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A performance evaluation for every personal, professional, consulting or social service contract shall be prepared by the using agency in accordance with Louisiana Revised Statutes Title 39:1500. The performance evaluation shall be retained by the using agency for allcontracts approved under delegated authority. For all other contracts, the performance evaluation shall be submitted to the Office of Contractual Review within 60 days after the completion of performance and no contract may be entered into by any using agency with any contractor for which a delinquent final evaluation report remains outstanding.

Additionally, final evaluation reports for contracts greater than or equal to $250,000 shall be submitted to the Legislative Auditor.

Below is a suggested sample of the type of performance evaluation to be prepared by the Agency and contains the minimum information required by law.

Performance Evaluation

Agency Name:

Office Name:

Agency Contract Number:

DOA Contract Number:

CFMS Contract Number:

Contractor Name:

Contract Amount:

Actual Amount Paid:

Contract Cost Basis:

Contract begin and end date:

Actual begin and end date:

Contract Modifications:

Description of Services:

Deliverable Products:

Problems encountered:

Overall Performance (check one) :       ____ Satisfactory          ____ Unsatisfactory

Name and Phone Number of Program Official responsible for monitoring and final acceptance:_____________________________________

Signature of Program Monitor or Agency Head Designee ___________________________

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