Missouri DOT 2002 Contractor Performance Questionnaire

Completed and Reviewed by:
Job No.
Route:
County
Contract Letting Date:
Notice to Proceed:
Contractor:
Address (as listed in contract):
Contractor Vendor No.
Contractor's Representative: (Name / Title)		Date:
Resident Engineer: (Name / Title)		Date:
Comments: (Attach additional sheets if necessary)
District Review (If required):
Name / Title:		Date:
Comments: (Attach additional sheets if necessary)

Section 100 - General Provisions

This section shall be completed on all projects.

1	Did the contractor provide the required warranties, for electronic, electrical, or mechanical equipment prior to the acceptance of the project for maintenance? (Contract Compliance)				N/A	NO 0 pts.	YES 4 pts.
	(RE instructions: All warranties, for electronic, electrical, or mechanical equipment must be provided before partial acceptance or prior to acceptance for maintenance.- Spec # 901.6, 902.6)
2	Did the contractor provide the engineer with letters of approval, from the appropriate regulating agencies, prior to commencing any blasting operations? (Contract Compliance)				N/A	NO 0 pts.	YES 4 pts.
	(RE instructions: Discuss this item at the preconstruction conference. - Spec # 107.7.1)
3	How many order records were written for contract document violations? (Contract Compliance)						# ____ -2 pts ea
	(RE instructions: Penalty Points: The actual number of order records written for violations. Do not include order records for documentation or rescinsion. Contract documents are defined as Notice to Contractors, Plans, Bidding Document, Contract Bond, Contract Agreement, Acknowledgment, Contractor Questionnaire, Job Special Provisions, Standard Specifications, General Special Provisions, Notice to Proceed, and all Supplemental Contracts and Change Orders. - Spec 105.4)
4	Were the contractor's proposed sources of materials identified at the preconstruction conference? (Contract Compliance)				N/A	NO 0 pts.	YES 4 pts.
	(RE instructions: Notice that the proposed source of materials is to be provided at the preconstruction conference is made by letter when the prejob is scheduled.- CO manual 129.2)
5	Were paid invoices for material allowances received within the time limit specified in the contract? (Contract Compliance)	N/A	0-59% 0 pts.	60-79% 1 pt.	80-94% 2 pts.	95-99% 3 pts.	100% 4 pts.
	(RE instructions: Section 109.6.2 of the Standard Specifications states, "Receipted invoices for all material payments previously allowed on the estimate shall be submitted to the engineer within 42 days of the date of the estimate on which material allowance was made or such material allowance will be deducted from future payments." This question should be calculated (number of material allowance invoices received on time / total number of material allowances - Spec # 109.2)
6	Did the contractor submit certified copies of payrolls within the time limit specified in the contract? (Contract Compliance)	N/A	0-59% 0 pts.	60-79% 1 pt.	80-94% 2 pts.	95-99% 3 pts.	100% 4 pts.
	(RE instructions: Item for discussion at pre-job - Number of certified copies of payrolls submitted two weeks from end of payroll period / total number of payrolls required. - Spec # 110.3)
7	Did employee wage interviews indicate that the contractor was in compliance with prevailing wage requirements? (Contract Compliance)	N/A	0-59% 0 pts.	60-79% 1 pt.	80-94% 2 pts.	95-99% 3 pts.	100% 4 pts.
	(RE instructions: Check when employees receive paystub. Do not penalize contractors if employees don't know their wage. Number of wage rate interviews taken in compliance / total number of wage rate interviews - Spec # 110.1)
8	Were contractor payrolls correct? (Contract Compliance)	N/A	0-59% 0 pts.	60-79% 1 pt.	80-94% 2 pts.	95-99% 3 pts.	100% 4 pts.
	(RE instructions: Number of correct payrolls / total number of payrolls. - Spec. 102.2.2)
9	Did the contractor expediently correct errors on payrolls when notified? (Contract Compliance)	N/A	0-59% 0 pts.	60-79% 1 pt.	80-94% 2 pts.	95-99% 3 pts.	100% 4 pts.
	(RE instructions: Number of times the contractor voluntarily correct errors on payrolls / total number of times the contractor was contacted to correct payrolls.)
10	Was a proper bulletin board installed prior to the beginning of work? (Contract Compliance)					NO 0 pts.	YES 4 pts.
	(RE instructions: The material for the bulletin board, a description of what the Resident Engineer expects, and a time frame should be presented at the pre-construction conference.)
11	Was the bulletin board properly maintained throughout the duration of the project? (Contract Compliance)	N/A	0-59% 0 pts.	60-79% 1 pt.	80-94% 2 pts.	95-99% 3 pts.	100% 4 pts.
	(RE instructions: Number of days the bulletin board was maintained properly / total number of working or calendar days in contract. If the contractor corrects the deficiency w/i a reasonable designated time of notice, no penalty should be accessed against the contractor.)
12	Did the DBE subcontractors perform the work as identified in the contract? (Contract Compliance)				N/A	NO 0 pts.	YES 4 pts.
	(RE instructions: If the response is "no", the E.E.O. Compliance Section of the MoDOT's Inspector General's office in Jefferson City must have been notified.)
13	Were the required trainee reports submitted accurately and within the time limit specified in the contract? (Contract Compliance)	N/A	0-59% 0 pts.	60-79% 1 pt.	80-94% 2 pts.	95-99% 3 pts.	100% 4 pts.
	(RE instructions: Number of trainee reports submitted on time and accurately / total number of trainee reports submitted- Job Special Provisions)
14	Was a progress schedule submitted in accordance with the specifications? (Contract Compliance)				N/A	NO 0 pts.	YES 4 pts.
	(RE instructions: The initial schedule should be submitted prior to or at the pre-construction conference. Any revisions to that schedule prior to acceptance must be made within seven days after the request for correction or adjustment- Spec # 108.4)
15	Did the contractor provide an acceptable revised progress schedule when requested? (Prosecution/Progress)	N/A	0-59% 0 pts.	60-79% 1 pt.	80-94% 2 pts.	95-99% 3 pts.	100% 4 pts.
	(RE instructions: If you requested a schedule or a schedule was required because it was apparent that the project will not be completed in the time provided in he contract, calculate (Number of revised schedules received within seven days / total number of revised schedules requested). If a schedule was not requested or required, the score given should be a "100%".- Spec # 108.4.2.1)
