Section_L,_Attachment_4_Self-Scoring_Worksheet.xlsx

XLSX spreadsheet 26 KB Posted Mar 13, 2017

Attached to: Western Medical Services, Multiple Award Task Order Contract Federal contract opportunity
Solicitation number: N62645-17-R-0014
Issued by: Department of the Navy Bureau of Medicine and Surgery

About this file

From the source

Section L, Attachment 4 Self-Scoring Worksheet - Revised

View the file

Other files for this federal contract opportunity

Other files attached to Western Medical Services, Multiple Award Task Order Contract, newest first.
File	Type	Posted
Amendment_05_-_Released.docx	DOCX document	Mar 21, 2017
Section_L,_Attachment_3_Pricing_Workbook_for_N62645-17-R-0014.xlsx	XLSX spreadsheet	Mar 21, 2017
Section_L,_Attachment_3_Pricing_Workbook_for_N62645-17-R-0014.xlsx	XLSX spreadsheet	Mar 17, 2017
Amendment_04_-_Released.docx	DOCX document	Mar 17, 2017
Amendment_03_-_Released.docx	DOCX document	Mar 16, 2017
Section_L,_Attachment_3_Pricing_Workbook_for_N62645-17-R-0014.xlsx	XLSX spreadsheet	Mar 16, 2017
Amendment_02_-_Released.docx	DOCX document	Mar 13, 2017
Section_L,_Attachment_3_Pricing_Workbook_for_N62645-17-R-0014.xlsx	XLSX spreadsheet	Mar 13, 2017
Amendment_01_-_Released.docx	DOCX document	Mar 1, 2017
Section_L,_Attachment_2_Reserved.docx	DOCX document	Feb 6, 2017
Section_L,_Attachment_3_Pricing_Workbook_for_N62645-17-R-0014.xlsx	XLSX spreadsheet	Feb 6, 2017
Section_L,_Attachment_5_Declaration_Sheet.docx	DOCX document	Feb 3, 2017
Section_L,_Attachment_4_Self-Scoring_Worksheet.xlsx	XLSX spreadsheet	Feb 3, 2017
N62645-17-R-0014.docx	DOCX document	Feb 3, 2017
Section_L,_Attachment_1_Past_Performance_Information_Sheet.docx	DOCX document	Feb 3, 2017

Show all 15

On GovTribe

Work with this file on GovTribe

Download the original file
Contacts named in this file
Similar government files
Ask GovTribe AI about this file

Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

Instructions

Western Medical MATO N62645-17-R-0014

Self-Scoring Worksheet Instruction Page

Offerors shall complete the "Self-Scoring Worksheet" tab using the following instructions:	Definitions:
	FTE = full time equivalent
1. Do not alter rows or columns of the Self-Scoring Worksheet. Enter responses in blue highlighted cells only.	HCW = health care worker
2. Address each Data Element by marking the individual Data Element Lines with an “X”. Only one score will be received per Data Element Line. Do not leave a Data Element Line blank. When completed, there should be 26 "X" responses.	RFP = request for proposal
3. Unless otherwise noted, contracts cited shall be current or have ended not more than three years prior to the closing date of the solicitation.	IDIQ = indefinite-delivery indefinite-quantity
4. Unless otherwise noted, performance can be for the prime contractor or a proposed teaming partner(s). See Section L.2.2.3. through L.2.2.6. for detailed information on applicable performance.	FFP = firm-fixed-price
5. Enter a contract or task order number(s) for each Data Element Line corresponding to the given response.	Prime Contract = offeror or in the case of a joint venture, the joint venture itself or either member of the joint venture
6. When calculating FTEs, if citing an indefinite-delivery contract or blanket purchase agreement, aggregate the total of all orders or calls taking into account #3 above. Do not count the same FTEs in multiple periods of performance toward the aggregate number on a given contracts or count the same FTEs across multiple orders or calls for the same requirement, i.e., do not count the FTEs on each logical follow-on order separately.
7. Coverage and part-time hours shall be converted to FTEs at a rate of 1 FTE per 2,088 hours per year.
8. Do not include per diem, locum tenens, or temporary positions as FTEs.
9. FTE numbers cited herein shall align with the clinical medical services identified in the chart in Section I on the Past Performance Information Sheet(s).
10. When calculating dollar value, if citing an indefinite-delivery contract or blanket purchase agreement, aggregate the total of all orders or calls awarded in the past three years. Do not use the maximum contract value.
11. The same contract reference can be used for multiple Data Element Lines. For example: If the offeror provided both physician and nursing services under the same contract, that contract may be cited in both the Physician Labor Band Data Element and Nursing Labor Band Data Element.

