**Contract Letting Date: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Notice to
Proceed: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Contractor:
[\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_]{.underline}
Address: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**(AS LISTED IN CONTRACT)
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_[\_]{.underline}**

**Contractor Vendor No. \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_[\_]{.underline}**

**Completed and Reviewed
by:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

#  Resident Engineer Date 

**Contractor\'s
Representative:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Name / Title** **Date**

**Comments:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_Attach
additional sheets if necessary.**

**District
Review:[\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_]{.underline}**

(If required) **Name / Title Date**

**Comments:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Attach additional sheets if necessary.**

<table style="width:100%;">
<colgroup>
<col style="width: 6%" />
<col style="width: 1%" />
<col style="width: 50%" />
<col style="width: 5%" />
<col style="width: 6%" />
<col style="width: 0%" />
<col style="width: 5%" />
<col style="width: 0%" />
<col style="width: 3%" />
<col style="width: 2%" />
<col style="width: 0%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 2%" />
<col style="width: 0%" />
<col style="width: 6%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="17"><p><strong><u>Section 100 - General
Provisions</u></strong></p>
<p>This section shall be completed on all projects.</p></td>
</tr>
<tr class="even">
<td colspan="2">1</td>
<td colspan="6">Did the contractor provide the required
<u>warranties</u>, for electronic, electrical, or mechanical equipment
prior to the acceptance of the project for maintenance? <em>(Contract
Compliance)</em></td>
<td colspan="3">N/A</td>
<td colspan="4"><p>NO</p>
<p>0 pts.</p></td>
<td colspan="2"><p>YES</p>
<p>4 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="15">(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)</td>
</tr>
<tr class="even">
<td colspan="2">2</td>
<td colspan="6">Did the contractor provide the engineer with letters of
approval, from the appropriate regulating agencies, prior to commencing
any blasting operations? <em>(Contract Compliance)</em></td>
<td colspan="3">N/A</td>
<td colspan="4"><p>NO</p>
<p>0 pts.</p></td>
<td colspan="2"><p>YES</p>
<p>4 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="15">(RE instructions: Discuss this item at the
preconstruction conference.- Spec # 107.7.1)</td>
</tr>
<tr class="even">
<td colspan="2">3</td>
<td colspan="9"><p>How many order records were written for contract
document violations?</p>
<p><em>(Contract Compliance)</em></p></td>
<td colspan="6"><p># <u>____</u></p>
<p>-2 pts ea</p></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="15">(RE instructions: Penalty Points: The actual number of
order records written for <u>violations</u>. 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)</td>
</tr>
<tr class="even">
<td colspan="2">4</td>
<td colspan="6">Were the contractor's proposed sources of materials
identified at the preconstruction conference? <em>(Contract
Compliance)</em></td>
<td colspan="3">N/A</td>
<td colspan="4"><p>NO</p>
<p>0 pts.</p></td>
<td colspan="2"><p>YES</p>
<p>4 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="15">(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)</td>
</tr>
<tr class="even">
<td colspan="2">5</td>
<td>Were paid invoices for material allowances received within the time
limit specified in the contract? <em>(Contract Compliance)</em></td>
<td>N/A</td>
<td colspan="2"><p>0-59%</p>
<p>0 pts.</p></td>
<td colspan="2"><p>60-79%</p>
<p>1 pt.</p></td>
<td colspan="3"><p>80-94%</p>
<p>2 pts.</p></td>
<td colspan="4"><p>95-99%</p>
<p>3 pts.</p></td>
<td colspan="2"><p>100%</p>
<p>4 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="15">(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).</td>
</tr>
<tr class="even">
<td colspan="2">6</td>
<td>Did the contractor submit certified copies of payrolls within the
time limit specified in the contract? <em>(Contract
Compliance)</em></td>
<td>N/A</td>
<td colspan="2"><p>0-59%</p>
<p>0 pts.</p></td>
<td colspan="2"><p>60-79%</p>
<p>1 pt.</p></td>
<td colspan="3"><p>80-94%</p>
<p>2 pts.</p></td>
<td colspan="4"><p>95-99%</p>
<p>3 pts.</p></td>
<td colspan="2"><p>100%</p>
<p>4 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="15">(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)</td>
</tr>
<tr class="even">
<td colspan="2">7</td>
<td>Did employee wage interviews indicate that the contractor was in
compliance with prevailing wage requirements? <em>(Contract
Compliance)</em></td>
<td>N/A</td>
<td colspan="2"><p>0-59%</p>
<p>0 pts.</p></td>
<td colspan="2"><p>60-79%</p>
<p>1 pt.</p></td>
<td colspan="3"><p>80-94%</p>
<p>2 pts.</p></td>
<td colspan="4"><p>95-99%</p>
<p>3 pts.</p></td>
<td colspan="2"><p>100%</p>
<p>4 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="15">(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)</td>
</tr>
<tr class="even">
<td colspan="2">8</td>
<td>Were contractor payrolls correct? <em>(Contract
Compliance)</em></td>
<td>N/A</td>
<td colspan="2"><p>0-59%</p>
<p>0 pts.</p></td>
<td colspan="2"><p>60-79%</p>
<p>1 pt.</p></td>
<td colspan="3"><p>80-94%</p>
<p>2 pts.</p></td>
<td colspan="4"><p>95-99%</p>
<p>3 pts.</p></td>
<td colspan="2"><p>100%</p>
<p>4 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="15">(RE instructions: Number of correct payrolls / total
number of payrolls. - Spec. 102.2.2)</td>
</tr>
<tr class="even">
<td colspan="2">9</td>
<td>Did the contractor expediently correct errors on payrolls when
notified? <em>(Contract Compliance)</em></td>
<td>N/A</td>
<td colspan="2"><p>0-59%</p>
<p>0 pts.</p></td>
<td colspan="2"><p>60-79%</p>
<p>1 pt.</p></td>
<td colspan="3"><p>80-94%</p>
<p>2 pts.</p></td>
<td colspan="4"><p>95-99%</p>
<p>3 pts.</p></td>
<td colspan="2"><p>100%</p>
<p>4 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="15">(RE instructions: Number of times the contractor
voluntarily correct errors on payrolls / total number of times the
contractor was contacted to correct payrolls.)</td>
</tr>
<tr class="even">
<td colspan="2">10</td>
<td colspan="9"><p>Was a proper bulletin board installed prior to the
beginning of work?</p>
<p><em>(Contract Compliance)</em></p></td>
<td colspan="4"><p>NO</p>
<p>0 pts.</p></td>
<td colspan="2"><p>YES</p>
<p>4 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="15">(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.)</td>
</tr>
<tr class="even">
<td colspan="2">11</td>
<td><p>Was the bulletin board properly maintained throughout the
duration of the project?</p>
<p><em>(Contract Compliance)</em></p></td>
<td>N/A</td>
<td colspan="2"><p>0-59%</p>
<p>0 pts.</p></td>
<td colspan="2"><p>60-79%</p>
<p>1 pt.</p></td>
<td colspan="3"><p>80-94%</p>
<p>2 pts.</p></td>
<td colspan="4"><p>95-99%</p>
<p>3 pts.</p></td>
<td colspan="2"><p>100%</p>
<p>4 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="15">(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.)</td>
</tr>
<tr class="even">
<td colspan="2">12</td>
<td colspan="6">Did the DBE subcontractors perform the work as
identified in the contract? <em>(Contract Compliance)</em></td>
<td colspan="3">N/A</td>
<td colspan="4"><p>NO</p>
<p>0 pts.</p></td>
<td colspan="2"><p>YES</p>
<p>4 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="15">(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.)</td>
</tr>
<tr class="even">
<td colspan="2">13</td>
<td>Were the required trainee reports submitted accurately and within
the time limit specified in the contract? <em>(Contract
Compliance)</em></td>
<td>N/A</td>
<td><p>0-59%</p>
<p>0 pts.</p></td>
<td colspan="3"><p>60-79%</p>
<p>1 pt.</p></td>
<td colspan="3"><p>80-94%</p>
<p>2 pts.</p></td>
<td colspan="4"><p>95-99%</p>
<p>3 pts.</p></td>
<td colspan="2"><p>100%</p>
<p>4 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="15">(RE instructions: Number of trainee reports submitted
on time and accurately / total number of trainee reports submitted- Job
Special Provisions)</td>
</tr>
<tr class="even">
<td colspan="2">14</td>
<td colspan="6"><p>Was a progress schedule submitted in accordance with
the specifications?</p>
<p><em>(Contract Compliance)</em></p></td>
<td colspan="3">N/A</td>
<td colspan="4"><p>NO</p>
<p>0 pts.</p></td>
<td colspan="2"><p>YES</p>
<p>4 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="15">(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)</td>
</tr>
<tr class="even">
<td colspan="2">15</td>
<td>Did the contractor provide an acceptable revised progress schedule
when requested? <em>(Prosecution/Progress)</em></td>
<td>N/A</td>
<td><p>0-59%</p>
<p>0 pts.</p></td>
<td colspan="3"><p>60-79%</p>
<p>1 pt.</p></td>
<td colspan="3"><p>80-94%</p>
<p>2 pts.</p></td>
<td colspan="4"><p>95-99%</p>
<p>3 pts.</p></td>
<td colspan="2"><p>100%</p>
<p>4 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="15">(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)</td>
</tr>
<tr class="even">
<td colspan="2">16</td>
<td colspan="9"><p>How many Value Engineering proposals were
accepted?</p>
<p><em>(Prosecution/Progress)</em></p></td>
<td colspan="6"><p># ____</p>
<p>+1 pt ea.</p></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="15">(RE instructions: Bonus point granted for accepted V E
proposals.</td>
</tr>
<tr class="even">
<td colspan="2">17</td>
<td colspan="2">Was an authorized representative readily available
throughout the life of the project? <em>(Prosecution/Progress</em>)</td>
<td><p>0-59%</p>
<p>0 pts.</p></td>
<td colspan="3"><p>60-79%</p>
<p>1 pt.</p></td>
<td colspan="3"><p>80-94%</p>
<p>2 pts.</p></td>
<td colspan="4"><p>95-99%</p>
<p>3 pts.</p></td>
<td colspan="2"><p>100%</p>
<p>4 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="15">(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)</td>
</tr>
<tr class="even">
<td colspan="2">18</td>
<td>Did the contractor exercise caution around construction stakes?
<em>(Contract Compliance)</em></td>
<td>N/A</td>
<td><p>0-59%</p>
<p>0 pts.</p></td>
<td colspan="3"><p>60-79%</p>
<p>1 pt.</p></td>
<td colspan="3"><p>80-94%</p>
<p>2 pts.</p></td>
<td colspan="4"><p>95-99%</p>
<p>3 pts.</p></td>
<td colspan="2"><p>100%</p>
<p>4 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="15">(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)</td>
</tr>
<tr class="even">
<td colspan="2">19</td>
<td colspan="9">Did the contractor designate, in writing, the person(s)
authorized to sign various documents as required in the contract?
<em>(Contract Compliance)</em></td>
<td colspan="4"><p>NO</p>
<p>0 pts.</p></td>
<td colspan="2"><p>YES</p>
<p>4 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="15">(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)</td>
</tr>
<tr class="even">
<td colspan="2">20</td>
<td colspan="9">Did the contractor provide a list of personnel available
for non-working hour emergencies? <em>(Contract Compliance)</em></td>
<td colspan="4"><p>NO</p>
<p>0 pts.</p></td>
<td colspan="2"><p>YES</p>
<p>4 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="15">(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.)</td>
</tr>
<tr class="even">
<td colspan="2">21</td>
<td>Did the contractor satisfactorily remove, maintain, and relocate
mailboxes, signs, and markers? <em>(Contract Compliance)</em></td>
<td>N/A</td>
<td><p>0-59%</p>
<p>0 pts.</p></td>
<td colspan="2"><p>60-79%</p>
<p>1 pt.</p></td>
<td colspan="4"><p>80-94%</p>
<p>2 pts.</p></td>
<td colspan="4"><p>95-99%</p>
<p>3 pts.</p></td>
<td colspan="2"><p>100%</p>
<p>4 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="15">(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)</td>
</tr>
<tr class="even">
<td colspan="2">22</td>
<td colspan="7">Did the contractor provide the effort to resolve
substantiated complaints in a positive, prompt and professional manner?
<em>(Prosecution/Progress)</em></td>
<td colspan="3">N/A</td>
<td colspan="4"><p>NO</p>
<p>0 pts.</p></td>
<td><p>YES</p>
<p>4 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="15">(RE instructions: This should reflect the contractor's
philosophy on handling complaints and not individual
circumstances.)</td>
</tr>
<tr class="even">
<td colspan="2">23</td>
<td colspan="10">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?
<em>(Prosecution/Progress)</em></td>
<td colspan="4"><p>YES</p>
<p>0 pts.</p></td>
<td><p>NO</p>
<p>4 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="15">(RE instructions: There must be an order record on file
for the dismissal of any person from the project. - Spec # 108.5.1)</td>
</tr>
<tr class="even">
<td colspan="17">If Final Report, answer <strong><u>either</u></strong>
Question 100 – 24 <strong><u>or</u></strong> Question 100 - 25</td>
</tr>
<tr class="odd">
<td colspan="17">COMPLETION BY <strong><u>WORKING DAYS</u></strong>:
<strong><u>Final Report Only</u></strong>:</td>
</tr>
<tr class="even">
<td>24</td>
<td colspan="9">a) How many total working days, including adjustments,
were allowed for the completion of the project?
<em>(Prosecution/Progress)</em></td>
<td colspan="4">N/A</td>
<td colspan="3">____</td>
</tr>
<tr class="odd">
<td></td>
<td colspan="16">(RE instructions: # of Contract Working Days plus time
extensions granted- Spec. 108.7.2)</td>
</tr>
<tr class="even">
<td></td>
<td colspan="9">b) How many working days were used to complete the
project? (Prosecution/Progress)</td>
<td colspan="4">N/A</td>
<td colspan="3">____</td>
</tr>
<tr class="odd">
<td></td>
<td colspan="16">RE instructions: <u>Final</u> # of Working Days
Charged: This quantity is the total number of days charged on the last
weekly report. - Spec.108.7.2)</td>
</tr>
<tr class="even">
<td></td>
<td colspan="16">Bonus points possible: (15 pts. +/- 1 pt per 5%
difference, a - b; Rated 15 point question, 18 points possible)</td>
</tr>
<tr class="odd">
<td>25</td>
<td colspan="16">COMPLETION BY <strong><u>CALENDAR DATE</u></strong>,
<strong><u>Final Report Only</u>:</strong></td>
</tr>
<tr class="even">
<td></td>
<td colspan="9">a) What was the contract or adjusted completion date?
<em>(Prosecution/Progress)</em></td>
<td colspan="4">N/A</td>
<td colspan="3">____</td>
</tr>
<tr class="odd">
<td></td>
<td colspan="16">(RE instructions: Contract Completion Date plus time
adjustments granted.- Spec. 108.7.1)</td>
</tr>
<tr class="even">
<td></td>
<td colspan="9">b) What date was the project accepted for maintenance?
(Prosecution/Progress)</td>
<td colspan="4">N/A</td>
<td colspan="3">____</td>
</tr>
<tr class="odd">
<td></td>
<td colspan="16">(RE instructions: Date project accepted for
maintenance: - Spec. 108.7.1)</td>
</tr>
<tr class="even">
<td></td>
<td colspan="16">Bonus points possible: (15 pts. +/- 1 pt per 5%
difference, a - b; Rated 15 point question, 18 points possible)</td>
</tr>
<tr class="odd">
<td colspan="17">If Annual Report, answer <strong><u>either</u></strong>
Question 100 - 26 <strong><u>or</u></strong> Question 100 - 27</td>
</tr>
<tr class="even">
<td colspan="17">COMPLETION BY <strong><u>WORKING DAYS</u>, <u>Annual
Report Only:</u></strong></td>
</tr>
<tr class="odd">
<td>26</td>
<td colspan="9">a) How many days was the contractor’s <u>major
operation</u> active? <em>(Prosecution/Progress)</em></td>
<td colspan="3">N/A</td>
<td colspan="4">____</td>
</tr>
<tr class="even">
<td></td>
<td colspan="16"><table>
<colgroup>
<col style="width: 100%" />
</colgroup>
<tbody>
<tr class="odd">
<td>(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)</td>
</tr>
</tbody>
</table></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="9">b) How many working days were charged this construction
season? <em>(Prosecution/Progress)</em></td>
<td colspan="3">N/A</td>
<td colspan="4">____</td>
</tr>
<tr class="even">
<td></td>
<td colspan="16"><table>
<colgroup>
<col style="width: 100%" />
</colgroup>
<tbody>
<tr class="odd">
<td>(RE instructions: How many days were assessed as working days -
Spec. 108.7.2)</td>
</tr>
</tbody>
</table></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="16">Bonus points possible: (15 pts. +/- 1 pt per 5%
difference, a - b; Rated 15 point question, 18 points possible)</td>
</tr>
<tr class="even">
<td>27</td>
<td colspan="16">COMPLETION BY <strong>CALENDER DATE</strong>,
<strong><u>Annual Report Only</u>:</strong></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="9">a) Beginning with the contractor's scheduled start date,
how many days did the contractor indicate work being active on the
project's <u>major operation</u>? <em>(Prosecution/Progress)</em></td>
<td colspan="3">N/A</td>
<td colspan="4">____</td>
</tr>
<tr class="even">
<td></td>
<td colspan="16">(RE instructions: # of days the project's major
operation was active, <u>if contractor's schedule indicated single
shift</u> but contractor double shifted to catch up, give double credit
for acceleration. The schedule effective <u>at the start</u> 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)</td>
</tr>
<tr class="odd">
<td></td>
<td colspan="9">b) Beginning with the contractor's scheduled start date,
how many days did the contractor work on the project's <u>major
operation</u>? <em>(Prosecution/Progress)</em></td>
<td colspan="3">N/A</td>
<td colspan="4">____</td>
</tr>
<tr class="even">
<td></td>
<td colspan="16">(RE instructions: Consider documented time extensions
<u>for delays outside the contractor's control</u>, ex utility
interference, MoDOT authorized shutdowns, etc. and also allow
non-compensable delays due to weather - Spec. 108.7.1)</td>
</tr>
<tr class="odd">
<td></td>
<td colspan="16">Bonus points possible: (15 pts. +/- 1 pt per 5%
difference, a - b; Rated 15 point question, 18 points possible)</td>
</tr>
</tbody>
</table>