16	How many Value Engineering proposals were accepted? (Prosecution/Progress)						#____ +1 pt ea.
	(RE instructions: Bonus point granted for accepted V E proposals.)
17	Was an authorized representative readily available throughout the life of the project? (Prosecution/Progress)		0-59% 0 pts.	60-79% 1 pt.	80-94% 2 pts.	95-99% 3 pts.	100% 4 pts.
	(RE instructions: Number of days authorized representative was present / total number of days worked. Days an authorized representative wasn't present must be documented like all other ratings- Spec # 105.5.2)
18	Did the contractor exercise caution around construction stakes? (Contract Compliance)	N/A	0-59% 0 pts.	60-79% 1 pt.	80-94% 2 pts.	95-99% 3 pts.	100% 4 pts.
	(RE instructions: Total number of working or calendar days - number of days survey crew re-staked / total number of working or calendar days. - Spec # 105.8.1)
19	Did the contractor designate, in writing, the person(s) authorized to sign various documents as required in the contract? (Contract Compliance)					NO 0 pts.	YES 4 pts.
	(RE instructions: If any person other than the person who signed the contract signs any various document without a letter on file stating this person may sign that document, this question must be answered "no". - Spec # 105.3.3)
20	Did the contractor provide a list of personnel available for non-working hour emergencies? (Contract Compliance)					NO 0 pts.	YES 4 pts.
	(RE instructions: This information should be requested in the pre-construction conference notice. This information should be received before any work is completed on the project.)
21	Did the contractor satisfactorily remove, maintain, and relocate mailboxes, signs, and markers? (Contract Compliance)	N/A	0-59% 0 pts.	60-79% 1 pt.	80-94% 2 pts.	95-99% 3 pts.	100% 4 pts.
	(RE instructions: The contractor must remove and take the necessary precautions for mailboxes, signs, and markers. Items preserved in good condition / total items handled. - Spec 104.10)
22	Did the contractor provide the effort to resolve substantiated complaints in a positive, prompt and professional manner? (Prosecution/Progress)				N/A	NO 0 pts.	YES 4 pts.
	(RE instructions: This should reflect the contractor's philosophy on handling complaints and not individual circumstances.)
23	Was it necessary to issue an order record to demand the dismissal of any person employed by the contractor because of misconduct, incompetence, or negligence? (Prosecution/Progress)					YES 0 pts.	NO 4 pts.
	(RE instructions: There must be an order record on file for the dismissal of any person from the project. - Spec # 108.5.1)
If Final Report, answer either Question 100 - 24 or Question 100 - 25
COMPLETION BY WORKING DAYS: Final Report Only:
24	a) How many total working days, including adjustments, were allowed for the completion of the project? (Prosecution/Progress)					N/A
	(RE instructions: # of Contract Working Days plus time extensions granted- Spec. 108.7.2)
	b) How many working days were used to complete the project?(Prosecution/Progress)					N/A
	(RE instructions: Final# of Working Days Charged: This quantity is the total number of days charged on the last weekly report. - Spec.108.7.2)
	Bonus points possible: (15 pts. +/- 1 pt per 5% difference, a - b; Rated 15 point question, 18 points possible)
25	COMPLETION BY CALENDAR DATE, Final Report Only:
	a) What was the contract or adjusted completion date? (Prosecution/Progress)					N/A
	(RE instructions: Contract Completion Date plus time adjustments granted.- Spec. 108.7.1)
	b) What date was the project accepted for maintenance? (Prosecution/Progress)					N/A
	(RE instructions: Date project accepted for maintenance: - Spec. 108.7.1)
	Bonus points possible: (15 pts. +/- 1 pt per 5% difference, a - b; Rated 15 point question, 18 points possible)
If Annual Report, answer either Question 100 - 26 or Question 100 - 27
COMPLETION BY WORKING DAYS, Annual Report Only:
26	a) How many days was the contractor's major operation active? (Prosecution/Progress)					N/A
	(RE instructions: # of days the project's major operation was active. Give contractor double credit for double shift acceleration and count Saturday and Sundays. - (Spec. 108.7.2))
	b) How many working days were charged this construction season? (Prosecution/Progress)					N/A
	(RE instructions: How many days?)
	Bonus points possible: (15 pts. +/- 1 pt per 5% difference, a - b; Rated 15 point question, 18 points possible)
27	COMPLETION BY CALENDER DATE, Annual Report Only:
	a) Beginning with the contractor's scheduled start date, how many days did the contractor indicate work being active on the project's major operation? (Prosecution/Progress)					N/A
	(RE instructions: # of days the project's major operation was active, if contractor's schedule indicated single shift but contractor double shifted to catch up, give double credit for acceleration. The schedule effective at the start of the construction season should be used. If the contractor's schedule is not current at the end of the previous construction season, a new schedule should be requested, - Spec.108.7.1)
	b) Beginning with the contractor's scheduled start date, how many days did the contractor work on the project's major operation? (Prosecution/Progress)					N/A
	(RE instructions: Consider documented time extensions for delays outside the contractor's control, ex utility interference, MoDOT authorized shutdowns, etc. and also allow non-compensable delays due to weather - Spec. 108.7.1)
	Bonus points possible: (15 pts. +/- 1 pt per 5% difference, a - b; Rated 15 point question, 18 points possible)
28	INCENTIVE/DISINCENTIVE PROJECTS ONLY:
	a) How many incentive/disincentive days, including adjustments, were allowed in the contract? (Prosecution/Progress)					N/A
	(RE instructions: a) Number of incentive / disincentive days bid by contractor plus any time adjustments granted.)
	b) How many incentive/disincentive days were used? (Prosecution/Progress)					N/A
	(RE instructions: b) Final number of incentive / disincentive days used.)
	Bonus points possible: (6 pts. +/- 1 pt per 5% difference a - b) Range: 0 - 8, Rated 6 point question

Section 200 - Earthwork

Complete Section 200 if the contract has any Section 200 contract pay items. Indicate N/A at section heading if project(s) had no Section 200 pay items or if no work was performed in this section during this evaluation period.