Self-Scoring Worksheet

Western Medical Services MATO

Solicitation: N62645-17-R-0014

ATTACHMENT 4 - SELF-SCORING WORKSHEET

(See instructions in Section L.2.2.)

OFFEROR NAME:

			Self-Scoring Section
	Data Element		Enter an X in the cell that corresponds to the total number of FTEs placed						Contract or Task Order Number(s)
		Number of FTEs:	None	> 1 to < 4	> 4 to < 8	> 8		Point Value
		Point Value:	0	500	1,000	2,000
		Total Points:	FALSE	FALSE	FALSE	FALSE
	Physician Labor Band Services	Total HCWs placed in the Physician Labor Band, see Section C of the RFP for more information on this Labor Band						0
	Data Element		Enter an X in the cell that corresponds to the total number of FTEs placed						Contract or Task Order Number(s)
		Number of FTEs:	None	> 1 to < 15	> 15 to < 33	> 33		Point Value
		Point Value:	0	500	1,000	2,000
		Total Points:	FALSE	FALSE	FALSE	FALSE
	Allied Health Labor Band Services	Total HCWs placed in the Allied Health Labor Band, see Section C of the RFP for more information on this Labor Band						0
	Data Element		Enter an X in the cell that corresponds to the total number of FTEs placed						Contract or Task Order Number(s)
		Number of FTEs:	None	> 1 to < 3	> 3 to < 5	> 5		Point Value
		Point Value:	0	500	1,000	2,000
		Total Points:	FALSE	FALSE	FALSE	FALSE
	Advanced Practice Nurse Labor Band Services	Total HCWs placed in the Advanced Practice Nurse Labor Band, see Section C of the RFP for more information on this Labor Band						0
	Data Element		Enter an X in the cell that corresponds to the total number of FTEs placed						Contract or Task Order Number(s)
		Number of FTEs:	None	> 1 to < 15	> 15 to < 36	> 36		Point Value
		Point Value:	0	500	1,000	2,000
		Total Points:	FALSE	FALSE	FALSE	FALSE
	Nursing Labor Band Services	Total HCWs placed in the Nursing Labor Band, see Section C of the RFP for more information on this Labor Band						0
	Data Element		Enter an X in the cell that corresponds to the total number of FTEs placed						Contract or Task Order Number(s)
		Number of FTEs:	None	> 1 to < 7	> 7 to < 13	> 13		Point Value
		Point Value:	0	500	1,000	2,000
		Total Points:	FALSE	FALSE	FALSE	FALSE
	Technologist Labor Band Services	Total HCWs placed in the Technologist Labor Band, see Section C of the RFP for more information on this Labor Band						0
	Data Element		Enter an X in the cell that corresponds to the total number of FTEs placed						Contract or Task Order Number(s)
		Number of FTEs:	None	> 1 to < 15	> 15 to < 35	> 35		Point Value
		Point Value:	0	500	1,000	2,000
		Total Points:	FALSE	FALSE	FALSE	FALSE
	Technician Labor Band Services	Total HCWs placed in the Technician Labor Band, see Section C of the RFP for more information on this Labor Band						0
	Data Element		Enter an X in the column that corresponds to the total number of FTEs placed						Contract or Task Order Number(s)
		Number of FTEs:	None	> 1 to < 25	> 25 to < 50	> 50		Point Value
		Point Value:	0	500	1,000	2,000
		Total Points:	FALSE	FALSE	FALSE	FALSE
	Assistant Labor Band Services	Total HCWs placed in the Assistant Labor Band, see Section C of the RFP for more information on this Labor Band						0
	Data Element		Enter an X in the cell that corresponds to the total number of FTEs placed						Contract or Task Order Number(s)
		Number of FTEs:	None	> 1 to < 10	> 10 to < 25	> 25		Point Value
		Point Value:	0	500	1,000	2,000
			FALSE	FALSE	FALSE	FALSE
	Most common and difficult to fill labor categories	Contract placing Pharmacy Technicians						0
			FALSE	FALSE	FALSE	FALSE
		Contract placing Certified Medical Assistants or Medical Assistants						0
			FALSE	FALSE	FALSE	FALSE
		Contract placing Licensed Practical Nurses or Licensed Vocational Nurses						0
			FALSE	FALSE	FALSE	FALSE
		Contract placing Psychiatrists						0
			FALSE	FALSE	FALSE	FALSE
		Contract placing Licensed Clinical Social Workers						0
			FALSE	FALSE	FALSE	FALSE
		Contract placing Registered Nurse, Outpatient						0
	Total Points:							0
