191x Filetype XLSX File size 0.05 MB Source: portal.ct.gov
Sheet 1: Sheet1
CONTRACTOR EVALUATION FORM | ||||||||||
Link to Instructions | ||||||||||
Name of Contractor: | Prime | Sub | ||||||||
Contractor's Address: | ||||||||||
City: | State: | Zip: | ||||||||
Phone: | ||||||||||
Project Number(s) | ||||||||||
and Description: | ||||||||||
Type of Work*: | ||||||||||
* Type of Work Descriptions and Guide Link | ||||||||||
Contract Amount: | ||||||||||
Start Date: | Finish Date: | Evaluation Date: | ||||||||
Type of Rating: | Intermediate | Annual | Final | |||||||
Total Score | 0% | |||||||||
Contractor's performance to be evaluated by the Chief Inspector/Resident Engineer | ||||||||||
Quality Assurance/Quality Control | ||||||||||
1. Contractor’s Quality Control Program Implementation | Score: | |||||||||
5. QC Plan exceeded project requirements. | ||||||||||
4. QC plan met project requirements and required only minor revisions. | ||||||||||
3. QC plan met project requirements but required moderate revisions. | ||||||||||
2. QC plan met project requirements but required extensive revisions and DOT involvement. | ||||||||||
1. QC plan did not meet project requirements, accepted with reduced compensation. | ||||||||||
Comments: | ||||||||||
2. Quality of Work and Workmanship | Score: | |||||||||
5. Exceeded project requirements and required no rework. | ||||||||||
4. Met project requirements and required only minor rework with no DOT involvement. | ||||||||||
3. Met project requirements but required moderate rework at DOT direction. | ||||||||||
2. Met project requirements but required extensive rework at DOT direction. | ||||||||||
1. Did not meet project requirements; accepted with reduced compensation. | ||||||||||
Comments: | ||||||||||
3. Contractor’s Project Supervisory Staff | Score: | |||||||||
5. Demonstrated extraordinary skill and onsite to direct others as needed. | ||||||||||
4. Demonstrated necessary skill and onsite to direct others as needed. | ||||||||||
3. Skill and/or availability periodically hindered the meeting of project requirements. | ||||||||||
2. Skill and/or availability often hindered the meeting of project requirements. | ||||||||||
1. Skill and/or availability constantly hindered the meeting of project requirements. | ||||||||||
Comments: | ||||||||||
4. Contractor’s Skilled Workforce | Score: | |||||||||
5. Demonstrated outstanding skill and onsite as needed. | ||||||||||
4. Demonstrated adequate skill and onsite as needed. | ||||||||||
3. Skill and/or availability periodically hindered the meeting of project requirements. | ||||||||||
2. Skill and/or availability frequently hindered the meeting of project requirements. | ||||||||||
1. Skill and/or availability constantly hindered the meeting of project requirements. | ||||||||||
Comments: | ||||||||||
5. Equipment Quality and Condition | Score: | |||||||||
5. Provided types and quantities of construction equipment in good working | ||||||||||
condition that exceeded project requirements, and repairs never caused delays. | ||||||||||
4. Provided appropriate types and quantities of construction equipment in good | ||||||||||
working order that met the project requirements, and repairs never caused delays. | ||||||||||
3. Provided appropriate types and quantities of construction equipment that met | ||||||||||
the project requirements but required some repairs that caused minor delays. | ||||||||||
2. Provided equipment substandard in productivity and efficiency requiring | ||||||||||
frequent repairs that caused delays in the project. | ||||||||||
1. Provided inadequate equipment requiring constant repair, sacrificing the | ||||||||||
quality of the work, and/or causing significant delays. | ||||||||||
Comments: | ||||||||||
Performance of Work | ||||||||||
6. The Contractor’s Safety Program | Score: | |||||||||
5. Safety program exceeds project requirements; Contractor manages program | ||||||||||
independently. | ||||||||||
4. Met all project requirements with minimal need for DOT involvement. | ||||||||||
3. Met all project requirements with periodic DOT direction. | ||||||||||
2. Met all project requirements with constant DOT direction. | ||||||||||
1. Failed to meet all project requirements and required constant DOT direction. | ||||||||||
Comments: | ||||||||||
7a. Traffic Control/Maintenance & Protection of Traffic | Score: | |||||||||
5. Traffic control program exceeds project requirements; Contractor manages | ||||||||||
requirements independently. | ||||||||||
