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HomeMy WebLinkAboutContract #: 001115 - From: To: - Exception - ExceptionStandard Designer Evaluation Form for All Building Contracts of $500,000 or Greater Construction Phase Design Consultant: Kang Associates Date Completed: 12/28/2015 Project Title: School Department Administration Building Contracting Agency: Town of North Andover General Contractor New England Builders & Contractors Signature Public Agency Official or Owner's Representative: Project #: Project Manager: Municipal Building Consultants, Inc. Performance Rating Scale: 1 2 3 4 /!� 1 1 1 1 Unsatisfactory Fair Good Excellent 1. Contract administration. • Did the Designer provide adequate support during the Bid and Award process? • Did the Designer attend and adequately lead all of the job meetings? 4 X.20= .80 • Did the Designer completely review the requisitions (checking the math, %completion)? Rating Score • Did the Designer facilitate project closeout/develop adequate punchlists? • Did the Designer review the shop drawings/submittals thoroughly and in a timely manner (within 7-14 days)? Comments: 2. Management of Consultants - Coordination. • Did the Designer request and coordinate site observations by the sub -consultants at the appropriate times? • Did the Designer review and analyze the sub -consultant's shop drawings/submittals and oversee X.10= _.40 their timely review in an accurate manner? �Rat —in Score • Did the Designer respond in a timely manner to requests for information from Contractor? Comments: 3. Evaluation and negotiation of change orders. • Did the Designer prepare proposal requests which clearly defined the scope changes? • Did the Designer assess the reasonableness of cost and time of the contractor's proposals? • Did the Designer provide a thorough analysis and explanation of the reason for the change order? Comments: 3 X.10= .30 Rating Score 4. Problem Resolution. • Did the Designer provide solutions that were creative and appropriate and in a timely manner? • Did the Designer suggest solutions that were cost effective? Comments: 3 X.05= .15 Rating Score 8/1/02 Division of Capital Asset Management Questionnaire p. 3 Standard Designer Evaluation Form for All Building Contracts of $500,000 or Greater Construction Phase 5. Quality of Contract Documents. • Were the consultants' drawings coordinated with the Designer's? • Were the code requirements met and well documented? 4 X.40= 1.60 • Were there a limited number of change orders as a result of the construction documents? Rating Score • Was the information systematic, logical, easily read and interpreted by the G.C. and Res. Engineer? • Were the contract documents complete and clear with a limited number of requests for clarifications? • Did the Designer demonstrate knowledge of and compliance with Chapter 149 requirements? Comments: 6. Communication Skills. • Was the Designer's written communication effective and informative? • Was the Designer's technical capability in terms of electronic technology and information 4 X.10= .40 management adequate for the needs of the project? Rating Score • Did the Designer keep User Agency informed of construction progress? • Did the Designer effectively communicate (negotiate when necessary) with local officials and the contractor? Comments: 7. Support of the Resident Engineer or Clerk of the Works • Did the Designer provide direction to the RE/CW and work cooperatively with them to oversee the construction? • Did the Designer give the R.E/CW adequate resources and information to perform their job X.05= .15 (plans, specs, other relevant communications)? PRIingScore • Did the Designer provide the R.E/CW with technical resources as needed to perform their work? Comments: Total Rating Remarks: (include additional sheets as necessary) Overall Comments: 8/1/02 Division of Capital Asset Management Questionnaire p. 4 Total Score Standard Designer Evaluation Form for All Building Contracts of $500,000 or Greater Construction Phase Division of Capital Asset Management Standard Designer Evaluation Forms for Public Agencies The Standard Designer Evaluation forms are required by Section 13 of Chapter 159 of the Acts of 2000 which amends Section 38E of MGL Chapter 7. As of November 1, 2000 every Public Agency as defined in section 44A of Chapter 149must complete the Standard Designer Evaluation Form for Designers hired by the Awarding Authority, in order to be eligible for state funding. • The Standard Designer Evaluation Form is available on the Commonwealth's web site at www. State.ma.us/cam/deseval.htm and by request to the Designer Selection Board — telephone: (617) 727-4046 or by email request to Designer.Evaluations@state.ma.us. • The Public Agency must complete the Designer Evaluation form at the completion of the project and submit it to the Designer no later than 30 days after the project completion. "Occupancy" shall determine project completion for purposes of the Designer Evaluation Form. • The Designer may submit a written response to the Division and the Board no later than 30 days after receipt of the completed evaluation. The letter should set forth any additional information concerning the building project or the oversight of the building construction contract by the public agency as may be relevant to the evaluation of the designer's performance on the contract. • The Public Agency must submit the completed Designer Evaluation Form and the written response from the Designer, if any, to the Designer Selection Board, to be included in the Designer's Qualification File, and a copy shall be forwarded by the Public Agency to the Division of Capital Asset Management. • Public Agencies must submit the Evaluation forms to the following addresses: • By mail or in person to both the Designer Selection Board Headquarters, One Ashburton Place, loth Floor, Room 1004, Boston, MA 02108 and to Designer Evaluations, Division of Capital Asset Management, Office of Programming, One Ashburton Place, Boston, MA 02108, Attn: Designer Evaluations • Refer to the attached copy of the legislation. Below is an outline of the procedures for the completion and submission of the Standard Designer Evaluation Form for Public Agencies. Procedures: 1. If a project is limited to preliminary design, such as a building feasibility study or Master plan, the Public Agency must submit the Designer Evaluation Form at the completion of the study or master plan. 2. For projects involving both design and construction, there are two stages in the project at which the Public Agency must complete the evaluation form as follows: • At the completion of the Schematic Design phase, the Agency must provide the Designer with a written preliminary evaluation for informational purposes. The Design Phase form may be utilized at this phase. This preliminary evaluation is not required to be submitted to DCAM and the DSB, but must be provided to the Designer no later than 30 days after completion of the schematic design phase of the project. • At the completion of the Construction project, the Public Agency must provide the Designer with a completed Design Phase and Construction Phase Evaluation Form for the ' "Public Agency" means a department, agency, board, commission, authority, or other instrumentality of the commonwealth or political subdivision of the commonwealth, or two or more subdivision thereof but not including the Massachusetts Bay Transportation Authority. "Public Agency" and "Awarding Authority" are used interchangeably in this document. "Designer" is defined in MGL Chapter 7, Section 38 A''/2. 8/1/02 Division of Capital Asset Management Instructions Standard Designer Evaluation Form for All Building Contracts of $500,000 or Greater Construction Phase entire project. These two completed forms must be submitted to the Designer no later than 30 days after the project completion. The Public Agency must then submit these forms to the Designer Selection Board and the Division of Capital Asset Management no later than 70 days after the project completion. 3. The Official from the Public Agency or the Owner's Representative (as described in Section 44A of Chapter 149*) shall certify that the information contained on the Designer Evaluation form represents, to the best of his/her knowledge, a true and accurate analysis of the designer's performance record on the contract. 4. The Designer will have the opportunity to submit a written response to DCAM and to the Designer Selection Board disputing any information contained in the form and setting forth any additional information concerning the building project or the oversight of the building construction contract by the public agency as may be relevant to the evaluation of the designer's performance on the contract. Any such letter must be attached by the Public Agency to the evaluation forms submitted to the Designer Selection Board and the Division of Capital Asset Management. 5. The information in the Designer's Qualification File including the completed evaluation forms will be made available to Public Agencies only upon written request to the Designer Selection Board or to the Division of Capital Asset Management. 6. Section 13 of Chapter 159 of the Acts of 2000 contains language providing limited indemnification for any public employee or public employer (as defined in Section 1 of Chapter 258) who has completed a Designer Evaluation form. The public employee is ensured of legal representation by the Commonwealth or the Public Agency, if sued, and the State will indemnify the employee from all personal financial losses and expenses including, but not limited to, legal fees and filing costs, if any, in an amount not to exceed $1,000,000. If the employee is found to have acted in a "willful, wanton or reckless manner", by the courts, the Public Agency or the Commonwealth will still cover legal fees and filing costs, but not damages. Please review the attached legislation for more details regarding this provision in the law. 7. Designer Evaluations must be completed for all building project contracts of $500,000 or more and dated on or after January 1, 2002. 