Attachment_7_Contractor_Assessment_Report.pdf

PDF 354 KB Posted

Attached to
Protocol Information Office (PIO) Support Services Federal contract opportunity
Solicitation number
N02CN85003-39
Issued by
Department of Health and Human Services National Institutes of Health

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Contractor Assessment Report

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Attachment 7: Contractor Assessment Report Page 1 of 2

RFP N02CN85003-39

CONTRACTOR ASSESSMENT REPORT

For Performance Base Monitoring

FINAL REPORT ______ INTERIM REPORT ______ (Check one)

REPORTING PERIOD: (from) (to)

CONTRACTING OFFICE (Location):

CONTRACT NUMBER:

CONTRACTOR NAME:

ADDRESS:

CITY: STATE: ZIP CODE:

CONTRACT AWARD DATE:

CONTRACT EXPIRATION DATE:

CONTRACT VALUE: $

DESCRIPTION OF REQUIREMENT (Title):

RATINGS

Summarize contractor performance and circle the number which corresponds to the rating for each rating category. (See attached Rating Guidelines). Comments are required for a poor or outstanding rating.

Quality: Document Abstraction: DCP Databases (75%) Rating: 0 1 2 3 4 5 Quality: Document Abstraction: CTEP-ESYS/START (25%) Comments:

Timeliness: Document Abstraction: DCP Databases (75%) Rating: 0 1 2 3 4 5 Timeliness: Document Abstraction: CTEP-ESYS/START (25%)

Electronic and Paper Storage: File Management (100%) Rating: 0 1 2 3 4 5

Timeliness: Clinical Trials Review Process Support: NCORP (50%) Rating: 0 1 2 3 4 5 Timeliness: Clinical Trials Review Process Support: Non-CCOPS (50%)

Attachment 7: Contractor Assessment Report Page 2 of 2

RFP N02CN85003-39

Other Support Activities: PIO Operational Support: Study Status consistency (50%) Rating: 0 1 2 3 4 5 Other Support Activities: Preparing Reports (50%)

NCI CONTRACTING OFFICER’S REPRESENTATIVE (name):

SIGNATURE:

Phone: FAX:

E-mail Address:

Date:

SUMMARY RATINGS:

Quality - Abstraction: __________

Timeliness - Abstraction: __________

Electronic and Paper Storage: File Management: __________

Timeliness: Clinical Trials Review Process Support: __________

Other Support Activities: __________

Overall: __________

CONTRACTING OFFICER (name):

SIGNATURE:

Phone: FAX:

E-mail Address:

Date:

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