  ---- ------------------------------------------------------- ----- ----------
  28   **INCENTIVE/DISINCENTIVE PROJECTS ONLY:**                     

       a\) How many incentive/disincentive days, including     N/A   \_\_\_\_
       adjustments, were allowed in the contract?                    
       *(Prosecution/Progress)*                                      

       (RE instructions: a) Number of incentive / disincentive       
       days bid by contractor plus any time adjustments              
       granted.)                                                     

       b\) How many incentive/disincentive days were used?     N/A   \_\_\_\_
       *(Prosecution/Progress)*                                      

       (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        
  ---- ------------------------------------------------------- ----- ----------

<table>
<colgroup>
<col style="width: 5%" />
<col style="width: 7%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="13"><p id="section-200---earthwork"
class="heading"><strong>Section 200 - Earthwork</strong></p></td>
</tr>
<tr class="even">
<td colspan="13"><p>Complete Section 200 if the contract has any Section
200 contract pay items.</p>
<p>Indicate N/A at section heading if project(s) had no Section 200 pay
items</p>
<p>or if no work was performed in this section during this evaluation
period.</p></td>
</tr>
<tr class="odd">
<td colspan="11"><p><strong>Total Dollars of Section 200 Items Completed
This Rating Year: <em>$</em></strong></p>
<p>(If the contract includes combination projects, the total is to
include all Section 200 items from all projects.)</p></td>
<td colspan="2">N/A</td>
</tr>
<tr class="even">
<td rowspan="2">1</td>
<td colspan="6"><p>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</p>
<p><em>(Contract Compliance)</em></p></td>
<td><h4 id="section"> </h4>
<h4 id="na">N/A</h4></td>
<td><p>0-59%</p>
<p>0 pts.</p></td>
<td><p>60-79%</p>
<p>1 pt.</p></td>
<td><p>80-94%</p>
<p>2 pts.</p></td>
<td><p>95-99%</p>
<p>3 pts.</p></td>
<td><p>100%</p>
<p>4 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="12">(RE Instructions: Consider the type of project, the
circumstances and the contractor's willingness to repair an area in a
timely manner.)</td>
</tr>
<tr class="even">
<td rowspan="2">2</td>
<td colspan="6">Was material, as designated in the contract to be
salvaged, removed and salvaged without damage? <em>(Contract
Compliance)</em> )</td>
<td><h4 id="na-1">N/A</h4></td>
<td><p>0-59%</p>
<p>0 pts.</p></td>
<td><p>60-79%</p>
<p>1 pt.</p></td>
<td><p>80-94%</p>
<p>2 pts.</p></td>
<td><p>95-99%</p>
<p>3 pts.</p></td>
<td><p>100%</p>
<p>4 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="12">(RE Instructions: Consider the number of damaged items
to total number of salvage items on the project. - Spec # 202.22.2)</td>
</tr>
<tr class="even">
<td rowspan="2">3</td>
<td colspan="6">Did the contractor's operations produce the required
embankment/subgrade density? <em>(Quality)</em> (Spec # 203.3 &amp;
203.4 )</td>
<td><h4 id="na-2">N/A</h4></td>
<td><p>0-59%</p>
<p>0 pts.</p></td>
<td><p>60-79%</p>
<p>1 pt.</p></td>
<td><p>80-94%</p>
<p>2 pts.</p></td>
<td><p>95-99%</p>
<p>3 pts.</p></td>
<td><p>100%</p>
<p>4 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="12">(RE Instructions: Consider the number of failed test
and the total number of test on the project or total % of rock fill
properly placed.)</td>
</tr>
<tr class="even">
<td rowspan="3">4</td>
<td colspan="12">Did the contractor use proper lift thicknesses and
benching procedures in the construction of embankments?
<em>(Quality)</em></td>
</tr>
<tr class="odd">
<td><h4 id="na-3">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>75-79%</p>
<p>3 pts.</p></td>
<td>80-83% 4 pts.</td>
<td><p>84-87%</p>
<p>5 pts.</p></td>
<td><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="even">
<td colspan="12">(RE Instructions: Consider the number of incidents vs.
the total number of days grading was active. - Spec # 203.2.12,
203.2.17, &amp; 203.2.18)</td>
</tr>
<tr class="odd">
<td rowspan="2">5</td>
<td colspan="9">Did the contractor make an effort to identify and locate
utility services prior to excavation? <em>(Contract
Compliance)</em></td>
<td><h4 id="na-4">N/A</h4></td>
<td><p>NO</p>
<p>0 pts.</p></td>
<td><p>YES</p>
<p>4 pts.</p></td>
</tr>
<tr class="even">
<td colspan="12">(RE Instructions: Did the contractor provide proof that
utility contacts were made if a utility was encountered - Spec #
105.7.1)</td>
</tr>
<tr class="odd">
<td rowspan="3">6</td>
<td colspan="12">Were grading operations conducted as to provide proper
drainage of the subgrade during construction? <em>(Quality)</em></td>
</tr>
<tr class="even">
<td><h4 id="na-5">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>75-79%</p>
<p>3 pts.</p></td>
<td>80-83% 4 pts.</td>
<td><p>84-87%</p>
<p>5 pts.</p></td>
<td><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="12">(RE instructions: # days subgrade was properly drained
at days end / # days grading was active - Spec # 203.2.2)</td>
</tr>
<tr class="even">
<td rowspan="2">7</td>
<td colspan="9">Did the contractor submit a complete blasting plan at
least 14 days before rock drilling operations began? <em>(Contract
Compliance)</em></td>
<td><h4 id="na-6">N/A</h4></td>
<td><p>NO</p>
<p>0 pts.</p></td>
<td><p>YES</p>
<p>4 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="12">(RE instructions: Did the blasting plan provide all the
information required by specifications - Spec 203.2.5.1.1)</td>
</tr>
<tr class="even">
<td rowspan="2">8</td>
<td colspan="6">Did the contractor perform blasting operations in a
manner to avoid damage to public or private property? <em>(Contract
Compliance)</em></td>
<td>N/A</td>
<td><p>0-59%</p>
<p>0 pts.</p></td>
<td><p>60-79%</p>
<p>1 pt.</p></td>
<td><p>80-94%</p>
<p>2 pts.</p></td>
<td><p>95-99%</p>
<p>3 pts.</p></td>
<td><p>100%</p>
<p>4 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="12">(R E 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)</td>
</tr>
<tr class="even">
<td rowspan="3">9</td>
<td colspan="12">Considering the nature of the rock excavated, was a
neat rock face provided? <em>(Quality)</em></td>
</tr>
<tr class="odd">
<td><h4 id="na-7">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>75-79%</p>
<p>3 pts.</p></td>
<td>80-83% 4 pts.</td>
<td><p>84-87%</p>
<p>5 pts.</p></td>
<td><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="even">
<td colspan="12">(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)</td>
</tr>
<tr class="odd">
<td rowspan="3">10</td>
<td colspan="12">Was care taken to avoid overshooting the limits of the
rock excavation when blasting? (Quality)</td>
</tr>
<tr class="even">
<td><h4 id="na-8">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>75-79%</p>
<p>3 pts.</p></td>
<td>80-83% 4 pts.</td>
<td><p>84-87%</p>
<p>5 pts.</p></td>
<td><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="12">(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)</td>
</tr>
<tr class="even">
<td rowspan="2">11</td>
<td colspan="6">Did the contractor furnish copies of all blasting logs,
and seismic monitoring data? <em>(Contract Compliance)</em></td>
<td>N/A</td>
<td><p>0-59%</p>
<p>0 pts.</p></td>
<td><p>60-79%</p>
<p>1 pt.</p></td>
<td><p>80-94%</p>
<p>2 pts.</p></td>
<td><p>95-99%</p>
<p>3 pts.</p></td>
<td><p>100%</p>
<p>4 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="12">(RE instructions: # individual blast documentation
provided / # of blasts conducted. - Spec 107.7.1)</td>
</tr>
</tbody>
</table>