8/1/02 Division of Capital Asset Management Questionnaire p. 1 Standard Designer Evaluation Form for All Building Contracts of $500,000 or Greater Construction Phase Instructions for Completion of Consultant Evaluation Form Purpose The purpose of this form is to fulfill the mandate of the law (Section 13 of chapter 159 of the Acts of 2000 which amends Section 38E of chapter 7) which requires State agencies utilizing State funds for building projects to evaluate the performance of Designers. Responsibility The evaluation is intended to be objective, independent and fair. The evaluation should be completed by the Project Manager (PM) and reviewed by the Supervisor and approved prior to its submission to the Designer. The Consultant Evaluation Form must be completed by every Public Agency within 70 days of project final completion in order to be eligible for State funds. Refer to the Procedures included in this package for full details. Process Evaluation Forms are to be completed at a minimum at the completion of the project. It is recommended that evaluations be completed at several stages of the Design and Construction Process with the intention of providing the consultant with opportunities for corrective action to be taken prior to the completion of the project. If the project involves both Design and Construction by the same designer, then both the Design Phase form and this Construction Phase form should be completed at the completion of the project. Rating/Scoring The rating for each category should be based on overall performance, but specific issues and problems can be noted through remarks annotated at the relevant category. The more detailed and constructive criticism, the more opportunity for the Consultant to respond and improve. Ratings should be entered in whole numbers (integers 1, 2, 3 or 4) only. The score should be calculated by multiplying each score by the weighting factor, (percentage noted inside box next to score) which is based on the relative importance of the various responsibilities. A score of 1 indicates dissatisfactory performance and must be accompanied by a detailed description of areas in need of improvement, Indicate the project phase that has just been completed, note that Design utilizes a different form. All questions have relevance to each of the construction phases of a project. Where a specific bulleted question does not apply, consider the overall numbered question. Question #1 This question documents the Designer's ability to administer the construction contract through timely and thorough review of the Contractor's work. It also is a place to comment on their capability in terms of documentation of the review and adequate back-up to support their approvals and disapprovals. The quality and thoroughness of punch lists and the Designer's ability to lead the project meetings at the site should be commented on here. Question #2 The Designer has the responsibility to provide oversight for all of the sub -consultants and to manage the Design Team through the execution of the construction, Evaluate the Designer's competence in team leadership and their attention to details of the sub -consultants work as well as their own. The role of coordination continues through construction and is particularly time sensitive at this stage. Was the Designer available and responsive to the need to bring the Design Team together to resolve construction issues? If there was a problem with the performance of a subconsultant, it is ultimately the Designer's responsibility to resolve the issues — this is the section in which to document that situation. As a means to tracking dissatisfactory sub -contractor performance, be sure to indicate the name of any relevant subcontractor and describe the nature of the problems. Question #3 Without regard to the reason for a change order (this is addressed in question #5) was the Designer thorough and prompt in providing requests for changes and documenting the reasons for the change? Did the Designer work to establish a cooperative relationship with the Contractor in order to facilitate negotiation and execution of needed changes? Question #4 When problems arose during construction, was the Designer prompt, responsive and creative in providing solutions? Did the Designer provide adequate attention to the problems in order to facilitate prompt resolution? Question #5 This question should address the quality of the Designer's construction documents as experienced through the progress of construction. Regardless of the GC or subcontractor's competencies, were the documents proven to be complete, easily read and utilized throughout the construction. This is an opportunity to document any areas where the PM feels that the Designer could have provided more detail or should have carried out more research during design. The quality of the documents should be reflected in the number of no -fee change orders - if change orders were high for some reason beyond the Designer's control, they should not be penalized. Errors and omissions requiring change orders or creating other problems should be documented here. Question #6 This question evaluates the Designer's ability to maintain adequate and thorough communications with the PM throughout the construction process. Were the communications clear and timely? Did the Designer have the technical capabilities to meet the requested/required electronic documentation and communication throughout the project? Question #7 The Resident Engineer (RE) or Clerk of the Works (CW) plays a very critical role in ensuring the construction is overseen and all issues are documented and promptly addressed, The ability of the RE/CW to fulfill this role is highly dependent on the support and commitment of the Designer to working with the RE/CW. This question should document that relationship and objectively evaluate the role of the Designer in supporting the RE in the field. Project Manager's are encouraged to add remarks to elaborate on the ratings and to provide additional feedback to the consultants. 8/1/02 Division of Capital Asset Management Questionnaire p. 2 Division of Capital Asset Management Standard Contractor Evaluation Form IMPORTANT — Please check (•) if this evaluation is for: ❑ Prime/General Contractor ® Subcontractor Section I- General Project Information - Section I must be completed in its entirety. Reference Reference Name: Patrick Saitta Telephone #: 978 686 5766 Reference Date: 6/10/15 Position/ Title: President DCAM Interviewer (if any): NA Reference Agency/ Firm: Municipal Building Consultants, Inc. Name of Contractor Being Evaluated: Contract Cost for Contractor Being Evaluated Jupiter Electric Including Change Orders: $228,116 142 Lafayette Road. .. (if change order amount unknown for subcontractor Salisbury, Ma 01952 then estimate as 5% of subcontract amount) Proj ect Contract Title: North Andover School Department New Start/ End Dates: 3/15/14 Office building Actual Completion Date: 6/5/15 Scope of Work: Project Location (city and state): North Andover, Ma. *****************Important**************** • Please check (✓) if this is a : ❑ Preliminary Evaluation (50% complete); or ® Final Evaluation (once use and/or occupancy, or issuance of a certificate of use and/or occupancy, or contract termination have been achieved, whichever is earlier) • Please check (✓) if ® The project was estimated to be greater than $1.5M dollars and required an Owner's Project Manager. Standard Contractor Evaluation Form Page 1 of 5 Revised: 7109 • Did the contractor execute this project using their own employees? Yes ® No ❑ Section II- Evaluation Questionnaire Please rate this contractor's performance in each of the following areas. If you need additional space, attach additional sheets. If you rate the contractor below "satisfactory" in anima, please provide detailed information to explain the rating assigned You are not restricted to using the numerical values (points) shown and may score in between the points shown. A total of 80 points are required for a passing grade. 1. Quality of Workmanship (0-28 points) Carry over points here I Rate the quality of this contractor's workmanship. Were there quality -related or workmanship problems on the contract? Was the contractor responsive to remedial work required? If so or if not, provide specific examples. unacceptable ❑ poor ❑ 0 points 14 points comments: 2. Project Management satisfactory ❑ very good 24 points 26 points excellent ❑ 28 points --+_2& points a) Scheduling- (0-13 points) Rate this contractor's performance with regard to adhering to contract schedules. Did this contractor meet the contract schedule or the schedule as revised by approved change orders? If not, was the delay attributable to this contractor? If so, provide specific examples. unacceptable ❑ poor, ❑ 0 points 7 points comments: satisfactory FRI very good ❑ 11 points 12 points excellent ❑ 13 points points b) Subcontractor Management- (0-13 points) Rate this contractor's ability, effort and success in managing and coordinating subcontractors (if no subcontractors, rate this contractor's overall project management). Was this contractor able to effectively resolve problems? If not, provide specific examples. unacceptable ❑ poor ❑ 0 points 6 points comments satisfactory ® very good ❑ excellent ❑ 11 points 12 points 13 points points Standard Contractor Evaluation Form Page 2 of 5 Revised: 7109 c) Safety and Housekeeping Procedures- (0-9 points) Rate this contractor's safety and housekeeping procedures on this project. Were there any OSHA violations or serious safety accidents? If so, provide specific examples. unacceptable ❑ poor ❑ 0 points 3 points comments satisfactory ❑ very good ❑ excellent It 7 points 8 points 9 points points d) Change Orders- (0-9 points) Did this contractor unreasonably claim change orders or extras? Were this contractor's prices on change orders and extras reasonable? If not, provide specific examples. unacceptable ❑ poor ❑ 0 points 3 points comments satisfactory ® very good ❑ 7 points 8 points excellent ❑ 9 points points e) Working Relationships- (0-7 points) Rate this contractor's working relationships with other parties (i.e. Awarding Authority, designer, subcontractors, etc.). Did this contractor relate to other parties in a professional manner? If not, give specific examples. unacceptable ❑ poor ❑ 0 points 2 points comments: satisfactory 0 very good ❑ excellent S points 6 points 7 points --)� r7 points f) Paperwork Processing= (0-7 points) Rate this contractor's performance in completing and submitting required project paperwork (i.e. change orders, submittals, drawings, requisitions, payrolls, workforce reports, etc.). Did the contractor submit the required paperwork promptly and in proper form? If not, provide specific examples. unacceptable ❑ poor ❑ 0 points 2 points comments satisfactory ❑ very good ® excellent ❑ 5 points 6 points 7 points �0 points Standard Contractor Evaluation Form Page 3 of 5 Revised: 7109 3. On -Site Supervisory Personnel Rating (0-14 points) a) General Performance- Rate the general performance of this contractor's on-site supervisory personnel. Did the superintendent(s) have the knowledge, management skills and experience to run a project of this size and scope? If not, provide specific examples. unacceptable ❑ poor ❑ 0 points 3 points comments satisfactory ❑ very good ® excellent ❑ 10 points 12 points 14 points points Please add up all points from this page and the preceding pages and enter total here: Section III- Legal and Administrative Proceedings Are you aware of any legal or administrative proceedings, invoked bonds, assessed damages, demands for direct payment, payment bond claims, contract failures, contract terminations, or penalties involving this contractor on this contract? What is the status of any pending litigation? What was the final outcome of any completed litigation? What are the dollar amounts of assessed damages or penalties? comments: No claims or litigation` Standard Contractor Evaluation Form Page 4 of 5 Revised: 7109 Section IV- Evaluator Certification I hereby certify that the information contained in this evaluation form represents, to the best of my knowledge, a true analysis of this contractor's performance record on this contract and that this Project Evaluation and Project Rating was not the subject of any negotiation, close-out, or settlement of the subject project or related thereto and that no compensation or consideration (either financial or additional work on this project or otherwise) was given to the awarding authority or me in connection with its preparation or the opinions contained herein. I also certify that I have no ties with this contractor either through a business or family relationship. I have mailed a copy of this completed evaluation form to the contractor on (Public Awarding Authorities must mail a copy of this completed evaluation form to the contractor). For Public Projects below $1,500,000, this form must be completed and signed by the Awarding Authority and may also be signed by the Owner's Representative (i.e. Architect/Designer) in conjunction with the Awarding Authority: J Signature of Awarding iiy Print Name and Tie Date Signature of Awarding Authority's Representative Print Name and Title Date (optional) For Public Projects $1,500,000 or greater, this form must be signed by the Owner's (Awarding Authority's) Project Manager and the Awarding Authority pursuant to M.G.L., c. 149, § 44A 1/2: XT,gnatuk6f`6wner's (Awarding Authority's) Print Name and Title Date Project Manager Signature of Awarding Authority Print Name and Title Date Section V- Additional Comments Comments: Standard Contractor Evaluation Form Page 5 of 5 Revised: 7109 Division of Capital Asset Management Standard Contractor Evaluation Form IMPORTANT — Please check (✓) if this evaluation is for: ❑ Prime/General Contractor ® Subcontractor Section I- General Project Information - Section I must be completed in its entirety. Reference Reference Name: Patrick Saitta Telephone #: 978 686 5766 Reference Date: 6/10/15 Position/ Title: President DCAM , Interviewer (if any): NA Reference Agency/ Firm: Municipal Building Consultants, Inc. Name of Contractor Being Evaluated: Contract Cost for Contractor Being Evaluated Thomas E. Snowden Including Change Orders: $324,000 189 Central Street (if change order amount unknown for subcontractor Saugus, Ma. 01906 then estimate as 5% of subcontract amount) Project Contract Title: North Andover School Department New Start/ End Dates: 3/15/14 Office building Actual Completion Date: 6/5/15 Scope of Work: HVAC system Project Location (city and state): North Andover, Ma. • Please check (✓) if this is a : ❑ Preliminary Evaluation (50% complete); or ® Final Evaluation (once use and/or occupancy, or issuance of a certificate of use and/or occupancy, or contract termination have been achieved, whichever is earlier) • Please check (✓) if. ® The project was estimated to be greater than $1.5M dollars and required an Owner's Project Manager. Standard Contractor Evaluation Form Page 1 of 5 Revised: 7109 • Did the contractor execute this project using their own employees? Yes ® No ❑ Section II- Evaluation Questionnaire Please rate this contractor's performance in each of the following areas. If you need additional space, attach additional sheets. If you rate the contractor below "satisfactory" in any area, please provide detailed information to explain the rating assigned You are not restricted to using the numerical values (points) shown and may score in between the points shown. A total of 80 points are required for a passing grade. 1. Quality of Workmanship (0-28 points) Carry over points here I Rate the quality of this contractor's workmanship. Were there quality -related or workmanship problems on the contract? Was the contractor responsive to remedial work required? If so or if not, provide specific examples. unacceptable ❑ poor ❑ 0 points 14 points comments: 2. Project Management satisfactory ❑ very good ❑ excellent 24 points 26 points 28 points -->28 points a) Scheduling- (0-13 points) Rate this contractor's performance with regard to adhering to contract schedules. Did this contractor meet the contract schedule or the schedule as revised by approved change orders? If not, was the delay attributable to this contractor? If so, provide specific examples. unacceptable ❑ poor ❑ 0 points 7 points comments satisfactory ❑ very good 11 points 12 points excellent ❑ 13 points 12points b) Subcontractor Management- (0-13 points) Rate this contractor's ability, effort and success in managing and coordinating subcontractors (if no subcontractors, rate this contractor's overall project management). Was this contractor able to effectively resolve problems? If not, provide specific examples. unacceptable ❑ poor ❑ 0 points 6 points comments satisfactory ❑ very good ® excellent ❑ 11 points 12 points 13 points X12 points Standard Contractor Evaluation Form Page 2 of 5 Revised: 7109 c) Safety and Housekeeping Procedures- (0-9 points) Rate this contractor's safety and housekeeping procedures on this project. Were there any OSHA violations or serious safety accidents? If so, provide specific examples. unacceptable ❑ poor ❑ 0 points 3 points comments: satisfactory ❑ very good 7 points 8 points excellent ❑ 9 points —)8 points d) Change Orders- (0-9 points) Did this contractor unreasonably claim change orders or extras? Were this contractor's prices on change orders and extras reasonable? If not, provide specific examples. unacceptable ❑ poor ❑ satisfactory ❑ very good ❑ excellent 0 points 3 points 7 points 8 points 9 points comments: e) Working Relationships- (0-7 points) Rate this contractor's working relationships with other parties (i.e. Awarding Authority, designer, subcontractors, etc.). Did this contractor relate to other parties in a professional manner? If not, give specific examples. unacceptable ❑ poor ❑ 0 points 2 points comments: satisfactory ❑ very good Z S points 6 points --+9 points excellent ❑ 7 points ---+6 points f) Paperwork Processing- (0-7 points) Rate this contractor's performance in completing and submitting required project paperwork (i.e. change orders, submittals, drawings, requisitions, payrolls, workforce reports, etc.). Did the contractor submit the required paperwork promptly and"in proper form? If not, provide specific examples. unacceptable ❑ poor ❑ 0 points 2 points comments: satisfactory ❑ very good 5 points 6 points excellent ❑ 7 points �6 points Standard Contractor Evaluation Form Page 3 of 5 Revised: 7109 3. On -Site Supervisory Personnel Rating (0-14 points) a) General Performance- Rate the general performance of this contractor's on-site supervisory personnel. Did the superintendent(s) have the knowledge, management skills and experience to run a project of this size and scope? If not, provide specific examples. unacceptable ❑ poor ❑ 0 points 3 points comments: satisfactory ❑ very good ® excellent ❑ 10 points 12 points 14 points X12 points Please add up all points from this page and the preceding pages and enter total here: 93 Section III- Legal and Administrative Proceedings Are you aware of any legal or administrative proceedings, invoked bonds, assessed damages, demands for direct payment, payment bond claims, contract failures, contract terminations, or penalties involving this contractor on this contract? What is the status of any pending litigation? What was the final outcome of any completed litigation? What are the dollar amounts of assessed damages or penalties? comments: No claims or litigation_ Standard Contractor Evaluation Form Page 4 of 5 Revised: 7109 Section IV- Evaluator Certification I hereby certify that the information contained in this evaluation form represents, to the best of my knowledge, a true analysis of this contractor's performance record on this contract and that this Project Evaluation and Project Rating was not the subject of any negotiation, close-out, or settlement of the subject project or related thereto and that no compensation or consideration (either financial or additional work on this project or otherwise) was given to the awarding authority or me in connection with its preparation or the opinions contained herein. I also certify that I have no ties with this contractor either through a business or family relationship. I have mailed a copy of this completed evaluation form to the contractor on /0-?-,)P-/s- (Public a-,)P-/s- (Public Awarding Authorities must mail a copy of this completed evaluation form to the contractor). For Public Projects below $1,500,000, this form must be completed and signed by the Awarding Authority and may also be signed by the Owner's Representative (i.e. Architect/Designer) in conjunction with the Awarding Authority: Signature of Awarding Auth rity Print Name and Title Date Signature of Awarding Authority's Representative Print Name and Title Date (optional) For Public Projects $1,500,000 or greater, this form must be signed by the Owner's (Awarding Authority's) Project Manager and the Awarding Authority pursuant to M.G.L., c. 149, § 44A 1/2: Signature of Owner's (Awarding Authority's) Print Name and Title Date Project Manager Signature of Awarding Authority Print Name and Title Date Section V- Additional Comments Comments: Standard Contractor Evaluation Form Page 5 of 5 Revised: 7109 Division of Capital Asset Management Standard Contractor Evaluation Form IMPORTANT — Please check (✓) if this evaluation is for: ❑ Prime/General Contractor ® Subcontractor Section I- General Project Information - Section I must be completed in its entirety. Reference Reference Name: Patrick Saitta Telephone #: 978 686 5766 Reference Date: 6/10/15 Position/ Title: President DCAM Interviewer (if any): NA Reference Agency/ Firm: Municipal Building Consultants, Inc. Name of Contractor Being Evaluated: Contract Cost for Contractor Being Evaluated Robert W. Irvine & sons Including Change Orders: $88,880 147 Blossom St (if change order amount unknown. for subcontractor Lynn, Ma. 01902 then estimate as 5% of subcontract amount) Proj ect Contract Title: North Andover School Department New Start/ End Dates: 3/15/14 Office building Actual Completion Date: 6/5/15 Scope of Work: Plumbing System Project Location (city and state): North Andover, Ma. *****************Important**************** • Please check (✓) if this is a : ❑ Preliminary Evaluation (50% complete); or ® Final Evaluation (once use and/or occupancy, or issuance of a certificate of use and/or occupancy, or contract termination have been achieved, whichever is earlier) • Please check (✓) if. ® The project was estimated to be greater than $1.5M dollars and required an Owner's Project Manager. Standard Contractor Evaluation Form Page 1 of 5 Revised: 7109 • Did the contractor execute this project using their own employees? Yes ® No ❑ Section H- Evaluation Questionnaire Please rate this contractor's performance in each of the following areas. If you need additional space, attach additional sheets. If you rate the contractor below "satisfactory" in any area, please provide detailed information to explain the rating assigned You are not restricted to using the numerical values (points) shown and may score in between the points shown. A total of 80 points are required for a passing grade. 1. Quality of Workmanship (0-28 points) Carry over points here Rate the quality of this contractor's workmanship. Were there quality -related or workmanship problems on the contract? Was the contractor responsive to remedial work required? If so or if not, provide specific examples. unacceptable ❑ poor ❑ 0 points 14 points comments: 2. Project Management satisfactory ❑ very good ❑ excellent 24 points 26 points 28 points ..