Louisiana Administrative Code
Title 34 - GOVERNMENT CONTRACTS, PROCUREMENT AND PROPERTY CONTROL
Part V - Procurement
Chapter 1 - General Provisions
Section V-199 - Appendix F- Performance Evaluation

(Example Only)

Agency Name ________________

Office Name ________________

Agency Contract No. _____________

DOA Contract No. __________________

Contractor ________________

Beginning and Ending Dates for Contract ____________to __________

Description of Services:

Deliverable Products:

(What were final products, if any? Were they delivered on time?

Were they usable?...)

Overall Performance:

(List weak points, strong points. Would you hire this contractor again?)

Signature of Program Official _____________

Approved by: _____________

AUTHORITY NOTE: Promulgated in accordance with R.S. 39:1490(B).