Attachment 3_Self Scoring Worksheet_RFP 75A50226R00024.xlsx
XLSX spreadsheet 27 KB Posted
- Attached to
- Emergency Response Wraparound Services
- Solicitation number
- 75A50226R00024
About this file
This is a self-scoring worksheet template for offerors responding to RFP 75A50226R00024 for Emergency Response Wraparound Services issued by the Department of Health and Human Services Administration for Strategic Preparedness and Response (ASPR). The worksheet is designed for Volume 2 (Relevant Experience) and Volume 3 (Past Performance) evaluation sections and allows offerors to self-score their proposals before submission.
The evaluation criteria are structured across multiple sections with a maximum total score of 2,136 points. Section M.9 awards up to 100 points per project (400 points maximum for four projects) for experience as prime contractor under NAICS code 624230 and PSC code R429. Section M.10 awards points based on annual project value, ranging from 5 points for projects under $1M to 20 points for projects $10M or more annually (200 points maximum). Section M.11 evaluates integration of functional areas from the Statement of Work, awarding 50 to 150 points per project depending on the number of integrated functional areas (1,200 points maximum). Additional criteria include federal agency experience (M.12, 40 points maximum), subcontracting with at least two subcontractors (M.13, 200 points maximum), and specific functional area experience in Incident Management, Hazardous Materials Management, and Responder Billeting (M.23, 12 points maximum). Section M.14 scores past performance based on average ratings from 3.50 to 5.00, with points ranging from 1 to 6 per project (84 points maximum). Offerors must complete the worksheet by entering project contract/task order numbers and responding "Yes" or "No" to each criterion to calculate their anticipated evaluation scores.
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Other files
| File | Type | Posted |
|---|---|---|
| RFP75A50226R00024.pdf | ||
| Attachment 1_SOW_RFP 75A50226R00024.pdf | ||
| Attachment 2_Offerors Proposal Checklist_RFP 75A50226R00024.docx | DOCX document | |
| Attachment 5_ Past Performance Rating Form_RFP 75A50226R00024.docx | DOCX document | |
| Attachment 6_Qualification and Certification_RFP 75A50226R000024.docx | DOCX document | |
| Attachment 3A_Self Scoring Worksheet SAMPLE_RFP 75A50226R00024.xlsx | XLSX spreadsheet | |
| Attachment 4_Cost Price Template_RFP75A50226R00024.xlsx | XLSX spreadsheet | |
| Attachment 7_ Industry Questions Template_RFP 75A50226R00024.xlsx | XLSX spreadsheet | |
| Attachment 8_Relevant Experience_RFP 75A50226R00024.docx | DOCX document | |
| Attachment 9_NAICS or PSC Code Change Letter_RFP 75A50226R00024.docx | DOCX document |
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ASPR SELF-SCORING WORKSHEET
| OFFEROR NAME: [FILL IN OFFEROR NAME HERE] | |||||
| Sections | Element | Point Value | Enter YES or NO for each question as applicable | Score | |
| M.6 | VOLUME 2 – RELEVANT EXPERIENCE | Yes | |||
| M.9 | Relevant Experience as the Prime for a Project under an ASPR NAICS and PSC Code | No | |||
| Is EACH Project reported under NAICS code 624230 and PSC Code R429. Type the word Yes or No in Column D for EACH project. | |||||