4. Met all project requirements with minimal need for DOT involvement. | ||||||||||
3. Met all project requirements with periodic DOT direction. | ||||||||||
2. Met all project requirements with constant DOT direction. | ||||||||||
1. Did not meet project requirements; accepted with reduced compensation | ||||||||||
(liquidated damages). | ||||||||||
Comments: | ||||||||||
OR | ||||||||||
7b. Building and Fire Code Inspections (Vertical Projects Only) | Score: | |||||||||
5. Work always constructed to code and requiring no reinspection. | ||||||||||
4. Work usually constructed to code and requiring minor corrective work | ||||||||||
prior to reinspection. | ||||||||||
3. Work usually constructed to code and requiring moderate corrective work | ||||||||||
prior to reinspection. | ||||||||||
2. Work frequently constructed to code and requiring extensive corrective | ||||||||||
work prior to reinspection. | ||||||||||
1. Work constructed contstantly not to code and strongly impacted the | ||||||||||
contract. | ||||||||||
Comments: | ||||||||||
8. Contractor’s Work Schedules and Project Updates | Score: | |||||||||
5. Project schedules always submitted on time and always reflective of actual | ||||||||||
work activities. | ||||||||||
4. Project schedules usually submitted on time and always reflective of actual | ||||||||||
work activities. | ||||||||||
3. Project schedules usually submitted on time and usually reflective of actual | ||||||||||
work activities. | ||||||||||
2. Project schedules frequently submitted late or not reflective of actual work | ||||||||||
activities. | ||||||||||
1. Project schedules not submitted or not reflective of actual work activities | ||||||||||
enough to be useful as a planning tool. | ||||||||||
Comments: | ||||||||||
9. Coordination and Cooperation with other Contractor(s), Sub(s) and Utilities | Score: | |||||||||
5. Interaction was outstanding throughout the project and was a strong | ||||||||||
contribution to the success of the project. | ||||||||||
4. Interaction was timely and satisfactory throughout the project. | ||||||||||
3. Interaction was adequate but slightly impeded the success of the project. | ||||||||||
2. Interaction was poor and caused periodic problems for the project. | ||||||||||
1. Interaction was the cause of constant problems and strongly impacted the | ||||||||||
success of the project. | ||||||||||
Comments: | ||||||||||
10. Contractor’s Compliance to Plans, Specifications, and Engineer | Score: | |||||||||
5. Contractor’s compliance was outstanding throughout the project. | ||||||||||
4. Contractor’s compliance was good throughout the project. | ||||||||||
3. Contractor’s compliance was adequate throughout the project. | ||||||||||
2. Contractor’s compliance was adequate but required DOT involvement. | ||||||||||
1. Contractor’s compliance was poor but required extensive DOT involvement. | ||||||||||
Comments: | ||||||||||
11. The Contractor’s Cooperation and Willingness to Discuss Potential Contract Disputes | Score: | |||||||||
5. The Contractor’s cooperation was outstanding and issues were resolved at lowest appropriate level. | ||||||||||
4. The Contractor’s cooperation was good and issues resolved at the project level. | ||||||||||
3. The Contractor’s cooperation was adequate but required issues to be escalated. | ||||||||||
2. The Contractor’s cooperation was poor and many issues required to be escalated. | ||||||||||
1. The Contractor’s cooperation was poor and severely impacted the project. | ||||||||||
Comments: | ||||||||||
12. Non-Conforming Work and Non-Compliance Notices | Score: | |||||||||
5. Work performance exceeded project requirements, contributing to the success of the project. | ||||||||||
4. Work performances met project requirements. | ||||||||||
3. Work performance issues occasionally did not meet project requirements. | ||||||||||
2. Work performance issues frequently did not meet project requirements and required Non-Compliance Notices. | ||||||||||
1. Work performance issues constantly hindered work performance and Non-Compliance Notices were issued. | ||||||||||
Comments: | ||||||||||
13. Contractor Engineering and Surveying Layout | Score: | |||||||||
5. Contractor had thorough knowledge of plans and engineering layout requirements. | ||||||||||
4. Contractor adequately performed engineering and survey layout. | ||||||||||
3. Contractor made several mistakes in engineering and survey layout. | ||||||||||
