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Fillable Printable Standard Contractor Evaluation Form

Fillable Printable Standard Contractor Evaluation Form

Standard Contractor Evaluation Form

Standard Contractor Evaluation Form

EXHIBIT 45
Standard Contractor Evaluation Form Page 1 of 4
DIVISION OF CAPITAL ASSET MANAGEMENT
STANDARD CONTRACTOR EVALUATION FORM
Section I - General Project Information
Your Name: Telephone No.:
Position/Title: Date:
Agency/Firm: DCAM Interviewer
(If any):
Total Contract Cost
With Change Orders:
Name of Contractor:
Contract Start/
End Dates:
Project Title: Actual Completion
Date
Scope of Work:
Project Location:
Important!!
Please check () if this is an Interim Report (50% complete)
or a Final Evaluation (at least 99% complete)
Section II - Evaluation Questionnaire
Please rate this contractor’s performance in each of the following areas. If you need additional space, attach 81/2” x 11”
sheets. If you rate the contractor below Satisfactory in any area, you must provide detailed information to explain the rating
assigned.
1. Quality of Workmanship 0-28 points (refer to Page 4)
Rate the quality of this contractor’s completed work. Were there quality related or workmanship problems on the
contract? If not, provide specific examples.
2. Project Management 0-13 points (refer to Page 4)
a) Scheduling - Rate this contractor’s performance with regard to adhering to contract schedules. Did this
contractor meet the contract schedule or the schedule as revised by approved change orders? If not, was the delay
attributable to this contractor? If so, provide specific examples.
EXHIBIT 45
Standard Contractor Evaluation Form Page 2 of 4
0-13 points (refer to Page 4)
(b) Subcontractor Management - Rate this contractor’s ability, effort and success in managing and coordinating
subcontractors (if no subcontractors, rate this contractor’s overall project management). Was this contractor able
to effectively resolve problems? If not, provide specific examples.
0-9 points (refer to Page 4)
c) Safety and Housekeeping Procedures - Rate this contractor’s safety and housekeeping procedures on this
project. Were there any OSHA violations or serious safety accidents? If so, provide specific examples.
0-9 points (refer to Page 4)
d) Change Orders - Did this contractor unreasonably claim change orders or extras? Was this contractor’s price on
change order and extras reasonable? If not, provide specific examples.
0-7 points (refer to Page 4)
e) Working Relationships - Rate this contractor’s working relationships with other parties (i.e., owner, designer,
subcontractors, etc.). Did this contractor relate to other parties in a professional manner? If not, give specific
examples.
0-7 points (refer to Page 4)
f) Paperwork Processing - Rate this contractor’s performance in completing and submitting required project
paperwork (i.e., submittals, drawings, requisitions, payrolls, workforce reports, etc.). Did the contractor submit
the required paperwork promptly and in proper form? If not, provide specific examples.
EXHIBIT 45
Standard Contractor Evaluation Form Page 3 of 4
3. On-Site Supervisory Personnel Rating 0-14 points (refer to Page 4)
a) General Performance - Rate the general performance of this contractor’s on-site supervisory personnel. Did the
superintendent(s) have the knowledge, management skills and experience to run a project of this size and scope?
If not, provide specific examples.
SECTION III - Legal and Administrative Proceedings
Are you aware of any legal or administrative proceedings, invoked bonds, assessed damages, demands for direct payment,
payment bond claims, contract failures, contract terminations, or penalties involving this contractor on this contract? What
is the status of any pending litigation? What was the final outcome of any completed litigation? What are the dollar
amounts of assessed damages or penalties?
SECTION IV - Numerical Rating
Use the grid on the following page to rate the contractor’s performance on this project. In assigning the Numerical Rating,
please note the following:
1. You are not restricted to using the numerical values shown and may score in between the numbers shown.
2. A total Numerical Rating of 70 is required for a passing grade.
3. If you rate the contractor below satisfactory in any area, you must provide written comments in Section II to explain the
rating(s) assigned.
EXHIBIT 45
Standard Contractor Evaluation Form Page 4 of 4
Contractor’s Name:
Below Average
Average
Above Average
Unsatis-
factory
Poor
Deficient
Satisfactory
(Passing)
Good
Very
Good
Excellent
Rating
1. Quality of Work
0
10
16
22
24
26
28
2. Project Management
a) Scheduling
b) Subcontractor Management
c) Safety and Housekeeping
d) Change Orders
e) Working Relationships
f) Paperwork Processing
0
0
0
0
0
0
4
4
3
3
2
2
8
8
4
4
3
3
10
10
6
6
4
4
11
11
7
7
5
5
12
12
8
8
6
6
13
13
9
9
7
7
Subtotal - Item 2
3. Supervisory Personnel Rating
General performance
0
2
4
8
10
12
14
Subtotal - Item 3
Total Numerical
Rating
Section V - Evaluator Certification
I certify that the information contained in this evaluation form represents, to the best of my knowledge, a true analysis of this
contractor’s performance record on this contract.
I also certify that I have no ties with this contractor either through a business or family relationship.
I have mailed a copy of this completed evaluation form to the contractor on
(A copy of this completed evaluation form must be mailed to the contractor.).
Signature Date
Section VI - Additional Comments
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