<table style="width:100%;">
<colgroup>
<col style="width: 6%" />
<col style="width: 6%" />
<col style="width: 0%" />
<col style="width: 7%" />
<col style="width: 0%" />
<col style="width: 6%" />
<col style="width: 0%" />
<col style="width: 6%" />
<col style="width: 0%" />
<col style="width: 6%" />
<col style="width: 0%" />
<col style="width: 6%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 6%" />
<col style="width: 0%" />
<col style="width: 6%" />
<col style="width: 0%" />
<col style="width: 6%" />
<col style="width: 0%" />
<col style="width: 6%" />
<col style="width: 0%" />
<col style="width: 6%" />
<col style="width: 0%" />
<col style="width: 6%" />
<col style="width: 0%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="25"><strong><u>Section 300 - Bases and Aggregate
Surfaces</u></strong></td>
<td></td>
</tr>
<tr class="even">
<td colspan="25"><p>Complete Section 300 if the contract has any Section
300 contract pay items.</p>
<p>Indicate N/A at section heading if project(s) had no Section 300 pay
items</p>
<p>or if no work was performed in this section during this evaluation
period.</p></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="21"><p><strong>Total Dollars of Section 300 Items Completed
This Rating Year: <em>$</em></strong></p>
<p>(If the contract includes combination projects, the total is to
include all Section 300 items from all projects.)</p></td>
<td colspan="4">N/A</td>
<td></td>
</tr>
<tr class="even">
<td rowspan="2">1</td>
<td colspan="12"><p>Were contractor Section 300 material items
certifications provided prior to the material being incorporated into
the work?</p>
<p><em>(Contract Compliance)</em></p></td>
<td colspan="2">N/A</td>
<td colspan="2"><p>0-59%</p>
<p>0 pts.</p></td>
<td colspan="2"><p>60-79%</p>
<p>1 pt.</p></td>
<td colspan="2"><p>80-94%</p>
<p>2 pts.</p></td>
<td colspan="2"><p>95-99%</p>
<p>3 pts.</p></td>
<td colspan="2"><p>100%</p>
<p>4 pts.</p></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="24">(RE instructions: This item is for certification
required of the contractor, not for department inspected material
items.)</td>
<td></td>
</tr>
<tr class="even">
<td rowspan="3">2</td>
<td colspan="24">Were aggregate surfaced roadways maintained properly?
<em>(Quality)</em></td>
<td></td>
</tr>
<tr class="odd">
<td><strong>N/A</strong></td>
<td colspan="2"><p>&lt;65%</p>
<p>O pts.</p></td>
<td colspan="2"><p>65-69%</p>
<p>1 pts.</p></td>
<td colspan="2"><p>70-74%</p>
<p>2 pt.</p></td>
<td colspan="2"><p>75-79%</p>
<p>3 pts.</p></td>
<td colspan="3">80-83% 4 pts.</td>
<td colspan="2"><p>84-87%</p>
<p>5 pts.</p></td>
<td colspan="2"><p>88-91%</p>
<p>6 pts.</p></td>
<td colspan="2"><p>92-94%</p>
<p>7 pts.</p></td>
<td colspan="2"><p>95-97%</p>
<p>8 pts.</p></td>
<td colspan="2"><p>98-99%</p>
<p>9 pts.</p></td>
<td colspan="2"><p>100%</p>
<p>10 pts.</p></td>
<td></td>
</tr>
<tr class="even">
<td colspan="24">(RE instructions: - 1 pt per each <u>written</u>
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)</td>
<td></td>
</tr>
<tr class="odd">
<td rowspan="3">3</td>
<td colspan="24">Were the results of density tests on aggregate bases
within specification limits? <em>(Quality)</em></td>
<td></td>
</tr>
<tr class="even">
<td>N/A</td>
<td colspan="2"><p>&lt;65%</p>
<p>O pts.</p></td>
<td colspan="2"><p>65-69%</p>
<p>1 pts.</p></td>
<td colspan="2"><p>70-74%</p>
<p>2 pt.</p></td>
<td colspan="2"><p>75-79%</p>
<p>3 pts.</p></td>
<td colspan="3">80-83% 4 pts.</td>
<td colspan="2"><p>84-87%</p>
<p>5 pts.</p></td>
<td colspan="2"><p>88-91%</p>
<p>6 pts.</p></td>
<td colspan="2"><p>92-94%</p>
<p>7 pts.</p></td>
<td colspan="2"><p>95-97%</p>
<p>8 pts.</p></td>
<td colspan="2"><p>98-99%</p>
<p>9 pts.</p></td>
<td colspan="2"><p>100%</p>
<p>10 pts.</p></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="24">(RE instructions: # tests w/i spec. / total # of tests
performed. - Spec # 301.13)</td>
<td></td>
</tr>
<tr class="even">
<td rowspan="2">4</td>
<td colspan="12">Were truck beds, hauling bituminous mixtures, cleaned
and covered in accordance with the specifications?
<em>(Quality)</em></td>
<td colspan="2">NA</td>
<td colspan="2"><p>4 or more</p>
<p>Notices</p>
<p>0 pts</p></td>
<td colspan="3"><p>3</p>
<p>Notices</p>
<p>1</p>
<p>pt.</p></td>
<td><p>2</p>
<p>Notices</p>
<p>2</p>
<p>pts.</p></td>
<td colspan="2"><p>1</p>
<p>Notices</p>
<p>3</p>
<p>pts</p></td>
<td colspan="2"><p>No</p>
<p>Notices</p>
<p>4</p>
<p>pts.</p></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="24">(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)</td>
<td></td>
</tr>
<tr class="even">
<td rowspan="3">5</td>
<td colspan="24">Were surface tolerances for bituminous mixtures within
specification limits? <em>(Quality)</em></td>
<td></td>
</tr>
<tr class="odd">
<td>N/A</td>
<td colspan="2"><p>&lt;65%</p>
<p>O pts.</p></td>
<td colspan="2"><p>65-69%</p>
<p>1 pts.</p></td>
<td colspan="2"><p>70-74%</p>
<p>2 pt.</p></td>
<td colspan="2"><p>75-79%</p>
<p>3 pts.</p></td>
<td colspan="3">80-83% 4 pts.</td>
<td colspan="2"><p>84-87%</p>
<p>5 pts.</p></td>
<td colspan="2"><p>88-91%</p>
<p>6 pts.</p></td>
<td colspan="2"><p>92-94%</p>
<p>7 pts.</p></td>
<td colspan="2"><p>95-97%</p>
<p>8 pts.</p></td>
<td colspan="2"><p>98-99%</p>
<p>9 pts.</p></td>
<td colspan="2"><p>100%</p>
<p>10 pts.</p></td>
<td></td>
</tr>
<tr class="even">
<td colspan="24">(RE instructions: area of acceptable asphalt surface /
total asphalt surface area. - Spec # 301.12)</td>
<td></td>
</tr>
<tr class="odd">
<td rowspan="3">6</td>
<td colspan="24">Were the results of density/compaction tests on
bituminous mixtures within specification limits? <em>(Quality)</em></td>
<td></td>
</tr>
<tr class="even">
<td>N/A</td>
<td colspan="2"><p>&lt;65%</p>
<p>O pts.</p></td>
<td colspan="2"><p>65-69%</p>
<p>1 pts.</p></td>
<td colspan="2"><p>70-74%</p>
<p>2 pt.</p></td>
<td colspan="2"><p>75-79%</p>
<p>3 pts.</p></td>
<td colspan="3">80-83% 4 pts.</td>
<td colspan="2"><p>84-87%</p>
<p>5 pts.</p></td>
<td colspan="2"><p>88-91%</p>
<p>6 pts.</p></td>
<td colspan="2"><p>92-94%</p>
<p>7 pts.</p></td>
<td colspan="2"><p>95-97%</p>
<p>8 pts.</p></td>
<td colspan="2"><p>98-99%</p>
<p>9 pts.</p></td>
<td colspan="2"><p>100%</p>
<p>10 pts.</p></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="24">(RE instructions: # tests w/i spec. / total # of tests
performed. - Spec # 301.11)</td>
<td></td>
</tr>
<tr class="even">
<td rowspan="3">7</td>
<td colspan="25">Were the results of core thickness measurements on
bituminous or concrete bases within specification limits?
<em>(Quality)</em></td>
</tr>
<tr class="odd">
<td>N/A</td>
<td colspan="2"><p>&lt;65%</p>
<p>O pts.</p></td>
<td colspan="2"><p>65-69%</p>
<p>1 pts.</p></td>
<td colspan="2"><p>70-74%</p>
<p>2 pt.</p></td>
<td colspan="2"><p>75-79%</p>
<p>3 pts.</p></td>
<td colspan="3">80-83% 4 pts.</td>
<td colspan="2"><p>84-87%</p>
<p>5 pts.</p></td>
<td colspan="2"><p>88-91%</p>
<p>6 pts.</p></td>
<td colspan="2"><p>92-94%</p>
<p>7 pts.</p></td>
<td colspan="2"><p>95-97%</p>
<p>8 pts.</p></td>
<td colspan="2"><p>98-99%</p>
<p>9 pts.</p></td>
<td colspan="3"><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="even">
<td colspan="25">(RE instructions: # cores w/i spec. / total # of cores
taken.- Spec # 301.13)</td>
</tr>
<tr class="odd">
<td rowspan="3">8</td>
<td colspan="25">Did the contractor receive any reductions in payment
for concrete bases because of insufficient thickness?
<em>(Quality)</em></td>
</tr>
<tr class="even">
<td><h4 id="na-9">N/A</h4></td>
<td colspan="2"><p>&lt;65%</p>
<p>O pts.</p></td>
<td colspan="2"><p>65-69%</p>
<p>1 pts.</p></td>
<td colspan="2"><p>70-74%</p>
<p>2 pt.</p></td>
<td colspan="2"><p>75-79%</p>
<p>3 pts.</p></td>
<td colspan="2">80-83% 4 pts.</td>
<td colspan="3"><p>84-87%</p>
<p>5 pts.</p></td>
<td colspan="2"><p>88-91%</p>
<p>6 pts.</p></td>
<td colspan="2"><p>92-94%</p>
<p>7 pts.</p></td>
<td colspan="2"><p>95-97%</p>
<p>8 pts.</p></td>
<td colspan="2"><p>98-99%</p>
<p>9 pts.</p></td>
<td colspan="3"><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="25">(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)</td>
</tr>
<tr class="even">
<td rowspan="3">9</td>
<td colspan="25">Was the gradation of the combined aggregates for
bituminous mixtures, prior to mixing with asphalt cement, within
specification limits? <em>(Quality)</em></td>
</tr>
<tr class="odd">
<td><h4 id="na-10">N/A</h4></td>
<td colspan="2"><p>&lt;65%</p>
<p>O pts.</p></td>
<td colspan="2"><p>65-69%</p>
<p>1 pts.</p></td>
<td colspan="2"><p>70-74%</p>
<p>2 pt.</p></td>
<td colspan="2"><p>75-79%</p>
<p>3 pts.</p></td>
<td colspan="2">80-83% 4 pts.</td>
<td colspan="3"><p>84-87%</p>
<p>5 pts.</p></td>
<td colspan="2"><p>88-91%</p>
<p>6 pts.</p></td>
<td colspan="2"><p>92-94%</p>
<p>7 pts.</p></td>
<td colspan="2"><p>95-97%</p>
<p>8 pts.</p></td>
<td colspan="2"><p>98-99%</p>
<p>9 pts.</p></td>
<td colspan="3"><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="even">
<td colspan="25">(RE instructions: # tons of mix in compliance / total
tons of mix. - Spec # 301.3.4 (a) &amp; (b))</td>
</tr>
<tr class="odd">
<td rowspan="3"><p><strong>10</strong></p>
<p><strong>*</strong></p></td>
<td colspan="25">Was the mix percentage of asphaltic cement content
within specification limits? <em>(Quality)</em></td>
</tr>
<tr class="even">
<td colspan="2"><h4 id="na-11">N/A</h4></td>
<td colspan="2"><p>&lt;65%</p>
<p>O pts.</p></td>
<td colspan="2"><p>65-69%</p>
<p>1 pts.</p></td>
<td colspan="2"><p>70-74%</p>
<p>2 pt.</p></td>
<td colspan="2"><p>75-79%</p>
<p>3 pts.</p></td>
<td colspan="3">80-83% 4 pts.</td>
<td colspan="2"><p>84-87%</p>
<p>5 pts.</p></td>
<td colspan="2"><p>88-91%</p>
<p>6 pts.</p></td>
<td colspan="2"><p>92-94%</p>
<p>7 pts.</p></td>
<td colspan="2"><p>95-97%</p>
<p>8 pts.</p></td>
<td colspan="2"><p>98-99%</p>
<p>9 pts.</p></td>
<td colspan="2"><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="25">(RE instructions: # tons of mix in compliance / total
tons of mix. - Spec # 301.3.4)</td>
</tr>
<tr class="even">
<td rowspan="3">11</td>
<td colspan="25">Were the results of tests performed on asphalt cement,
obtained from the supply line, within specification limits?
<em>(Quality)</em></td>
</tr>
<tr class="odd">
<td colspan="2"><h4 id="na-12">N/A</h4></td>
<td colspan="2"><p>&lt;65%</p>
<p>O pts.</p></td>
<td colspan="2"><p>65-69%</p>
<p>1 pts.</p></td>
<td colspan="2"><p>70-74%</p>
<p>2 pt.</p></td>
<td colspan="2"><p>75-79%</p>
<p>3 pts.</p></td>
<td colspan="3">80-83% 4 pts.</td>
<td colspan="2"><p>84-87%</p>
<p>5 pts.</p></td>
<td colspan="2"><p>88-91%</p>
<p>6 pts.</p></td>
<td colspan="2"><p>92-94%</p>
<p>7 pts.</p></td>
<td colspan="2"><p>95-97%</p>
<p>8 pts.</p></td>
<td colspan="2"><p>98-99%</p>
<p>9 pts.</p></td>
<td colspan="2"><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="even">
<td colspan="25">(RE instructions: amount of AC w/i spec / amount of AC
used - Spec # 301.2, 1015.5)</td>
</tr>
<tr class="odd">
<td rowspan="3">12</td>
<td colspan="25">Due to the contractor's operations, was it necessary to
remove and replace any bituminous or concrete base?
<em>(Quality)</em></td>
</tr>
<tr class="even">
<td colspan="2"><h4 id="na-13">N/A</h4></td>
<td colspan="2"><p>&lt;95%</p>
<p>O pts.</p></td>
<td colspan="2"><p>96%</p>
<p>1 pts.</p></td>
<td colspan="2"><p>97.0 – 97.4%</p>
<p>2 pt.</p></td>
<td colspan="2"><p>97.5– 97.9</p>
<p>3 pts.</p></td>
<td colspan="3"><p>98.0 – 98.4</p>
<p>4 pts.</p></td>
<td colspan="2"><p>98.5 – 98.9</p>
<p>5 pts.</p></td>
<td colspan="2"><p>99.0 – 99.3</p>
<p>6 pts.</p></td>
<td colspan="2"><p>99.4 – 99.6</p>
<p>7 pts.</p></td>
<td colspan="2"><p>99.7 – 99.8</p>
<p>8 pts.</p></td>
<td colspan="2"><p>99.9%</p>
<p>9 pts.</p></td>
<td colspan="2"><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="25">(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%".)</td>
</tr>
</tbody>
</table>

