RFP ATTACHMENT 6 - PROPOSAL SUBMISSION WORKSHEET.docx

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Attached to
SNS Pharmaceutical Logistic Replenishment Requirement
Solicitation number
75A50326R00007
Issued by

About this file

This is a Proposal Submission Worksheet template that serves as a checklist for contractors responding to an RFP for FDA-approved pharmaceuticals under the SNS Pharmaceutical Logistic Replenishment Requirement (Solicitation 75A50326R00007) issued by the Department of Health and Human Services Office of the Assistant Secretary for Preparedness and Response.

The worksheet requires contractors to identify the exact location of required proposal information across five categories: mandatory go/no-go items, administrative submissions, and three evaluation factors. The mandatory items include product conformity, FDA approval status, manufacturer/supplier authorization and DEA authority (if applicable), shelf life documentation, and delivery schedule per Attachment 3. Administrative requirements encompass price submission (Attachment 5), signed SF 1449 forms with any amendments, required representations and certifications, and subcontracting plans through SBCX if applicable. Evaluation Factor 1 addresses product compliance and regulatory requirements plus supply and delivery capability; Factor 2 requires two past performance examples (Attachment 4); and Factor 3 covers pricing (Attachment 5). For each item, contractors must specify the volume/section, page numbers, and supporting attachment or evidence location within their proposal, or enter "N/A" only when an item does not apply. The worksheet explicitly directs contractors not to repeat proposal information within the worksheet itself.

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RFP ATTACHMENT 6 – PROPOSAL SUBMISSION WORKSHEET

Instructions: Complete every applicable line. For each item, identify exactly where the requested information is in the proposal. Enter "N/A" only when an item does not apply. Do not repeat proposal information in this worksheet.

Area / ID
Required Item
Where Is It in Your Proposal?
Go/No-Go M-1
Product Conformity
Volume/Section: __________

Page(s): __________ Attachment/Evidence: __________

Go/No-Go M-2
FDA Approval
Volume/Section: __________

Page(s): __________ Attachment/Evidence: __________

Go/No-Go M-3
Manufacturer / Supplier Authorization and DEA Authority, if applicable
Volume/Section: __________

Page(s): __________ Attachment/Evidence: __________

Go/No-Go M-4
Shelf Life
Volume/Section: __________

Page(s): __________ Attachment/Evidence: __________

Go/No-Go M-5
Delivery Schedule, Attachment 3
Volume/Section: __________

Page(s): __________ Attachment/Evidence: __________

Administrative
Price Submission – Attachment 5
Volume/Section: __________

Page(s): __________ Attachment/Evidence: __________

Administrative
Signed SF 1449 and Amendments, if any
Volume/Section: __________

Page(s): __________ Attachment/Evidence: __________

Administrative
Required Representations / Certifications
Volume/Section: __________

Page(s): __________ Attachment/Evidence: __________

Administrative
Subcontracting Plan through SBCX, if applicable
Volume/Section: __________

Page(s): __________ Attachment/Evidence: __________

Factor 1
Subfactor 1 – Product Compliance and Regulatory Requirements
Volume/Section: __________

Page(s): __________ Attachment/Evidence: __________

Factor 1
Subfactor 2 – Supply and Delivery Capability
Volume/Section: __________

Page(s): __________ Attachment/Evidence: __________

Factor 2
Past Performance Example 1, Attachment 4
Volume/Section: __________

Page(s): __________ Attachment/Evidence: __________

Factor 2
Past Performance Example 2, Attachment 4
Volume/Section: __________

Page(s): __________ Attachment/Evidence: __________

Factor 3
Price – Attachment 5
Volume/Section: __________

Page(s): __________ Attachment/Evidence: __________

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