Agency Human Services Dept

Contractor Jeffrey S. Forslund

SWIFT Contract Number -MWK 56995.00

Project Name Southern Cities Clinic

Project Number (if applicable) {Empty}

Summarize purpose of the contract, including why it was necessary: To provide dental services to patients at Southern Cities Clinic.

Project Duration

Start Date Wed, 01/02/2013 - 00:00

Original end date Tue, 12/31/2013 - 00:00

Actual end date Mon, 06/30/2014 - 00:00

Did project finish on time? Yes

Total billable hours utilized (if applicable) {Empty}

Contract Amounts

Original contract: $55000.00

Amendments {Empty}

Contract total $55000.00

Did project finish within budget? Yes

What was the funding source? H55 36258

Is this a sole source contract? No

If this was a single source contract, explain why the agency determined there was only a single source for the services (if applicable) {Empty}

Evaluator Name Barb DeCoux

Evaluator Email Address barb.decoux@state.mn.us

Evaluate the contractor's timeliness Dr. Forslund is a dependable contractor and has an excellent attendance record.

Evaluate the contractor's quality Dr. Forslund privides high quality dental services to the patients of Southern Cities Clinic.

Evaluate the contractor's cost Cost is consistent with all other SOS dental contracts.

Evaluate the contractor's overall performance Overall performance is above expectations.

Would you engage the contractor's services again? Yes

Describe any negative action taken during the duration of this contract (i.e., termination, pursuit of suspension, etc.): None taken

Please rate the overall experience with the contractor 5 - very satisfied