Contractor Certification Office Page 1 of 8
One Ashburton Place, 15
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Floor, Boston MA 02108 617.727.4050 Revised February 2016
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INSTRUCTIONS for PUBLIC AWARDING AUTHORITIES:
This Evaluation form is for use only by Public Awarding Authorities and their representatives in
evaluating the performance of both prime/general contractors and filed sub-bid contractors on
Massachusetts Public Building Projects bid under M.G.L. c. 149A and c. 149, Sections 44A and 44F.
Completion, Signing and Submission of this Form for FINAL Evaluations
(1) WHO COMPLETES THE FORM?
(a) Evaluations for public projects costing less than $1,500,000
For contracts estimated to cost less than $1,500,000 (not requiring an Owner’s Project Manager
“OPM”), an official from the Awarding Authority, architect/designer representing the
Awarding Authority or any other party responsible for oversight of the project must complete
this form.
(b) Evaluations for public projects costing $1,500,000 or more
For contracts estimated to cost more than $1,500,000 an Owner’s Project Manager (OPM),
responsible for oversight of the project must complete this form.
(c) Public Evaluation forms must always be signed by the Awarding Authority
The evaluations may be prepared by the Awarding Authority’s representative (i.e. general
contractor, architect, project manager), but the Awarding Authority must also sign the
certification section at the bottom of the signature page.
NOTE: Per 810 CMR 8.09(2)(b), “An Awarding Authority or Owner’s Project Manager may seek
input from the general contractor in evaluating a sub-bidder’s performance of a Building Project,
however, the Awarding Authority or their representative must complete and sign the Standard
Contractor Evaluation Form.”
(2) WHEN MUST IT BE COMPLETED and SUBMITTED?
Massachusetts state law requires Public Evaluation Forms be completed by the Awarding Authority
and submitted to DCAMM:
Within 70 calendar days from completion of the project for a Prime/General contractor
Within 90 calendar days from completion of the project for Filed Sub-Bidders
NOTE: A project is deemed “complete” upon use and/or occupancy, or upon issuance of a certificate of
use and/or occupancy, or termination of a Building Project, whichever is earlier.
Contractor Certification Office Page 2 of 8
One Ashburton Place, 15
th
Floor, Boston MA 02108 617.727.4050 Revised February 2016
WHERE MUST THE FORM BE SUBMITTED?
This completed form must be submitted by mail to Commonwealth of Massachusetts, DCAMM 15
th
Floor, ATTN.: Contractor Certification Office, One Ashburton Place, Boston, MA 02108; or by fax to
(617) 727-8284; or by email to certeval.dcamm@state.ma.us
Pursuant to M.G.L. c. 149, Sec. 44D (7), a copy of this form must be sent by the
Awarding Authority to the contractor.
The contractor shall, within 30 days of receipt of same, be entitled (but not obligated) to submit a written
response to DCAMM disputing any information contained in the evaluation and setting forth any
additional information concerning the building project or the oversight of the contract by the public
agency that may be relevant to the evaluation of the contactor’s performance.
Final Evaluations as Public Records:
Final Evaluations and any written contractor responses are included in a contractor’s certification file as
a “public record” as defined in M.G.L. c. 149, Sec. 7, and are part of the record that Awarding
Authorities are required to review in determining the lowest eligible and responsible bidder.
Amendments to Final Evaluations/Prohibition Against Negotiations:
Per 810 CMR 8.02(4), “An Awarding Authority must certify in all evaluation forms as to the accuracy
of its contents and shall not negotiate the contents of the Standard Contractor Evaluation Form or the
Project Rating with the Contractor or its representatives for any reason.” Awarding Authorities finding
it necessary for good cause to revise an evaluation may do so provided they include a written
explanation for the revision acceptable to DCAMM.
Using This Form for PRELIMINARY Evaluations:
This form may also be used to satisfy the requirement under M.G.L. c. 149, Sec. 44D(7), that, at
approximately the 50% completion stage, the Awarding Authority shall, for informational purposes,
advise the contractor in writing of its preliminary evaluation of the contractor’s performance. Do not
forward Preliminary Evaluations to DCAMM.
