B12_MISC_(Past_Performance_Questionnaire_-_Attachment_4).doc

CONTRACTOR PERFORMANCE EVALUATION

Date____________________ Contractor Name _____________________________ Project Title/Description___________________________________

Contract Type [ ] RFQ [ ] Sealed Bid [ ] Fixed Price [ ] Negotiated

Contract Period ________________________ Cost Original ________________ Current/Final ________________

1. Was the project completed within the allotted time? [ ] Yes [ ] No

2. How effective was the contractor with establishment

1 2 3 4 5 6 7 8 9 10 N/A and execution of the schedule?

3. Contractor’s adherence to plans and specifications

1 2 3 4 5 6 7 8 9 10 N/A

4. Submission of documents and reports (submittals)

1 2 3 4 5 6 7 8 9 10 N/A

5. Standards of workmanship/quality

1 2 3 4 5 6 7 8 9 10 N/A

6. Completion of final punch-list

1 2 3 4 5 6 7 8 9 10 N/A

7. Supervision

1 2 3 4 5 6 7 8 9 10 N/A

8. Communication, coordination and cooperation (CO, COTR, etc.)

1 2 3 4 5 6 7 8 9 10 N/A

9. Was the contractor fair/reasonable regarding equitable

1 2 3 4 5 6 7 8 9 10 N/A adjustments and cost proposals in response to changed work requirements?

OTHER COMMENTS

Interviewed by:__________________________________________

Email:

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