Total Dollars of Section 200 Items Completed This Rating Year: $____
(If the contract includes combination projects, the total is to include all Section 200 items from all projects.)

N/A

Did the contractor minimize disturbing areas outside the limits of the R/W or outside temporary / permanent easements without the consent of the property owner (Contract Compliance)

N/A

0-59%
0 pts.

60-79%
1 pt.

80-94%
2 pts.

95-99%
3 pts.

100%
4 pts.

(RE Instructions: Consider the type of project, the circumstances and the contractor's willingness to repair an area in a timely manner.)

Was material, as designated in the contract to be salvaged, removed and salvaged without damage? (Contract Compliance))

N/A

0-59%
0 pts.

60-79%
1 pt.

80-94%
2 pts.

95-99%
3 pts.

100%
4 pts.

(RE Instructions: Consider the number of damaged items to total number of salvage items on the project. - Spec # 202.22.2)

Did the contractor's operations produce the required embankment/subgrade density? (Quality)(Spec # 203.3 & 203.4 )

N/A

0-59%
0 pts.

60-79%
1 pt.

80-94%
2 pts.

95-99%
3 pts.

100%
4 pts.

(RE Instructions: Consider the number of failed test and the total number of test on the project or total % of rock fill properly placed.)

Did the contractor use proper lift thicknesses and benching procedures in the construction of embankments? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE Instructions: Consider the number of incidents vs. the total number of days grading was active. - Spec # 203.2.12, 203.2.17, & 203.2.18)

Did the contractor make an effort to identify and locate utility services prior to excavation? (Contract Compliance)

N/A

NO 0 pts.

YES 4 pts.

(RE Instructions: Did the contractor provide proof that utility contacts were made if a utility was encountered - Spec # 105.7.1)

Were grading operations conducted as to provide proper drainage of the subgrade during construction? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: # days subgrade was properly drained at days end / # days grading was active - Spec # 203.2.2)

Did the contractor submit a complete blasting plan at least 14 days before rock drilling operations began? (Contract Compliance)

N/A

NO 0 pts.

YES 4 pts.

(RE instructions: Did the blasting plan provide all the information required by specifications - Spec 203.2.5.1.1)

Did the contractor perform blasting operations in a manner to avoid damage to public or private property? (Contract Compliance)

N/A

0-59%
0 pts.

60-79%
1 pt.

80-94%
2 pts.

95-99%
3 pts.

100%
4 pts.

(RE instructions: # blasting occurrences - # blasting incidents / # blasting occurrences. An incident would be damage resulting from the contractor's blasting operations or situations where blasts produce excessive fly rock creating the possibility of property damage. - (Spec 107.7.3)

Considering the nature of the rock excavated, was a neat rock face provided? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: # suitable rock cuts / total # of rock cuts, allowances for the nature of the material of the rock cut must be taken into consideration. ex., a contractor should not be penalized for rock cuts through highly fractured rock interlaced with clay seams. - Spec #203.2.5.1)

Was care taken to avoid overshooting the limits of the rock excavation when blasting? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: rock cuts shot to grading limits / # rock cuts. Overshooting refers to blasting outside the limits of the rock excavation, it does not refer to fly rock - Spec # 203.2.5)

Did the contractor furnish copies of all blasting logs, and seismic monitoring data? (Contract Compliance)

N/A

0-59%
0 pts.

60-79%
1 pt.

80-94%
2 pts.

95-99%
3 pts.

100%
4 pts.

(RE instructions: # individual blast documentation provided / # of blasts conducted. - Spec 107.7.1)

Section 300 - Bases and Aggregate Surfaces

Complete Section 300 if the contract has any Section 300 contract pay items. Indicate N/A at section heading if project(s) had no Section 300 pay items or if no work was performed in this section during this evaluation period.

Total Dollars of Section 300 Items Completed This Rating Year: $____
(If the contract includes combination projects, the total is to include all Section 300 items from all projects.)

N/A

Were contractor Section 300 material items certifications provided prior to the material being incorporated into the work? (Contract Compliance)

N/A

0-59%
0 pts.

60-79%
1 pt.

80-94%
2 pts.

95-99%
3 pts.

100%
4 pts.

(RE instructions: This item is for certification required of the contractor, not for department inspected material items.)

Were aggregate surfaced roadways maintained properly? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: - 1 pt per each written correction notice or diary entry initialed by an authorized project representative. When a contractor is required to maintain aggregate surfaced roadways, they should be free of potholes and have a smooth surface that drains properly. Note: The contractor should be given a reasonable designated time to correct a deficiency. No points should be deducted for verbal "reminders". - Spec # 310.3.3)

Were the results of density tests on aggregate bases within specification limits? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: # tests w/i spec. / total # of tests performed. - Spec # 301.13)

Were truck beds, hauling bituminous mixtures, cleaned and covered in accordance with the specifications? (Quality)

4 or more Notices
0 pts

3 Notices
1 pt.

2 Notices
2 pts.

1 Notice
3 pts

No notices
4 pts.