—+28 points a) Scheduling- (0-13 points) Rate this contractor's performance with regard to adhering to contract schedules. Did this contractor meet the contract schedule or the schedule as revised by approved change orders? If not, was the delay attributable to this contractor? If so, provide specific examples. unacceptable ❑ poor ❑ 0 points 7 points comments: satisfactory ❑ very good 11 points 12 points excellent ❑ 13 points X12 points . b) Subcontractor Management- (0-13 points) Rate this contractor's ability, effort and success in managing and coordinating subcontractors (if no subcontractors, rate this contractor's overall project management). Was this contractor able to effectively resolve problems? If not, provide specific examples. unacceptable ❑ poor ❑ 0 points 6 points comments satisfactory ❑ very good 11 points 12 points excellent ❑ 13 points X12 points Standard Contractor Evaluation Form Page 2 of 5 Revised: 7109 c) Safety and Housekeeping Procedures- (0-9 points) Rate this contractor's safety and housekeeping procedures on this project. Were there any OSHA violations or serious safety accidents? If so, provide specific examples. unacceptable ❑ poor ❑ 0 points 3 points comments: satisfactory ❑ very good ® excellent ❑ 7 points 8 points 9 points —*8 points d) Change Orders- (0-9 points) Did this contractor unreasonably claim change orders or extras? Were this contractor's prices on change orders and extras reasonable? If not, provide specific examples. unacceptable ❑ poor ❑ satisfactory ❑ very good ❑ excellent 0 points 3 points 7 points 8 points 9 points comments: e) Working Relationships- (0-7 points) Rate this contractor's working relationships with other parties (i.e. Awarding Authority, designer, subcontractors, etc.). Did this contractor relate to other parties in a professional manner? If not, give specific examples. unacceptable ❑ poor ❑ 0 points 2 points comments —)"9 points satisfactory ❑ veiy good ® excellent ❑ 5 points 6 points 7 points � 6 points f) Paperwork Processing- (0-7 points) Rate this contractor's performance in completing and submitting required project paperwork (i.e.-change orders, submittals, drawings, requisitions, payrolls, workforce reports, etc.). Did the contractor submit the required paperwork promptly and in proper form? If not, provide specific examples. unacceptable ❑ poor ❑ satisfactory ❑ very good ® excellent ❑ 0 points 2 points 5 points 6 points 7 points ---*6 points comments Standard Contractor Evaluation Form Page 3 of 5 Revised: 7109 ti 3. On -Site Supervisory Personnel Rating (0-14 points) a) General Performance- Rate the general performance of this contractor's on-site supervisory personnel. Did the superintendent(s) have the knowledge, management skills and experience to run a project of this size and scope? If not, provide specific examples. unacceptable ❑ poor ❑ 0 points 3 points comments satisfactory ❑ very good ® excellent ❑ 10 points 12 points 14 points X12 points Please add up all points from this page and the preceding pages and enter total here: 93 Section III- Legal and Administrative Proceedings Are you aware of any legal or administrative proceedings, invoked bonds, assessed damages, demands for direct payment, payment bond claims, contract failures, contract terminations, or penalties involving this contractor on this contract? What is the status of any pending litigation? What was the final outcome of any completed litigation? What are the dollar amounts of assessed damages or penalties? comments: No claims or litigation` Standard Contractor Evaluation Form Page 4 of 5 Revised.• 7109 Section IV- Evaluator Certification I hereby certify that the information contained in this evaluation form represents, to the best of my knowledge, a true analysis of this contractor's performance record on this contract and that this Project Evaluation and Project Rating was not the subject of any negotiation, close-out, or settlement of the subject project or related thereto and that no compensation or consideration (either financial or additional work on this project or otherwise) was given to the awarding authority or me in connection with its preparation or the opinions contained herein. I also certify that I have no ties with this contractor either through a business or family relationship. I have mailed a copy of this completed evaluation form to the contractor on / a - DR - I S_ (Public Awarding Authorities must mail a copy of this completed evaluation form to the contractor). For Public Projects below $1,500,000, this form must be completed and signed by the Awarding Authority and may also be signed by the Owner's Representative (i.e. Architect/Designer) in conjunction with the Awarding Authority: 4—q7 lor ALA a e r Signature of Awarding _ Print Name and Title Date Signature of Awarding Authority's Representative Print Name and Title Date (optional) For Public Projects $1,500,000 or greater, this form must be signed by the Owner's (Awarding Authority's) Project Manager and the Awarding Authority pursuant to M.G.L., c. 149, § 44A 1/2: Signature of Owner's (Awarding Authority's) Pnnt Name and Title Date Project Manager Signature of Awarding Authority Print Name and Title Date Section V- Additional Comments Comments Standard Contractor Evaluation Form Page 5 of 5 Revised: 7109 Division of Capital Asset Management Standard Contractor Evaluation Form IMPORTANT — Please check (✓) if this evaluation is for: ❑ Prime/General Contractor ® Subcontractor Section I- General Project Information - Section I must be completed in its entirety. Reference Reference Name: Patrick Saitta Telephone #: 978 686 5766 Reference Date: 6/10/15 Position/ Title: President DCAM- Interviewer (if any): NA Reference ., Agency/ Firm: Municipal Building Consultants, Inc. Name of Contractor Being Evaluated: Contract Cost for Contractor Being Evaluated Ebacher Plumbing & Heating Including Change Orders: $74,000 •fro ��o� ,,,o�{� Rd Amesbury, Ma. 01913 (if change order amount unknown for subcontractor then estimate as 5% of subcontract amount) Project Contract Title: North Andover School Department New Start/ End Dates: 3/15/14 Office building Actual Completion Date: 6/5/15 Scope of Work: Fire Protection System Project Location (city and state): North Andover, Ma. • Please check (✓) if this is a : ❑ Preliminary Evaluation (50% complete); or Final Evaluation (once use and/or occupancy, or issuance of a certificate of use and/or occupancy, or contract termination have been achieved, whichever is earlier) • Please check (✓) if: ® The project was estimated to be greater than $1.5M dollars and required an Owner's Project Manager. Standard Contractor Evaluation Form Page 1 of 5 Revised • 7109 Did the contractor execute this project using their own employees? Yes ® No ❑ Section H- Evaluation Questionnaire Please rate this contractor's performance in each of the following areas. If you need additional space, attach additional sheets. If you rate the contractor below "satisfactory" in an area, provide detailed information to explain the rating assigned You are not restricted to using the numerical values (points) shown and may score in between the points shown. A total of 80 points are required for a passing grade. 1. Quality of Workmanship (0-28 points) Carry over points here Rate the quality of this contractor's workmanship. Were there quality -related or workmanship problems on the contract? Was the contractor responsive to remedial work required? If so or if not, provide specific examples. unacceptable ❑ poor ❑ 0 points 14 points comments: 2. Project Management satisfactory ❑ very good ❑ excellent 24 points 26 points 28 points X28 points a) Scheduling- (0-13 points) Rate this contractor's performance with regard to adhering to contract schedules. Did this contractor meet the contract schedule or the schedule as revised by approved change orders? If not, was the delay attributable to this contractor? If so, provide specific examples. unacceptable ❑ poor ❑ 0 points 7 points comments satisfactory ❑ very good 11 points 12 points excellent ❑ 13 points b) Subcontractor Management- (0-13 points) Rate this contractor's ability, effort and success in managing and coordinating subcontractors (if no subcontractors, rate this contractor's overall project management). Was this contractor able to effectively resolve problems? If not, provide specific examples. unacceptable ❑ poor ❑ 0 points 6 points comments: —)"I2 points satisfactory ❑ very good ® excellent ❑ 11 points 12 points 13 points X12 points Standard Contractor Evaluation Form Page 2 of 5 Revised: 7109 c) Safety and Housekeeping Procedures- (0-9 points) Rate this contractor's safety and housekeeping procedures on this project. Were there any OSHA violations or serious safety accidents? If so, provide specific examples. unacceptable ❑ poor ❑ 0 points 3 points comments: satisfactory ❑ very good 7 points 8 points excellent ❑ 9 points --*8 points d) Change Orders- (0-9 points) Did this contractor unreasonably claim change orders or extras? Were this contractor's prices on change orders and extras reasonable? If not, provide specific examples. unacceptable ❑ poor ❑ 0 points 3 points comments: satisfactory ❑ very good ❑ excellent 7 points 8 points 9 points --+9 points e) Working Relationships- (0-7 points) Rate this contractor's working relationships with other parties (i.e. Awarding Authority, designer, subcontractors, etc.). Did this contractor relate to other parties in a professional manner? If not, give specific examples. unacceptable ❑ poor. ❑ 0 points 2 points comments: satisfactory ❑ very good 5 points 6 points excellent ❑ 7 points —*6 points f) Paperwork Processing- (0-7 points) Rate this contractor's performance in completing and submitting required project paperwork (i.e. change orders, submittals, drawings, requisitions, payrolls, workforce reports, etc.). Did the contractor submit the required paperwork promptly and in proper form? ' Ifnot, provide specific examples. unacceptable ❑ poor ❑ satisfactory,❑ very good ® excellent ❑ 0 points 2 points 5 points 6 points 7 points —)1-6 points comments: Standard Contractor Evaluation Form Page 3 of 5 Revised: 7109 3. On -Site Supervisory Personnel Rating (0-14 points) a) General Performance- Rate the general performance of this contractor's on-site supervisory personnel. Did the superintendent(s) have the knowledge, management skills and experience to run a project of this size and scope? If not, provide specific examples. unacceptable ❑ poor ❑ 0 points 3 points comments satisfactory ❑ very good 10 points 12 points excellent ❑ 14 points X12 points 'lease add up all points from this page and the preceding pages and enter total here: 93 Section III- Legal and Administrative Proceedings .Are you aware of any legal or administrative proceedings, invoked bonds, assessed damages, demands for direct payment, payment bond claims, contract failures, contract terminations, or penalties involving this contractor on this contract? What is the status of any pending litigation? What was the final outcome of any completed litigation? What are the dollar amounts of assessed damages or penalties? comments: No claims or litigation` Standard Contractor Evaluation Form Page 4 of 5 Revised: 7109 Section IV- Evaluator Certification I hereby certify that the information contained in this evaluation form represents, to the best of my knowledge, a true analysis of this contractor's performance record on this contract and that this Project Evaluation and Project Rating was not the subject of any negotiation, close-out, or settlement of the subject project or related thereto and that no compensation or consideration (either financial or additional work on this project or otherwise) was given to the awarding authority or me in connection with its preparation or the opinions contained herein. I also certify that I have no ties with this contractor either through a business or family relationship. I have mailed a copy of this completed evaluation form to the contractor on f o?