<table style="width:100%;">
<colgroup>
<col style="width: 6%" />
<col style="width: 7%" />
<col style="width: 8%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="13"><p id="section-400---flexible-pavements"
class="heading"><strong>Section 400 - Flexible
Pavements</strong></p></td>
</tr>
<tr class="even">
<td colspan="13"><p>Complete Section 400 if the contract has any Section
400 contract pay items.</p>
<p>Indicate N/A at section heading if project(s) had no Section 400 pay
items</p>
<p>or if no work was performed in this section during this evaluation
period.</p></td>
</tr>
<tr class="odd">
<td colspan="11"><p><strong>Total Dollars of Section 400 Items Completed
This Rating Year:</strong> <em><strong>$</strong></em></p>
<p>(If the contract includes combination projects, the total is to
include all Section 400 items from all projects.)</p></td>
<td colspan="2"><p id="na-14" class="heading">N/A</p></td>
</tr>
<tr class="even">
<td rowspan="2">1</td>
<td colspan="6">Were contractor required Section 400 material item
certifications provided prior to the material being incorporated into
the work? <em>(Contract Compliance)</em></td>
<td>N/A</td>
<td><p>0-59%</p>
<p>0 pts.</p></td>
<td><p>60-79%</p>
<p>1 pt.</p></td>
<td><p>80-94%</p>
<p>2 pts.</p></td>
<td><p>95-99%</p>
<p>3 pts.</p></td>
<td><p>100%</p>
<p>4 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="12">(RE instructions: This item is for certification
required of the contractor, not for department inspected material
items.)</td>
</tr>
<tr class="even">
<td rowspan="2">2</td>
<td colspan="5">Were truck beds, hauling bituminous mixtures, cleaned
and covered in accordance with the specifications?
<em>(Quality)</em></td>
<td>N/A</td>
<td><p>&gt; 4 notices</p>
<p>0 pts.</p></td>
<td><p>4 notices</p>
<p>2 pts.</p></td>
<td><p>3 notices</p>
<p>4 pt.</p></td>
<td><p>2 notices</p>
<p>6 pts.</p></td>
<td><p>1 notice</p>
<p>8 pts</p></td>
<td><p>no notices</p>
<p>10 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="12">(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)</td>
</tr>
<tr class="even">
<td rowspan="3">3</td>
<td colspan="12">As a result of the contractor's operations was it
necessary to remove and replace any bituminous mixture?
<em>(Quality)</em></td>
</tr>
<tr class="odd">
<td><h4 id="na-15">N/A</h4></td>
<td><p>&lt;96%</p>
<p>O pts.</p></td>
<td><p>96%</p>
<p>1 pts.</p></td>
<td><p>97.0– 97.4%</p>
<p>2 pt.</p></td>
<td><p>97.5– 97.9</p>
<p>3 pts.</p></td>
<td><p>98.0 – 98.4</p>
<p>4 pts.</p></td>
<td><p>98.5 – 98.9</p>
<p>5 pts.</p></td>
<td><p>99.0 – 99.3</p>
<p>6 pts.</p></td>
<td><p>99.4 – 99.6</p>
<p>7 pts.</p></td>
<td><p>99.7 – 99.8</p>
<p>8 pts.</p></td>
<td><p>99.9%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="even">
<td colspan="12">(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 &amp; 403.18.4)</td>
</tr>
<tr class="odd">
<td rowspan="3">4</td>
<td colspan="12">Were the results of tests performed on asphalt cement,
obtained from the supply line, within specification limits?
(Quality)</td>
</tr>
<tr class="even">
<td><h4 id="na-16">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>75-79%</p>
<p>3 pts.</p></td>
<td>80-83% 4 pts.</td>
<td><p>84-87%</p>
<p>5 pts.</p></td>
<td><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="12">(RE instructions: amount of AC w/i spec / amount of AC
used - Spec # 301.2, 1015.5)</td>
</tr>
<tr class="even">
<td rowspan="2">5</td>
<td colspan="6">Were samples of compacted bituminous mixtures delivered
to the engineer in accordance with the specifications or as agreed to by
the engineer? <em>(Contract Compliance)</em></td>
<td>N/A</td>
<td><p>0-59%</p>
<p>0 pts.</p></td>
<td><p>60-79%</p>
<p>1 pt.</p></td>
<td><p>80-94%</p>
<p>2 pts.</p></td>
<td><p>95-99%</p>
<p>3 pts.</p></td>
<td><p>100%</p>
<p>4 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="12">(RE instructions: amount of AC w/i spec / amount of AC
used - Spec # 301.2, 1015.5)</td>
</tr>
<tr class="even">
<td rowspan="2">6</td>
<td colspan="6">Were acceptable profilograms and evaluations furnished
to the engineer in accordance with the specifications or as agreed to by
the engineer? <em>(Contract Compliance)</em></td>
<td>N/A</td>
<td><p>0-59%</p>
<p>0 pts.</p></td>
<td><p>60-79%</p>
<p>1 pt.</p></td>
<td><p>80-94%</p>
<p>2 pts.</p></td>
<td><p>95-99%</p>
<p>3 pts.</p></td>
<td><p>100%</p>
<p>4 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="12">(RE instructions: # traces provided w/i specifications
/ # traces required. - Spec # 403.20.1.7)</td>
</tr>
<tr class="even">
<td rowspan="4">7</td>
<td colspan="9">What is the total dollar value of asphalt pavement
placed to date on which profilographing was required?
<em>(Quality)</em></td>
<td rowspan="3">N/A</td>
<td colspan="2">$</td>
</tr>
<tr class="odd">
<td colspan="9">a) What is the total dollar value of bonus smoothness
payments made to date?</td>
<td colspan="2">$</td>
</tr>
<tr class="even">
<td colspan="9">b) What is the total dollar value of deductions made to
date for rough pavement?</td>
<td colspan="2">$</td>
</tr>
<tr class="odd">
<td colspan="12"><p>Bonus / Penalty point question: Question 400 - 7
quantifies overall asphalt pavement smoothness;</p>
<p>3 X (bonus payment percentage less deduct payment percentage.)</p>
<p>7a) points =[ (total $ bonus ) / (7 $ total)] X 300</p>
<p>7b) points = [(total $ deduct ) / (7 $ total)] X 300</p>
<p>7) points = [7a) points - 7b) points] (Range: +/- 21 points)</p></td>
</tr>
<tr class="even">
<td rowspan="3">8</td>
<td colspan="12">How much pavement did not require corrective action to
reduce the profile index to acceptable smoothness limits?
<em>(Quality)</em></td>
</tr>
<tr class="odd">
<td><h4 id="na-17">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>75-79%</p>
<p>3 pts.</p></td>
<td>80-83% 4 pts.</td>
<td><p>84-87%</p>
<p>5 pts.</p></td>
<td><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="even">
<td colspan="12">(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)</td>
</tr>
<tr class="odd">
<td rowspan="3">9</td>
<td colspan="12">How much non profilograph pavement was without need of
corrections? <em>(Quality)</em></td>
</tr>
<tr class="even">
<td><h4 id="na-18">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>75-79%</p>
<p>3 pts.</p></td>
<td>80-83% 4 pts.</td>
<td><p>84-87%</p>
<p>5 pts.</p></td>
<td><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="12">(RE instruction: S.Y. of correction free non
profilograph pavement / Total S.Y. of pavement requiring
profilographing. - (Spec #403.20)</td>
</tr>
</tbody>
</table>

<table style="width:100%;">
<colgroup>
<col style="width: 6%" />
<col style="width: 6%" />
<col style="width: 0%" />
<col style="width: 7%" />
<col style="width: 0%" />
<col style="width: 6%" />
<col style="width: 0%" />
<col style="width: 6%" />
<col style="width: 0%" />
<col style="width: 6%" />
<col style="width: 0%" />
<col style="width: 6%" />
<col style="width: 0%" />
<col style="width: 6%" />
<col style="width: 0%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
</colgroup>
<tbody>
<tr class="odd">
<td rowspan="3">10</td>
<td colspan="19">Were the results of core thickness measurements on
asphaltic concrete pavement within specification limits?
<em>(Quality)</em></td>
</tr>
<tr class="even">
<td colspan="2"><h4 id="na-19">N/A</h4></td>
<td colspan="2"><p>&lt;65%</p>
<p>O pts.</p></td>
<td colspan="2"><p>65-69%</p>
<p>1 pts.</p></td>
<td colspan="2"><p>70-74%</p>
<p>2 pt.</p></td>
<td colspan="2"><p>75-79%</p>
<p>3 pts.</p></td>
<td colspan="2">80-83% 4 pts.</td>
<td colspan="2"><p>84-87%</p>
<p>5 pts.</p></td>
<td><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="19">(RE instructions: # cores w/i specifications (no
deducts) / total # of cores - Spec # 403.21)</td>
</tr>
<tr class="even">
<td colspan="18"><h3 id="all-superpave-projects"><em>All Superpave
Projects *</em></h3></td>
<td colspan="2"><h4 id="na-20">N/A</h4></td>
</tr>
<tr class="odd">
<td rowspan="2"><p><strong>11</strong></p>
<p><em>*</em></p></td>
<td colspan="14"><h5 id="did-qcqa-results-compare-favorably">Did QC/QA
results compare favorably? </h5>
<h5 id="contract-compliance"><em>(Contract Compliance)</em></h5></td>
<td><p>&lt;70%</p>
<p>0 pts</p></td>
<td><p>70-79%</p>
<p>1 pt.</p></td>
<td><p>80-89%</p>
<p>2 pts.</p></td>
<td><p>90-98%</p>
<p>3 pts.</p></td>
<td><p>99-100%</p>
<p>4 pts.</p></td>
</tr>
<tr class="even">
<td colspan="19">(RE Instructions: Number of QA test comparing favorably
with QC results / Total Number of test compared. – Job Special
Provisions)</td>
</tr>
<tr class="odd">
<td colspan="18"><h3
id="superpave-projects-with-required-quality-analysis">SuperPave
Projects <u>with</u> Required Quality Analysis <em>$</em> </h3>
<p>Answer Questions 12, 13, &amp; 14</p></td>
<td colspan="2"><h4 id="na-21">N/A</h4></td>
</tr>
<tr class="even">
<td rowspan="3"><p><strong>12</strong></p>
<p><em>*</em></p></td>
<td colspan="17">For projects <u>with</u> density as part of the Quality
Level Analysis, what was the overall weighted percentage pay factor for
the project? <em>(Quality)</em></td>
<td colspan="2">________________</td>
</tr>
<tr class="odd">
<td colspan="12">For pay factor &lt; 90%: 35 + 0.875 (pay factor –
90)</td>
<td colspan="7">For pay factor &gt; 90%: 50 + 1.5 (pay factor –
100)</td>
</tr>
<tr class="even">
<td colspan="19">40 point question (RE instructions: Job Special
Provisions)</td>
</tr>
<tr class="odd">
<td rowspan="3"><p><strong>13</strong></p>
<p><em>*</em></p></td>
<td colspan="18">For projects <u>without</u> density as part of the
Quality Level Analysis, what was the overall weighted percentage pay
factor for the project? <em>(Quality)</em></td>
<td>_______</td>
</tr>
<tr class="even">
<td colspan="12">For pay factor &lt; 90%: 28 + 0.7 (pay factor –
90)</td>
<td colspan="7">For pay factor &gt; 90%: 40 + 1.2 (pay factor –
100)</td>
</tr>
<tr class="odd">
<td colspan="19">40 point question (RE instructions: Job Special
Provisions)</td>
</tr>
<tr class="even">
<td rowspan="3"><p><strong>14</strong></p>
<p><em>*</em></p></td>
<td colspan="18">For projects <u>without</u> density as part of the
Quality Level Analysis, what percentage of density/compaction tests met
specification requirements? <em>(Quality)</em></td>
<td>_______</td>
</tr>
<tr class="odd">
<td colspan="2"><h4 id="na-22">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td colspan="2"><p>65-69%</p>
<p>1 pts.</p></td>
<td colspan="2"><p>70-74%</p>
<p>2 pt.</p></td>
<td colspan="2"><p>75-79%</p>
<p>3 pts.</p></td>
<td colspan="2"><p>80-83%</p>
<p>4 pts.</p></td>
<td colspan="2"><p>84-87%</p>
<p>5 pts.</p></td>
<td colspan="2"><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="even">
<td colspan="19">10 point question: (RE instructions: Total tonnage w/i
specifications vs. Total tonnage laid. Job Special Provisions)</td>
</tr>
<tr class="odd">
<td colspan="18"><h3
id="superpave-projects-without-required-quality-analysis">SuperPave
Projects <u>without</u> Required Quality Analysis: <em>$</em></h3>
<p>Answer Questions 15 - 19</p></td>
<td><h4 id="na-23">N/A</h4></td>
<td></td>
</tr>
<tr class="even">
<td rowspan="3"><p><strong>15</strong></p>
<p><em>*</em></p></td>
<td colspan="18">What percentage of the mineral aggregate voids test
results meet specification limits? <em>(Quality)</em></td>
<td>_______</td>
</tr>
<tr class="odd">
<td colspan="2"><h4 id="na-24">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td colspan="2"><p>65-69%</p>
<p>1 pts.</p></td>
<td colspan="2"><p>70-74%</p>
<p>2 pt.</p></td>
<td colspan="2"><p>75-79%</p>
<p>3 pts.</p></td>
<td colspan="2"><p>80-83%</p>
<p>4 pts.</p></td>
<td colspan="2"><p>84-87%</p>
<p>5 pts.</p></td>
<td colspan="2"><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="even">
<td colspan="19">(RE Instructions: Number of VMA test results passing /
Total Number of VMA tests taken. – Job Special Provisions)</td>
</tr>
<tr class="odd">
<td rowspan="4"><p><strong>16</strong></p>
<p><em>*</em></p></td>
<td colspan="18">What percentage of the air void test results meet
specification limits. <em>(Quality)</em></td>
<td>_______</td>
</tr>
<tr class="even">
<td colspan="19"></td>
</tr>
<tr class="odd">
<td colspan="2"><h4 id="na-25">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td colspan="2"><p>65-69%</p>
<p>1 pts.</p></td>
<td colspan="2"><p>70-74%</p>
<p>2 pt.</p></td>
<td colspan="2"><p>75-79%</p>
<p>3 pts.</p></td>
<td colspan="2"><p>80-83%</p>
<p>4 pts.</p></td>
<td colspan="2"><p>84-87%</p>
<p>5 pts.</p></td>
<td colspan="2"><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="even">
<td colspan="19">(RE Instructions: Number of air void test results
passing / Total Number of air void tests taken. – Job Special
Provisions)</td>
</tr>
<tr class="odd">
<td rowspan="3"><p><strong>17</strong></p>
<p><em>*</em></p></td>
<td colspan="18"><p
id="what-percentage-of-densitycompaction-tests-met-specification-requirements-quality"
class="heading">What percentage of density/compaction tests met
specification requirements? <em>(Quality)</em></p></td>
<td>_______</td>
</tr>
<tr class="even">
<td><h4 id="na-26">N/A</h4></td>
<td colspan="2"><p>&lt;65%</p>
<p>O pts.</p></td>
<td colspan="2"><p>65-69%</p>
<p>1 pts.</p></td>
<td colspan="2"><p>70-74%</p>
<p>2 pt.</p></td>
<td colspan="2"><p>75-79%</p>
<p>3 pts.</p></td>
<td colspan="2"><p>80-83%</p>
<p>4 pts.</p></td>
<td colspan="2"><p>84-87%</p>
<p>5 pts.</p></td>
<td colspan="2"><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="19">(RE instructions: Total tonnage w/i specifications vs.
Total tonnage laid. - Spec #403.18.5, Job Special Provisions)</td>
</tr>
<tr class="even">
<td rowspan="3"><p><strong>18</strong></p>
<p><em>*</em></p></td>
<td colspan="18">Was the asphalt cement content within specification
limits? <em>(Quality)</em></td>
<td>_______</td>
</tr>
<tr class="odd">
<td><h4 id="na-27">N/A</h4></td>
<td colspan="2"><p>&lt;65%</p>
<p>O pts.</p></td>
<td colspan="2"><p>65-69%</p>
<p>1 pts.</p></td>
<td colspan="2"><p>70-74%</p>
<p>2 pt.</p></td>
<td colspan="2"><p>75-79%</p>
<p>3 pts.</p></td>
<td colspan="2"><p>80-83%</p>
<p>4 pts.</p></td>
<td colspan="2"><p>84-87%</p>
<p>5 pts.</p></td>
<td colspan="2"><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="even">
<td colspan="19">(RE instructions: tons of mix w/i spec / total tons of
asphalt mix - Spec #403.3.1, Job Special Provisions)</td>
</tr>
</tbody>
</table>