(RE instructions: - 1 pt per documented notice of correction, If problems persist, a written notice or diary entry initialed by an authorized project representative should inform the contractor of the specification violation and points deducted accordingly. - Spec # 404.7)

Were surface tolerances for bituminous mixtures within specification limits? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: area of acceptable asphalt surface / total asphalt surface area. - Spec # 301.12)

Were the results of density/compaction tests on bituminous mixtures within specification limits? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: # tests w/i spec. / total # of tests performed. - Spec # 301.11)

Were the results of core thickness measurements on bituminous or concrete bases within specification limits? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: # cores w/i spec. / total # of cores taken.- Spec # 301.13)

Did the contractor receive any reductions in payment for concrete bases because of insufficient thickness? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: The rating percentage shall be based upon the ratio of the cost of the deduct to the total cost of the pay item. Ex. Total Thickness Deducts = $16,200, $base = $135,000. 16,200/135000= 0.12, resulting in 88% rating, i.e., 2 pts. - Spec # 309.7.1)

Was the gradation of the combined aggregates for bituminous mixtures, prior to mixing with asphalt cement, within specification limits? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: # tons of mix in compliance / total tons of mix. - Spec # 301.3.4 (a) & (b))

Was the mix percentage of asphaltic cement content within specification limits? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: # tons of mix in compliance / total tons of mix. - Spec # 301.3.4)

Were the results of tests performed on asphalt cement, obtained from the supply line, within specification limits? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: amount of AC w/i spec / amount of AC used - Spec # 301.2, 1015.5)

Due to the contractor's operations, was it necessary to remove and replace any bituminous or concrete base? (Quality)

N/A

<95%
0 pts.

96%
1 pt.

97.0 - 97.4%
2 pts.

97.5- 97.9
3 pts.

98.0 - 98.4
4 pts.

98.5 - 98.9
5 pts.

99.0 - 99.3
6 pts.

99.4 - 99.6
7 pts.

99.7 - 99.8
8 pts.

99.9%
9 pts.

100%
10 pts.

(RE instructions: The measurement relates to the % of base that did not require replacement, i.e., if no base was removed, the contractor would receive a "100%".)

Section 400 - Flexible Pavements

Complete Section 400 if the contract has any Section 400 contract pay items. Indicate N/A at section heading if project(s) had no Section 400 pay items or if no work was performed in this section during this evaluation period.

Total Dollars of Section 400 Items Completed This Rating Year: $____
(If the contract includes combination projects, the total is to include all Section 400 items from all projects.)

N/A

Were contractor required Section 400 material item certifications provided prior to the material being incorporated into the work? (Contract Compliance)

N/A

0-59%
0 pts

60-79%
1 pt.

80-94%
2 pts.

95-99%
3 pts.

100%
4 pts.

(RE instructions: This item is for certification required of the contractor, not for department inspected material items.)

Were truck beds, hauling bituminous mixtures, cleaned and covered in accordance with the specifications? (Quality)

N/A

> 4 notices
0 pts.

4 notices
2 pts.

3 notices
4 pts.

2 notices
6 pts.

1 notice
8 pts.

No notices
10 pts.

(RE instructions: - 1 pt per documented notice of correction, No points should be deducted unless the haul trucks are reluctant to fix any problems. If problems persist, a written notice or diary entry initialed by an authorized project representative should inform the contractor of the specification violation and points deducted accordingly. - Spec # 404.7)

As a result of the contractor's operations was it necessary to remove and replace any bituminous mixture? (Quality)

N/A

<96%
0 pts.

96%
1 pt.

97.0 - 97.4%
2 pts.

97.5 - 97.9
3 pts.

98.0 - 98.4
4 pts.

98.5 - 98.9
5 pts.

99.0 - 99.3
6 pts.

99.4 - 99.6
7 pts.

99.7 - 99.8
8 pts.

99.9%
9 pts.

100%
10 pts.

(RE instructions: The measurement relates to the % of asphalt mix that did not require replacement, i.e., if no mix was removed because of the contractor's processes, the contractor would receive a "100%" rating. - Spec # 403.20.6.6 & 403.18.4)

Were the results of tests performed on asphalt cement, obtained from the supply line, within specification limits? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: amount of AC w/i spec / amount of AC used - Spec # 301.2, 1015.5)

Were samples of compacted bituminous mixtures delivered to the engineer in accordance with the specifications or as agreed to by the engineer? (Contract Compliance)

N/A

0-59%
0 pts.

60-79%
1 pt.

80-94%
2 pts.

95-99%
3 pts.

100%
4 pts.

(RE instructions: amount of AC w/i spec / amount of AC used - Spec # 301.2, 1015.5)

Were acceptable profilograms and evaluations furnished to the engineer in accordance with the specifications or as agreed to by the engineer? (Contract Compliance)

N/A

0-59%
0 pts.

60-79%
1 pt.

80-94%
2 pts.

95-99%
3 pts.

100%
4 pts.

(RE instructions: # traces provided w/i specifications / # traces required. - Spec # 403.20.1.7)

What is the total dollar value of asphalt pavement placed to date on which profilographing was required? (Quality)

N/A

a) What is the total dollar value of bonus smoothness payments made to date?

N/A

b) What is the total dollar value of deductions made to date for rough pavement?

N/A

Bonus / Penalty point question: Question 400 - 7 quantifies overall asphalt pavement smoothness; 3 X (bonus payment percentage less deduct payment percentage.)7a) points =[ (total $ bonus ) / (7 $ total)] X 3007b) points = [(total $ deduct ) / (7 $ total)] X 3007) points = [7a) points - 7b) points] (Range: +/- 21 points)

How much pavement did not require corrective action to reduce the profile index to acceptable smoothness limits? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: S.Y. of correction free asphalt pavement / Total SY of asphalt pavement. Count S.Y. of pavement for segment not acceptable. Would not include 'must-grind' bumps if profile index were within acceptable limits. - Spec # 403.20.6.1)

How much non profilograph pavement was without need of corrections? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instruction: S.Y. of correction free non profilograph pavement / Total S.Y. of pavement requiring profilographing. - (Spec #403.20)

Were the results of core thickness measurements on asphaltic concrete pavement within specification limits? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: # cores w/i specifications (no deducts) / total # of cores - Spec # 403.21)

All Superpave Projects *

N/A

Did QC/QA results compare favorably? (Contract Compliance)

<70%
0 pts

70-79%
1 pt.

