A&e Standards And Procedures For Initial And Final Evaluation/scoring Page 27

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STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
ARCHITECTURAL & ENGINEERING (A&E) CONSULTANT EVALUATION FORM
FINAL EVALUATION - INTERVIEW ONLY
CONSENSUS
(Qualifications-Based Selection)
ADM-2028b CONSENSUS (Rev.03/14/12)
Page 1 of 2
Contract No.: ___________________
Consultant: ___________________________
(a)
(b)
(a) x (b)
Criteria
Weight
Score
Weighted
(0-10)
Score
Interview (Q&A)
9.0
References
1.0
Record of producing a quality product on similar projects
on time and within budget.
(All panel members must enter a zero (0) for all interviewed
Consultants if time did not allow for reference checks or if the
reference checks were not completed on all the Consultants.)
Total
Comments (continue on reverse if necessary):
Each Panel Member named and signed below certifies under penalty of perjury that he/she fully
understands the Panel Rules and Code of Ethical Standards and that non-compliance, including any
disclosure as described herein, is a basis for disciplinary action, including dismissal.
SIGNATURE
DATE
EVALUATOR (Print)
PANEL CHAIRPERSON’S NAME (Print)
Checked by: ______________________________________
Date: ___________

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