SF-1420.pdf

FOR OFFICIAL USE ONLY

(WHEN COMPLETED)

PERFORMANCE EVALUATION - CONSTRUCTION CONTRACTS

1. CONTRACT NUMBER

2. CONTRACTOR (Name, address and ZIP code) A. ADVERTISED

B. NEGOTIATED

FIRM

FIXED

PRICE

OTHER

(Specify)

4. COMPLEXITY OF WORK

CPFF

ROUTINE

5. DESCRIPTION AND LOCATION OF WORK

3. TYPE

OF

CONTRACT

(Check)

6. FISCAL

DATA

7. SIGNIFICANT

DATES

a.AMOUNT OF BASIC

CONTRACT

b.TOTAL AMOUNT OF

MODIFICATION

c.LIQUIDATED DAMAGES

ASSESSED

d.NET AMOUNT PAID

CONTRACTOR

a.DATE OF AWARD b.ORIGINAL CONTRACT

COMPLETION DATE

c.REVISED CONTRACT

COMPLETION DATE

d.DATE WORK ACCEPTED

8. TYPE AND EXTENT OF SUBCONTRACTING

PART II - PERFORMANCE EVALUATION OF CONTRACT (Check appropriate box)

9. PERFORMANCE ELEMENTS OUTSTANDING SATISFACTORY UNSATISFACTORY

a.QUALITY OF WORK b.TIMELY PERFORMANCE c.EFFECTIVENESS OF MANAGEMENT d.COMPLIANCE WITH LABOR STANDARDS e.COMPLIANCE WITH SAFETY STANDARDS

10. OVERALL EVALUATION

DIFFICULT

OUTSTANDING (Explain in Item 13, on reverse) SATISFACTORY

11. EVALUATED BY

a. ORGANIZATION (Type or print)

b. NAME AND TITLE (Type or print) c. SIGNATURE d. DATE

12. EVALUATION REVIEWED BY

a. ORGANIZATION (Type or print)

b. NAME AND TITLE (Type or print) c. SIGNATURE d. DATE

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition is usable FOR OFFICIAL USE ONLY

(When completed)

STANDARD FORM 1420 (10-83)

Prescribed by GSA FAR (48 CFR) 53.236-1(b)

UNSATISFACTORY (Explain in Item 14, on reverse)

FOR OFFICIAL USE ONLY

(When completed)

FOR OFFICIAL USE ONLY

(When completed)

13. REMARKS ON OUTSTANDING PERFORMANCE - AS INDICATED BY THE CONTRACTOR'S PERFORMANCE ON THIS CONTRACT. IF YOU CONSIDER THE

CONTRACTOR TO BE OUTSTANDING, SET FORTH FACTUAL DATA SUPPORTING THIS OBSERVATION. THESE DATA MUST BE IN SUFFICIENT DETAIL TO ASSIST

CONTRACTING OFFICERS IN SELECTING CONTRACTORS THAT HAVE DEMONSTRATED OUTSTANDING QUALITY OF WORK AND RELIABILITY. (Continue on separate sheet, if needed.)

14. EXPLANATION OF UNSATISFACTORY EVALUATION. FOR EACH UNSATISFACTORY ELEMENT, PROVIDE FACTS CONCERNING SPECIFIC EVENTS OR ACTIONS TO

JUSTIFY THE EVALUATION (e.g., extent of Government inspection required, rework required, subcontracting, cooperation of contractor, quality of workmen and adequacy of equipment). THESE DATA MUST BE IN SUFFICIENT DETAIL TO ASSIST CONTRACTING OFFICERS IN DETERMINING THE CONTRACTOR'S RESPONSIBILITY. (Continue on separate sheet, if needed.)

STANDARD FORM 1420 (10-83) BACK