Attachment 3A_Self Scoring Worksheet SAMPLE_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 to allow offerors to self-score their proposals across multiple evaluation criteria totaling 884 possible points.
The evaluation criteria are organized into four main volumes: Volume 3 addresses Relevant Experience as Prime Contractor (sections 11.6-11.23) and Volume 4 addresses Past Performance (section 11.14). Section 11.8 evaluates whether projects were performed under NAICS code 624230 and PSC Code R429 (up to 100 points per project). Section 11.10 assesses contract values, with point allocations increasing from 5 points for contracts under $1M annually to 20 points for contracts $10M or more annually. Section 11.11 evaluates the integration of functional areas from the Statement of Work, awarding 50-150 points depending on whether projects integrated 10 or fewer, 11-20, or 21+ functional areas. Section 11.12 awards up to 10 points per project for multi-location federal agency performance experience. Section 11.13 grants 50 points per project for experience with at least two subcontractors. Section 11.23 awards 1 point per project for specific functional area experience (Incident Management, Hazardous Materials Management, and Responder Billeting). Section 11.14 evaluates past performance scores, with the sample scoring 5 points per project for past performance ratings between 4.50-4.74. The sample worksheet demonstrates a total scored value of 884 points across all sections.
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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 3_Self Scoring Worksheet_RFP 75A50226R00024.xlsx | XLSX spreadsheet | |
| Attachment 5_ Past Performance Rating Form_RFP 75A50226R00024.docx | DOCX document | |
| Attachment 6_Qualification and Certification_RFP 75A50226R000024.docx | DOCX document | |
| Attachment 4_Cost Price Template_RFP75A50226R00024.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 | |
| Attachment 7_ Industry Questions Template_RFP 75A50226R00024.xlsx | XLSX spreadsheet |
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ASPR SELF-SCORING WORKSHEET
| OFFEROR NAME: [FILL IN OFFEROR NAME HERE] | |||||
| Section L | Element | Point Value | Enter YES or NO for each question as applicable | Score | |
| 11.6 | VOLUME 3 – RELEVANT EXPERIENCE | ||||
| 11.8 | Relevant Experience as the Prime for a Project under an ASPR NAICS and PSC Code | ||||
| 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: Contract No 123456-15-C-7891 | 100 | yes | 100 | Project 1 was reported under NAICS Code 541330 & PSC Code R408 | |
| Project 2: Contract No 123456-14-C-1983 | 100 | yes | 100 | Project 2 was reported under NAICS Code 541330 & PSC Code R425 | |
| Project 3: Contract No 123456-12-C-1965 | 100 | yes | 100 | Project 3 was reported under NAICS Code 541330 & PSC Code R425 | |
| Project 4: Contract No 632541-15-C-5007 | 100 | No | 0 | Project 4 was reported under NAICS Code 541330 & PSC Code R410 | |
| SUBTOTAL SCORE FOR SECTION 11.8 ONLY: | 300 | ||||
| 11.10 | Relevant Experience as the Prime for Project Value | ||||
| Is EACH Project less than $1M on an annual basis but, including Options? Type the word Yes or No in Column D for EACH project. | |||||
| Project 1: Contract No 123456-15-C-7891 | 5 | No | 0 | Project 1 was valued at $3M/yr. | |
| Project 2: Contract No 123456-14-C-1983 | 5 | yes | 5 | Project 2 was valued at $600K/yr. | |
| Project 3: Contract No 123456-12-C-1965 | 5 | No | 0 | Project 3 was valued at $5M/yr. | |
| Project 4: Contract No 632541-15-C-5007 | 5 | No | 0 | Project 4 was valued at $7M/yr. | |
| 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: Contract No 123456-15-C-7891 | 10 | yes | 10 | Project 1 was valued at $3M/yr. | |
| Project 2: Contract No 123456-14-C-1983 | 10 | No | 0 | Project 2 was valued at $600K/yr. | |
| Project 3: Contract No 123456-12-C-1965 | 10 | No | 0 | Project 3 was valued at $5M/yr. | |
| Project 4: Contract No 632541-15-C-5007 | 10 | No | 0 | Project 4 was valued at $7M/yr. | |
| 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: Contract No 123456-15-C-7891 | 15 | No | 0 | Project 1 was valued at $3M/yr. | |
| Project 2: Contract No 123456-14-C-1983 | 15 | No | 0 | Project 2 was valued at $600K/yr. | |