<table>
<colgroup>
<col style="width: 6%" />
<col style="width: 6%" />
<col style="width: 7%" />
<col style="width: 0%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 8%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
</colgroup>
<tbody>
<tr class="odd">
<td rowspan="3"><p><strong>19</strong></p>
<p><em>*</em></p></td>
<td colspan="12">Was the gradation of the combined aggregates prior to
mixing with asphalt cement, within specification limits?
<em>(Quality)</em></td>
<td>_______</td>
</tr>
<tr class="even">
<td><h4 id="na-28">N/A</h4></td>
<td colspan="2"><p>&lt;65%</p>
<p>O pts.</p></td>
<td><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>75-79%</p>
<p>3 pts.</p></td>
<td><p>80-83%</p>
<p>4 pts.</p></td>
<td><p>84-87%</p>
<p>5 pts.</p></td>
<td><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="13">(RE instructions: tons of mix w/i spec / total tons of
asphalt mix - Spec #403.3.1, Job Special Provisions)</td>
</tr>
<tr class="even">
<td colspan="13"><p
id="for-bituminous-surface-mixes-other-than-superpave"
class="heading"><strong>For Bituminous Surface Mixes Other than
SuperPave</strong></p>
<p>Answer Questions 20 - 22</p></td>
<td><strong>N/A</strong></td>
</tr>
<tr class="odd">
<td rowspan="3"><p><strong>20</strong></p>
<p><em>*</em></p></td>
<td colspan="12">What percentage of density/compaction tests met
specification requirements? <em>(Quality)</em></td>
<td>_______</td>
</tr>
<tr class="even">
<td><h4 id="na-29">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td colspan="2"><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>75-79%</p>
<p>3 pts.</p></td>
<td><p>80-83%</p>
<p>4 pts.</p></td>
<td><p>84-87%</p>
<p>5 pts.</p></td>
<td><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="13">(RE instructions: Total tonnage w/i specifications vs.
Total tonnage laid. - Spec #403.18)</td>
</tr>
<tr class="even">
<td rowspan="3">21</td>
<td colspan="12">Was the asphalt cement content within specification
limits? <em>(Quality)</em></td>
<td></td>
</tr>
<tr class="odd">
<td><h4 id="na-30">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td colspan="2"><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>75-79%</p>
<p>3 pts.</p></td>
<td><p>80-83%</p>
<p>4 pts.</p></td>
<td><p>84-87%</p>
<p>5 pts.</p></td>
<td><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="even">
<td colspan="13">(RE instructions: tons of mix w/i spec / total tons of
asphalt mix - Spec #403.5)</td>
</tr>
<tr class="odd">
<td rowspan="3">22</td>
<td colspan="12">Was the gradation of the combined aggregates, prior to
mixing with asphalt cement, within specification limits?
<em>(Quality)</em></td>
<td></td>
</tr>
<tr class="even">
<td><h4 id="na-31">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td colspan="2"><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>75-79%</p>
<p>3 pts.</p></td>
<td><p>80-83%</p>
<p>4 pts.</p></td>
<td><p>84-87%</p>
<p>5 pts.</p></td>
<td><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="13">(RE instructions: tons of mix w/i spec / total tons of
asphalt mix - Spec #403.3.1)</td>
</tr>
</tbody>
</table>

<table>
<colgroup>
<col style="width: 6%" />
<col style="width: 6%" />
<col style="width: 7%" />
<col style="width: 8%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 8%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="13"><u>Section 500 - Rigid Pavements</u></td>
</tr>
<tr class="even">
<td colspan="11"><p>Complete Section 500 if the contract has any Section
500 contract pay items.</p>
<p>Indicate N/A at section heading if project(s) had no Section 500 pay
items</p>
<p>or if no work was performed in this section during this evaluation
period.</p></td>
<td colspan="2">N/A</td>
</tr>
<tr class="odd">
<td colspan="13"><p><strong>Total Dollars of Section 500 Items Completed
This Rating Year<em>: $</em></strong></p>
<p>(If the contract includes combination projects, the total is to
include all Section 500 items from all projects.)</p></td>
</tr>
<tr class="even">
<td rowspan="3">1</td>
<td colspan="12">Did concrete meet the specifications when it arrived at
the jobsite? <em>(Quality)</em></td>
</tr>
<tr class="odd">
<td><h4 id="na-32">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>75-79%</p>
<p>3 pts.</p></td>
<td><p>80-83%</p>
<p>4 pts.</p></td>
<td><p>84-87%</p>
<p>5 pts.</p></td>
<td><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="even">
<td colspan="12">(RE instructions: # tests w/i specifications / Total #
of test - Spec # 501.2.3, 501.5.14)</td>
</tr>
<tr class="odd">
<td rowspan="3">2</td>
<td colspan="12">Were the results of core thickness measurements on
concrete pavement within specification limits? <em>(Quality)</em></td>
</tr>
<tr class="even">
<td><h4 id="na-33">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>75-79%</p>
<p>3 pts.</p></td>
<td><p>80-83%</p>
<p>4 pts.</p></td>
<td><p>84-87%</p>
<p>5 pts.</p></td>
<td><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="12">(RE instructions: # cores w/i specifications / Total #
of cores taken - Spec # 502.17)</td>
</tr>
<tr class="even">
<td rowspan="2">3</td>
<td colspan="6">Were acceptable profilograms and evaluations furnished
to the engineer in accordance with the specifications or within the
timeline agreed by the engineer? <em>(Contract Compliance)</em></td>
<td>N/A</td>
<td><p>0-59%</p>
<p>0 pts.</p></td>
<td><p>60-79%</p>
<p>1 pt.</p></td>
<td><p>80-94%</p>
<p>2 pts.</p></td>
<td><p>95-99%</p>
<p>3 pts.</p></td>
<td><p>100%</p>
<p>4 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="12">(RE instructions: # traces provided w/i specifications
/ # traces required. - Spec # 502.14.1.7)</td>
</tr>
<tr class="even">
<td rowspan="3">4</td>
<td colspan="12">Was any concrete pavement removed for noncompliance
with specifications? <em>(Quality)</em></td>
</tr>
<tr class="odd">
<td><h4 id="na-34">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>75-79%</p>
<p>3 pts.</p></td>
<td><p>80-83%</p>
<p>4 pts.</p></td>
<td><p>84-87%</p>
<p>5 pts.</p></td>
<td><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="even">
<td colspan="12">(RE instructions: Total pavement less non compliant
pavement removed / Total pavement quantity)</td>
</tr>
</tbody>
</table>

<table style="width:100%;">
<colgroup>
<col style="width: 6%" />
<col style="width: 6%" />
<col style="width: 7%" />
<col style="width: 8%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 8%" />
<col style="width: 0%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
</colgroup>
<tbody>
<tr class="odd">
<td rowspan="4">5</td>
<td colspan="10">What is the total dollar value of concrete pavement
placed to date on which profilographing was required?
<em>(Quality)</em></td>
<td>N/A</td>
<td colspan="2">$</td>
</tr>
<tr class="even">
<td colspan="11">a) What is the total dollar value of bonus smoothness
payments made to date?</td>
<td colspan="2">$</td>
</tr>
<tr class="odd">
<td colspan="11">b) What is the total dollar value of deductions made to
date for rough pavement?</td>
<td colspan="2">$</td>
</tr>
<tr class="even">
<td colspan="13"><p>Bonus / Penalty question: Question 500 - 5
quantifies overall concrete pavement smoothness;</p>
<p>bonus payment percentage less deduct payment percentage.</p>
<p>5a) points =[(total $ bonus ) / 5 $ total)] X 100</p>
<p>5b) points =[(total $ deduct ) / 5 $ total)] X 100</p>
<p>5) points = [5a) points - 5b) points] (Range: +/- 7 points)</p></td>
</tr>
<tr class="odd">
<td rowspan="3">6</td>
<td colspan="13">Were joints sawed before uncontrolled shrinkage
cracking took place? <em>(Quality)</em></td>
</tr>
<tr class="even">
<td><h4 id="na-35">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>75-79%</p>
<p>3 pts.</p></td>
<td><p>80-83%</p>
<p>4 pts.</p></td>
<td><p>84-87%</p>
<p>5 pts.</p></td>
<td colspan="2"><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="13">(RE instructions: total # joints - # uncontrolled
shrinkage cracks / # total joints - Spec # 502.11.3)</td>
</tr>
<tr class="even">
<td rowspan="3">7</td>
<td colspan="13">How much pavement did not require corrective action to
reduce the profile index to obtain acceptable smoothness limits?
<em>(Quality)</em></td>
</tr>
<tr class="odd">
<td><h4 id="na-36">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>75-79%</p>
<p>3 pts.</p></td>
<td><p>80-83%</p>
<p>4 pts.</p></td>
<td><p>84-87%</p>
<p>5 pts.</p></td>
<td colspan="2"><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="even">
<td colspan="13">(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)</td>
</tr>
<tr class="odd">
<td rowspan="3">8</td>
<td colspan="13">How much non profilograph pavement was correction free?
<em>(Quality)</em></td>
</tr>
<tr class="even">
<td><h4 id="na-37">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>75-79%</p>
<p>3 pts.</p></td>
<td><p>80-83%</p>
<p>4 pts.</p></td>
<td><p>84-87%</p>
<p>5 pts.</p></td>
<td colspan="2"><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="13">(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)</td>
</tr>
<tr class="even">
<td rowspan="3">9</td>
<td colspan="13">Was the contractor persistent in adding unauthorized
moisture to finish the concrete pavement surface? (Quality)</td>
</tr>
<tr class="odd">
<td colspan="2">&gt;4 notices: 0 pts</td>
<td colspan="2">4 notices: 2 pts</td>
<td colspan="2">3 notices: 4 pts</td>
<td colspan="3">2 notices: 6 pts</td>
<td colspan="2">1 notices: 8 pts</td>
<td colspan="2">No notices: 10 pts</td>
</tr>
<tr class="even">
<td colspan="13">(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)</td>
</tr>
<tr class="odd">
<td rowspan="3">10</td>
<td colspan="13">Were joints thoroughly cleaned prior to sealing.
<em>(Quality)</em></td>
</tr>
<tr class="even">
<td><h4 id="na-38">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>75-79%</p>
<p>3 pts.</p></td>
<td><p>80-83%</p>
<p>4 pts.</p></td>
<td><p>84-87%</p>
<p>5 pts.</p></td>
<td colspan="2"><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="13">(RE instructions: Total S.Y. pavement area sealed w/i
spec / S.Y. total - Spec # 502.11.4)</td>
</tr>
<tr class="even">
<td>11</td>
<td colspan="6"><p>Were contractor required Section 500 material item
certifications provided prior to the material being incorporated into
the work?</p>
<p><em>(Contract Compliance)</em></p></td>
<td>N/A</td>
<td><p>0-59%</p>
<p>0 pts.</p></td>
<td colspan="2"><p>60-79%</p>
<p>1 pt.</p></td>
<td><p>80-94%</p>
<p>2 pts.</p></td>
<td><p>95-99%</p>
<p>3 pts.</p></td>
<td><p>100%</p>
<p>4 pts.</p></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="13">(RE instructions: This item is for certification
required of the contractor, not for department inspected material
items.)</td>
</tr>
</tbody>
</table>

