Contractor Certification Office Page 1 of 7
One Ashburton Place, 15
th
Floor, Boston MA 02108 617.727.4050 Revised February 2016
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INSTRUCTIONS for OWNERS:
This Evaluation Form is for use only in evaluating the performance of contractors on privately owned
building projects and is to be completed and signed by an individual responsible for the oversight of the
project.
(1) PREPARE:
As soon as possible after completion of a building project, an individual responsible for oversight of the
project should complete this form as an Evaluation of the contractor’s performance on the project. 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.
(2) SIGN:
The individual responsible for the oversight of the project who prepared the Evaluation must sign the
completed Evaluation. (NOTE: In accordance with M.G.L. c. 149, Sec. 44D (7), “No person shall be
liable for any injury or loss to a contractor as a result of the completion of a contractor evaluation form
as required by this section unless the individual completing the form has been found by a court of
competent jurisdiction to have acted in a willful, wanton or reckless manner.)
(3) SUBMIT:
Please submit the completed and signed Evaluation – by mail to Division of Capital Asset Management
and Maintenance – 15
th
Floor, Attn: Contractor Certification Office, One Ashburton Place, Boston, MA
02108; by fax to (617) 727-8284; or by email to certeval.dcamm@state.ma.us
(4) SEND A COPY:
Please send a copy of the Evaluation to the contractor.
NOTE: DCAMM offers contractors desiring to dispute any information contained in an Evaluation an
opportunity to do so by submitting a written response to DCAMM within 30 days of receipt of a copy of
the Evaluation. Evaluators 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. An Evaluator must
not negotiate the contents of an Evaluation with the contractor or its representatives for any reason.
Reliable Evaluations and any written contractor responses become part of the permanent public record in
a contractor’s DCAMM Certification File.
Contractor Certification Office Page 2 of 7
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#
Email Address:
(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?
No
Contractor Certification Office Page 3 of 7
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 4 of 7
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 5 of 7
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 6 of 7
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 7 of 7
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
click to sign
signature
click to edit