- a8-1 j (Public Awarding Authorities must mail a copy of this completed evaluation form to the contractor). For Public Projects below $1,500,000, this form must be completed and signed by the Awarding Authority and may also be signed by the Owner's Representative (i.e. Architect/Designer) in conjunction with the Awarding Authority: Signature of Awarding Authority Print Name and T' le Date Signature of Awarding Authority's Representative Print_ Name and Title Date (optional) For Public Projects $1,500,000 or greater, this form must be signed by the Owner's (Awarding Authority's) Project Manager and the Awarding Authority pursuant to M.G.L., c. 149, § 44A 1%2: Signatu of Owner's (Awarding Authority's) Print Name and Title Date Project Manager Signature of Awarding Authority Print Name and Title Date Section V- Additional Comments Comments: Standard Contractor Evaluation Form Page 5 of 5 Revised: 7109 Division of Capital Asset Management Standard Contractor Evaluation Form IMPORTANT — Please check (✓) if this evaluation is for: ❑ Prime/General Contractor ® Subcontractor Section I- General Project Information - Section I must be completed in its entirety. Reference Reference Name: Patrick Saitta Telephone #: 978 686 5766 Reference Date: 6/10/15 Position/ Title: President - DCAM Interviewer (if any): NA Reference Agency/ Firm: Municipal Building Consultants, Inc. Name of Contractor Being Evaluated: Contract Cost for Contractor Being Evaluated Eagle Elevator. Including Change Orders: $26,963 176 Norfolk Ave (if change order amount unknown for subcontractor Boston, Ma. 02119 then estimate as 5% of subcontract amount) Project -Contract Title: North Andover School Department New Start/ End Dates: 3/15/14 Office building Actual Completion Date: 6/5/15 Scope of Work: Project Location (city and state): North Andover, Ma. • Please check (✓) if this is a : ❑ Preliminary Evaluation (50% complete); or ® Final Evaluation (once use and/or occupancy, or issuance of a certificate of use and/or occupancy, or contract termination have been achieved, whichever is earlier) • Please check (✓) it. ® The project was estimated to be greater than $I.5M dollars and required an Owner's Project Manager. Standard Contractor Evaluation Form Page 1 of 5 Revised: 7109 • Did the contractor execute this project using their own employees? Yes ® No ❑ Section II- Evaluation Questionnaire Please rate this contractor's performance in each of the following areas. If you need additional space, attach additional sheets. If you rate the contractor below "satisfactory" in any area, please provide detailed information to explain the rating assi ned You are not restricted to using the numerical values (points) shown and may score in between the points shown. A total of 80 points are required for a passing grade. 1. Quality of Workmanship (0-28 points) Carry over points here Rate the quality of this contractor's workmanship. Were there quality -related or workmanship problems on the contract? Was the contractor responsive to remedial work required? If so or if not, provide specific examples. unacceptable ❑ poor ❑ 0 points 14 points comments: 2. Project Management satisfactory ❑ very good ❑ excellent 24 points 26 points 28 points —+28 points a) Scheduling- (0-13 points) Rate this contractor's performance with regard to adhering to contract schedules. Did this contractor meet the contract schedule or the schedule as revised by approved change orders? If not, was the delay attributable to this contractor? If so, provide specific examples. unacceptable ❑ poor ❑ 0 points 7 points comments: satisfactory ❑ very good ® excellent ❑ I1 points 12 points 13 points X12 points b) Subcontractor Management- (0-13 points) Rate this contractor's ability, effort and success in managing and coordinating subcontractors (if no subcontractors, rate this contractor's overall project management). Was this contractor able to effectively resolve problems? If not, provide specific examples. unacceptable ❑ poor ❑ 0 points 6 points comments. satisfactory ❑ very good ® excellent ❑ 11 points 12 points 13 points X12 points Standard Contractor Evaluation Form Page 2 of 5 Revised: 7109 c) Safety and Housekeeping Procedures- (0-9 points) Rate this contractor's safety and housekeeping procedures on this project. Were there any OSHA violations or serious safety accidents? If so, provide specific examples. unacceptable ❑ poor ❑ 0 points 3 points comments satisfactory ❑ very good ® excellent ❑ 7 points 8 points 9 points --+8 points d) Change Orders- (0-9 points) Did this contractor unreasonably claim change orders or extras? Were this contractor's prices on change orders and extras reasonable? If not, provide specific examples. unacceptable ❑ poor ❑ satisfactory ❑ very good ® excellent ❑ 0 points 3 points 7 points 8 points 9 points comments: e) Working Relationships- (0-7 points) Rate this contractor's working relationships with other parties (i.e. Awarding Authority, designer, subcontractors, etc.). Did this contractor relate to other parties in a professional manner? If not, give specific examples. unacceptable ❑ poor ❑ 0 points 2 points comments satisfactory ❑ very good S points 6 points --+8 points excellent ❑ 7 points � 6 points f) Paperwork Processing- (0-7 points) Rate this contractor's performance in completing and submitting required project paperwork (i.e. change orders, submittals, drawings, requisitions, payrolls, workforce reports, etc.). Did the contractor submit the required paperwork promptly and in proper form? If not, provide specific examples. unacceptable ❑ poor ❑ satisfactory ❑ very good ® excellent ❑ 0 points 2 points S points 6 points 7 points comments —)1-6 points Standard Contractor Evaluation Form Page 3 of 5 Revised: 7109 3. On -Site Supervisory Personnel Rating (0-14 points) a) General Performance- Rate the general performance of this contractor's on-site supervisory personnel. Did the superintendent(s) have the knowledge, management skills and experience to run a project of this size and scope? If not, provide specific examples. unacceptable ❑ poor ❑ 0 points 3 points comments satisfactory ❑ very good ® excellent ❑ 10 points 12 points 14 points — +12 points Please add up all points from this page and the preceding pages and enter total here: 92 Section III- Legal and Administrative Proceedings Are you aware of any legal or administrative proceedings, invoked bonds, assessed damages, demands for direct payment, payment bond claims, contract failures, contract terminations, or penalties involving this contractor on this contract? What is the status of any pending litigation? What was the final outcome of any completed litigation? What are the dollar amounts of assessed damages or penalties? comments: No claims or litigation` Standard Contractor Evaluation Form Page 4 of 5 Revised: 7109 Section IV- Evaluator Certification I hereby certify that the information contained in this evaluation form represents, to the best of my knowledge, a true analysis of this contractor's performance record on this contract and that this Project Evaluation and Project Rating was not the subject of any negotiation, close-out, or settlement of the subject project or related thereto and that no compensation or consideration (either financial or additional work on this project or otherwise) was given to the awarding authority or me in connection with its preparation or the opinions contained herein. I also certify that I have no ties with this contractor either through a business or family relationship. I have mailed a copy of this completed evaluation form to the contractor on / of -'}8- /J (Public Awarding Authorities must mail a copy of this completed evaluation form to the contractor). For Public Projects below $1,500,000, this form must be completed and signed by the Awarding Authority and may also be signed by the Owner's Representative (i.e. Architect/Designer) in conjunction with the Awarding Authority: Signature of Awarding Au ority Signature of Awarding Authority's Representative (optional) �n��e..✓ �..� oar awn /a -a8 -ice Print Name and Title Date Print Name and Title Date For Public Projects $1,500,000 or greater, this form must be signed by the Owner's (Awarding Authority's) Project Manager and the Awarding Authority pursuant to M.G.L., c. 149, § 44A 1/2: i 4 ignatur o Owner's (Awarding Authority's) Print Name and Title Date Project Manager Signature of Awarding Authority Section V- Additional Comments Comments: Print Name and Title Date Standard Contractor Evaluation Form Page 5 of 5 Revised: 7109 N Division of Capital Asset Management Standard Contractor Evaluation Form IMPORTANT — Please check (✓) if this evaluation is for: ❑ Prime/General Contractor ® Subcontractor Section I- General Project Information - Section I must be completed in its entirety. Reference Reference Name: Patrick Saitta Telephone #: 978 686 5766 Reference Date: 6/10/15 Position/ Title: President DCAM Interviewer (if any): NA Reference Agency/ Firm: Municipal Building Consultants, Inc. Name of Contractor Being Evaluated: Contract Cost for Contractor Being Evaluated O'Byrne Painting Including Change Orders: $ z8, '710-0 PO Box 5075 (if change order amount unknown for subcontractor Wayland, Ma 01778 then estimate as 5% of subcontract amount) Project Contract. Title: North Andover School Department New Start/ End bates: 3/15/14 Actual Office building Completion Date: 6/5/15 Scope of Work: Painting Project Location (city and state): North Andover, Ma. *****************Important**************** • Please check (✓) if this is a : ❑ Preliminary Evaluation (50% complete); or • Please check (✓) if: ® Final Evaluation (once use and/or occupancy, or issuance of a certificate of use and/or occupancy, or contract termination have been achieved, whichever is earlier) ® The project was estimated to be greater than $1.5M dollars and required an Owner's Project Manager. Standard Contractor Evaluation Form Page 1 of 5 Revised: 7109 • Did the contractor execute this project using their own employees? Yes ® No ❑ Section H- Evaluation Questionnaire Please rate this contractor's performance in each of the following areas. If you need additional space, attach additional sheets. If you rate the contractor below "satisfactory in an area, please provide detailed information to explain the rating assigned You are not restricted to using the numerical values (points) shown and may score in between the points shown. A total of 80 points are required for a passing grade. 1. Quality of Workmanship (0-28 points) Carry over points here I Rate the quality of this contractor's workmanship. Were there quality -related or workmanship problems on the contract? Was the contractor responsive to remedial work required? If so or if not, provide specific examples. unacceptable ❑ poor ❑ 0 points 14 points comments: 2. Project Management satisfactory ❑ very good ❑ 24 points 26 points excellent 28 points X28 points a) Scheduling- (0-13 points) •Rate this contractor's performance with regard to adhering to contract schedules. Did this contractor meet the contract schedule or the schedule as revised by approved change orders? If not, was the delay attributable to this contractor? If so, provide specific examples. unacceptable ❑ poor ❑ 0 points 7 points comments satisfactory ❑ very good 11 points. 12 points excellent ❑ 13 points —*12 points. b) Subcontractor Management- (0-13 points) Rate this contractor's ability, effort and success in managing and coordinating subcontractors (if no subcontractors, rate this contractor's overall project management). Was this contractor able to effectively resolve problems? If not, provide specific examples. unacceptable ❑ poor ❑ 0 points 6 points comments: satisfactory ❑ very good ® excellent ❑ 11 points 12 points 13 points —12 points Standard Contractor Evaluation Form Page 2 of 5 Revised: 7109 c) Safety and Housekeeping Procedures- (0-9 points) Rate this contractor's safety and housekeeping procedures on this project. Were there any OSHA violations or serious safety accidents? If so, provide specific examples. unacceptable ❑ poor ❑ 0 points 3 points comments satisfactory ❑ very good ® excellent ❑ 7 points 8 points 9 points -->g points d) Change Orders- (0-9 points) Did this contractor unreasonably claim change orders or extras? Were this contractor's prices on change orders and extras reasonable? If not, provide specific examples. unacceptable ❑ poor ❑ 0 points 3 points comments satisfactory ❑ very good ❑ excellent 7 points 8 points 9 points —*9 points e) Working Relationships- (0-7 points) Rate this contractor's working relationships with other parties (i.e. Awarding Authority, designer, subcontractors, etc.). Did this contractor relate to other parties in a professional manner? If not, give specific examples. unacceptable ❑ poor ❑ satisfactory ❑ very good ® excellent ❑ 0 points 2 points.. 