Attachment 3_Self Scoring Worksheet_RFP 75A50226R00024.xlsx

XLSX spreadsheet 27 KB Posted

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Emergency Response Wraparound Services
Solicitation number
75A50226R00024
Issued by

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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ASPR SELF-SCORING WORKSHEET

OFFEROR NAME: [FILL IN OFFEROR NAME HERE]
SectionsElementPoint ValueEnter YES or NO for each question as applicableScore
M.6VOLUME 2 – RELEVANT EXPERIENCEYes
M.9Relevant Experience as the Prime for a Project under an ASPR NAICS and PSC CodeNo
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]100Yes100
Project 2: [Fill in Contract or Task Order Number]100Yes100
Project 3: [Fill in Contract or Task Order Number]100Yes100
Project 4 or 4A: [Fill in Contract or Task Order Number]100Yes100
SUBTOTAL SCORE FOR SECTION M.9 ONLY:400
M.10Relevant 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]5Yes5
Project 2: [Fill in Contract or Task Order Number]5Yes5
Project 3: [Fill in Contract or Task Order Number]5Yes5
Project 4 or 4A: [Fill in Contract or Task Order Number]5Yes5
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]10Yes10
Project 2: [Fill in Contract or Task Order Number]10Yes10
Project 3: [Fill in Contract or Task Order Number]10Yes10
Project 4 or 4A: [Fill in Contract or Task Order Number]10Yes10
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]15Yes15
Project 2: [Fill in Contract or Task Order Number]15Yes15
Project 3: [Fill in Contract or Task Order Number]15Yes15
Project 4 or 4A: [Fill in Contract or Task Order Number]15Yes15
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]20Yes20
Project 2: [Fill in Contract or Task Order Number]20Yes20
Project 3: [Fill in Contract or Task Order Number]20Yes20
Project 4 or 4A: [Fill in Contract or Task Order Number]20Yes20
SUBTOTAL SCORE FOR SECTION M.10 ONLY:200
M.11Relevant 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]50Yes50
Project 2: [Fill in Contract or Task Order Number]50Yes50
Project 3: [Fill in Contract or Task Order Number]50Yes50
Project 4 or 4A: [Fill in Contract or Task Order Number]50Yes50
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]100Yes100
Project 2: [Fill in Contract or Task Order Number]100Yes100
Project 3: [Fill in Contract or Task Order Number]100Yes100
Project 4 or 4A: [Fill in Contract or Task Order Number]100Yes100
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]150Yes150
Project 2: [Fill in Contract or Task Order Number]150Yes150
Project 3: [Fill in Contract or Task Order Number]150Yes150
Project 4 or 4A: [Fill in Contract or Task Order Number]150Yes150
SUBTOTAL SCORE FOR SECTION M.11 ONLY:1200
M.12Relevant 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]10Yes10
Project 2: [Fill in Contract or Task Order Number]10Yes10
Project 3: [Fill in Contract or Task Order Number]10Yes10
Project 4 or 4A: [Fill in Contract or Task Order Number]10Yes10
SUBTOTAL SCORE FOR SECTION M.12 ONLY:40
M.13Relevant 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]50Yes50
Project 2: [Fill in Contract or Task Order Number]50Yes50
Project 3: [Fill in Contract or Task Order Number]50Yes50
Project 4 or 4A: [Fill in Contract or Task Order Number]50Yes50
SUBTOTAL SCORE FOR SECTION M.13 ONLY:200
M.23Relevant 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]1Yes1
Project 2: [Fill in Contract or Task Order Number]1Yes1
Project 3: [Fill in Contract or Task Order Number]1Yes1
Project 4 or 4A: [Fill in Contract or Task Order Number]1Yes1
M.23Has 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]1Yes1
Project 2: [Fill in Contract or Task Order Number]1Yes1
Project 3: [Fill in Contract or Task Order Number]1Yes1
Project 4 or 4A: [Fill in Contract or Task Order Number]1Yes1
M.23Has 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]1Yes1
Project 2: [Fill in Contract or Task Order Number]1Yes1
Project 3: [Fill in Contract or Task Order Number]1Yes1
Project 4 or 4A: [Fill in Contract or Task Order Number]1Yes1
SUBTOTAL SCORE FOR SECTION M.23 ONLY:12
M.14VOLUME 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]1Yes1
Project 2: [Fill in Contract or Task Order Number]1Yes1
Project 3: [Fill in Contract or Task Order Number]1Yes1
Project 4 or 4A: [Fill in Contract or Task Order Number]1Yes1
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]2Yes2
Project 2: [Fill in Contract or Task Order Number]2Yes2
Project 3: [Fill in Contract or Task Order Number]2Yes2
Project 4 or 4A: [Fill in Contract or Task Order Number]2Yes2
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]3Yes3
Project 2: [Fill in Contract or Task Order Number]3Yes3
Project 3: [Fill in Contract or Task Order Number]3Yes3
Project 4 or 4A: [Fill in Contract or Task Order Number]3Yes3
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]4Yes4
Project 2: [Fill in Contract or Task Order Number]4Yes4
Project 3: [Fill in Contract or Task Order Number]4Yes4
Project 4 or 4A: [Fill in Contract or Task Order Number]4Yes4
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]5Yes5
Project 2: [Fill in Contract or Task Order Number]5Yes5
Project 3: [Fill in Contract or Task Order Number]5Yes5
Project 4 or 4A: [Fill in Contract or Task Order Number]5Yes5
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]6Yes6
Project 2: [Fill in Contract or Task Order Number]6Yes6
Project 3: [Fill in Contract or Task Order Number]6Yes6
Project 4 or 4A: [Fill in Contract or Task Order Number]6Yes6
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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