Contractor Certification Office Page 3 of 8
One Ashburton Place, 15
th
Floor, Boston MA 02108 617.727.4050 Revised February 2016
Evaluation and Rating of Contractor Performance
General Information
EVALUATOR:
Name Title
Agency/Firm Tele #
Contractor
Being Evaluated:
DCAMM
ID#
(If known)
This is a
Preliminary Evaluation
Final Evaluation
For a
Prime/General Contractor
Sub-Bid Contractor
Project Owner:
Project Name and Location:
Scope of Work:
Contract Start Date Contract End Date:
Actual Completion Date
Contract Cost for Contractor Evaluated [Including Change Orders]:
$
(If change order amount unknown for subcontractor, estimate as 5% of subcontract
amount)
Did the contractor execute this project using their own employees?
Yes
No
Contractor Certification Office Page 4 of 8
One Ashburton Place, 15
th
Floor, Boston MA 02108 617.727.4050 Revised February 2016
EVALUATION QUESTIONS
Please rate this contractor’s performance in each of the following categories by indicating whether
performance was “unacceptable,” “poor,” “satisfactory,” “very good” or “excellent,” and enter the
applicable point score for each category in the right-hand margin.
Written comments to explain the ratings you assign in any category are extremely helpful, and if you
rate performance below “satisfactory” in any category, a detailed written explanation (with
examples) must be provided.
If additional space is necessary for any written comments, please feel free to attach additional sheets.
1. Quality of Workmanship
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
___Satisfactory
___Very Good
___Excellent
0 Points
14 Points
24 Points
26 Points
28 Points
Sub Total
Comments:
Project Management: Scheduling
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
___Satisfactory
___Very Good
___Excellent
0 Points
7 Points
11 Points
12 Points
13 Points
Sub Total
Comments:
Contractor Certification Office Page 5 of 8
One Ashburton Place, 15
th
Floor, Boston MA 02108 617.727.4050 Revised February 2016
2. Subcontractor Management
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
___Satisfactory
___Very Good
___Excellent
0 Points
6 Points
11 Points
12 Points
13 Points
Sub Total
Comments:
3. Safety and Housekeeping Procedures
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
Sub Total
Comments:
4.
Change Orders
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
Sub Total
Comments:
Contractor Certification Office Page 6 of 8
One Ashburton Place, 15
th
Floor, Boston MA 02108 617.727.4050 Revised February 2016
5. Working Relationships
Rate this contractor’s working relationships with other parties (i.e. owner, 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
Sub Total
Comments:
6. Paperwork Processing
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
Sub Total
Comments:
7.
On-Site Supervisory Personnel
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
___Satisfactory
___Very Good
___Excellent
0 Points
3 Points
10 Points
12 Points
14 Points
Sub Total
Contractor Certification Office Page 7 of 8
One Ashburton Place, 15
th
Floor, Boston MA 02108 617.727.4050 Revised February 2016
Comments:
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:
ADDITIONAL COMMENTS: - (Optional)
Total Points
NOTE: TOTAL POINTS SCORE OF LESS THAN 80
IS A FAILING SCORE
After completing the evaluation, please total the points in order to calculate an
overall Project Rating.
PLEASE NOTE: A TOTAL PROJECT RATING SCORE OF AT LEAST 80 IS REQUIRED
TO BE CONSIDERED SUCCESSFUL.
If we receive two or more Project Ratings below 80, may constitute cause for
denial of certification or for decertification of a contractor
Contractor Certification Office Page 8 of 8
One Ashburton Place, 15
th
Floor, Boston MA 02108 617.727.4050 Revised February 2016
EVALUATOR CERTIFICATION:
I certify that, to the best of my knowledge:
(1) The information contained in this Evaluation represents a true and accurate analysis of the
contractor’s performance record on this contract;
(2) The contents of this Evaluation were not in any way the result of any negotiation with the
contractor or its representatives; and,
(3) On the date set forth below, a copy of this Evaluation was sent to the contractor.
Required: Signed by an individual responsible for the oversight of the project:
Signature
Date
Printed Name
Contact Telephone #
Title
Email Address
Required Certifications by Awarding Authority:
Pursuant to M.G.L. c. 149, Sec. 44D(7) and 810 CMR 8.02(4) or 810 CMR 8.09(3), I, the undersigned
official from the public agency, hereby certify as follows:
a) The information contained on this evaluation form represents, to the best of my knowledge, a
true and accurate analysis of the contractor’s performance record on the contract;
b) The contents of the evaluation form or the Project Rating were not negotiated with the
contractor or its representative for any reason; and,
c) Pursuant to M.G.L. c. 149, Sec. 44D(7), on the date set forth below, a copy of this evaluation
was sent to the contractor.
Awarding Authority:
By:
Signature
Date
Printed Name
Contact Telephone #
Title
Email Address
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