5 points 6 points 7 points ---+6 points comments: f) . Paperwork Processing- (0-7 points) Rate this contractor's performance in completing and submitting required project paperwork (i.e. change orders, submittals, drawings, requisitions, payrolls, workforce reports, etc.). Did the contractor submit the required paperwork promptly and in proper form? If not, provide specific examples. unacceptable ❑ poor ❑ satisfactory ❑ very good ® excellent ❑ 0 points 2 points S points 6 points 7 points - —6 points comments: Standard Contractor Evaluation Form Page 3 of 5 Revised.• 7109 10 3. On -Site Supervisory Personnel Rating (0-14 points) a) General Performance- Rate the general performance of this contractor's on-site supervisory personnel. Did the superintendent(s) have the knowledge, management skills and experience to run a project of this size and scope? If not, provide specific examples. unacceptable ❑ poor ❑ 0 points 3 points comments: satisfactory ❑ very good ® excellent ❑ 10 points 12 points 14 points X12 points Please add up all points from this page and the preceding pages and enter total here: 93 Section III- Legal and Administrative Proceedings Are you aware of any legal or administrative proceedings, invoked bonds, assessed damages, demands for direct payment, payment bond claims, contract failures, contract terminations, or penalties involving this contractor on this contract? What is the status of any pending litigation? What was the final outcome of any completed litigation? What are the dollar amounts of assessed damages or penalties? comments: No claims or liti ag tion` Standard Contractor Evaluation Form Page 4 of 5 Revised: 7109 Section IV- Evaluator Certification I hereby certify that the information contained in this evaluation form represents, to the best of my knowledge, a true analysis of this contractor's performance record on this contract and that this Project Evaluation and Project Rating was not the subject of any negotiation, close-out, or settlement of the subject project or related thereto and that no compensation or consideration (either financial or additional work on this project or otherwise) was given to the awarding authority or me in connection with its preparation or the opinions contained herein. I also certify that I have no ties with this contractor either through a business or family relationship. I have mailed a copy of this completed evaluation form to the contractor on (Public Awarding Authorities must mail a copy of this completed evaluation form to the contractor). For Public Projects below $1,500,000, this form must be completed and signed by the Awarding Authority and may also be signed by the Owner's Representative (i.e. Architect/Designer) in conjunction with the Awarding Authority: M__X ' Signature of Awarding Au ority Signature of Awarding Authority's Representative (optional) 4, d^e v/ "/ i l0r 10-1 IIIQeicLjeo- /o?- Print Name and Title Date Print Name and Title Date For Public Projects $1,500,000 or greater, this form must be signed by the Owner's (Awarding Authority's) Project Manager and the Awarding Authority pursuant to M.G.L., c. 149, § 44A 1/2: Signa Owner's (Awarding Authority's) Print Name and Title Date Project Manager Signature of Awarding Authority Section V- Additional Comments Comments Print Name and Title Date Standard Contractor Evaluation Form Page 5 of 5 Revised: 7109 3 Division of Capital Asset Management Standard Contractor Evaluation Form IMPORTANT — Please check (✓) if this evaluation is for: ❑ Prime/General Contractor ® Subcontractor Section I- General Project Information - Section I must be completed in its entirety. Reference Reference Name: Patrick Saitta Telephone #: 978 686 5766 Reference Date: 6/10/15 Position/ Title: President DCAM Interviewer (if any): NA Reference Agency/ Firm: Municipal Building Consultants, Inc. Name of Contractor Being_ Evaluated: Contract Cost for Contractor Being Evaluated K&K Acoustical Ceilings Including Change Orders: $ Y4,6770 " 1881 Main Street (if change order amount unknown for subcontractor Tewksbury, Ma. 01876 then estimate as 5% of subcontract amount) Project Contract Title: North Andover School Department New Start/ End Dates: 3/15/14 Office building Actual Completion Date: 6/5/15 Scope of Work: Acoustic Ceilings Project Location (city and state): North Andover, Ma. • Please check (✓) if this is a : ❑ Preliminary Evaluation (50% complete); or ® Final Evaluation (once use and/or occupancy, or issuance of a certificate of use and/or occupancy, or contract termination have been achieved, whichever is earlier) • Please check (✓) if: ® The project was estimated to be greater than $1.5M dollars and required an Owner's Project Manager. Standard Contractor Evaluation Form Page 1 of 5 Revised: 7109 • Did the contractor execute this project using their own employees? Yes ® No ❑ Section H- Evaluation Questionnaire Please rate this contractor's performance in each of the following areas. If you need additional space, attach additional sheets. If you rate the contractor below "satisfactory" in any area please provide detailed information to explain the rating assigned You are not restricted to using the numerical values (points) shown and may score in between the points shown. A total of 80 points are required for a passing grade. 1. Quality of Workmanship (0-28 points) Carry over points here J Rate the quality of this contractor's workmanship. Were there quality -related or workmanship problems on the contract? Was the contractor responsive to remedial work required? If so or if not, provide specific examples. unacceptable ❑ poor ❑ 0 points 14 points comments. 2. Project Management satisfactory ❑ very good ❑ 24 points 26 points excellent 28 points —+28 points a) Scheduling- (0-13 points) Rate this contractor's performance with regard to adhering to contract schedules. Did this contractor meet the contract schedule or the schedule as revised by approved change orders? If not, was the delay attributable to this contractor? If so, provide specific examples. unacceptable ❑ poor ❑ 0 points 7 points comments satisfactory ❑ -very good ❑ 11 points 12 points excellent 13 points - ,13 points b) Subcontractor Management- (0-13 points) Rate this contractor's ability, effort and success in managing and coordinating subcontractors (if no subcontractors, rate this contractor's overall project management). Was this contractor able to effectively resolve problems? If not, provide specific examples. unacceptable ❑ poor ❑ 0 points 6 points comments satisfactory ❑ very good ® excellent ❑ 11 points 12 points 13 points X12 points Standard Contractor Evaluation Form Page 2 of 5 Revised: 7109 c) Safety and Housekeeping Procedures- (0-9 points) Rate this contractor's safety and housekeeping procedures on this project. Were there any OSHA violations or serious safety accidents? If so, provide specific examples. unacceptable ❑ poor ❑ 0 points 3 points comments satisfactory ❑ very good ® excellent ❑ 7 points 8 points 9 points ---+8 points d) Change Orders- (0-9 points) Did this contractor unreasonably claim change orders or extras? Were this contractor's prices on change orders and extras reasonable? If not, provide specific examples. unacceptable ❑ poor ❑ 0 points 3 points comments: satisfactory ❑ very good ❑ excellent 7 points 8 points 9 points --+9 points e) Working Relationships- (0-7 points) Rate this contractor's working relationships with other parties (i.e. Awarding Authority, designer, subcontractors, etc.). Did this contractor relate to other parties in a professional manner? If not, give specific examples. unacceptable, ❑ poor ❑ 0 points 2 points comments: satisfactory ❑ very. good.❑ 5 points 6 points excellent 7 points � 7 points f) Paperwork Processing- (0-7 points) Rate this contractor's performance in completing and submitting required project paperwork (i.e. change orders, submittals, drawings, requisitions, payrolls; workforce reports, etc.). Did the contractor submit the required paperwork promptly and in proper form? If not, provide specific examples. unacceptable ❑ poor ❑ 0 points 2 points comments: satisfactory ❑ very good ❑ excellent, 5 points 6 points . 7 points 7 points Standard Contractor Evaluation Form Page 3 of 5 Revised: 7109 3. On -Site Supervisory Personnel Rating (0-14 points) a) General Performance- Rate the general performance of this contractor's on-site supervisory personnel. Did the superintendent(s) have the knowledge, management skills and experience to run a project of this size and scope? If not, provide specific examples. unacceptable ❑ poor ❑ 0 points 3 points comments: satisfactory 0 very good ® excellent ❑ 10 points 12 points 14 points X12 points Please add up all points from this page and the preceding pages and enter total here: 96 Section III- Legal and Administrative Proceedings Are you aware of any legal or administrative proceedings, invoked bonds, assessed damages, demands for direct payment, payment bond claims, contract failures, contract terminations, or penalties involving this contractor on this contract? What is the status of any pending litigation? What was the final outcome of any completed litigation? What are the dollar amounts of assessed damages or penalties? comments: No claims or litigation` Standard Contractor Evaluation Form Page 4 of 5 Revised: 7109 Section IV_ Evaluator Certification I hereby certify that the information contained in this evaluation form represents, to the best of my knowledge, a true analysis of this contractor's performance record on this contract and that this Project Evaluation and Project Rating was not the subject of any negotiation, close-out, or settlement of the subject project or related thereto and that no compensation or consideration (either fmancial or additional work on this project or otherwise) was given to the awarding authority or me in connection with its preparation or the opinions contained herein. I also certify that I have no ties with this contractor either through a business or family relationship. I have mailed a copy of this completed evaluation form to the contractor on / 0'1- a9- / -s- (Public (Public Awarding Authorities must mail a copy of this completed evaluation form to the contractor). For Public Projects below $1,500,000, this form must be completed and signed by the Awarding Authority and may also be signed by the Owner's Representative (i.e. Architect/Designer) in conjunction with the Awarding Authority: �'7"•Q/'�r ��.j� n„ Signature of Awarding Authority Print Name and Ti le Date Signature of Awarding Authority's Representative (optional) Print Name and Title Date For Public Projects $1,500,000 or greater, this form must be signed by the Owner's (Awarding Authority's) Project Manager and the Awarding Authority pursuant to M.G.L., c. 149, § 44A 1/2: ignatur o Owner's (Awarding Authority's) Prmt Name and Title Date Project Manager Signature of Awarding Authority Print Name and Title Date Section