FOR OFFICIAL USE ONLY
(WHEN COMPLETED)
1. CONTRACT NUMBER
PERFORMANCE EVALUATION - CONSTRUCTION CONTRACTS
PART I - GENERAL CONTRACT DATA
2. CONTRACTOR (Name, address and ZIP code)
A. ADVERTISED
3. TYPE
OF
B. NEGOTIATED
FIRM
CONTRACT
(Check)
CPFF
FIXED
OTHER
PRICE
(Specify)
4. COMPLEXITY OF WORK
DIFFICULT
ROUTINE
5. DESCRIPTION AND LOCATION OF WORK
C. LIQUIDATED DAMAGES
D. NET AMOUNT PAID
. AMOUNT OF BASIC CONTRACT
B. TOTAL AMOUNT OF
A
ASSESSED
CONTRACTOR
MODIFICATION
6. FISCAL DATA
$
$
$
$
B. ORIGINAL CONTRACT
C. REVISED CONTRACT
D. DATE WORK ACCEPTED
. DATE OF AWARD
A
COMPLETION DATE
COMPLETION DATE
7. SIGNIFICANT
DATES
8. TYPE AND EXTENT OF SUBCONTRACTING
PART II - PERFORMANCE EVALUATION OF CONTRACT (Check appropriate box)
9. PERFORMANCE ELEMENTS
OUTSTANDING
SATISFACTORY
UNSATISFACTORY
A.
QUALITY OF WORK
B.
TIMELY PERFORMANCE
C.
EFFECTIVENESS OF MANAGEMENT
D.
COMPLIANCE WITH LABOR STANDARDS
E.
COMPLIANCE WITH SAFETY STANDARDS
10. OVERALL EVALUATION
OUTSTANDING (Explain in Item 13, on reverse)
SATISFACTORY
UNSATISFACTORY (Explain in Item 14, on reverse)
11. EVALUATED BY
A. ORGANIZATION (Type or print)
B. NAME AND TITLE (Type or print)
C. SIGNATURE
D. DATE
12. EVALUATION REVIEWED BY
A. ORGANIZATION (Type or print)
B. NAME AND TITLE (Type or print)
C. SIGNATURE
D. DATE
STANDARD FORM 1420 (10-83)
NSN 7540-01-150-0326
FOR OFFICIAL USE ONLY
Prescribed by GSA
(WHEN COMPLETED)
FAR (45 CFR) 53.236-1(b)
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