| Project 3: Contract No 123456-12-C-1965 | 15 | yes | 15 | Project 3 was valued at $5M/yr. | |
| Project 4: Contract No 632541-15-C-5007 | 15 | No | 0 | Project 4 was valued at $7M/yr. | |
| 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: Contract No 123456-15-C-7891 | 20 | No | 0 | Project 1 was valued at $3M/yr. | |
| Project 2: Contract No 123456-14-C-1983 | 20 | No | 0 | Project 2 was valued at $600K/yr. | |
| Project 3: Contract No 123456-12-C-1965 | 20 | No | 0 | Project 3 was valued at $5M/yr. | |
| Project 4: Contract No 632541-15-C-5007 | 20 | yes | 20 | Project 4 was valued at $7M/yr. | |
| SUBTOTAL SCORE FOR SECTION 11.10 ONLY: | 50 | ||||
| 11.11 | Relevant Experience as the Prime for Projects with Performance/Integration of the following Functional Areas | ||||
| 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: Contract No 123456-15-C-7891 | 50 | yes | 50 | Project 1 included two Functional Areas | |
| Project 2: Contract No 123456-14-C-1983 | 50 | No | 0 | Project 2 included four Functional Areas | |
| Project 3: Contract No 123456-12-C-1965 | 50 | No | 0 | Project 3 included three Functional Areas | |
| Project 4: Contract No 632541-15-C-5007 | 50 | yes | 50 | Project 4 included two Functional Areas | |
| 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: Contract No 123456-15-C-7891 | 100 | No | 0 | Project 1 included two Functional Areas | |
| Project 2: Contract No 123456-14-C-1983 | 100 | No | 0 | Project 2 included four Functional Areas | |
| Project 3: Contract No 123456-12-C-1965 | 100 | yes | 100 | Project 3 included three Functional Areas | |
| Project 4: Contract No 632541-15-C-5007 | 100 | No | 0 | Project 4 included two Functional Areas | |
| 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: Contract No 123456-15-C-7891 | 150 | No | 0 | Project 1 included two Functional Areas | |
| Project 2: Contract No 123456-14-C-1983 | 150 | yes | 150 | Project 2 included four Functional Areas | |
| Project 3: Contract No 123456-12-C-1965 | 150 | No | 0 | Project 3 included three Functional Areas | |
| Project 4: Contract No 632541-15-C-5007 | 150 | No | 0 | Project 4 included two Functional Areas | |
| SUBTOTAL SCORE FOR SECTION 11.11 ONLY: | 350 | ||||
| 11.12 | Relevant Experience as the Prime for Projects with Multiple Locations | ||||
| Does EACH Project have performance experience with a Federal Agency? Type the word Yes or No in Column D for EACH project. | |||||
| Project 1: Contract No 123456-15-C-7891 | 10 | No | 0 | Project 1 was performed at one location | |
| Project 2: Contract No 123456-14-C-1983 | 10 | No | 0 | Project 2 was performed at one location | |
| Project 3: Contract No 123456-12-C-1965 | 10 | yes | 10 | Project 3 was performed at two different locations | |
| Project 4: Contract No 632541-15-C-5007 | 10 | No | 0 | Project 4 was performed at one location | |
| SUBTOTAL SCORE FOR SECTION 11.12 ONLY: | 10 | ||||
| 11.13 | 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: Contract No 123456-15-C-7891 | 50 | yes | 50 | Project 1 included two subcontractors | |
| Project 2: Contract No 123456-14-C-1983 | 50 | yes | 50 | Project 2 included five subcontractors | |
| Project 3: Contract No 123456-12-C-1965 | 50 | yes | 50 | Project 3 included three subcontractors | |
| Project 4: Contract No 632541-15-C-5007 | 50 | no | 0 | Project 4 included one subcontractors | |
| SUBTOTAL SCORE FOR SECTION 11.13 ONLY: | 150 | ||||
| 11.23 | Relevant Experience as PROJECTS with the Functional Areas and Labor Category within the Last Five (5) years. | ||||
| Has Relevant Experience as the Prime for Project with the Functional Areas/Task Incident Management. Type the word Yes or No in Column D for EACH project. | |||||
| Project 1: Contract No 123456-15-C-7891 | 1 | yes | 1 | Project 1 was awarded through Department of the Army | |
| Project 2: Contract No 123456-14-C-1983 | 1 | yes | 1 | Project 2 was warded through Defense Logistics Agency (DLA) | |
| Project 3: Contract No 123456-12-C-1965 | 1 | No | 0 | Project 3 was awarded through NAV FAC | |
| Project 4: Contract No 632541-15-C-5007 | 1 | No | 0 | Project 4 was awarded by Naval Air Warfare Center | |