+---+--------------------------------+---+----+----+----+----+----+----+
| * |                                |   |    |    |    |    |    |    |
| * |                                |   |    |    |    |    |    |    |
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| * |                                |   |    |    |    |    |    |    |
| * |                                |   |    |    |    |    |    |    |
+---+--------------------------------+---+----+----+----+----+----+----+
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| p |                                |   |    |    |    |    |    |    |
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+---+--------------------------------+---+----+----+----+----+----+----+
| 1 | Was pavement edge treatment    | N |    | 0  | 60 | 80 | 95 | 10 |
|   | properly provided in           | / |    | -5 | -7 | -9 | -9 | 0% |
|   | accordance with plans and      | A |    | 9% | 9% | 4% | 9% |    |
|   | specifications?                |   |    |    |    |    |    | 4  |
|   |                                |   |    | 0  | 1  | 2  | 3  | pt |
|   | *(Contract Compliance -        |   |    | pt | p  | pt | pt | s. |
|   | Traffic Control)*              |   |    | s. | t. | s. | s. |    |
+---+--------------------------------+---+----+----+----+----+----+----+
|   | (RE instructions: L.F.         |   |    |    |    |    |    |    |
|   | provided vs. L.F. required. If |   |    |    |    |    |    |    |
|   | contractors operations         |   |    |    |    |    |    |    |
|   | eliminated need, edge          |   |    |    |    |    |    |    |
|   | treatment was provided. -      |   |    |    |    |    |    |    |
|   |                                |   |    |    |    |    |    |    |
|   | Spec \# 619)                   |   |    |    |    |    |    |    |
+---+--------------------------------+---+----+----+----+----+----+----+
| 2 | Was pavement marking installed |   | N  | 0  | 60 | 80 | 95 | 10 |
|   | within the time limits         |   | /A | -5 | -7 | -9 | -9 | 0% |
|   | specified in the contract?     |   |    | 9% | 9% | 4% | 9% |    |
|   | *(Contract Compliance -        |   |    |    |    |    |    | 4  |
|   | Traffic Control)*              |   |    | 0  | 1  | 2  | 3  | pt |
|   |                                |   |    | pt | p  | pt | pt | s. |
|   |                                |   |    | s. | t. | s. | s. |    |
+---+--------------------------------+---+----+----+----+----+----+----+
|   | (RE instructions: Sta.         |   |    |    |    |    |    |    |
|   | installed w/i specifications / |   |    |    |    |    |    |    |
|   | Sta. required. - Spec          |   |    |    |    |    |    |    |
|   | #620.2.5)                      |   |    |    |    |    |    |    |
+---+--------------------------------+---+----+----+----+----+----+----+
| 3 | Was permanent guardrail        |   | N  | 0  | 60 | 80 | 95 | 10 |
|   | installed at the earliest      |   | /A | -5 | -7 | -9 | -9 | 0% |
|   | reasonable time or prior to    |   |    | 9% | 9% | 4% | 9% |    |
|   | opening adjacent lane to       |   |    |    |    |    |    | 4  |
|   | traffic? *(Contract            |   |    | 0  | 1  | 2  | 3  | pt |
|   | Compliance - Traffic Control)* |   |    | pt | p  | pt | pt | s. |
|   |                                |   |    | s. | t. | s. | s. |    |
+---+--------------------------------+---+----+----+----+----+----+----+
|   | (RE instructions: L.F.         |   |    |    |    |    |    |    |
|   | installed vs. L.F. required.   |   |    |    |    |    |    |    |
|   | Discuss time frame for         |   |    |    |    |    |    |    |
|   | installation at prejob. - Spec |   |    |    |    |    |    |    |
|   | 606.3.5, Job Special           |   |    |    |    |    |    |    |
|   | Provisions)                    |   |    |    |    |    |    |    |
+---+--------------------------------+---+----+----+----+----+----+----+
| 4 | Were traffic control           |   | N  | 0  | 60 | 80 | 95 | 10 |
|   | inspection summaries submitted |   | /A | -5 | -7 | -9 | -9 | 0% |
|   | as required?                   |   |    | 9% | 9% | 4% | 9% |    |
|   |                                |   |    |    |    |    |    | 4  |
|   | *(Contract Compliance -        |   |    | 0  | 1  | 2  | 3  | pt |
|   | Traffic Control)*              |   |    | pt | p  | pt | pt | s. |
|   |                                |   |    | s. | t. | s. | s. |    |
+---+--------------------------------+---+----+----+----+----+----+----+
|   | (RE instructions: \# traffic   |   |    |    |    |    |    |    |
|   | summaries provided / \#        |   |    |    |    |    |    |    |
|   | traffic summaries required -   |   |    |    |    |    |    |    |
|   | Spec \# 616.3.2.5)             |   |    |    |    |    |    |    |
+---+--------------------------------+---+----+----+----+----+----+----+
| 5 | Were traffic control devices   |   | N  | 0  | 60 | 80 | 95 | 10 |
|   | installed in accordance with   |   | /A | -5 | -7 | -9 | -9 | 0% |
|   | plans and specifications?      |   |    | 9% | 9% | 4% | 9% |    |
|   | *(Contract Compliance -        |   |    |    |    |    |    | 4  |
|   | Traffic Control)*              |   |    | 0  | 1  | 2  | 3  | pt |
|   |                                |   |    | pt | p  | pt | pt | s. |
|   |                                |   |    | s. | t. | s. | s. |    |
+---+--------------------------------+---+----+----+----+----+----+----+
|   | (RE instructions: \# Proper    |   |    |    |    |    |    |    |
|   | installations / total \#       |   |    |    |    |    |    |    |
|   | devices installed. - Spec \#   |   |    |    |    |    |    |    |
|   | 616)                           |   |    |    |    |    |    |    |
+---+--------------------------------+---+----+----+----+----+----+----+
| 6 | Were traffic control devices   |   | N  | 0  | 60 | 80 | 95 | 10 |
|   | maintained in accordance to    |   | /A | -5 | -7 | -9 | -9 | 0% |
|   | plans and specifications?      |   |    | 9% | 9% | 4% | 9% |    |
|   |                                |   |    |    |    |    |    | 4  |
|   | *(Contract Compliance -        |   |    | 0  | 1  | 2  | 3  | pt |
|   | Traffic Control)*              |   |    | pt | p  | pt | pt | s. |
|   |                                |   |    | s. | t. | s. | s. |    |
+---+--------------------------------+---+----+----+----+----+----+----+
|   | (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)                      |   |    |    |    |    |    |    |
+---+--------------------------------+---+----+----+----+----+----+----+
| 7 | Did the contractor provide     |   | N  | 0  | 60 | 80 | 95 | 10 |
|   | well trained, equipped, and    |   | /A | -5 | -7 | -9 | -9 | 0% |
|   | properly attired flag persons  |   |    | 9% | 9% | 4% | 9% |    |
|   | when required?                 |   |    |    |    |    |    | 4  |
|   |                                |   |    | 0  | 1  | 2  | 3  | pt |
|   | *(Contract Compliance -        |   |    | pt | p  | pt | pt | s. |
|   | Traffic Control)*              |   |    | s. | t. | s. | s. |    |
+---+--------------------------------+---+----+----+----+----+----+----+
|   | (RE instructions: \# days      |   |    |    |    |    |    |    |
|   | flagging required less \#      |   |    |    |    |    |    |    |
|   | documented improper flagging / |   |    |    |    |    |    |    |
|   | \# days flagging required. -   |   |    |    |    |    |    |    |
|   | Spec \# 616.3.3)               |   |    |    |    |    |    |    |
+---+--------------------------------+---+----+----+----+----+----+----+
| 8 | Were signs covered, set aside, |   | N  | 4  | 3  | 2  | 1  | no |
|   | turned, removed, or relocated  |   | /A | or | n  | n  | no | n  |
|   | as work progressed or was      |   |    | mo | ot | ot | ti | ot |
|   | completed and their necessity  |   |    | re | ic | ic | ce | ic |
|   | ceased to exist?               |   |    | n  | es | es |    | es |
|   |                                |   |    | ot |    |    | 3  |    |
|   | *(Contract Compliance -        |   |    | ic | 1  | 2  | pt | 4  |
|   | Traffic Control)*              |   |    | es | p  | pt | s. | pt |
|   |                                |   |    |    | t. | s. |    | s. |
|   |                                |   |    | 0  |    |    |    |    |
|   |                                |   |    | pt |    |    |    |    |
|   |                                |   |    | s. |    |    |    |    |
+---+--------------------------------+---+----+----+----+----+----+----+
|   | (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)                  |   |    |    |    |    |    |    |
+---+--------------------------------+---+----+----+----+----+----+----+

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<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
</colgroup>
<tbody>
<tr class="odd">
<td rowspan="3">9</td>
<td colspan="14">Were miscellaneous drainage items initially
installed/constructed in accordance with the plans and specifications?
<em>(Quality)</em></td>
</tr>
<tr class="even">
<td><h4 id="na-39">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>75-79%</p>
<p>3 pts.</p></td>
<td><p>80-83%</p>
<p>4 pts.</p></td>
<td colspan="2"><p>84-87%</p>
<p>5 pts.</p></td>
<td colspan="2"><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="14">(RE instructions: # properly installed items / total #
of items. - Spec # 604)</td>
</tr>
<tr class="even">
<td rowspan="3">10</td>
<td colspan="14">Were paved drainage items initially constructed in
accordance with the plans and specifications? <em>(Quality)</em></td>
</tr>
<tr class="odd">
<td><h4 id="na-40">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>75-79%</p>
<p>3 pts.</p></td>
<td><p>80-83%</p>
<p>4 pts.</p></td>
<td colspan="2"><p>84-87%</p>
<p>5 pts.</p></td>
<td colspan="2"><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="even">
<td colspan="14">(RE instructions: # properly installed items / total #
of items. - Spec # 609)</td>
</tr>
<tr class="odd">
<td rowspan="3">11</td>
<td colspan="14">Were underdrain/edge drain items initially installed in
accordance with the plans and specifications? <em>(Quality)</em></td>
</tr>
<tr class="even">
<td><h4 id="na-41">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>75-79%</p>
<p>3 pts.</p></td>
<td><p>80-83%</p>
<p>4 pts.</p></td>
<td colspan="2"><p>84-87%</p>
<p>5 pts.</p></td>
<td colspan="2"><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="14">(RE instructions: # properly installed items / total #
of items. - Spec # 605)</td>
</tr>
<tr class="even">
<td rowspan="3">12</td>
<td colspan="14">Were guardrail items initially installed in accordance
with the plans and specifications? <em>(Quality)</em></td>
</tr>
<tr class="odd">
<td><h4 id="na-42">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>76-79%</p>
<p>3 pts.</p></td>
<td><p>80-83%</p>
<p>4 pts.</p></td>
<td colspan="2"><p>84-87%</p>
<p>5 pts.</p></td>
<td colspan="2"><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="even">
<td colspan="14">(RE instructions: # linear feet properly installed /
total # linear feet.)</td>
</tr>
<tr class="odd">
<td rowspan="3">13</td>
<td colspan="14">Were fencing items initially installed in accordance
with the plans and specifications? (Quality) (Spec # 607.11)</td>
</tr>
<tr class="even">
<td><h4 id="na-43">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>75-79%</p>
<p>3 pts.</p></td>
<td><p>80-83%</p>
<p>4 pts.</p></td>
<td colspan="2"><p>84-87%</p>
<p>5 pts.</p></td>
<td colspan="2"><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="14">(RE instructions: # linear feet properly installed /
total # linear feet. - Spec # 606)</td>
</tr>
<tr class="even">
<td rowspan="3">14</td>
<td colspan="14">Was traffic barrier initially constructed in accordance
with the plans and specifications? <em>(Quality)</em></td>
</tr>
<tr class="odd">
<td><h4 id="na-44">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>75-79%</p>
<p>3 pts.</p></td>
<td><p>80-83%</p>
<p>4 pts.</p></td>
<td colspan="2"><p>84-87%</p>
<p>5 pts.</p></td>
<td colspan="2"><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="even">
<td colspan="14">(RE instructions: # linear feet properly installed /
total # linear feet. - Spec # 617)</td>
</tr>
<tr class="odd">
<td rowspan="3">15</td>
<td colspan="14">Was all permanent embankment protection initially
constructed in accordance with the plans and specifications?
<em>(Quality)</em></td>
</tr>
<tr class="even">
<td><h4 id="na-45">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>75-79%</p>
<p>3 pts.</p></td>
<td><p>80-83%</p>
<p>4 pts.</p></td>
<td colspan="2"><p>84-87%</p>
<p>5 pts.</p></td>
<td colspan="2"><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="14"><p>(RE instructions: This question refers to Section
600 permanent erosion control items, not temporary erosion control
items.</p>
<p># properly installed items / total # of items. - Spec # 611)</p></td>
</tr>
<tr class="even">
<td rowspan="3">16</td>
<td colspan="14">Was pavement repair performed in accordance with the
plans and specifications? <em>(Quality)</em></td>
</tr>
<tr class="odd">
<td><h4 id="na-46">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>75-79%</p>
<p>3 pts.</p></td>
<td><p>80-83%</p>
<p>4 pts.</p></td>
<td colspan="2"><p>84-87%</p>
<p>5 pts.</p></td>
<td colspan="2"><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="even">
<td colspan="14">(RE instructions: # properly installed items / total #
of items. - Spec # 613)</td>
</tr>
<tr class="odd">
<td rowspan="3">17</td>
<td colspan="14">Was pavement marking initially placed in accordance
with the plans and specifications? <em>(Quality)</em></td>
</tr>
<tr class="even">
<td><h4 id="na-47">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>75-79%</p>
<p>3 pts.</p></td>
<td><p>80-83%</p>
<p>4 pts.</p></td>
<td colspan="2"><p>84-87%</p>
<p>5 pts.</p></td>
<td colspan="2"><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="14">(RE instructions: lf properly installed / total lf. -
Spec # 620)</td>
</tr>
<tr class="even">
<td>18</td>
<td colspan="7"><p>Were contractor required Section 600 material item
certifications provided prior to the material being incorporated into
the work?</p>
<p><em>(Contract Compliance)</em></p></td>
<td colspan="2">N/A</td>
<td><p>0-59%</p>
<p>0 pts.</p></td>
<td><p>60-79%</p>
<p>1 pt.</p></td>
<td><p>80-94%</p>
<p>2 pts.</p></td>
<td><p>95-99%</p>
<p>3 pts.</p></td>
<td><p>100%</p>
<p>4 pts.</p></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="14">(RE instructions: This item is for certification
required of the contractor, not for department inspected material
items.)</td>
</tr>
</tbody>
</table>

