Attachment 9, Contractor Work Performance Notification Form.pdf

This is a Contractor Work Performance Notification Form used by the Pennsylvania Department of Transportation (PennDOT) District 6-0 for roadside maintenance contracts. The form serves as an official document to communicate work performance deficiencies to contractors and establish a formal record of compliance issues identified during inspections. The form captures inspection details including the date and time the notification was sent, the inspector's name, the date and time the inspection was conducted, and specific work performance issues referenced by their corresponding Scope of Work sections. The document is designed to document both AM and PM deficiencies, with checkbox options to indicate whether issues were identified and whether a meeting will be scheduled to address them.

The form requires contractors to provide a proposed remedy within 24 hours of receiving the notification, which must be documented in the compliance section. The document includes fields for recording the date and time that identified deficiencies were corrected, along with space for comments and verification of whether a copy was emailed to the contractor. This form is applicable to the PennDOT mowing, string trimming, and trash pickup services contract (7840601ADEM) in Philadelphia County, which is reserved for small business contracting. The form functions as a quality control and accountability mechanism to ensure contractors maintain compliance with contract requirements and Scope of Work specifications throughout the performance period.