V- Additional Comments Comments: Standard Contractor Evaluation Form Page 5 of 5 Revised: 7109 Division of Capital Asset Management Standard Contractor Evaluation Form IMPORTANT — Please check (✓) if this evaluation is for: ❑ Prime/General Contractor ® Subcontractor Section I- General Project Information - Section I must be completed in its entirety. Reference Reference Name: Patrick Saitta Telephone #: 978 686 5766 Reference Date: 6/10/15 Position/ Title: President DCAM Interviewer (if any): NA - Reference Agency/ Firm: Municipal Building Consultants, Inc. Name of Contractor Being Evaluated: Contract Cost for Contractor Being Evaluated MDM Engineering Including Change Orders: $ 7,+,P0 C 51 Sawmill Road (if change order amount unknown for subcontractor Dudley, Ma 01571 then estimate as 5% of subcontract amount) Proj ect Contract Title: North Andover School Department New Start/ End Dates: 3/15/14 Actual Office building Completion Date: 6/5/15 Scope of Work: Roofing subcontractor Project Location (city and state): North Andover, Ma. *****************Important**************** • Please check (✓) if this is a : ❑ Preliminary Evaluation (50% complete); or ® Final Evaluation (once use and/or occupancy, or issuance of a certificate of use and/or occupancy, or contract termination have been achieved, whichever is earlier) • Please check (✓) if: ® The project was estimated to be greater than $1.5M dollars and required an Owner's Project Manager. Standard Contractor Evaluation Form Page 1 of 5 Revised: 7109 • Did the contractor execute this project using their own employees? Yes ® No ❑ Y Section II- Evaluation Questionnaire Please rate this contractor's performance in each of the following areas. If you need additional space, attach additional sheets. If you rate the contractor below "satisfactory" in any area, please provide detailed information to explain the rating assi ned You are not restricted to using the numerical values (points) shown and may score in between the points shown. A total of 80 points are required for a passing grade. 1. Quality of Workmanship (0-28 points) Carry over points here Rate the quality of this contractor's workmanship. Were there quality -related or workmanship problems on the contract? Was the contractor responsive to remedial work required? If so or if not, provide specific examples. unacceptable ❑ poor ❑ 0 points 14 points comments: 2. Project Management satisfactory ❑ very good ❑ excellent 24 points 26 points 28 points X28 points a) Scheduling- (0-13 points) Rate this contractor's performance with regard to adhering to contract schedules. Did this contractor meet the contract schedule or the schedule as revised by approved change orders? If not, was the delay attributable to this contractor? If so, provide specific examples. unacceptable ❑ poor ❑ 0 points 7 points comments satisfactory ® very good ❑ excellent ❑ 11 points 12 points 13 points X11 points b) Subcontractor Management- (0-13 points) Rate this contractor's ability, effort and success in managing and coordinating subcontractors (if no subcontractors, rate this contractor's overall project management). Was this contractor able to effectively resolve problems? If not, provide specific examples. unacceptable ❑ poor ❑ 0 points 6 points comments satisfactory ® very good ❑ excellent ❑ 11 points 12 points 13 points X11 points Standard Contractor Evaluation Form Page 2 of 5 Revised. 7109 c) Safety and Housekeeping Procedures- (0-9 points) Rate this contractor's safety and housekeeping procedures on this project. Were there any OSHA violations or serious safety accidents? If so, provide specific examples. unacceptable ❑ poor ❑ 0 points 3 points comments: satisfactory ❑ very good 7 points 8 points excellent ❑ 9 points ---+8 points d) Change Orders- (0-9 points) Did this contractor unreasonably claim change orders or extras? Were this contractor's prices on change orders and extras reasonable? If not, provide specific examples. unacceptable ❑ poor ❑ 0 points 3 points comments: satisfactory ❑ very good ® excellent ❑ 7 points 8 points 9 points — *8 points e) Working Relationships- (0-7 points) Rate this contractor's working relationships with other parties (i.e. Awarding Authority, designer, subcontractors, etc.). Did this contractor relate to other parties in a professional manner? If not, give specific examples. unacceptable ❑ poor ❑ satisfactory ❑ very good ® excellent ❑ 0 points 2 points 5 points 6 points 7 points --*6points comments: f) Paperwork Processing- (0-7 points) Rate this contractor's performance in completing and submitting required project paperwork (i.e. change orders, submittals, drawings, requisitions, payrolls, workforce.reports, etc.). Did the contractor submit the required paperwork promptly and in proper form? If not, provide specific examples. unacceptable ❑ poor ❑ 0 points 2 points comments: satisfactory' ® ` very good ❑ excellent ❑ 5 points 6 points 7 points —5 points Standard Contractor Evaluation Form Page 3 of 5 Revised.• 7109 3. On -Site Supervisory Personnel Rating (0-14 points) a) General Performance- Rate the general performance of this contractor's on-site supervisory personnel. Did the superintendent(s) have the knowledge, management skills and experience to run a project of this size and scope? If not, provide specific examples. unacceptable ❑ poor ❑ 0 points 3 points comments satisfactory ❑ very good 10 points 12 points excellent ❑ 14 points X12 points Please add up all points from this page and the preceding pages and enter total here: 89 Section III- Legal and Administrative Proceedings Are you aware of any legal or administrative proceedings, invoked bonds, assessed damages, demands for direct payment, payment bond claims, contract failures, contract terminations, or penalties involving this contractor on this contract? What is the status of any pending litigation? What was the final outcome of any completed litigation? What are the dollar amounts of assessed damages or penalties? comments: No claims or litigation` Standard Contractor Evaluation Form Page 4 of 5 Revised: 7109 Section IV- Evaluator Certification I hereby certify that the information contained in this evaluation form represents, to the best of my knowledge, a true analysis of this contractor's performance record on this contract and that this Project Evaluation and Project Rating was not the subject of any negotiation, close-out, or settlement of the subject project or related thereto and that no compensation or consideration (either financial or additional work on this project or otherwise) was given to the awarding authority or me in connection with its preparation or the opinions contained herein. I also certify that I have no ties with this contractor either through a business or family relationship. I have mailed a copy of this completed evaluation form to the contractor on /d -a8- /S -- (Public Awarding Authorities must mail a copy of this completed evaluation form to the contractor). For Public Projects below $1,500,000, this form must be completed and signed by the Awarding Authority and may also be signed by the Owner's Representative (i.e. Architect/Designer) in conjunction with the Awarding Authority: /� /, Care,.." n% /-/1 Signature of AwardingAuthority- Print Name and Title Date Signature of Awarding Authority's Representative Print Name and Title Date (optional) For Public Projects $1,500,000 or greater, this form must be signed by the Owner's (Awarding Authority's) Project Manager and the Awarding Authority pursuant to M.G.L., c. 149, § 44A 1/2: ignature of Owner's (Awarding Authority's) Print Name and Title Dake Project Manager Signature of Awarding Authority Print Name and Title Date Section V- Additional Comments Comments: Standard Contractor Evaluation Form Page 5 of 5 Revised: 7109 Division of Capital Asset Management Standard Contractor Evaluation Form IMPORTANT — Please check (✓) if this evaluation is for: ❑ Prime/General Contractor 54 Subcontractor Section I- General Project Information - Section I must be completed in its entirety. Reference Reference Name: Patrick Saitta Telephone #: 978 686 5766 Reference Date: 6/10/15 Position/ Title: President - DCAM - Interviewer (if any): NA Reference - Agency/ Firm: Municipal Building Consultants, Inc. Name of Contractor Being Evaluated: Contract Cost for Contractor Being Evaluated D&S Commercial Masonry Including Change Orders: $ / z.7, 0410 45 Indulsrial Road, (if change order amount unknown for subcontractor Wrenthan, MA 02019 then estimate as 5% of subcontract amount) Proj ect Contract Title: Start/ End Dates: 3/15/14 North Andover_ School Department New Office Actual Building Completion Date: 6/5/15 Scope of Work: Masonry Subcontractor Project Location (city and state): North Andover, Ma. • Please check (✓) if this is a : ❑ Preliminary Evaluation (50% complete); or Final Evaluation (once use and/or occupancy, or issuance of a certificate of use and/or occupancy, or contract termination have been achieved, whichever is earlier) • Please check (✓) if. ® The project was estimated to be greater than $I.SM dollars and required an Owner's Project Manager. Standard Contractor Evaluation Form Page 1 of 5 Revised: 7109 • Did the contractor execute this project using their own employees? Yes ® No ❑ Section H- Evaluation Questionnaire Please rate this contractor's performance in each of the following areas. If you need additional space, attach additional sheets. If you rate the contractor below "satisfactory in any area please provide detailed information to explain the rating assigned You are not restricted to using the numerical values (points) shown and may score in between the points shown. A total of 80 points are required for a passing grade. 1. Quality of Workmanship (0-28 points) Carry over points here Rate the quality of this contractor's workmanship. Were there quality -related or workmanship problems on the contract? Was the contractor responsive to remedial work required? If so or if not, provide specific examples. unacceptable ❑ poor ❑ 0 points 14 points comments: 2. Project Management satisfactory ❑ very good ❑ excellent 24 points 26 points 28 points —*28 points a) Scheduling- (0-13 points) Rate this contractor's performance with regard to adhering to contract schedules. Did this contractor meet the contract schedule or the schedule as revised by approved change orders? If not, was the delay attributable to this contractor? If so, provide specific examples. unacceptable ❑ poor ❑ 0 points 7 points comments satisfactory ❑ very good 11 points 12 points excellent ❑ 13 points X12 points b) Subcontractor Management- (0-13 points) Rate this contractor's ability, effort and success in managing and coordinating subcontractors (if no subcontractors, rate this contractor's overall project management). Was this contractor able to effectively resolve problems? If not, provide specific examples. unacceptable ❑ poor ❑ 0 points 6 points comments: satisfactory ❑ very good 11 points 12 points excellent ❑ 13 points X12 points Standard Contractor Evaluation Form Page 2 of 5 Revised: 7109 c) Safety and Housekeeping Procedures- (0-9 points) Rate this contractor's safety and housekeeping procedures on this project. Were there any OSHA violations or serious safety accidents? If so, provide specific examples. unacceptable ❑ poor ❑ 0 points 3 points comments: satisfactory ® very good ❑ 7 points 8 points excellent ❑ 9 points � 7 points d) Change Orders- (0-9 points) Did this contractor unreasonably claim change orders or extras? Were this contractor's prices on change orders and extras reasonable? If not, provide specific examples. unacceptable ❑ poor ❑ satisfactory ® very good ❑ excellent ❑ 0 points 3 points 7 points 8 points 9 points comments: e) Working Relationships- (0-7 points) Rate this contractor's working relationships with other parties (i.e. Awarding Authority, designer, subcontractors, etc.). Did this contractor relate to other parties in a professional manner? If not, give specific examples. unacceptable ❑ poor ❑ 0 points 2 points comments --> 7 points satisfactory ❑ _ very good ® excellent ❑ S points . 