Evaluation Sheet-Women Health Training.doc

Evaluation Sheet for Women’s Health Training (WHTT) for the DC VAMC RFQ No. 36C24521Q0548

Award Methodology: The Government intends to perform a comparative evaluation of offers in accordance with FAR 13.106-2(b)(3) to determine which offer provides the best benefit to the Government. The Government reserves the right to select a response that provides benefit to the Government that exceeds the minimum but is not required to select a response that exceeds the minimum if it provides no value or benefit to the Government. The Government will evaluate quotes by adding the total price for all options to the total price for the basic requirement. The Government may determine that a quote is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the Government to exercise the option(s).

Company Name:

DUNS:

SAM-Registered as a ________________________, Under NAICS Code__________________ Evaluation Findings

1. TOTAL QUOTED PRICE: $

2. TECHNICAL CAPABILITY

Instructions: Evaluator is to review the information provided and indicate his/her rating for the Offeror’s technical capability by circling one of the following rating options:

Capable or Not Capable Technical Capability Consideration Criteria:

· Company’s experience with the women’s’ health services, the VA Office of Women’s Health Services (WHS) and specifically the Women’s Health Transition Training (WHTT) program

· Company’s technical approach to meeting the specified tasks and deliverables in the performance work statement

· Key Personnel and an explicit focus on experience working in women’s health services, outreach, and training.

· Past experience working in women’s health services Findings/Remarks pertaining to technical capabilities:

3. PAST PERFORMANCE

Instructions: Evaluator is to review the information provided and indicate his/her rating for the Offeror’s past performance by circling one of the following rating options:

Satisfactory or Unsatisfactory or Neutral Findings/Remarks pertaining to past performance:

4. SOCIOECONOMIC BUSINESS STATUS

Instructions: VA shall evaluate offerors based on their service-disabled veteran-owned or veteran-owned small business status and their proposed use of eligible service-disabled veteran-owned small businesses and veteran-owned small businesses as subcontractors. To receive credit, a SDVOSB/VOSB must be registered and verified in the Vendor Information Pages (VIP) database at time of offer submittal. An eligible service-disabled veteran-owned small business offeror will receive full credit. An eligible Veteran-owned small business will receive partial credit. Offeror is a:

__________ Eligible SDVOSB (full credit)

__________ Eligible VOSB (partial credit)

STOP. Evaluate all other offers submitted for this procurement and then come back here and answer question number 5.

5. COMPARATIVE EVALUATION RATIONALE

Based on your findings and compared to all other offers received for this procurement, does this Offeror provide the best benefit to the Government? Please answer “yes” or “no” and then be specific and explain why or why not:

YES or NO. Explain why:

Evaluator’s Name: _____________________________