	Data Element		Enter an X in the column that corresponds to the highest contract value						Contract or Task Order Number(s)
		Dollar Value:	$0 to < $1M	> $1M to
< $5M	> $5M to
< $10M	> $10M to
< $20M	> $20M	Point Value
		Point Value:	0	500	1,000	1,500	2,000
		Total Points:	FALSE	FALSE	FALSE	FALSE	FALSE
	Dollar value of clinical services provided	Highest contract value (including all options) for clinical medical services, as defined in Section M of the RFP, held by the prime contractor						0
	Data Element		Enter an X in the cell that corresponds to the state FTEs were placed						Contract or Task Order Number(s)
		Yes or No:	Yes		No			Point Value
		Point Value:	1,000		0
			FALSE		FALSE
	Geographic Location	Contract with clinical HCW performance in California						0
			FALSE		FALSE
		Contract with clinical HCW performance in Hawaii						0
			FALSE		FALSE
		Contract with clinical HCW performance in Washington						0
	Total Points:							0
	Data Element		Enter an X in the column that corresponds to the answer						Contract or Task Order Number(s)
		Yes or No:	Yes		No			Point Value
		Point Value:	500		0
		Total Points:	FALSE		FALSE
	IDIQ Experience	Performance on an IDIQ contract by the prime contractor						0
	Data Element		Enter an X in the column that corresponds to the answer						Contract or Task Order Number(s)
		Yes or No:	Yes		No			Point Value
		Point Value:	1,000		0
		Total Points:	FALSE		FALSE
	FFP Experience	Performance on a FFP contract by the prime contractor						0
	Data Element		Enter an X in the cell that corresponds to the total number of FTEs placed						Contract or Task Order Number(s)
		Number of FTEs:	None	> 1 to < 4	> 4 to < 8	> 8		Point Value
		Point Value:	0	500	1,000	2,000
			FALSE	FALSE	FALSE	FALSE
	Prime Contractor Experience	Total HCWs placed in the Physician Labor Band by the prime contractor, see Section C of the RFP for more information on this Labor Band						0
		Number of FTEs:	None	> 1 to < 15	> 15 to < 33	> 33
		Point Value:		500	1,000	2,000
				FALSE	FALSE	FALSE
		Total HCWs placed in the Allied Health Labor Band by the prime contractor, see Section C of the RFP for more information on this Labor Band						0
		Number of FTEs:	None	> 1 to < 3	> 3 to < 5	> 5
		Point Value:	0	500	1,000	2,000
			FALSE	FALSE	FALSE	FALSE
		Total HCWs placed in the Advanced Practice Nurse Labor Band by the prime contractor, see Section C of the RFP for more information on this Labor Band						0
		Number of FTEs:	None	> 1 to < 15	> 15 to < 36	> 36
		Point Value:	0	500	1,000	2,000
			FALSE	FALSE	FALSE	FALSE
		Total HCWs placed in the Nursing Labor Band by the prime contractor, see Section C of the RFP for more information on this Labor Band						0
		Number of FTEs:	None	> 1 to < 7	> 7 to < 13	> 13
		Point Value:	0	500	1,000	2,000
			FALSE	FALSE	FALSE	FALSE
		Total HCWs placed in the Technologist Labor Band by the prime contractor, see Section C of the RFP for more information on this Labor Band						0
		Number of FTEs:	None	> 1 to < 15	> 15 to < 35	> 35
		Point Value:	0	500	1,000	2,000
			FALSE	FALSE	FALSE	FALSE
		Total HCWs placed in the Technician Labor Band by the prime contractor, see Section C of the RFP for more information on this Labor Band						0
		Number of FTEs:	None	> 1 to < 25	> 25 to < 50	> 50
		Point Value:	0	500	1,000	2,000
			FALSE	FALSE	FALSE	FALSE
		Total HCWs placed in the Assistant Labor Band by the prime contractor, see Section C of the RFP for more information on this Labor Band						0
	Total Points:							0

Data Element	Points Scored
Physician Labor Band Services	0
Allied Health Labor Band Services	0
Advanced Practice Nurse Labor Band Services	0
Nursing Labor Band Services	0
Technologist Labor Band Services	0
Technician Labor Band Services	0
Assistant Labor Band Services	0
Most common and difficult to fill labor categories	0
Dollar value of clinical services provided	0
Geographic Location	0
IDIQ Experience	0
FFP Experience	0
Prime Contractor Experience	0
TOTAL SCORE	0

File details come from the government source that posted it. Updated Nov 14, 2017.