Cont
Cont
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Ter
m
Desc
r
Dep
a
Dep
a
Dire
c
Cont
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Cont
r
Cont
r
Com
m
Eval
u
Eval
u
Title:
Dep
a
Addr
e
City:
Phon
e
Emai
Eval
u
Desc
r
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
4
ractor Infor
m
r
actor Name:
m
of Contract:
r
iption of Serv
a
rtment Infor
m
a
rtment Name:
c
tor/Contact N
a
r
acting Office
r
r
act Specialist
N
r
act Administr
a
m
odity Buyin
g
u
ator Inform
a
u
ator Name:
a
rtment:
e
ss:
Number:
l Address:
u
ation Review
r
iption – Par
t
Caption/Des
Contract Ty
p
NIGP Code:
Solicitation
N
Contract Nu
m
Contract A
w
Contract Pe
r
Contract Ye
a
Tax ID Nu
m
Contractor
N
Contact Na
m
Email Addr
e
Street Addr
e
City, State,
Z
Telephone
N
Fax Number
Market Typ
e
Recurring C
o
Multi-Year
C
LSDBE?
N
ot For Pro
f
4
200 Connecti
c
m
ation – Part
A
ice
m
ation – Part
a
me:
r
Name:
N
ame:
a
tor Name:
g
Group:
a
tion – Part
C
Period:
D
c
ription:
p
e:
N
umber:
m
ber:
w
ard Amount:
iod:
a
r:
m
ber:
N
ame:
m
e:
e
ss:
e
ss:
Z
ip Code:
N
umber:
:
e
:
o
ntract?
C
ontract?
f
it?
c
ut Avenue N
W
Co
n
A
B
Start Date:
W
, Bldg. 39 2
nd
F
n
tractor Pe
F
loor, Washin
g
rformance
E
Phone:
Phone:
Phone:
Phone:
End D
a
Office o
f
g
ton, DC 2000
8
Evaluation
a
te:
Purcha
s
Banner
Phone
N
f
Strategic S
o
8
| 202.274.51
8
PO Number:
Contract Am
o
Email:
Email:
Email:
Email:
Building:
State:
Fax Number
:
s
e Order Num
b
ID Number:
N
umber:
o
urcing and
8
1 | udc.edu
o
unt:
Room:
Zip C
o
:
b
er:
Procureme
n
o
de:
n
t
Office of Contracting and Procurement
Mary Ann Harris
(202) 274-5426
MHarris@udc.edu
N
Select Yes/No
Select Yes/No
Select Yes/No
Select Yes/No
10/2017
1.
P
The
d
Com
m
2.
D
The
g
Com
m
3.
C
The
c
Com
m
4.
M
The
c
Com
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5.
Final
Did t
h
If no
,
Eval
u
Eval
u
Date
Final
4
P
roduct Qual
i
d
elivered good
m
ents:
D
eliver
y
Perf
o
g
oods or servi
c
m
ents:
C
ost Control:
c
ontractor perf
o
m
ents:
M
ana
g
ement/
B
c
ontractor was
m
ents:
Conclusion:
Grade:
h
e Evaluator c
,
provide expl
a
u
ator Name:
ator Title:
of Evaluation:
Comments:
4
200 Connecti
c
i
t
y
:
s
or services c
o
o
rmance:
c
es met the agr
e
o
rmed/deliver
e
B
usiness Rela
cooperative a
n
onsider input
f
a
nation:
c
ut Avenue N
W
Co
n
o
nformed to t
h
e
ed upon final
e
d at or below
t
tions:
n
d communica
t
f
rom the Contr
W
, Bldg. 39 2
nd
F
n
tractor Pe
h
e specific con
t
delivery date,
t
he contract p
r
t
ed effectively
a
cting Officer
,
F
loor, Washin
g
rformance
E
t
ract requirem
e
and was deliv
e
r
ice:
:
,
Program Pers
Office o
f
g
ton, DC 2000
8
Evaluation
e
nts/scope of
w
e
red
p
er instr
u
s
onnel, End-U
s
f
Strategic S
o
8
| 202.274.51
8
w
ork:
u
ctions:
s
ers, and Othe
r
o
urcing and
8
1 | udc.edu
r
s affected by t
h
Procureme
n
h
e contract?
n
t
Select Yes/No
Select Yes/No
Select Yes/No
Select Yes/No
Select a Grade
Select Yes/No
10/2017