80-89%
2 pts.

90-98%
3 pts.

99-100%
4 pts.

(RE Instructions: Number of QA test comparing favorably with QC results / Total Number of test compared. - Job Special Provisions)

SuperPave Projects with Required Quality Analysis: $____
Answer Questions 12, 13, & 14

N/A

For projects with density as part of the Quality Level Analysis, what was the overall weighted percentage pay factor for the project? (Quality) - 40 point question

For pay factor < 90%: 35 + 0.875 (pay factor 90)

For pay factor > 90%: 50 + 1.5 (pay factor 100)

(RE instructions: Job Special Provisions)

For projects without density as part of the Quality Level Analysis, what was the overall weighted percentage pay factor for the project? (Quality) - 40 point question

For pay factor < 90%: 28 + 0.7 (pay factor - 90)

For pay factor > 90%: 40 + 1.2 (pay factor - 100)

(RE instructions: Job Special Provisions)

For projects without density as part of the Quality Level Analysis, what percentage of density/compaction tests met specification requirements? (Quality) - 10 point question

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: Total tonnage w/i specifications vs. Total tonnage laid. Job Special Provisions)

SuperPave Projects without Required Quality Analysis: $____
Answer Questions 15 - 19

N/A

What percentage of the mineral aggregate voids test results meet specification limits? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE Instructions: Number of VMA test results passing / Total Number of VMA tests taken. - Job Special Provisions)

What percentage of the air void test results meet specification limits. (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE Instructions: Number of air void test results passing / Total Number of air void tests taken. - Job Special Provisions)

What percentage of density/compaction tests met specification requirements? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: Total tonnage w/i specifications vs. Total tonnage laid. - Spec #403.18.5, Job Special Provisions)

Was the asphalt cement content within specification limits? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: tons of mix w/i spec / total tons of asphalt mix - Spec #403.3.1, Job Special Provisions)

Was the gradation of the combined aggregates prior to mixing with asphalt cement, within specification limits? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: tons of mix w/i spec / total tons of asphalt mix - Spec #403.3.1, Job Special Provisions)

For Bituminous Surface Mixes Other than SuperPave
Answer Questions 20 - 22

N/A

What percentage of density/compaction tests met specification requirements? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: Total tonnage w/i specifications vs. Total tonnage laid. - Spec #403.18)

Was the asphalt cement content within specification limits? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: tons of mix w/i spec / total tons of asphalt mix - Spec #403.5)

Was the gradation of the combined aggregates, prior to mixing with asphalt cement, within specification limits? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: tons of mix w/i spec / total tons of asphalt mix - Spec #403.3.1)

Section 500 - Rigid Pavements

Complete Section 500 if the contract has any Section 500 contract pay items.Indicate N/A at section heading if project(s) had no Section 500 pay items or if no work was performed in this section during this evaluation period.

N/A

Total Dollars of Section 500 Items Completed This Rating Year: $____
(If the contract includes combination projects, the total is to include all Section 500 items from all projects.)

Did concrete meet the specifications when it arrived at the jobsite? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: # tests w/i specifications / Total # of test - Spec # 501.2.3, 501.5.14)

Were the results of core thickness measurements on concrete pavement within specification limits? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: # cores w/i specifications / Total # of cores taken - Spec # 502.17)

Were acceptable profilograms and evaluations furnished to the engineer in accordance with the specifications or within the timeline agreed by the engineer? (Contract Compliance)

N/A

0-59%
0 pts.

60-79%
1 pt.

80-94%
2 pts.

95-99%
3 pts.

100%
4 pts.

(RE instructions: # traces provided w/i specifications / # traces required. - Spec # 502.14.1.7)

Was any concrete pavement removed for noncompliance with specifications? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: Total pavement less non compliant pavement removed / Total pavement quantity)

What is the total dollar value of concrete pavement placed to date on which profilographing was required? (Quality)

N/A

a) What is the total dollar value of bonus smoothness payments made to date?

b) What is the total dollar value of deductions made to date for rough pavement?

Bonus / Penalty question: Question 500 - 5 quantifies overall concrete pavement smoothness; bonus payment percentage less deduct payment percentage.5a) points =[(total $ bonus ) / 5 $ total)] X 1005b) points =[(total $ deduct ) / 5 $ total)] X 1005) points = [5a) points - 5b) points] (Range: +/- 7 points)

Were joints sawed before uncontrolled shrinkage cracking took place? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: total # joints - # uncontrolled shrinkage cracks / # total joints - Spec # 502.11.3)

How much pavement did not require corrective action to reduce the profile index to obtain acceptable smoothness limits? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: Correction free pavement / Total SY pavement. Count SY of pavement for segment not acceptable. Would not include must-grind bumps if profile index were within acceptable limits. - Spec # 502.14.6)

How much non profilograph pavement was correction free? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: Correction free non profilograph pavement / total non profilograph pavement area. Quantity should be measured before grinding is done, does not include tapering area to obtain a better ride. - Spec # 502.14.2)

Was the contractor persistent in adding unauthorized moisture to finish the concrete pavement surface? (Quality)

>4 notices:
0 pts

4 notices:
2 pts

3 notices:
4 pts

2 notices:
6 pts

1 notice:
8 pts.

No notices:
10 pts.

(RE instructions: - 1 pt. per each documented order to cease. Notices must be documented by a written notice or diary entry initialed by an authorized project representative of the specification violation and points deducted accordingly. - Spec # 502.10.2)

Were joints thoroughly cleaned prior to sealing. (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: Total S.Y. pavement area sealed w/i spec / S.Y. total - Spec # 502.11.4)

Were contractor required Section 500 material item certifications provided prior to the material being incorporated into the work? (Contract Compliance)

N/A

0-59%
0 pts.