6 points 7 points ---*6 points " f) Paperwork Processing- (0-7 points) Rate this contractor's performance in completing and submitting required project paperwork (i.e. change orders, submittals, drawings, requisitions, payrolls, workforce reports, etc.). Did the contractor submit the required paperwork promptly and in proper form? If not, provide specific examples. unacceptable ❑ poor ❑ 0 points 2 points comments: satisfactory ❑ very good ® excellent ❑ S points 6 points 7 points --+6 points Standard Contractor Evaluation Form Page 3 of 5 Revised: 7109 3. On -Site Supervisory Personnel Rating (0-14 points) a) General Performance- Rate the general performance of this contractor's on-site supervisory personnel. Did the superintendent(s) have the knowledge, management skills and experience to run a project of this size and scope? If not, provide specific examples. unacceptable ❑ poor ❑ 0 points 3 points comments: satisfactory ❑ very good 10 points 12 points excellent ❑ 14 points X12 points Please add up all points from this page and the preceding pages and enter total here: 90 Section III- Legal and Administrative Proceedings Are you aware of any legal or administrative proceedings, invoked bonds, assessed damages, demands for direct payment, payment bond claims, contract failures, contract terminations, or penalties involving this contractor on this contract? What is the status of any pending litigation? What was the final outcome of any completed litigation? What are the dollar amounts of assessed damages or penalties? " comments: No Claims or litigation Standard Contractor Evaluation Form Page 4 of 5 Revised: 7109 Section IV- Evaluator Certification I hereby certify that the information contained in this evaluation form represents, to the best of my knowledge, a true analysis of this contractor's performance record on this contract and that this Project Evaluation and Project Rating was not the subject of any negotiation, close-out, or settlement of the subject project or related thereto and that no compensation or consideration (either financial or additional work on this project or otherwise) was given to the awarding authority or me in connection with its preparation or the opinions contained herein. I also certify that I have no ties with this contractor either through a business or family relationship. I have mailed a copy of this completed evaluation form to the contractor on /,q - cap- /S- (Public S(Public Awarding Authorities must mail a copy of this completed evaluation form to the contractor). For Public Projects below $1,500,000, this form must be completed and signed by the Awarding Authority and may also be signed by the Owner's Representative (i.e. Architect/Designer) in conjunction with the Awarding Authority: //�� Andre, �Qylor /��cl,s� �-, _4 r o...,, N%n�� -ems /d-ag-��� Signature of Awarding Autbority Print Name and itle Date Signature of Awarding Authority's Representative Print Name and Title (optional) Date For Public Projects $1,500,000 or greater, this form must be signed by the Owner's (Awarding Authority's) Project Manager and the Awarding Authority pursuant to M.G.,L., c. 149, § 44A 1/2: Signature of Owner's (Awarding Authority's) Print Name and Title Date Project Manager Signature of Awarding Authority Section V- Additional Comments Comments: None Print Name and Title Date Standard Contractor Evaluation Form Page 5 of 5 Revised.• 7109 Division of Capital Asset Management Standard Contractor Evaluation Form IMPORTANT — Please check (✓) if this evaluation is for: ® Prime/General Contractor ❑ Subcontractor Section I- General Project Information - Section I must be completed in its entirety. Reference Reference Name: Patrick Saitta Telephone #: 978 686 5766 Reference Date: Position/ Title: President DCAM Interviewer (if any): NA Reference Agency/ Firm: Municipal Building Consultants, Inc. Name of Contractor Being Evaluated: Contract Cost for Contractor Being Evaluated New England Builders and Contractors Inc Including Change Orders: $2,317,187 464 Merrimack Street (if change order amount unknown for subcontractor Methuen, Ma. 01844 then estimate as 5% of subcontract amount) Proj ect Contract Title: North Andover School Department New Start/ End Dates: 3/15/14 Office building Actual Completion Date: 6/5/15 Scope of Work: General Contractor Project Location (city and state): North Andover, Ma. *****************Important**************** • Please check (✓) if this is a : ❑ Preliminary Evaluation (50% complete); or ® Final Evaluation (once use and/or occupancy, or issuance of a certificate of use andlor occupancy, or contract termination have been achieved, whichever is earlier) • Please check (✓) if: ® The project was estimated to be greater than $I.5M dollars and required an Owner's Project Manager. Standard Contractor Evaluation Form Page 1 of 5 Revised.• 7109 Y • Did the contractor execute this project using their own employees? Yes ® No ❑ Section II- Evaluation Questionnaire Please rate this contractor's performance in each of the following areas. If you need additional space, attach additional sheets. If you rate the contractor below "satisfactory" in M area, please provide detailed information to explain the rating assi ned You are not restricted to using the numerical values (points) shown and may score in between the points shown. A total of 80 points are required for a passing grade. 1. Quality of Workmanship (0-28 points) Carry over points here Rate the quality of this contractor's workmanship. Were there quality -related or workmanship problems on the contract? Was the contractor responsive to remedial work required? If so or if not, provide specific examples. unacceptable ❑ poor ❑ 0 points 14 points comments 2. Project Management satisfactory ❑ very good ❑ excellent 24 points 26 points 28 points X28 points a) Scheduling- (0-13 points) Rate this contractor's performance with regard to adhering to contract schedules. Did this contractor meet the contract schedule or the schedule as revised by approved change orders? If not, was the delay attributable to this contractor? If so, provide specific examples. unacceptable ❑ poor ❑ 0 points 7 points comments satisfactory ❑ very good 11 points 12 points excellent ❑ 13 points --+12.points b) Subcontractor Management- (0-13 points) Rate this contractor's ability, effort and success in managing and coordinating subcontractors (if no subcontractors, rate this contractor's overall project management). Was this contractor able to effectively resolve problems? If not, provide specific examples. unacceptable ❑ poor ❑ 0 points 6 points comments satisfactory ❑ very good ® excellent ❑ 11 points 12 points 13 points —*12 points Standard Contractor Evaluation Form Page 2 of 5 Revised: 7109 c) Safety and Housekeeping Procedures- (0-9 points) Rate this contractor's safety and housekeeping procedures on this project. Were there any OSHA violations or serious safety accidents? If so, provide specific examples. unacceptable ❑ poor ❑ satisfactory ❑ very good ® excellent ❑ 0 points 3 points 7 points 8 points 9 points comments d) Change Orders- (0-9 points) Did this contractor unreasonably claim change orders or extras? Were this contractor's prices on change orders and extras reasonable? If not, provide specific examples. unacceptable ❑ poor ❑ 0 points 3 points comments: --->8 points satisfactory ❑ very good ❑ excellent 7 points 8 points 9 points --+9 points e) Working Relationships- (0-7 points) Rate this contractor's working relationships with other parties (i.e. Awarding Authority, designer, subcontractors, etc.). Did this contractor relate to other parties in a professional manner? If not, give specific examples. unacceptable ❑ poor ❑ satisfactory ❑ very good ❑ excellent 0 points 2 points S points 6 points 7 points I--* 7 points comments: f) Paperwork Processing- (0-7 points) Rate this contractor's performance in completing and submitting required project paperwork (i.e. change orders, submittals, drawings, requisitions, payrolls, workforce reports, etc.). Did the contractor submit the required.,, paperwork promptly and in proper form? If not, provide specific examples. unacceptable ❑ poor ❑ 0 points 2 points comments satisfactory ❑ very good S points 6 points excellent ❑ 7 points --)"6 points Standard Contractor Evaluation Form Page 3 of 5 Revised: 7109 3. On -Site Supervisory Personnel Rating (0-14 points) a) General Performance- Rate the general performance of this contractor's on-site supervisory personnel. Did the superintendent(s) have the knowledge, management skills and experience to run a project of this size and scope? If not, provide specific examples. unacceptable ❑ poor ❑ 0 points 3 points comments: satisfactory ❑ very good 10 points 12 points excellent ❑ 14 points --*I2 points Please add up all points from this page and the preceding pages and enter total here: 94 Section III- Legal and Administrative Proceedings Are you aware of any legal or administrative proceedings, invoked bonds, assessed damages, demands for direct payment, payment bond claims, contract failures, contract terminations, or penalties involving this contractor on this contract? What is the status of any pending litigation? What was the final outcome of any completed litigation? What are the dollar amounts of assessed damages or penalties? comments: No claims, penalties or liti ag tion_ Standard Contractor Evaluation Form Page 4 of 5 Revised: 7109 Section IV- Evaluator Certification I hereby certify that the information contained in this evaluation form represents, to the best of my knowledge, a true analysis of this contractor's performance record on this contract and that this Project Evaluation and Project Rating was not the subject of any negotiation, close-out, or settlement of the subject project or related thereto and that no compensation or consideration (either fmancial or additional work on this project or otherwise) was given to the awarding authority or me in connection with its preparation or the opinions contained herein. I also certify that I have no ties with this contractor either through a business or family relationship. I have mailed a copy of this completed evaluation form to the contractor on (Public Awarding Authorities must mail a copy of this completed evaluation form to the contractor). For Public Projects below $1,500,000, this form must be completed and signed by the Awarding Authority and may also be signed by the Owner's Representative (i.e. Architect/Designer) in conjunction with the Awarding Authority: d re,.,,,- / Y lop & r/ � o ��_& & Signature of Awarding Aut ority Signature of Awarding Authority's Representative (optional) Print Name and Title Date Print Name and Title Date For Public Projects $1,500,000 or greater, this form must be signed by the Owner's (Awarding Authority's) Project Manager and the Awarding Authority pursuant to M.G.L., c. 149, § 44A 1/2: gnature er's (Awarding Authority's) Print Name and Title 5a - e Project Manager Signature of Awarding Authority Section V- Additional Comments Comments: NA Print Name and Title Date Standard Contractor Evaluation Form Page 5 of 5 Revised: 7109