Standard Form 1420 - Performance Evaluation - Construction Contracts - 1983
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1
2FOR OFFICIAL USE ONLY
(WHEN COMPLETED)
1. CONTRACT NUMBER
PERFORMANCE EVALUATION - CONSTRUCTION CONTRACTS
A. ADVERTISED
1. CONTRACTOR (Name, address, and ZIP code)
3. TYPE
OF
B. NEGOTIATED
CONTRACT
FIRM
(Check)
OTHER
FIXED
CPFF
(Specify)
PRICE
4. COMPLEXITY OF WORK
DIFFICULT
ROUTINE
5. DESCRIPTION AND LOCATION OF WORK
a. AMOUNT OF BASIC
b. TOTAL AMOUNT OF
c. LIQUIDATED DAMAGES
d. NET AMOUNT PAID
6. FISCAL
CONTRACT
MODIFICATION
ASSESSED
CONTRACTOR
DATA
$
$
$
$
a. DATE OF AWARD
b. ORIGINAL CONTRACT
c. REVISED CONTRACT
d. DATE WORK ACCEPTED
7. SIGNIFICANT
COMPLETION DATE
COMPLETION DATE
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)
C. SIGNATURE
d. DATE
B. NAME AND TITLE (Type or print)
FOR OFFICIAL USE ONLY
STANDARD FORM 1420
AUTHORIZED FOR LOCAL REPRODUCTION
(10-83)
Previous edition is usable
Prescribed by GSA
(When completed)
FAR (48 CFR) 53.236-1(b)
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