60-79%
1 pt.

80-94%
2 pts.

95-99%
3 pts.

100%
4 pts.

(RE instructions: This item is for certification required of the contractor, not for department inspected material items.)

Section 600 - Incidental Construction

Complete Section 600 if the contract has any Section 600 contract pay. Indicate N/A at section heading if project(s) had no Section 600 pay items or if no work was performed in this section during this evaluation period.

Total Dollars of Section 600 Items Completed This Rating Year: $____
(If the contract includes combination projects, the total is to include all Section 600 items from all projects.)

N/A

Was pavement edge treatment properly provided in accordance with plans and specifications? (Contract Compliance - Traffic Control)

N/A

0-59%
0 pts.

60-79%
1 pt.

80-94%
2 pts.

95-99%
3 pts.

100%
4 pts.

(RE instructions: L.F. provided vs. L.F. required. If contractors operations eliminated need, edge treatment was provided. - Spec # 619)

Was pavement marking installed within the time limits specified in the contract? (Contract Compliance - Traffic Control)

N/A

0-59%
0 pts.

60-79%
1 pt.

80-94%
2 pts.

95-99%
3 pts.

100%
4 pts.

(RE instructions: Sta. installed w/i specifications / Sta. required. - Spec #620.2.5)

Was permanent guardrail installed at the earliest reasonable time or prior to opening adjacent lane to traffic? (Contract Compliance - Traffic Control)

N/A

0-59%
0 pts.

60-79%
1 pt.

80-94%
2 pts.

95-99%
3 pts.

100%
4 pts.

(RE instructions: L.F. installed vs. L.F. required. Discuss time frame for installation at prejob. - Spec 606.3.5, Job Special Provisions)

Were traffic control inspection summaries submitted as required? (Contract Compliance - Traffic Control)

N/A

0-59%
0 pts.

60-79%
1 pt.

80-94%
2 pts.

95-99%
3 pts.

100%
4 pts.

(RE instructions: # traffic summaries provided / # traffic summaries required - Spec # 616.3.2.5)

Were traffic control devices installed in accordance with plans and specifications? (Contract Compliance - Traffic Control)

N/A

0-59%
0 pts.

60-79%
1 pt.

80-94%
2 pts.

95-99%
3 pts.

100%
4 pts.

(RE instructions: # Proper installations / total # devices installed. - Spec # 616)

Were traffic control devices maintained in accordance to plans and specifications? (Contract Compliance - Traffic Control)

N/A

0-59%
0 pts.

60-79%
1 pt.

80-94%
2 pts.

95-99%
3 pts.

100%
4 pts.

(RE instructions: # corrections made w/i reasonable designated time of notice / Total # of notices given. Do not penalize the contractor if corrections are made w/i the reasonable designated time. Notices must be documented by written order or diary entry initialed by an authorized contractor's representative. - Spec #616.3.1)

Did the contractor provide well trained, equipped, and properly attired flag persons when required? (Contract Compliance - Traffic Control)

N/A

0-59%
0 pts.

60-79%
1 pt.

80-94%
2 pts.

95-99%
3 pts.

100%
4 pts.

(RE instructions: # days flagging required less # documented improper flagging / # days flagging required. - Spec # 616.3.3)

Were signs covered, set aside, turned, removed, or relocated as work progressed or was completed and their necessity ceased to exist? (Contract Compliance - Traffic Control)

N/A

4 or more notices
0 pts.

3 notices
1 pt.

2 notices
2 pts.

1 notice
3 pts.

No notices
4 pts.

(RE instructions: Contractor should be given a reasonable designated time to make corrections. - 1 point per each documented notice of failure to correct the deficiency w/i the designated time period of notice. Initial and subsequent notice can be by order record, documentation record, or diary entry initialed by an authorized project representative. - Spec # 616.3.1.1)

Were miscellaneous drainage items initially installed/constructed in accordance with the plans and specifications? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: # properly installed items / total # of items. - Spec # 604)

Were paved drainage items initially constructed in accordance with the plans and specifications? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: # properly installed items / total # of items. - Spec # 609)

Were underdrain/edge drain items initially installed in accordance with the plans and specifications? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: # properly installed items / total # of items. - Spec # 605)

Were guardrail items initially installed in accordance with the plans and specifications? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

76-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: # linear feet properly installed / total # linear feet.)

Were fencing items initially installed in accordance with the plans and specifications? (Quality) (Spec # 607.11)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: # linear feet properly installed / total # linear feet. - Spec # 606)

Was traffic barrier initially constructed in accordance with the plans and specifications? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: # linear feet properly installed / total # linear feet. - Spec # 617)

Was all permanent embankment protection initially constructed in accordance with the plans and specifications? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: This question refers to Section 600 permanent erosion control items, not temporary erosion control items. # properly installed items / total # of items. - Spec # 611)

Was pavement repair performed in accordance with the plans and specifications? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: # properly installed items / total # of items. - Spec # 613)

Was pavement marking initially placed in accordance with the plans and specifications? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: lf properly installed / total lf. - Spec # 620)

Were contractor required Section 600 material item certifications provided prior to the material being incorporated into the work? (Contract Compliance)

N/A

0-59%
0 pts.

60-79%
1 pt.

80-94%
2 pts.

95-99%
3 pts.

100%
4 pts.

(RE instructions: This item is for certification required of the contractor, not for department inspected material items.)

Section 700 - Structures

Complete Section 700 if the contract has any Section 700 contract pay items. Indicate N/A at section heading if project(s) had no Section 700 pay items or if no work was performed in this section during this evaluation period.

Total Dollars of Section 700 Items Completed This Rating Year: $____
(If the contract includes combination projects, the total is to include all Section 700 items from all projects.)