| Project 1: [Fill in Contract or Task Order Number] | 100 | Yes | 100 | ||
| Project 2: [Fill in Contract or Task Order Number] | 100 | Yes | 100 | ||
| Project 3: [Fill in Contract or Task Order Number] | 100 | Yes | 100 | ||
| Project 4 or 4A: [Fill in Contract or Task Order Number] | 100 | Yes | 100 | ||
| SUBTOTAL SCORE FOR SECTION M.9 ONLY: | 400 | ||||
| M.10 | Relevant Experience as the Prime for Project Value | ||||
| Is EACH Project less than $1M on an annual basis, including Options? Type the word Yes or No in Column D for EACH project. | |||||
| Project 1: [Fill in Contract or Task Order Number] | 5 | Yes | 5 | ||
| Project 2: [Fill in Contract or Task Order Number] | 5 | Yes | 5 | ||
| Project 3: [Fill in Contract or Task Order Number] | 5 | Yes | 5 | ||
| Project 4 or 4A: [Fill in Contract or Task Order Number] | 5 | Yes | 5 | ||
| Is EACH Project $1M OR MORE on an annual basis but, LESS THAN $5M on an annual basis, including Options? Type the word Yes or No in Column D for EACH project. | |||||
| Project 1: [Fill in Contract or Task Order Number] | 10 | Yes | 10 | ||
| Project 2: [Fill in Contract or Task Order Number] | 10 | Yes | 10 | ||
| Project 3: [Fill in Contract or Task Order Number] | 10 | Yes | 10 | ||
| Project 4 or 4A: [Fill in Contract or Task Order Number] | 10 | Yes | 10 | ||
| Is EACH Project $5M OR MORE on an annual basis but, LESS THAN $10M on an annual basis, including Options? Type the word Yes or No in Column D for EACH project. | |||||
| Project 1: [Fill in Contract or Task Order Number] | 15 | Yes | 15 | ||
| Project 2: [Fill in Contract or Task Order Number] | 15 | Yes | 15 | ||
| Project 3: [Fill in Contract or Task Order Number] | 15 | Yes | 15 | ||
| Project 4 or 4A: [Fill in Contract or Task Order Number] | 15 | Yes | 15 | ||
| Is EACH Project $10M OR MORE on an annual basis, including Options? Type the word Yes or No in Column D for EACH project. | |||||
| Project 1: [Fill in Contract or Task Order Number] | 20 | Yes | 20 | ||
| Project 2: [Fill in Contract or Task Order Number] | 20 | Yes | 20 | ||
| Project 3: [Fill in Contract or Task Order Number] | 20 | Yes | 20 | ||
| Project 4 or 4A: [Fill in Contract or Task Order Number] | 20 | Yes | 20 | ||
| SUBTOTAL SCORE FOR SECTION M.10 ONLY: | 200 | ||||
| M.11 | Relevant Experience as the Prime for Projects with Performance/Integration of the following Functional Areas Within the Last Five (5) Years. | ||||
| Does EACH Project Integrate AT LEAST 10 or less of the Functional Areas/Tasks listed in Section 19, Chart 1 of the Statement of Work? Type the word Yes or No in Column D for EACH project. | |||||
| Project 1: [Fill in Contract or Task Order Number] | 50 | Yes | 50 | ||
| Project 2: [Fill in Contract or Task Order Number] | 50 | Yes | 50 | ||
| Project 3: [Fill in Contract or Task Order Number] | 50 | Yes | 50 | ||
| Project 4 or 4A: [Fill in Contract or Task Order Number] | 50 | Yes | 50 | ||
| Does EACH Project Integrate AT LEAST 11 but no more 20 of the Functional Areas/Tasks listed in Section 19, Chart 1 of the Statement of Work? Type the word Yes or No in Column D for EACH project. | |||||
| Project 1: [Fill in Contract or Task Order Number] | 100 | Yes | 100 | ||
| Project 2: [Fill in Contract or Task Order Number] | 100 | Yes | 100 | ||
