Directorate for Information Management and Chief Information Officer (DS) | Solutions for the Information Technology Enterprise (SITE) [Vendor Name] [Task Order Name] [Task Order Number] Quarterly Business Review For Quarter FY 2012 This briefing is classified Unclassified UNCLASSIFIED

Directorate for Information Management and Chief Information Officer (DS) | UNCLASSIFIED REPORT DATE: COR TASK ORDER RATING ASSESSMENTY TASK ORDER OVERVIEWTASK ORDER METRICS VENDOR NAME: VENDOR PHONE NUMBER : VENDOR POC NAME : Y 1) FINANCIAL - - TASK ORDER DESCRIPTION: G 2) INVOICING - <PROVIDE STATUS OF INVOICES (AREAS OF CONCERN- PENDING PAYMENT, REJECTED, PENDING SUBMITTAL PERIOD OF PERFORMANCE: BASE PERIOD - DD MM YY – DD MM YY OPTION PERIOD (S) (if applicable) R 3) SCHEDULE – CURRENT TOTAL CONTRACT VALUE (INCLUDES ALL OPTIONS & CLINS) : $xxM Y 4) STAFFING - FULLY STAFFED DATE: # ON-BOARD # VACANT # HIRED # NOM PKG Performance Metrics: Identify key performance metrics and level of achievement for past 90 days 1.Developed and delivered usage metrics NLT 20 th of each month with 95% accuracy. 2.Supported data calls and business processes, as required with 95% accuracy. 3. Prepared Quarterly System Diagram due 15 Nov 2011; and next report due 15 Feb G 5) DELIVERABLES: < PROVIDE STATUS ON DELIVERABLES INCLUDING SOFTWARE, HARDWARE, DOCUMENTATION & MEDIA, Performance Metrics (CONT): 2 STATUS KEYREDHIGH RISKYELLOWMEDIUM RISKGREENMINIMAL RISK

Directorate for Information Management and Chief Information Officer (DS) | UNCLASSIFIED TASK ORDER OVERVIEW STATUS (CONT.)TASK ORDER RISK / ISSUE STATUS (CONT.) SUMMARY OF ACCOMPLISHMENTS – SINCE LAST QBRR / I# RISK/ISSUE DESCRIPTION OWNERSTATUS / MITIGATION SUMMARY OF CONCERNS – SINCE LAST QBR PLANNED EVENTS NEXT 90 DAYS ADDITIONAL NOTES: 3 STATUS KEYREDHIGH RISKYELLOWMEDIUM RISKGREENMINIMAL RISK

Directorate for Information Management and Chief Information Officer (DS) | UNCLASSIFIED BASE YEAR LABOR & ODCOPTION YEAR LABOR & ODCs BASE YEAR CLIN TABLEOPTION YEAR CLIN TABLE Financial Status 4 Variance Description (provide narrative explanation for variance and actions taken to resolve): CONTRACTOR FINANCE RATING ASSESSMENT

Directorate for Information Management and Chief Information Officer (DS) | UNCLASSIFIED CONTRACT SUMMARY 5 DOC Title CONTRACT # MOD. # AWARD DATE PERIOD OF PERFORMANCELABORODCTotal DESCRIPTION OF MODIFICATION Task Order HHM D-XXXX- 000Xx/xx/xxx/xx/xx – x/xx/xx$$$Task Order award ModP0001x/xx/xxx/xx/xx – x/xx/xx$$$Added DD-254

Directorate for Information Management and Chief Information Officer (DS) | UNCLASSIFIED NARRATIVE DESCRIPTION OF SITE QBR STATUS REPORT COMPLETION

Directorate for Information Management and Chief Information Officer (DS) | UNCLASSIFIED PROVIDE SUMMARY STATUS; USE R- Y-G COLOR STATUS; PROVIDE STATEMENT THAT SUBSTANTIATES COLOR RATING PROVIDE STATUS OF CONTRACT IDENTIFIED PERFORMANCE METRICS (CONT) SITE QBR STATUS REPORT – PAGE 1 -COR TASK ORDER ASSESSMENT– R-Y-G - CONTRACTOR TO COORDINATE WITH COR BEFORE QBR ORDER ENTER REPORT DATE HERE VENDOR CONTACT INFORMATION TASK ORDER DESCRIPTION – BRIEF SUMMARY CONTRACT PERIOD OF PERFORMANCE TOTAL CONTRACT VALUE AT TIME OF REPORT PROVIDE STATUS OF CONTRACT IDENTIFIED PERFORMANCE METRICS STATUS STOP LIGHT USED FOR CSF STATUS SUMMARY – USE STATUS KEY TO IDENTIFY SELF ASSESSMENT STATUS

Directorate for Information Management and Chief Information Officer (DS) | UNCLASSIFIED SITE QBR STATUS REPORT – PAGE 2 PROVIDE SUMMARY INFORMATION AS INDICATED PROVIDE RISK / ISSUE STATUS R / I # -RISKS = R # -ISSUES = I # DESCRIPTION – DESCRIBE RISK OR ISSUE AND COLOR BLOCK WITH APPROPRIATE RATING COLOR; PER STATUS KEY (BELOW) OWNER - SHALL HAVE PERSONS LAST NAME(S) STATUS AND MITIGATION - EACH RISK AND ISSUE SHALL HAVE CURRENT STATUS AND MITIGATION DESCRIPTION

Directorate for Information Management and Chief Information Officer (DS) | UNCLASSIFIED 9 - CONTRACTOR TO PROVIDE ASSESSMENT OF OVERALL TASK ORDER FINANCIAL STATUS – USE R-Y-G PER PROVIDED STATUS KEY

Directorate for Information Management and Chief Information Officer (DS) | UNCLASSIFIED