N/A

Was corrective action necessary to eliminate excessive variations in the bridge deck surfacing? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: Bridge deck S.Y. not requiring correction vs. Bridge deck S.Y. total - Spec # 703.3.14.6)

Were exposed concrete surfaces properly cured? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: Rating should be calculated using the number of individual pours. Bridge deck S.Y. properly poured / Bridge deck S.Y. total, Information should be documented in routine reports and diary entries. - Spec #703.3.17, 703.3.20.2)

Were detailed plans for falsework, including supporting design computations, submitted as required by specification? (Contract Compliance)

N/A

0-74%
0 pts.

75-84%
1 pt.

85-94%
2 pts.

95-99%
3 pts.

100%
4 pts.

(RE instructions: based on number of events, # times plans provided / # time plans required. - Spec # 703.3.1, 712.4, 712.8.1)

Was reinforcing steel properly aligned and tied in conformance with the plans and specifications when the contractor requested inspection? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: Wt of properly erected steel / Total wt of steel - Spec # 706.3, 710.3.2.1, 721.3.1)

Was jobsite storage of structural steel in accordance with the specifications? (Quality)

N/A

4 notices
0 pts.

4 notices
2 pts.

3 notices
4 pts.

2 notices
6 pts.

1 notice
8 pts.

No notices
10 pts.

(RE instructions: -2 point per documented incident. Documentation can be by order record, written notice, or diary entry initialed by an authorized project representative. - Spec. # 712.3.6)

Did the contractor furnish pile driving equipment adequate for handling and driving the design length of pile? (Contract Compliance)

N/A

4 or more notices
0 pts.

3 notices
1 pt.

2 notices
2 pts.

1 notice
3 pts.

No notices
4 pts.

(RE instructions: -1 point per documented incident. Documentation can be by order record, written notice, or diary entry initialed by an authorized project representative. - Spec. # 702.3)

Were forms properly aligned and graded when the contractor requested inspection? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: S.Y. properly formed / Total S.Y. of deck - Spec. # 703.3.2)

Did the contractor provide falsework adequate to support and hold the forms true to line, camber, and grade? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: Rating should be based on the number of pours. # failures / total # of pours. Documentation can be by order record, written notice, or diary entry initialed by an authorized project representative. - Spec. # 703.3.1)

Was the structural steel erected in accordance with the specifications? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: Wt. of properly erected steel / Total wt. of steel - (Spec. # 712.5)

Was the contractor persistent in adding unauthorized moisture to finish the bridge deck surface? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: - 1 pt. per each written order to cease. Documentation can be by order record, written notice, or diary entry initialed by an authorized project representative. - Spec # 502.10.2)

Did the contractor prepare existing structural steel surfaces for protective coatings as required by specifications? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: Area of properly prepared structural steel surface / total steel area - Spec #712.12.2)

Did the contractor provide proper lead containment as required the contract? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: # days of proper containment / # days lead removal was active. Documentation can be by order record, written notice, or diary entry initialed by an authorized project representative. - Job Special Provisions)

Was the proper thickness of protective coating of structural steel in compliance with the specifications? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: Area of structural steel surface with proper thickness / total steel area. Documentation can be by order record, written notice, or diary entry initialed by an authorized project representative. - Spec. # 712.12.3)

Did the contractor provide adequate protection for property (to include the structure) and traffic during painting operations? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: # days w/o incident / total days painting was active. Documentation can be by order record, written notice, or diary entry initialed by an authorized project representative. - Spec. # 712.12.11)

Did the contractor provide adequate protection for property (to include the structure) and traffic during bridge, excluding painting, operations? (Contract Compliance)

N/A

0-59%
0 pts.

60-79%
1 pt.

80-94%
2 pts.

95-99%
3 pts.

100%
4 pts.

(RE instructions: # days w/o incident / total days bridge work was active. Documentation can be by order record, written notice, or diary entry initialed by an authorized project representative. - Spec. # 107.5, Job Special Provisions)

Did the contractor's best concrete removal practices minimize damage to existing reinforcing steel that was to be used in place? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: # days w/o incident / total days concrete removal was active. Documentation can be by order record, written notice, or diary entry initialed by an authorized project representative. - Job Special Provisions)

Were adhesion strength tests within the required limits on epoxy polymer deck overlays? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: # passing adhesion tests / total # of adhesion tests. Tests will be documented in report or diary entries. - (Job Special Provisions)

Were thickness checks within the specified limits on bridge deck overlays? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: # passing thickness checks / total # of checks. Documentation can be by order record, written notice, or diary entry initialed by an authorized project representative. - Spec. # 505.10.6.4, Job Special Provisions)

Was the proper density of low slump concrete within specified limits? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: # passing slump tests / total # of tests. Tests will be documented in plant reports, ordinary entries initialed by an authorized contractor representative. - Spec. # 505.10.4.6)

Were drainage pipes and structures initially installed in accordance with the plans and specifications? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: This question refers to project drainage, not bridge drainage. Length of properly placed pipe / total pipe placed. Documentation can be by order record, written notice, or diary entry initialed by an authorized project representative. - Spec. #725.4, 725.5, 725.6)

Were contractor required Section 700 material item certifications provided prior to the material being incorporated into the work? (Contract Compliance)

N/A

0-59%
0 pts.

60-79%
1 pt.

80-94%
2 pts.

95-99%
3 pts.

100%
4 pts.

(RE instructions: This item is for certification required of the contractor, not for department inspected material items.)

Section 800 - Roadside Development

Complete Section 800 if the contract has any Section 800 contract pay items. Indicate N/A at section heading if project(s) had no Section 800 pay items or if no work was performed in this section during this evaluation period.

Total Dollars of Section 800 Items Completed This Rating Year: $____
(If the contract includes combination projects, the total is to include all Section 800 items from all projects.)

