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* 1. Municipality

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* 2. You Name (First and Last)

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* 3. Your Email Address

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* 4. Which On-Call List is this Firm selected from?

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* 5. Name of Firm

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* 6. Contract Type

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* 7. Award Date

Date

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* 8. Is the contract active?

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* 9. If you answered no to the previous question, when was the contract completed? *please skip if not applicable*

Date

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* 10. Total value of contract (include options; contract modifications):

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* 11. Briefly describe scope of work done:

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* 12. How satisfied are you with the price of the contract? (1 star being least satisfied and 5 starts being most satisfied.)

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* 13. How often did the firm submit cost/price changes for unnecessary reasons?

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* 14. Did the firm meet the original completion date?

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* 15. How satisfied are you with the overall performance/quality of work of the firm? (1 star being least satisfied and 5 starts being most satisfied.)

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* 16. Please provide any other comments or feedback.

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