<table>
<colgroup>
<col style="width: 6%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 8%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 8%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="13"><strong><u>Section 700 - Structures</u></strong></td>
</tr>
<tr class="even">
<td colspan="13"><p>Complete Section 700 if the contract has any Section
700 contract pay items.</p>
<p>Indicate N/A at section heading if project(s) had no Section 700 pay
items</p>
<p>or if no work was performed in this section during this evaluation
period.</p></td>
</tr>
<tr class="odd">
<td colspan="11"><p><strong>Total Dollars of Section 700 Items Completed
This Rating Year: <em>$</em></strong></p>
<p>(If the contract includes combination projects, the total is to
include all Section 700 items from all projects.)</p></td>
<td colspan="2">N/A</td>
</tr>
<tr class="even">
<td rowspan="3">1</td>
<td colspan="12">Was corrective action necessary to eliminate excessive
variations in the bridge deck surfacing? <em>(Quality)</em></td>
</tr>
<tr class="odd">
<td><h4 id="na-48">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>75-79%</p>
<p>3 pts.</p></td>
<td><p>80-83%</p>
<p>4 pts.</p></td>
<td><p>84-87%</p>
<p>5 pts.</p></td>
<td><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="even">
<td colspan="12">(RE instructions: Bridge deck S.Y. not requiring
correction vs. Bridge deck S.Y. total - Spec # 703.3.14.6)</td>
</tr>
<tr class="odd">
<td rowspan="3">2</td>
<td colspan="12">Were exposed concrete surfaces properly cured?
<em>(Quality)</em></td>
</tr>
<tr class="even">
<td><h4 id="na-49">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>75-79%</p>
<p>3 pts.</p></td>
<td><p>80-83%</p>
<p>4 pts.</p></td>
<td><p>84-87%</p>
<p>5 pts.</p></td>
<td><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="12">(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)</td>
</tr>
<tr class="even">
<td rowspan="2">3</td>
<td colspan="6">Were detailed plans for falsework, including supporting
design computations, submitted as required by specification?
<em>(Contract Compliance)</em></td>
<td>N/A</td>
<td><p>0-74%</p>
<p>0 pts.</p></td>
<td><p>75-84%</p>
<p>1 pt.</p></td>
<td><p>85-94%</p>
<p>2 pts.</p></td>
<td><p>95-99%</p>
<p>3 pts.</p></td>
<td><p>100%</p>
<p>4 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="12">(RE instructions: based on number of events, # times
plans provided / # time plans required. - Spec # 703.3.1, 712.4,
712.8.1)</td>
</tr>
<tr class="even">
<td rowspan="3">4</td>
<td colspan="12">Was reinforcing steel properly aligned and tied in
conformance with the plans and specifications when the contractor
requested inspection? <em>(Quality)</em></td>
</tr>
<tr class="odd">
<td><h4 id="na-50">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>75-79%</p>
<p>3 pts.</p></td>
<td><p>80-83%</p>
<p>4 pts.</p></td>
<td><p>84-87%</p>
<p>5 pts.</p></td>
<td><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="even">
<td colspan="12">(RE instructions: Wt of properly erected steel / Total
wt of steel - (Spec # 706.3, 710.3.2.1, 721.3.1)</td>
</tr>
<tr class="odd">
<td rowspan="2">5</td>
<td colspan="5">Was jobsite storage of structural steel in accordance
with the specifications? <em>(Quality)</em></td>
<td>N/A</td>
<td><p>&gt; 4 notices</p>
<p>0 pts.</p></td>
<td><p>4 notices</p>
<p>2 pts.</p></td>
<td><p>3 notices</p>
<p>4 pt.</p></td>
<td><p>2 notices</p>
<p>6 pts.</p></td>
<td><p>1 notice</p>
<p>8 pts</p></td>
<td><p>no notices</p>
<p>10 pts.</p></td>
</tr>
<tr class="even">
<td colspan="12">(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)</td>
</tr>
<tr class="odd">
<td rowspan="2">6</td>
<td colspan="6">Did the contractor furnish piledriving equipment
adequate for handling and driving the design length of pile?
<em>(Contract Compliance)</em></td>
<td>N/A</td>
<td><p>4 or more notices</p>
<p>0 pts.</p></td>
<td><p>3 notices</p>
<p>1 pt.</p></td>
<td><p>2 notices</p>
<p>2 pts.</p></td>
<td><p>1 notice</p>
<p>3 pts.</p></td>
<td><p>no notices</p>
<p>4 pts.</p></td>
</tr>
<tr class="even">
<td colspan="12">(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)</td>
</tr>
<tr class="odd">
<td rowspan="3">7</td>
<td colspan="12">Were forms properly aligned and graded when the
contractor requested inspection? <em>(Quality)</em></td>
</tr>
<tr class="even">
<td><h4 id="na-51">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>75-79%</p>
<p>3 pts.</p></td>
<td><p>80-83%</p>
<p>4 pts.</p></td>
<td><p>84-87%</p>
<p>5 pts.</p></td>
<td><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="12">(RE instructions: S.Y. properly formed / Total S.Y. of
deck - Spec. # 703.3.2)</td>
</tr>
<tr class="even">
<td rowspan="3">8</td>
<td colspan="12">Did the contractor provide falsework adequate to
support and hold the forms true to line, camber, and grade?
<em>(Quality)</em></td>
</tr>
<tr class="odd">
<td><h4 id="na-52">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>75-79%</p>
<p>3 pts.</p></td>
<td><p>80-83%</p>
<p>4 pts.</p></td>
<td><p>84-87%</p>
<p>5 pts.</p></td>
<td><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="even">
<td colspan="12">(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)</td>
</tr>
</tbody>
</table>

<table>
<colgroup>
<col style="width: 6%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 8%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 8%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
</colgroup>
<tbody>
<tr class="odd">
<td rowspan="3">9</td>
<td colspan="12">Was the structural steel erected in accordance with the
specifications? <em>(Quality)</em></td>
</tr>
<tr class="even">
<td><h4 id="na-53">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>75-79%</p>
<p>3 pts.</p></td>
<td><p>80-83%</p>
<p>4 pts.</p></td>
<td><p>84-87%</p>
<p>5 pts.</p></td>
<td><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="12">(RE instructions: Wt. of properly erected steel / Total
wt. of steel - (Spec. # 712.5)</td>
</tr>
<tr class="even">
<td rowspan="3">10</td>
<td colspan="12">Was the contractor persistent in adding unauthorized
moisture to finish the bridge deck surface? <em>(Quality)</em></td>
</tr>
<tr class="odd">
<td><h4 id="na-54">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>75-79%</p>
<p>3 pts.</p></td>
<td><p>80-83%</p>
<p>4 pts.</p></td>
<td><p>84-87%</p>
<p>5 pts.</p></td>
<td><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="even">
<td colspan="12">(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)</td>
</tr>
<tr class="odd">
<td rowspan="3">11</td>
<td colspan="12">Did the contractor prepare existing structural steel
surfaces for protective coatings as required by specifications?
(Quality)</td>
</tr>
<tr class="even">
<td><h4 id="na-55">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>75-79%</p>
<p>3 pts.</p></td>
<td><p>80-83%</p>
<p>4 pts.</p></td>
<td><p>84-87%</p>
<p>5 pts.</p></td>
<td><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="12">(RE instructions: Area of properly prepared structural
steel surface / total steel area - Spec #712.12.2)</td>
</tr>
<tr class="even">
<td rowspan="3">12</td>
<td colspan="12">Did the contractor provide proper lead containment as
required the contract? <em>(Quality)</em></td>
</tr>
<tr class="odd">
<td><h4 id="na-56">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>75-79%</p>
<p>3 pts.</p></td>
<td><p>80-83%</p>
<p>4 pts.</p></td>
<td><p>84-87%</p>
<p>5 pts.</p></td>
<td><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="even">
<td colspan="12">(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)</td>
</tr>
<tr class="odd">
<td rowspan="3">13</td>
<td colspan="12">Was the proper thickness of protective coating of
structural steel in compliance with the specifications?
<em>(Quality)</em></td>
</tr>
<tr class="even">
<td><h4 id="na-57">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>75-79%</p>
<p>3 pts.</p></td>
<td><p>80-83%</p>
<p>4 pts.</p></td>
<td><p>84-87%</p>
<p>5 pts.</p></td>
<td><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="12">(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)</td>
</tr>
<tr class="even">
<td rowspan="3">14</td>
<td colspan="12">Did the contractor provide adequate protection for
property (to include the structure) and traffic during painting
operations? <em>(Quality)</em></td>
</tr>
<tr class="odd">
<td><h4 id="na-58">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>75-79%</p>
<p>3 pts.</p></td>
<td><p>80-83%</p>
<p>4 pts.</p></td>
<td><p>84-87%</p>
<p>5 pts.</p></td>
<td><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="even">
<td colspan="12">(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)</td>
</tr>
<tr class="odd">
<td rowspan="2">15</td>
<td colspan="6">Did the contractor provide adequate protection for
property (to include the structure) and traffic during bridge, excluding
painting, operations? <em>(Contract Compliance)</em></td>
<td>N/A</td>
<td><p>0-59%</p>
<p>0 pts.</p></td>
<td><p>60-79%</p>
<p>1 pt.</p></td>
<td><p>80-94%</p>
<p>2 pts.</p></td>
<td><p>95-99%</p>
<p>3 pts.</p></td>
<td><p>100%</p>
<p>4 pts.</p></td>
</tr>
<tr class="even">
<td colspan="12">(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)</td>
</tr>
<tr class="odd">
<td rowspan="3">16</td>
<td colspan="12">Did the contractor's best concrete removal practices
minimize damage to existing reinforcing steel that was to be used in
place? <em>(Quality)</em></td>
</tr>
<tr class="even">
<td><h4 id="na-59">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>75-79%</p>
<p>3 pts.</p></td>
<td><p>80-83%</p>
<p>4 pts.</p></td>
<td><p>84-87%</p>
<p>5 pts.</p></td>
<td><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="12">(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)</td>
</tr>
<tr class="even">
<td rowspan="3">17</td>
<td colspan="12">Were adhesion strength tests within the required limits
on epoxy polymer deck overlays? <em>(Quality)</em></td>
</tr>
<tr class="odd">
<td><h4 id="na-60">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>75-79%</p>
<p>3 pts.</p></td>
<td><p>80-83%</p>
<p>4 pts.</p></td>
<td><p>84-87%</p>
<p>5 pts.</p></td>
<td><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="even">
<td colspan="12">(RE instructions: # passing adhesion tests / total # of
adhesion tests. Tests will be documented in report or diary entries. -
(Job Special Provisions)</td>
</tr>
</tbody>
</table>

<table>
<colgroup>
<col style="width: 6%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 8%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 8%" />
<col style="width: 0%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
</colgroup>
<tbody>
<tr class="odd">
<td rowspan="3">18</td>
<td colspan="13">Were thickness checks within the specified limits on
bridge deck overlays? <em>(Quality)</em></td>
</tr>
<tr class="even">
<td><h4 id="na-61">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>75-79%</p>
<p>3 pts.</p></td>
<td><p>80-83%</p>
<p>4 pts.</p></td>
<td><p>84-87%</p>
<p>5 pts.</p></td>
<td><p>88-91%</p>
<p>6 pts.</p></td>
<td colspan="2"><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="13">(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)</td>
</tr>
<tr class="even">
<td rowspan="3">19</td>
<td colspan="13">Was the proper density of low slump concrete within
specified limits? <em>(Quality)</em></td>
</tr>
<tr class="odd">
<td><h4 id="na-62">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>75-79%</p>
<p>3 pts.</p></td>
<td><p>80-83%</p>
<p>4 pts.</p></td>
<td><p>84-87%</p>
<p>5 pts.</p></td>
<td><p>88-91%</p>
<p>6 pts.</p></td>
<td colspan="2"><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="even">
<td colspan="13">(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)</td>
</tr>
<tr class="odd">
<td rowspan="3">20</td>
<td colspan="13">Were drainage pipes and structures initially installed
in accordance with the plans and specifications? (Quality)</td>
</tr>
<tr class="even">
<td><h4 id="na-63">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>75-79%</p>
<p>3 pts.</p></td>
<td><p>80-83%</p>
<p>4 pts.</p></td>
<td><p>84-87%</p>
<p>5 pts.</p></td>
<td><p>88-91%</p>
<p>6 pts.</p></td>
<td colspan="2"><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="13">(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)</td>
</tr>
<tr class="even">
<td>21</td>
<td colspan="6"><p>Were contractor required Section 700 material item
certifications provided prior to the material being incorporated into
the work?</p>
<p><em>(Contract Compliance)</em></p></td>
<td>N/A</td>
<td colspan="2"><p>0-59%</p>
<p>0 pts.</p></td>
<td><p>60-79%</p>
<p>1 pt.</p></td>
<td><p>80-94%</p>
<p>2 pts.</p></td>
<td><p>95-99%</p>
<p>3 pts.</p></td>
<td><p>100%</p>
<p>4 pts.</p></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="13">(RE instructions: This item is for certification
required of the contractor, not for department inspected material
items.)</td>
</tr>
</tbody>
</table>

<table style="width:100%;">
<colgroup>
<col style="width: 6%" />
<col style="width: 7%" />
<col style="width: 1%" />
<col style="width: 7%" />
<col style="width: 8%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 0%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 0%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 0%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="17"><strong><u>Section 800 - Roadside
Development</u></strong></td>
</tr>
<tr class="even">
<td colspan="17"><p>Complete Section 800 if the contract has any Section
800 contract pay items.</p>
<p>Indicate N/A at section heading if project(s) had no Section 800 pay
items</p>
<p>or if no work was performed in this section during this evaluation
period.</p></td>
</tr>
<tr class="odd">
<td colspan="14"><p><strong>Total Dollars of Section 800 Items Completed
This Rating Year: <em>$</em></strong></p>
<p>(If the contract includes combination projects, the total is to
include all Section 800 items from all projects.)</p></td>
<td colspan="3">N/A</td>
</tr>
<tr class="even">
<td rowspan="3">1</td>
<td colspan="16">What percentage of the sod was living at the end of the
initial watering period? <em>(Quality)</em></td>
</tr>
<tr class="odd">
<td colspan="2"><h4 id="na-64">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>75-79%</p>
<p>3 pts.</p></td>
<td><p>80-83%</p>
<p>4 pts.</p></td>
<td><p>84-87%</p>
<p>5 pts.</p></td>
<td colspan="2"><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td colspan="2"><p>98-99%</p>
<p>9 pts.</p></td>
<td colspan="2"><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="even">
<td colspan="16">(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)</td>
</tr>
<tr class="odd">
<td rowspan="3">2</td>
<td colspan="16">Was soil preparation, lime and fertilizer application
in compliance with the contract? <em>(Quality)</em></td>
</tr>
<tr class="even">
<td colspan="2"><h4 id="na-65">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>75-79%</p>
<p>3 pts.</p></td>
<td><p>80-83%</p>
<p>4 pts.</p></td>
<td><p>84-87%</p>
<p>5 pts.</p></td>
<td colspan="2"><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td colspan="2"><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="16">(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)</td>
</tr>
<tr class="even">
<td rowspan="3">3</td>
<td colspan="16">Was initial sod installation in compliance with the
contract? <em>(Quality)</em></td>
</tr>
<tr class="odd">
<td><h4 id="na-66">N/A</h4></td>
<td colspan="2"><p>&lt;65%</p>
<p>O pts.</p></td>
<td><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>75-79%</p>
<p>3 pts.</p></td>
<td><p>80-83%</p>
<p>4 pts.</p></td>
<td colspan="2"><p>84-87%</p>
<p>5 pts.</p></td>
<td><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td colspan="2"><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
<td></td>
</tr>
<tr class="even">
<td colspan="16">(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)</td>
</tr>
<tr class="odd">
<td rowspan="3">4</td>
<td colspan="16">Was initial seed and mulch application in compliance
with the contract? <em>(Quality)</em></td>
</tr>
<tr class="even">
<td colspan="2"><h4 id="na-67">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>75-79%</p>
<p>3 pts.</p></td>
<td><p>80-83%</p>
<p>4 pts.</p></td>
<td><p>84-87%</p>
<p>5 pts.</p></td>
<td colspan="2"><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td colspan="2"><p>98-99%</p>
<p>9 pts.</p></td>
<td colspan="2"><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="16">(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)</td>
</tr>
</tbody>
</table>