N/A

What percentage of the sod was living at the end of the initial watering period? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: Sod area accepted that did not require replacement / total sod placed. Only sod replaced due to contractor's substandard construction practices would be rated. ex. failure to properly water sod. - Spec # 803.3)

Was soil preparation, lime and fertilizer application in compliance with the contract? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: Area of soil properly prepared / total surface area seeded and sodded. Documentation can be by order record, written notice, or diary entry initialed by an authorized project representative. - Spec # 801.4)

Was initial sod installation in compliance with the contract? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: Total sod area installed properly / total surface area sodded. Documentation can be by order record, written notice, or diary entry initialed by an authorized project representative. - Spec # 803.3)

Was initial seed and mulch application in compliance with the contract? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: Total area properly seeded / total surface area sodded. Documentation can be by order record, written notice, or diary entry initialed by an authorized project representative. - Spec # 802.3, 805.3)

a. Total acres (hectares) of erodible earth authorized as of:
b. Total acres (hectares) of erodible earth opened as of: (Contract Compliance - Erosion Control)

N/A

a / b
<60%

a / b
66-75%
1 pt.

a / b
76-85%
2 pts.

a / b
86-95%
3 pts.

a / b
96-100%
4 pts.

5a.

a. Total acres (hectares) of erodible earth authorized as of March 15:
b. Total acres (hectares) of erodible earth opened as of March 15:

N/A

5b.

a. Total acres (hectares) of erodible earth authorized as of June 15:
b. Total acres (hectares) of erodible earth opened as of June 15:

N/A

5c.

a. Total acres (hectares) of erodible earth authorized as of September 15:
b. Total acres (hectares) of erodible earth opened as of September 15:

N/A

5d.

a. Total acres (hectares) of erodible earth authorized as of December 15:
b. Total acres (hectares) of erodible earth opened as of December 15:

N/A

(RE instructions: Erodible are authorized / erodible area opened at benchmark dates. Provide contractor documentation record, or order record if appropriate, at benchmark dates and record in Construction Directory. - General Special Provisions, Spec. # 806.4.2)

What percentage of the required temporary erosion control items were properly installed and maintained? (Contract Compliance - Erosion Control)

6a.

On March 15 what percentage of the required temporary erosion control items were properly installed and maintained?

N/A

<66%
0 pts.

66-75%
1 pt.

76-85%
2 pts.

86-95%
3 pts.

96-100%
4 pts.

6b.

On June 15 what percentage of the required temporary erosion control items were properly installed and maintained?

N/A

<66%
0 pts.

66-75%
1 pt.

76-85%
2 pts.

86-95%
3 pts.

96-100%
4 pts.

6c.

On September 15 what percentage of the required temporary erosion control items were properly installed and maintained?

N/A

<66%
0 pts.

66-75%
1 pt.

76-85%
2 pts.

86-95%
3 pts.

96-100%
4 pts.

6d.

On December 15 what percentage of the required temporary erosion control items were properly installed and maintained?

N/A

<66%
0 pts.

66-75%
1 pt.

76-85%
2 pts.

86-95%
3 pts.

96-100%
4 pts.

(RE instructions: Value of erosion control items properly installed according to plans and standards and properly maintained / Value of erosion control items required. Provide contractor documentation record, or order record if appropriate, of erosion measures at benchmark dates. - General Special Provisions)

Were contractor required Section 800 material item certifications provided prior to the material being incorporated into the work? (Contract Compliance)

N/A

0-59%
0 pts.

60-79%
1 pt.

80-94%
2 pts.

95-99%
3 pts.

100%
4 pts.

(RE instructions: This item is for certification required of the contractor, not for department inspected material items. - Spec # 801.2.3, 802.2.3.3, 806.2.4)

Section 900 - Traffic Control Facilities

Complete Section 900 if the contract has any Section 900 contract pay items. Indicate N/A at section heading if project(s) had no Section 900 pay items or if no work was performed in this section during this evaluation period.

Total Dollars of Section 900 Items Completed This Rating Year: $____
(If the contract includes combination projects, the total is to include all Section 900 items from all projects.

N/A

Did the contractor provide material that was listed on the approved list of equipment and materials? (Contract Compliance)

N/A

0-59%
0 pts.

60-79%
1 pt.

80-94%
2 pts.

95-99%
3 pts.

100%
4 pts.

(RE instructions: # items approved / # items required. Prior approval of a replacement item does not constitute failure to provide equipment on the approved list. - Spec # 901.3.3, 902.3.5, 903.2.5)

Did the contractor provide the necessary certifications, manufacturers instructions, wiring diagrams, and parts lists, as required by the specifications? (Contract Compliance)

N/A

0-59%
0 pts.

60-79%
1 pt.

80-94%
2 pts.

95-99%
3 pts.

100%
4 pts.

(RE instructions: # provided / # required - Spec # 901.6, 902.4, 902.5, 903.3)

Were all highway signing items completed and accepted without corrections other than minor items normal to this type of work? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: # signing items accepted / # signing items constructed - (Spec # 903)

Were all traffic signal items completed and accepted without corrections other than minor items normal to this type of work? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: # signal items accepted / # signal items constructed - Spec # 902)

Were all highway lighting items completed and accepted without corrections other than minor items normal to this type of work? (Quality)

N/A

<65%
0 pts.

65-69%
1 pt.

70-74%
2 pts.

75-79%
3 pts.

80-83%
4 pts.

84-87%
5 pts.

88-91%
6 pts.

92-94%
7 pts.

95-97%
8 pts.

98-99%
9 pts.

100%
10 pts.

(RE instructions: # lighting items accepted / # lighting items constructed - Spec # 901)

Were contractor required Section 900 material item certifications provided prior to the material being incorporated into the work? (Contract Compliance)

0-59%
0 pts.

60-79%
1 pt.

80-94%
2 pts.

95-99%
3 pts.

100%
4 pts.

(RE instructions: This item is for certification required of the contractor, not for department inspected material items.)

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Contact

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202-366-1562
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This page last modified on 07/27/07