| 11.23 | Has Relevant Experience as the Prime for Project with the Functional Areas/Tasks - Hazardous Materials (HAZMAT) Management. Type the word Yes or No in Column D for EACH project. | ||||
| Project 1: Contract No 123456-15-C-7891 | 1 | No | 0 | Project 1 was awarded through Department of the Army | |
| Project 2: Contract No 123456-14-C-1983 | 1 | No | 0 | Project 2 was warded through Defense Logistics Agency (DLA) | |
| Project 3: Contract No 123456-12-C-1965 | 1 | yes | 1 | Project 3 was awarded through NAV FAC | |
| Project 4: Contract No 632541-15-C-5007 | 1 | No | 0 | Project 4 was awarded by Naval Air Warfare Center | |
| 11.23 | 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: Contract No 123456-15-C-7891 | 1 | No | 0 | Project 1 was awarded through Department of the Army | |
| Project 2: Contract No 123456-14-C-1983 | 1 | No | 0 | Project 2 was warded through Defense Logistics Agency (DLA) | |
| Project 3: Contract No 123456-12-C-1965 | 1 | No | 0 | Project 3 was awarded through NAV FAC | |
| Project 4: Contract No 632541-15-C-5007 | 1 | yes | 1 | Project 4 was awarded by Naval Air Warfare Center | |
| SUBTOTAL SCORE FOR SECTION 11.23 ONLY: | 4 | ||||
| 11.14 | VOLUME 4 – 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: Contract No 123456-15-C-7891 | 1 | no | 0 | Project 1 Past Performance score was 4.60 | |
| Project 2: Contract No 123456-14-C-1983 | 1 | no | 0 | Project 2 Past Performance score was 4.70 | |
| Project 3: Contract No 123456-12-C-1965 | 1 | no | 0 | Project 3 Past Performance score was 4.65 | |
| Project 4: Contract No 632541-15-C-5007 | 1 | no | 0 | Project 4 Past Performance score was 4.55 | |
| 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: Contract No 123456-15-C-7891 | 2 | no | 0 | Project 1 Past Performance score was 4.60 | |
| Project 2: Contract No 123456-14-C-1983 | 2 | no | 0 | Project 2 Past Performance score was 4.70 | |
| Project 3: Contract No 123456-12-C-1965 | 2 | no | 0 | Project 3 Past Performance score was 4.65 | |
| Project 4: Contract No 632541-15-C-5007 | 2 | no | 0 | Project 4 Past Performance score was 4.55 | |
| 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: Contract No 123456-15-C-7891 | 3 | no | 0 | Project 1 Past Performance score was 4.60 | |
| Project 2: Contract No 123456-14-C-1983 | 3 | no | 0 | Project 2 Past Performance score was 4.70 | |
| Project 3: Contract No 123456-12-C-1965 | 3 | no | 0 | Project 3 Past Performance score was 4.65 | |
| Project 4: Contract No 632541-15-C-5007 | 3 | no | 0 | Project 4 Past Performance score was 4.55 | |
| 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: Contract No 123456-15-C-7891 | 4 | No | 0 | Project 1 Past Performance score was 4.60 | |
| Project 2: Contract No 123456-14-C-1983 | 4 | No | 0 | Project 2 Past Performance score was 4.70 | |
| Project 3: Contract No 123456-12-C-1965 | 4 | No | 0 | Project 3 Past Performance score was 4.65 | |
| Project 4: Contract No 632541-15-C-5007 | 4 | No | 0 | Project 4 Past Performance score was 4.55 | |
| 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: Contract No 123456-15-C-7891 | 5 | yes | 5 | Project 1 Past Performance score was 4.60 | |
| Project 2: Contract No 123456-14-C-1983 | 5 | yes | 5 | Project 2 Past Performance score was 4.70 | |
| Project 3: Contract No 123456-12-C-1965 | 5 | yes | 5 | Project 3 Past Performance score was 4.65 | |
| Project 4: Contract No 632541-15-C-5007 | 5 | yes | 5 | Project 4 Past Performance score was 4.55 | |
| 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: Contract No 123456-15-C-7891 | 6 | No | 0 | Project 1 Past Performance score was 4.60 | |
| Project 2: Contract No 123456-14-C-1983 | 6 | No | 0 | Project 2 Past Performance score was 4.70 | |
| Project 3: Contract No 123456-12-C-1965 | 6 | No | 0 | Project 3 Past Performance score was 4.65 | |
| Project 4: Contract No 632541-15-C-5007 | 6 | No | 0 | Project 4 Past Performance score was 4.55 | |
| SUBTOTAL SCORE FOR SECTION 11.14 ONLY: | 20 | ||||
| SUBTOTAL SCORE FOR SECTIONS 11.6 through 11.23 ONLY: | 864 | ||||
| TOTAL POINTS SCORED: | 884 |
&"Times New Roman,Regular"&9SOLICITATION NO. N00421-18-R-0039
J.5.1 - ATTACHMENT (5B)
Page &P
&"Times New Roman,Regular"&9SOURCE SELECTION INFORMATION - SEE FAR 2.101 AND 3.104
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