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CONTRACTOR:

PROJECT TITLE:

PRIIME ( ) SUBCONTRACTOR ( )

PW NUMBER:

ADMINISTERING DEPT:

SUPERINTENDENT:

SCHEDULE COMPLETION DATE:

ACTUAL COMPLETION DATE:

SPECIFIC WORK PERFORMED BY CONTRACTOR/SUBCONTRACTOR:

CONTRACT AWARD AMOUNT

CONTRACT COMPLETION AMOUNT

$

$

PROJECT DESCRIPTION:

PERFORMANCE CATEGORIES

TO BE COMPLETED BY ADMINISTERING DEPT

NO EVAL

INADEQUATE

DEFICIENT

STANDARD

GOOD

SUPERIOR

ASSIGNED POINTS

1. EFFECTIVENESS OF ON-SITE SUPERVISION, JOB SITE MAINTENANCE, DELIVERY AND STORAGE OF MATERIALS AND SUPPLIES

0 to 20

21 to 26

27

28 to 31

32 to 38

2. ANTICIPATION OF PROBLEMS AND MAKING NECESSARY ADJUSTMENT TO ADAPT TO TO

0 to 10

11 to 13

14

15 or 16

17 to 20

ALTERED REQUIREMENTS

3. COORDINATION & COOPERATION WITH DEPT PERSONNEL ON PROJECT MATTERS

0 to 10

11 to 13

14

15 or 16

17 to 20

4. AVAILABILITY OF RESPONSIBLE REPRESENTA-

0 to 10

11 to 13

14

15 or 16

17 to 20

TIVES FOR INSTRUCTION & DECISION MAKING

5. ADHERENCE TO PLANS AND SPECIFICATIONS AS RELATED TO QUALITY OF PROJECT WORK

0 to 50

51 to 65

66 to 69

70 to 79

80 to 94

0 to 31

32 to 41

42 to 44

45 to 50

51 to 60

6. STANDARDS OF MATERIALS

0 to 56

57 to 73

74 to 78

79 to 89

90 to 106

7. STANDARDS OF WORKMANSHIP

8. OPTIMUM UTILIZATION OF CONTRACTOR

0 to 10

11 to 13

14

15 or 16

17 to 20

PERSONNEL

9. OPTIMUM UTILIZATION OF CONTRACTOR

EQUIPMENT

0 to 17

18 to 23

24 or 25

26 to 28

29 to 34

10. CONDITION OF CONTRACTOR'S

0 to 27

28 to 35

36 to 38

39 to 43

44 to 52

TOOLS/EQUIPMENT

11. EFFECTIVENESS OF CONTRACTOR'S

COORDINATION OF SUBCONTRACTORS

& SUPPLIERS

0 to 10

11 to 13

14

15 or 16

17 to 20

12. RELATIONS WITH GENERAL PUBLIC, OTHER AGENCIES & ADJACENT CONTRACTORS

0 to 21

22 to 28

29 to 31

32 to 35

36 to 42

13. ADEQUACY AND TIMELINESS OF PROGRESS

0 to 15

16 to 20

21 or 22

23 to 25

26 to 30

SCHEDULES

14. ACCURATE & TIMELY CONTRACT CHANGE

0 to 3

4

5

6

7 or 8

ORDER PROPOSAL RESPONSES, PAYMENT

SUPPORT DOCUMENTS, REPORTS & OTHER SPECIFIED DOCUMENTS

15. EFFECTIVE SCHEDULING & COMPLETION OF

0 to 44

45 to 58

59 to 62

63 to 70

71 to 84

PROJECT WORK AS SCHEDULED

16. MAINTENANCE OF EMPLOYEE SAFETY

STANDARDS

0 to 36

37 to 47

48 to 50

51 to 57

58 to 68

17. ATTENTION TO PUBLIC SAFETY & TRAFFIC

CONTROL

0 to 38

39 to 50

51 to 53

54 to 60

61 to 72

18. COMPLIANCE WITH ENVIRONMENTAL LAWS,

0 to 21

22 to 28

29 to 31

32 to 35

36 to 42

ORDINANCES & REGULATIONS

19. DILIGENCE IN COMPLETING FINAL

0 to 26

27 to 34

35 or 36

37 to 41

42 to 50

(PUNCH LIST) WORK