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ы Ў Ў й ATTACHMENT I Sample Contractor Performance Evaluation Form
TO BE COMPLETED BY AGENCY
Name of Agency Providing Evaluation: _________________________________________________________________
Contractor Name: _______________________________ DBM Contract Manager:___________________________
Evaluation Period:___________________________Last Date of performance evaluation conducted: _________________
1. How do you rate the Contractors pager system availability?
___Very Good ___Satisfactory ____ Marginal ______Unsatisfactory
2. How do you rate the Contractors response time for completing orders?
___Very Good ___Satisfactory ____ Marginal ______Unsatisfactory
3. How do you rate the Contractors response time to questions and performance problems?
___Very Good ___Satisfactory ____ Marginal ______Unsatisfactory
4. How do you rate the Contractors timeliness for submitting invoices and reports?
___Very Good ___Satisfactory ____ Marginal ______Unsatisfactory
5. How do you rate the Contractor on accuracy of invoices and reports?
___Very Good ___Satisfactory ____ Marginal ______Unsatisfactory
6. How do you rate the Contractors overall reliability?
___Very Good ___Satisfactory ____ Marginal ______Unsatisfactory
Additonal Comments: ______________________________________________________________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
_____________________________ ____________________________
Signature Date Name of Agency
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