ANNEX A (GOVERNMENT PROCUREMENT POLICY BOARD ‘Agency Procurement Compliance and Performance Indicator (APCPI) Self-Assessment Form ame of Agency: hippie Cuneo Heath Research and Dev Dateof Se sovesment,Sestamber 20,2016 lopment ame of fvhston _1£0.0.NUYDA Peshion_Admintate Merv ta er SO ERT RR TE eas eens Ine” | indicators and Subindicators | (Not to be Incuded inthe Evaluation LCR ORE TSU OReRE Ester ompane So Oom arene es Siirecnstyamtanrcenenerd Toax [am = (fate arama Toa [om an lana Tar a Resi maT ora se ms 3 rot procurement = basal a al are —| are man yt of total procurement basal + [Siete eietaamee eT aon [om = _ [States goa TTRT A cay | St aaaaRe 7 = amount of total procurement aa iss cricaclaeermnclokemee jfersomeitanmenaerctinaracwere! | eoean | a nee |Common-Use Supplies and Equipment from tne tons 7 oe renee Tamar Coapatianaa ne wing Paez So eres orcs 2 [creo wal re 7 age ne ote we nam vo] 200 fonect bor erage Tr enero whpaed SY Hae 70) 00 SS 22fasoncen pete ape b ca, | 30 eyes aera RC TON EA WAR OT ear nes reaen Oanenoe so Sa 13] canton ois snd awarts Comite) Suumort | 2.00 [orsistorsl Car and Catieaton of ‘onset slo ceneectomcsvrnrrertacreman i — | est, | a00 [severance ane Seana ars Rear ama SRE 15] pepe rtp et coven comer [BS nyt acplorens on a PG in re em PE ecmarsoneicae manson so —- resets J Se az] Perera ofconunetowernormatonpostez67i | gaye | 300 [enc reco nar PRICES records ee arama calconcmesenosrpoestvacrwrceneesace | sma | 300 sec crs or Pre Rar Se Saad i aaa sg) sence of webate tht roves upt-dte sbstontaly| 3 [een sec rose aed prema teet e ae | eee Cocetahanbeemuaantt [singranoat rocrenen Want Tose [Spserase aTRecrenes aA womens] aap cnet edt | 2s |oepstedtomayenasanasentocPm.st | “Soeur actos PREVENT SPATE BD MAE PTE [ener ate cetera Face fatecenntshonisscnn oacna me aTOA] — = Po are see 2 hota smount of approved APPS a amencments, f any and PIAS(GOVERNMENT PROCUREMENT POUCY BOARD [Agency Procurement Compliance and Performance Indlestor (APCP!)Sell-Assessment Form "Name ot gene: hippie ound or Heath Research nd Development Dateot se assesment September 0, 2016 Name of faluntor:_LEO0. NLDA Poston: _Adminstatiae Ofer V_— a Serre nye) aver nategy | S=RTORGT aga ae | Sappring worn Doan beanecnaniial same 8" | indicators and Subindicators_| _ (Not tbe Included in the Evaluation ToT Pranags a ar SATA TORT aaaee = 22|tta numberof procurement ctuies cneuivoughpubie | son00% | 300 fetecilia Sippel ramdanee, aa oyna et Pater Ted BEGG ETRE DF vaca aT 2 Jorocuremert aces conducted Lassi hil wendenents, if any) and PMS. aa one ik seroma Teac fa Pecan ocaneacr sd wn STS x lprrenentanetonest peers soccrsrnsetesin | s0000% | 200 us “cite [it Pertge tanta awarded in prescied 25|pociraent tina mete prose testucepieeds | nl “ ans einen Amer" fhe et Pecertge of conic aaraed ATT OTST 2|oreureent tins emesteproseconsitingserces a= | nf ne ase Indetedm Amer“ oth py og Tr Cover Prone nad nis Parise qfarmeesasmenwennsrerroarineenttionntate | Flv | yap scene Serratia vest ce [nepeomante proces personel complet [oes entingot Pocono Se Percentage of pericpation of procurement satin athe [Ar coisa of ores Taian make en ee) ine meenqenoan : - ae noun oningconaa [earn aeNA oO URES RMIT cel Poko coseneaTan 2 [pubic procurement sc - lective for bidders et aaa ot Para Sa CRE aera RSE [er cs posraene recone ime tooeo reve recor shou be nme aacsecetat bs syste or epingand fy ro more tar wo ous) *Plmaintairing rocarement records ‘Compliant 7 Refer to Section 4.1 of User's Manual for of ronremererested decent fecortteeing ns mactenane [0 oemerengunnessnaisinplenemingseyten tr] Faty | yop rt scorn anspor leeohgané maitainreconac management records | Compan. eres esr hoe na mare tans hous sitar Conic aagemen tare Agra har wal ne proce res nd tnd for [er open often proces or aal guy conv accepts tanger, speraton 200 ty cont acepance nd lots sd esaton concer? pomance speci PS eatin erst aR eva TERE ECR | aan Sect erent coe wk ssfameranet toads wien oer, ance omen, | SBE] ey pmenceretcrdr wen order 1 andsonxe nab coat here oats sktrace accu ind otha 24[e neyo of procaeen contacts stertsdop| a0 oscar eotorth ese of perenstorrocuremert const Tage LAR ATTY AR ER TSPARENCY OF NERCYPROETREE SST ince. 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