A	B	C	D	E	F	G
1	CONTRACT NO. ______________________
2	Beginning Date______________Ending Date_______________
3	Risk Level of Contract _________________
4	Contract Manager_____________________________________
5
6	CRITERIA	RISK VALUE	SCORE
7
8	Department Priority
9	Mission Critical	10
10	Mission Support	5			RANGES
11
12	Contracted dollars
13	$1,000,000 and above	10		LOW	0	to	29
14	$500,000 to $999,999	8
15	$250,000 to $499,000 or Open-Ended	6
16	$100,000 to $249,999	4
17	Under $100,000	2		MEDIUM	30	to	37
18
19	Nature of Services
20	Direct	10
21	Indirect	5		HIGH	38		50
22
23	Current Monitoring Plan
24	No current monitoring plan	10
25	Current monitoring plan in-place	5
26	Monitored by Federal Audit or independent source	0
27
28	Provider History
29	Corrective actions: Major findings - Findings that would affect service delivery, put clients at risk or have potential for payment error, and has not been placed on the Vendors Suspended List.	10
30	Corrective actions: Minor findings - Findings that would not affect service delivery, put clients at risk or have potential for payment error, and has not been placed on the Vendors Suspended List.	8
31	New Provider	6
32	No findings	0
33
34	Identify Exceptions: Considerations that impact the frequency of monitoring contracts. Check if appropriate.
35
36
37
38		TOTAL SCORE