2. Contractor made several mistakes and inspection oversight was greater than normal. | ||||||||||
1. Contractor made several mistakes, inspection oversight was greater than normal, and quality assurance checks | ||||||||||
were excessive. | ||||||||||
Comments: | ||||||||||
Management of Work | ||||||||||
14. Field Closeout Activities/Punch List | Score: | |||||||||
5. Punch list completed job closeout activities within 30 days. | ||||||||||
4. Punch list completed job closeout activities within 45 days. | ||||||||||
3. Punch list completed job closeout activities after 60 days. | ||||||||||
2. Punch list completed job closeout activities after 60 days with significant Department involvement. | ||||||||||
1. Punch list completed with major delays and/or liquidated damages. | ||||||||||
Comments: | ||||||||||
15. Administration Closeout | Score: | |||||||||
5. Completed job closeout activities within 30 days. | ||||||||||
4. Completed job closeout activities within 60 days. | ||||||||||
3. Completed job closeout activities after 90 days. | ||||||||||
2. Completed job closeout activities with delays. | ||||||||||
1. Completed job closeout activities with major delays. | ||||||||||
Comments: | ||||||||||
16. Control of Materials: Source of Supply, Samples, Testing, Material Certificates | Score: | |||||||||
5. Material management was outstanding throughout the project and was a strong | ||||||||||
contribution to the success of the project. | ||||||||||
4. Material management was adequate throughout the project. | ||||||||||
3. Material management was adequate but slightly impeded the success of the project. | ||||||||||
2. Material management was poor and caused delays and quality problems for the project. | ||||||||||
1. Material management was the cause of constant problems and strongly impacted the | ||||||||||
success of the project. | ||||||||||
Comments: | ||||||||||
17. Project Submittals: Shop Drawings/Working Drawings | Score: | |||||||||
5. Exceeded project requirements and contributed to the success of the project. | ||||||||||
4. Timely, accurate, and in accordance with project requirements. | ||||||||||
3. Usually timely, accurate, and in accordance with project requirements. | ||||||||||
2. Frequently late, inaccurate, and not in accordance with project requirements. | ||||||||||
1. Constantly late with corrections required and seldom in accordance with project requirements. | ||||||||||
Comments: | ||||||||||
18. Jobsite Housekeeping | Score: | |||||||||
5. Exceeded project requirements and contributed to jobsite safety and productivity. | ||||||||||
4. Met all project requirements with minimal DOT direction. | ||||||||||
3. Met all project requirements with periodic DOT direction. | ||||||||||
2. Substandard requiring frequent DOT direction. | ||||||||||
1. Inadequate requiring constant DOT direction. | ||||||||||
Comments: | ||||||||||
EEO | ||||||||||
19. EEO, Davis Bacon Act, and DBE Compliance | Score: | |||||||||
5. Exceeded project requirements for conformance to current rules and regulations. | ||||||||||
4. Met all project requirements with minimal DOT guidance. | ||||||||||
3. Met all project requirements with periodic DOT guidance | ||||||||||
2. Substandard at meeting project requirements requiring frequent DOT involvement. | ||||||||||
1. Inadequate at meeting project requirements requiring constant DOT involvement | ||||||||||
and the assessment of Sanctions. | ||||||||||
Comments: | ||||||||||
ENVIRONMENTAL | ||||||||||
20. Environmental | Score: | |||||||||
5. Exceeded requirements of the project, providing extra effort to improve | ||||||||||
surroundings. | ||||||||||
4. Met all project requirements with minimal DOT direction. | ||||||||||
3. Met all project requirements with periodic DOT direction. | ||||||||||
2. Met all project requirements but required constant DOT direction. | ||||||||||
1. Did not meet all project requirements and required constant DOT direction. | ||||||||||
Comments: | ||||||||||
Part Two – General Comments | ||||||||||
1. Areas of Contractor performance needing improvement: | ||||||||||
2. Areas of performance in which the Contractor excelled: | ||||||||||
3. Additional remarks about the Contractor’s performance on the project: | ||||||||||
Rated by: | ||||||||||
Chief Inspector/ | ||||||||||
Resident Engineer: | ||||||||||
Signature: | ||||||||||
Reviewed by: | ||||||||||
District | ||||||||||
Project Engineer: | ||||||||||
Signature: | ||||||||||
Contractor Signature: | ||||||||||
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