<table style="width:100%;">
<colgroup>
<col style="width: 6%" />
<col style="width: 7%" />
<col style="width: 0%" />
<col style="width: 39%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 0%" />
<col style="width: 7%" />
<col style="width: 0%" />
<col style="width: 7%" />
<col style="width: 0%" />
<col style="width: 7%" />
</colgroup>
<tbody>
<tr class="odd">
<td rowspan="6">5</td>
<td colspan="3"><p>a. Total acres (hectares) of erodible earth
authorized as of:</p>
<p>b. Total acres (hectares) of erodible earth opened as of:</p>
<p><em>(Contract Compliance - Erosion Control)</em></p></td>
<td><h5 id="na-68">N/A</h5></td>
<td><p>a / b</p>
<p>&lt;60%</p></td>
<td colspan="2"><p>a / b</p>
<p>66-75%</p>
<p>1 pts.</p></td>
<td colspan="2"><p>a / b</p>
<p>76-85%</p>
<p>2 pt.</p></td>
<td colspan="2"><p>a / b</p>
<p>86-95%</p>
<p>3 pts.</p></td>
<td><p>a / b</p>
<p>96-100%</p>
<p>4 pts.</p></td>
</tr>
<tr class="even">
<td>5a.</td>
<td colspan="8"><p>a. Total acres (hectares) of erodible earth
authorized as of <strong>March 15</strong>:</p>
<p>b. Total acres (hectares) of erodible earth opened as of
<strong>March 15</strong>:</p></td>
<td colspan="2">N/A</td>
<td>____</td>
</tr>
<tr class="odd">
<td>5b.</td>
<td colspan="8"><p>a. Total acres (hectares) of erodible earth
authorized as of <strong>June 15</strong>:</p>
<p>b. Total acres (hectares) of erodible earth opened as of <strong>June
15</strong>:</p></td>
<td colspan="2">N/A</td>
<td>_______</td>
</tr>
<tr class="even">
<td>5c.</td>
<td colspan="8"><p>a. Total acres (hectares) of erodible earth
authorized as of <strong>September 15</strong>:</p>
<p>b. Total acres (hectares) of erodible earth opened as of
<strong>September 15</strong>:</p></td>
<td colspan="2">N/A</td>
<td>_______</td>
</tr>
<tr class="odd">
<td>5d.</td>
<td colspan="8"><p>a. Total acres (hectares) of erodible earth
authorized as of <strong>December 15</strong>:</p>
<p>b. Total acres (hectares) of erodible earth opened as of
<strong>December 15</strong>:</p></td>
<td colspan="2">N/A</td>
<td>_______</td>
</tr>
<tr class="even">
<td colspan="12">(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)</td>
</tr>
<tr class="odd">
<td rowspan="6">6</td>
<td colspan="12">What percentage of the required temporary erosion
control items were properly installed and maintained? <em>(Contract
Compliance - Erosion Control)</em></td>
</tr>
<tr class="even">
<td colspan="2">6 a.</td>
<td>On March 15 what percentage of the required temporary erosion
control items were properly installed and maintained?</td>
<td><h5 id="na-69">N/A</h5></td>
<td><p>&lt;66%</p>
<p>0 pts.</p></td>
<td><p>66-75%</p>
<p>1 pts.</p></td>
<td colspan="2"><p>76-85%</p>
<p>2 pt.</p></td>
<td colspan="2"><p>86-95%</p>
<p>3 pts.</p></td>
<td colspan="2"><p>96-100%</p>
<p>4 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="2">6 b.</td>
<td>On June 15 what percentage of the required temporary erosion control
items were properly installed and maintained?</td>
<td><h5 id="na-70">N/A</h5></td>
<td><p>&lt;66%</p>
<p>0 pts.</p></td>
<td><p>66-75%</p>
<p>1 pts.</p></td>
<td colspan="2"><p>76-85%</p>
<p>2 pt.</p></td>
<td colspan="2"><p>86-95%</p>
<p>3 pts.</p></td>
<td colspan="2"><p>96-100%</p>
<p>4 pts.</p></td>
</tr>
<tr class="even">
<td colspan="2">6 c.</td>
<td>On September 15 what percentage of the required temporary erosion
control items were properly installed and maintained?</td>
<td><h5 id="na-71">N/A</h5></td>
<td><p>&lt;66%</p>
<p>0 pts.</p></td>
<td><p>66-75%</p>
<p>1 pts.</p></td>
<td colspan="2"><p>76-85%</p>
<p>2 pt.</p></td>
<td colspan="2"><p>86-95%</p>
<p>3 pts.</p></td>
<td colspan="2"><p>96-100%</p>
<p>4 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="2">6 d.</td>
<td>On December 15 what percentage of the required temporary erosion
control items were properly installed and maintained?</td>
<td><h5 id="na-72">N/A</h5></td>
<td><p>&lt;66%</p>
<p>0 pts.</p></td>
<td><p>66-75%</p>
<p>1 pts.</p></td>
<td colspan="2"><p>76-85%</p>
<p>2 pt.</p></td>
<td colspan="2"><p>86-95%</p>
<p>3 pts.</p></td>
<td colspan="2"><p>96-100%</p>
<p>4 pts.</p></td>
</tr>
<tr class="even">
<td colspan="12">(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)</td>
</tr>
<tr class="odd">
<td>7</td>
<td colspan="3">Were contractor required Section 800 material item
certifications provided prior to the material being incorporated into
the work? <em>(Contract Compliance)</em></td>
<td>N/A</td>
<td><p>0-59%</p>
<p>0 pts.</p></td>
<td><p>60-79%</p>
<p>1 pt.</p></td>
<td colspan="2"><p>80-94%</p>
<p>2 pts.</p></td>
<td colspan="2"><p>95-99%</p>
<p>3 pts.</p></td>
<td colspan="2"><p>100%</p>
<p>4 pts.</p></td>
</tr>
<tr class="even">
<td></td>
<td colspan="12">(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)</td>
</tr>
</tbody>
</table>

<table style="width:100%;">
<colgroup>
<col style="width: 5%" />
<col style="width: 7%" />
<col style="width: 8%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 8%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="13"><strong><u>Section 900 - Traffic Control
Facilities</u></strong></td>
</tr>
<tr class="even">
<td colspan="13"><p>Complete Section 900 if the contract has any Section
900 contract pay items.</p>
<p>Indicate N/A at section heading if project(s) had no Section 900 pay
items</p>
<p>or if no work was performed in this section during this evaluation
period.</p></td>
</tr>
<tr class="odd">
<td colspan="11"><p><strong>Total Dollars of Section 900 Items Completed
This Rating ear: <em>$</em></strong></p>
<p>(If the contract includes combination projects, the total is to
include all Section 900 items from all projects.</p></td>
<td colspan="2">N/A</td>
</tr>
<tr class="even">
<td>1</td>
<td colspan="6">Did the contractor provide material that was listed on
the approved list of equipment and materials? <em>(Contract
Compliance)</em></td>
<td>N/A</td>
<td><p>0-59%</p>
<p>0 pts.</p></td>
<td><p>60-79%</p>
<p>1 pt.</p></td>
<td><p>80-94%</p>
<p>2 pts.</p></td>
<td><p>95-99%</p>
<p>3 pts.</p></td>
<td><p>100%</p>
<p>4 pts.</p></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="12">(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)</td>
</tr>
<tr class="even">
<td>2</td>
<td colspan="6">Did the contractor provide the necessary certifications,
manufacturers instructions, wiring diagrams, and parts lists, as
required by the specifications? <em>(Contract Compliance)</em></td>
<td>N/A</td>
<td><p>0-59%</p>
<p>0 pts.</p></td>
<td><p>60-79%</p>
<p>1 pt.</p></td>
<td><p>80-94%</p>
<p>2 pts.</p></td>
<td><p>95-99%</p>
<p>3 pts.</p></td>
<td><p>100%</p>
<p>4 pts.</p></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="12">(RE instructions: # provided / # required - Spec #
901.6, 902.4, 902.5, 903.3) .</td>
</tr>
<tr class="even">
<td rowspan="3">3</td>
<td colspan="12">Were all highway signing items completed and accepted
without corrections other than minor items normal to this type of work?
<em>(Quality)</em></td>
</tr>
<tr class="odd">
<td><h4 id="na-73">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>75-79%</p>
<p>3 pts.</p></td>
<td><p>80-83%</p>
<p>4 pts.</p></td>
<td><p>84-87%</p>
<p>5 pts.</p></td>
<td><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="even">
<td colspan="12">(RE instructions: # signing items accepted / # signing
items constructed - (Spec # 903)</td>
</tr>
<tr class="odd">
<td rowspan="3">4</td>
<td colspan="12">Were all traffic signal items completed and accepted
without corrections other than minor items normal to this type of work?
<em>(Quality)</em></td>
</tr>
<tr class="even">
<td><h4 id="na-74">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>75-79%</p>
<p>3 pts.</p></td>
<td><p>80-83%</p>
<p>4 pts.</p></td>
<td><p>84-87%</p>
<p>5 pts.</p></td>
<td><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="odd">
<td colspan="12">(RE instructions: # signal items accepted / # signal
items constructed - Spec # 902)</td>
</tr>
<tr class="even">
<td rowspan="3">5</td>
<td colspan="12">Were all highway lighting items completed and accepted
without corrections other than minor items normal to this type of work?
<em>(Quality)</em></td>
</tr>
<tr class="odd">
<td><h4 id="na-75">N/A</h4></td>
<td><p>&lt;65%</p>
<p>O pts.</p></td>
<td><p>65-69%</p>
<p>1 pts.</p></td>
<td><p>70-74%</p>
<p>2 pt.</p></td>
<td><p>75-79%</p>
<p>3 pts.</p></td>
<td><p>80-83%</p>
<p>4 pts.</p></td>
<td><p>84-87%</p>
<p>5 pts.</p></td>
<td><p>88-91%</p>
<p>6 pts.</p></td>
<td><p>92-94%</p>
<p>7 pts.</p></td>
<td><p>95-97%</p>
<p>8 pts.</p></td>
<td><p>98-99%</p>
<p>9 pts.</p></td>
<td><p>100%</p>
<p>10 pts.</p></td>
</tr>
<tr class="even">
<td colspan="12">(RE instructions: # lighting items accepted / #
lighting items constructed - Spec # 901)</td>
</tr>
<tr class="odd">
<td>6</td>
<td colspan="6"><p>Were contractor required Section 900 material item
certifications provided prior to the material being incorporated into
the work?</p>
<p><em>(Contract Compliance)</em></p></td>
<td>N/A</td>
<td><p>0-59%</p>
<p>0 pts.</p></td>
<td><p>60-79%</p>
<p>1 pt.</p></td>
<td><p>80-94%</p>
<p>2 pts.</p></td>
<td><p>95-99%</p>
<p>3 pts.</p></td>
<td><p>100%</p>
<p>4 pts.</p></td>
</tr>
<tr class="even">
<td></td>
<td colspan="12">(RE instructions: This item is for certification
required of the contractor, not for department inspected material
items.)</td>
</tr>
</tbody>
</table>

## Cpq2002.doc

##   {#section-1}

## Questionnaire Completion

**7 CSR 10-10.050** ***\"Each Contractor Performance Report shall be
completed on all projects that were active during the rated year and
will be completed within thirty (30) days after final project
acceptance, but shall be completed no later than January 15, whichever
comes first. \....\"***

***\"\.... A copy of the questionnaire shall be furnished to the
contractor by the resident engineer. If the contractor\'s representative
does not return a signed questionnaire to the resident engineer within
two (2) weeks after it has been mailed, the questionnaire shall be
final, with no further comment to be considered by the contractor\'s
representative. If the contractor disagrees with any particular rating
on the questionnaire, s/he may request in writing that the district
engineer review the matter. Such request must be made to the district
engineer within twenty-eight (28) days from the date of the mailing of
the questionnaire from to the contractor. However, the contractor\'s
representative shall first have discussed the discrepancy with the
resident engineer in order to resolve the dispute. Upon receiving the
contractor\'s written request to review the particular area of
discrepancy on the questionnaire, the district engineer shall review the
matter and provide the contractor with a written response regarding the
particular area of dispute between the contractor and the resident
engineer\....\"***

Documentation for evaluating contractor performance is vital, however,
it is not necessary or desirable to document every minor infraction.
Excessive documentation creates a burdensome task for inspectors and may
ultimately break down inspector/contractor communications and create a
hostile atmosphere on the project. Infrequent minor infractions should
be discussed and handled in a professional manner that builds a project
partnering team.

Documentation must be made for the more serious infractions or for
violations that continually reoccur despite verbal notices being given
to the contractor. Notices of infractions must be communicated with the
contractor and when documentation is necessary, evidence must be
provided that the contractor\'s authorized representative was notified.
It is recommended that documentation for infractions be handled by a
staged or stepped notification process. Initially the minor violation
should be discussed with the contractor. A second instance should be
documented by a diary entry initialed by the contractor\'s authorized
representative. A subsequent infraction of the same specification may
need to be dealt with by written correspondence to the contractor\'s
home office or by an order record.

As an order record usually penalizes the contractor twice on his
performance rating, its use should be limited to major contract
violations and for infractions the contractor is slow to correct or
allows to continually reoccur.

As many of the performance measures are established as a percentage of
the total, documentation must exist to provide a rating lower than a
\"100%\". As the percentage numbers are shown as whole numbers, it may
be necessary to round if the decimal difference would effect the
question response, i.e., if a contractor complies with a specification
requirement 199 times out of a possible 200 times, a 100% response for
the question is appropriate.

This rating system is designed to encourage improved contractor
performance. However, continued unacceptable performance by a contractor
will lead to his suspension or debarment. If a court challenge is made,
documentation will be available to support the department\'s
disciplinary action.

This system should facilitate communications on the project and provide
an impetus for improvement. Performance improvement on a project should
result in a better project work atmosphere for both project inspectors
and contractor.