Attachment 1 DD Form 2626.pdf
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- Attached to
- Job Order Contract (JOC) Region B
- Solicitation number
- W15QKN-25-R-A030
About this file
This document is a DD Form 2626 Performance Evaluation (Construction) form, which serves as a comprehensive assessment of a contractor's performance on a construction project. The form provides a structured evaluation across multiple performance elements, including quality control, management effectiveness, timely performance, labor standards compliance, and safety standards. The rating scale ranges from "Outstanding" to "Unsatisfactory" and covers detailed sub-categories such as workmanship quality, cooperation, resource management, adherence to schedules, and compliance with regulatory requirements.
The form is designed to capture both quantitative and qualitative aspects of a contractor's performance, with sections for fiscal data, significant contract dates, overall rating, and space for specific remarks explaining the evaluation. While this particular form is blank and not filled out, it is a standard Department of Defense document used to formally document and record a contractor's performance, which can be critical for future contract considerations and evaluations. The form allows for a comprehensive and systematic assessment of a contractor's capabilities, performance, and potential areas for improvement across various critical dimensions of project execution.
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Text version
PERFORMANCE EVALUATION
(CONSTRUCTION)
1. NUMBER
2.
FOR OFFICIAL USE ONLY (WHEN COMPLETED)
IMPORTANT: Be sure to complete Part III - Evaluation of Performance Elements on reverse.
PART I - GENERAL CONTRACT DATA
3. EVALUATION (X one)
INTERIM (List percentage
4. FOR DEFAULT
%) FINAL AMENDED
5. (Name, Address, and ZIP Code) 6.a. PROCUREMENT METHOD (X one)
SEALED BID NEGOTIATED
b. OF CONTRACT (X one)
FIRM FIXED PRICE COST REIMBURSEMENT
OTHER (Specify)
7. LOCATION OF WORK
8. PERCENT OF SUBCONTRACTING
9. FISCAL DATA
10. SIGNIFICANT
DATES
a. BASIC
CONTRACT
b. AMOUNT OF
MODIFICATIONS
c.
DAMAGES ASSESSED
d.
CONTRACTOR
a. AWARD b.
COMPLETION DATE
c.
COMPLETION DATE
d.
ACCEPTED
PART II - PERFORMANCE EVALUATION OF CONTRACTOR
11. OVERALL RATING (X appropriate block)
OUTSTANDING ABOVE AVERAGE SATISFACTORY MARGINAL
UNSATISFACTORY (Explain in Item 20 on reverse)
12. EVALUATED BY
a. ORGANIZATION (Name and Address (Include ZIP Code)) b. (Include Area Code)
c. AND TITLE d. e.
13. EVALUATION REVIEWED BY
a. ORGANIZATION (Name and Address (Include ZIP Code)) b. (Include Area Code)
c. AND TITLE d. e.
14. AGENCY USE (Distribution, etc.)
CONTRACT
CEC NUMBER
TYPE OF TERMINATED
CONTRACTOR
TYPE
DESCRIPTION AND
TYPE AND
AMOUNT OF TOTAL LIQUIDATED NET AMOUNT PAID
DATE OF ORIGINAL CONTRACT REVISED CONTRACT DATE WORK
TELEPHONE NUMBER
NAME SIGNATURE DATE
TELEPHONE NUMBER
NAME SIGNATURE DATE
DD FORM 2626, JUN 94 EXCEPTION TO SF 1420 APPROVED BY GSA/IRMS 6-94
FOR OFFICIAL USE ONLY (WHEN COMPLETED)
PART III - EVALUATION OF PERFORMANCE ELEMENTS
N/A = NOT APPLICABLE O = OUTSTANDING A = ABOVE AVERAGE S = SATISFACTORY M = MARGINAL U = UNSATISFACTORY
15. QUALITY CONTROL N/A O A S M U 16. EFFECTIVENESS OF MANAGEMENT N/A O A S M U
a. QUALITY OF WORKMANSHIP a. COOPERATION AND RESPONSIVENESS
b. ADEQUACY OF THE CQC PLAN b. MANAGEMENT OF RESOURCES/ PERSONNELc. IMPLEMENTATION OF THE CQC
PLAN c. COORDINATION AND CONTROL OF SUBCONTRACTOR(S)d. QUALITY OF QC
DOCUMENTATION d. ADEQUACY OF SITE CLEAN-UP
e. STORAGE OF MATERIALS e. EFFECTIVENESS OF JOB-SITE SUPERVISIONf. ADEQUACY OF MATERIALS
g. ADEQUACY OF SUBMITTALS f. COMPLIANCE WITH LAWS AND REGULATIONSh. ADEQUACY OF QC TESTING
i. ADEQUACY OF AS-BUILTS g. PROFESSIONAL CONDUCT
j. USE OF SPECIFIED MATERIALS h. REVIEW/RESOLUTION OF SUBCONTRACTOR'S ISSUESk. IDENTIFICATION/CORRECTION OF
DEFICIENT WORK IN A TIMELY
MANNER
i. IMPLEMENTATION OF
SUBCONTRACTING PLAN
17. TIMELY PERFORMANCE 18. COMPLIANCE WITH LABOR
STANDARDSa. ADEQUACY OF INITIAL PROGRESS
SCHEDULE a. CORRECTION OF NOTED DEFICIENCIES
b. ADHERENCE TO APPROVED
SCHEDULE
b. PAYROLLS PROPERLY COMPLETED
AND SUBMITTED
c. RESOLUTION OF DELAYS c. COMPLIANCE WITH LABOR LAWS
AND REGULATIONS WITH SPECIFIC
ATTENTION TO THE DAVIS-BACON
ACT AND EEO REQUIREMENTS
d. SUBMISSION OF REQUIRED
DOCUMENTATION
e. COMPLETION OF PUNCHLIST
ITEMS
19. COMPLIANCE WITH SAFETY
STANDARDS
f. SUBMISSION OF UPDATED AND
REVISED PROGRESS SCHEDULES
a. ADEQUACY OF SAFETY PLAN
b. IMPLEMENTATION OF SAFETY PLAN
g. WARRANTY RESPONSE c. CORRECTION OF NOTED
20. REMARKS (Explanation of unsatisfactory evaluation is required. Other comments are optional. Provide facts concerning specific events or actions to justify the evaluation. These data must be in sufficient detail to assist contracting officers in determining the contractor's responsibility. Continue on separate sheet(s), if needed.)
DD FORM 2626 (BACK), JUN 94
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