CONTRACTOR PERFORMANCE ASSESSMENT

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					                                     CONTRACTOR PERFORMANCE ASSESSMENT
Date:                                                                    Work Order/Contract Date:

Contract Name:                                                           ID Number (ITSD):
Agency/Project Name/Agency Tracking #:                                   Contractor (Individual) & Service Area:


                                                                         [ ] Final Project Assessment
Attach copy of work order, agency-contractor agreement (SOW) and
                                                                            - or -
any other pertinent documents.
                                                                         [ ] Interim Assessment (check one below)
                                                                               [ ] Period: From ___/___/___ to ___/___/___
Return to this form and all attachments to:
                                                                               [ ] Deliverable/Milestone _______________
                                                                                  __________________________________
   ITSD, Procurement Services Bureau
                                                                            - or -
   Room 223, Mitchell Building
                                                                         [ ] Re-assessment
                                         Performance
         Assessment Area                                                            Comments/Rational For Rating
                                         Rating (1-5)


          Technical Performance



                       Timeliness


                     Cost Control


             Project Management


        Staff & Business Practices


Score the next two questions using the same scale of 1 to 5, and the same rational set forth in the performance rating criteria. A score of 5
would indicate a very positive response, and a score of 1 would indicate a very negative response.


How likely are you to select this
contractor again?


Is/was the contractor committed
to project success?

This assessment was completed         Phone #                Signature & Date:
by:

Has the contractor reviewed this      Attach any             Signature (contractor) & Date:
assessment?                           contractor
[ ] Yes                               comments,
[ ] No                                rebuttals, etc.
Department Director Signature & Date:

An agency may re-assess after receiving comments from the contractor. If the agency does a re-assessment, a new Contractor Performance
Assessment must be completed and returned with first assessment.