| Project 3: [Fill in Contract or Task Order Number] | 100 | Yes | 100 | ||
| Project 4 or 4A: [Fill in Contract or Task Order Number] | 100 | Yes | 100 | ||
| Does EACH Project Integrate AT LEAST 21 or more of the Functional Areas/Tasks listed in Section 19, Chart 1 of the Statement of Work? Type the word Yes or No in Column D for EACH project. | |||||
| Project 1: [Fill in Contract or Task Order Number] | 150 | Yes | 150 | ||
| Project 2: [Fill in Contract or Task Order Number] | 150 | Yes | 150 | ||
| Project 3: [Fill in Contract or Task Order Number] | 150 | Yes | 150 | ||
| Project 4 or 4A: [Fill in Contract or Task Order Number] | 150 | Yes | 150 | ||
| SUBTOTAL SCORE FOR SECTION M.11 ONLY: | 1200 | ||||
| M.12 | Relevant Experience as the Prime for Projects with Federal Agencies | ||||
| Does EACH Project have relevant performance experience with a Federal Agency? Type the word Yes or No in Column D for EACH project. | |||||
| Project 1: [Fill in Contract or Task Order Number] | 10 | Yes | 10 | ||
| Project 2: [Fill in Contract or Task Order Number] | 10 | Yes | 10 | ||
| Project 3: [Fill in Contract or Task Order Number] | 10 | Yes | 10 | ||
| Project 4 or 4A: [Fill in Contract or Task Order Number] | 10 | Yes | 10 | ||
| SUBTOTAL SCORE FOR SECTION M.12 ONLY: | 40 | ||||
| M.13 | Relevant Experience as the Prime for Projects with Subcontracting/Teaming | ||||
| Does EACH Project have Subcontracting/Teaming with AT LEAST 2 separate subcontractors? Type the word Yes or No in Column D for EACH project. | |||||
| Project 1: [Fill in Contract or Task Order Number] | 50 | Yes | 50 | ||
| Project 2: [Fill in Contract or Task Order Number] | 50 | Yes | 50 | ||
| Project 3: [Fill in Contract or Task Order Number] | 50 | Yes | 50 | ||
| Project 4 or 4A: [Fill in Contract or Task Order Number] | 50 | Yes | 50 | ||
| SUBTOTAL SCORE FOR SECTION M.13 ONLY: | 200 | ||||
| M.23 | Relevant Experience as PROJECTS with the Functional Areas/Task Category within the Last Five (5) years. | ||||
| Has Relevant Experience as the Prime for Project with the Functional Area/Task - Incident Management. Type the word Yes or No in Column D for EACH project. | |||||
| Project 1: [Fill in Contract or Task Order Number] | 1 | Yes | 1 | ||
| Project 2: [Fill in Contract or Task Order Number] | 1 | Yes | 1 | ||
| Project 3: [Fill in Contract or Task Order Number] | 1 | Yes | 1 | ||
| Project 4 or 4A: [Fill in Contract or Task Order Number] | 1 | Yes | 1 | ||
| M.23 | Has Relevant Experience as the Prime for Project with the Functional Area/Task - Hazardous Materials (HAZMAT) Management . Type the word Yes or No in Column D for EACH project. | ||||
| Project 1: [Fill in Contract or Task Order Number] | 1 | Yes | 1 | ||
| Project 2: [Fill in Contract or Task Order Number] | 1 | Yes | 1 | ||
| Project 3: [Fill in Contract or Task Order Number] | 1 | Yes | 1 | ||
| Project 4 or 4A: [Fill in Contract or Task Order Number] | 1 | Yes | 1 | ||
| M.23 | Has Relevant Experience as the Prime for Project with the Functional Areas/Task - Responder Billeting. Type the word Yes or No in Column D for EACH project. | ||||
| Project 1: [Fill in Contract or Task Order Number] | 1 | Yes | 1 | ||
| Project 2: [Fill in Contract or Task Order Number] | 1 | Yes | 1 | ||
