354x 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: | ||||||||||
no reviews yet
Please Login to review.