Price Proposal Evaluation Worksheet.docx

DOCX document 16 KB Posted

Attached to
R705--Workers Compensation Recovery Assistance
Solicitation number
36C26126Q0379
Issued by

About this file

This is a Price Proposal Evaluation Worksheet for a workers compensation recovery assistance contract with the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 21 (Solicitation Number 36C26126Q0379). The worksheet establishes a tiered commission structure based on monthly collections, with offerors required to submit percentage bids for four collection ranges: $0 to $100,000, $100,000 to $200,000, $200,000 to $300,000, and $300,000 and above. There are no restrictions on the commission percentages that offerors may propose.

The evaluation methodology calculates total monthly compensation by multiplying each proposed percentage by the corresponding collection amount within each tier and summing the results across all four tiers. Offerors must complete the worksheet by entering their percentage bids, performing the calculations, and submitting the completed proposal with their bid. The contract structure indicates the government will pay the contractor based on a percentage of actual monthly collections recovered, making this a performance-based pricing arrangement.

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Other files

File Type Posted
36C26126Q0379 0001.docx DOCX document
VAAR 852.204-72, Personnel Vetting and Credentialing. MARCH 2026.docx DOCX document
VAAR 852.204-70 Personal Identity Verification of Contractor Personnel Deviation .docx DOCX document
Past Performance Questionnaire.docx DOCX document
Section B - Price Schedule 02.docx DOCX document
36C26126Q0379.docx DOCX document

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Price Proposal Evaluation Worksheet

Offeror’s Company Name: _________________________________

Contractor will receive a percentage of total monthly collections as follows. Enter a percentage For:

a. $0 to $100,000:________ %

b. $100,000 to $200,000:_________ %

c. $200,000 to $300,000:_________ %

d. $300,000 and above:_________%

For purposes of evaluation, the price will be determined by completing the following using the percentage above:

Item a:_______ % x $100,000 = $___________ Item b:_______ % x $99,999 = $___________ Item c:_______ % x $99,999 = $__________ Item d:_______ % x $99,999 = $__________

Total: $ _________

There are no restrictions on commissions/ percentages.

Offerors shall submit its price proposal with their bid/proposal.

Print Full Name Signature

File details come from the government source that posted it. Updated .