjects0000
15DoD Use of Investigational Products0000
16Title 21 (Food & Drug Administration)0000
17Federal & DoD Privacy0000
18Technology Transfer0000

TS S&S

0
MARKET SEGMENT 4: TRANSLATIONAL SCIENCE SUPPORT & SERVICES (TS S&S)
Proficiency Demonstration Scores
PROFICIENCY AREAS (See SOO for further description)Prime or Sub / Partner?Sub Name or Partner NamePD Part A: Offeror's Core CompetenciesPD Part B: What is requred to deliver Part APD Part C: Company Experience and Personnel Qualifications satisfying Part B requirementsScore Total
19Pre-Transition Support0000
20Transition Support0000
21Evidence-based Solution Development0000
22Dissemination Stategies, Processes, and Evidence-based Practices0000
23Implementation Strategies, Processes, and Evidence-based Practicies0000
24Evaluation Strategies, Plans, and Execution0000

TOTALS

TOTALS
MARKET SEGMENTS
PROFICIENCY AREAS (See SOO for further description)Research & DevelopmentR&D Support ServicesRegulatory ProcessesTranslational Science Support & Services
1Collaborations in DoD Medical Research0
2Transitioning of Programs through Funding Continuum0
3Maintenantce of Quality, Safety, Security, and Surety Standards0
4Success in Research Deliverables and Outcomes applying all Federal (e.g., HHS and FDA) and DoD Rules and Regulations0
Total:0
5Administrative Support0
6Information Technology Support0
7Scientific & Technical Support0
8Facilities Support Services0
9Medical Services Support0
10Supplies & Equipment0
11Logistical Support Services0
12Task Order Administrative, Technical & Other Support0
Total:0
13Animal Use Programs & Vivaria0
14Research Involving Human Subjects0
15DoD Use of Investigational Products0
16Title 21 (Food & Drug Administration)0
17Federal & DoD Privacy0
18Technology Transfer0
Total:0
19Pre-Transition Support0
20Transition Support0
21Evidence-based Solution Development0
22Dissemination Stategies, Processes, and Evidence-based Practices0
23Implementation Strategies, Processes, and Evidence-based Practicies0
24Evaluation Strategies, Plans, and Execution0
Total:0

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