| Project 3: [Fill in Contract or Task Order Number] | 1 | Yes | 1 | ||
| Project 4 or 4A: [Fill in Contract or Task Order Number] | 1 | Yes | 1 | ||
| SUBTOTAL SCORE FOR SECTION M.23 ONLY: | 12 | ||||
| M.14 | VOLUME 3 – PAST PERFORMANCE | ||||
| Relevant Experience as the Prime for Projects (Past Performance) | |||||
| Does EACH Project Average a Past Performance Score between 3.50 and 3.74? Type the word Yes or No in Column D for EACH project. | |||||
| Project 1: [Fill in Contract or Task Order Number] | 1 | Yes | 1 | ||
| Project 2: [Fill in Contract or Task Order Number] | 1 | Yes | 1 | ||
| Project 3: [Fill in Contract or Task Order Number] | 1 | Yes | 1 | ||
| Project 4 or 4A: [Fill in Contract or Task Order Number] | 1 | Yes | 1 | ||
| Does EACH Project Average a Past Performance Score between 3.75 and 3.99? Type the word "Yes" or "No" in Column D for EACH project. | |||||
| Project 1: [Fill in Contract or Task Order Number] | 2 | Yes | 2 | ||
| Project 2: [Fill in Contract or Task Order Number] | 2 | Yes | 2 | ||
| Project 3: [Fill in Contract or Task Order Number] | 2 | Yes | 2 | ||
| Project 4 or 4A: [Fill in Contract or Task Order Number] | 2 | Yes | 2 | ||
| Does EACH Project Average a Past Performance Score between 4.00 and 4.24? Type the word Yes or No in Column D for EACH project. | |||||
| Project 1: [Fill in Contract or Task Order Number] | 3 | Yes | 3 | ||
| Project 2: [Fill in Contract or Task Order Number] | 3 | Yes | 3 | ||
| Project 3: [Fill in Contract or Task Order Number] | 3 | Yes | 3 | ||
| Project 4 or 4A: [Fill in Contract or Task Order Number] | 3 | Yes | 3 | ||
| Does EACH Project Average a Past Performance Score between 4.25 and 4.49? Type the word Yes or No in Column D for EACH project. | |||||
| Project 1: [Fill in Contract or Task Order Number] | 4 | Yes | 4 | ||
| Project 2: [Fill in Contract or Task Order Number] | 4 | Yes | 4 | ||
| Project 3: [Fill in Contract or Task Order Number] | 4 | Yes | 4 | ||
| Project 4 or 4A: [Fill in Contract or Task Order Number] | 4 | Yes | 4 | ||
| Does EACH Project Average a Past Performance Score between 4.50 and 4.74? Type the word Yes or No in Column D for EACH project. | |||||
| Project 1: [Fill in Contract or Task Order Number] | 5 | Yes | 5 | ||
| Project 2: [Fill in Contract or Task Order Number] | 5 | Yes | 5 | ||
| Project 3: [Fill in Contract or Task Order Number] | 5 | Yes | 5 | ||
| Project 4 or 4A: [Fill in Contract or Task Order Number] | 5 | Yes | 5 | ||
| Does EACH Project Average a Past Performance Score between 4.75 and 5.00? Type the word Yes or No in Column D for EACH project. | |||||
| Project 1: [Fill in Contract or Task Order Number] | 6 | Yes | 6 | ||
| Project 2: [Fill in Contract or Task Order Number] | 6 | Yes | 6 | ||
| Project 3: [Fill in Contract or Task Order Number] | 6 | Yes | 6 | ||
| Project 4 or 4A: [Fill in Contract or Task Order Number] | 6 | Yes | 6 | ||
| SUBTOTAL SCORE FOR SECTION M.14 ONLY: | 84 | ||||
| SUBTOTAL SCORE FOR SECTIONS M.6 through M.23 ONLY: | 642 | ||||
| TOTAL POINTS SCORED: | 2136 | ||||
| SOURCE SELECTION INFORMATION - SEE FAR 2.101 AND 3.104 |
&"Times New Roman,Regular"&9SOLICITATION NO. N00421-18-R-0039
J.5.1 - ATTACHMENT (5A)
SELF SCORING WORKSHEET
&P
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