SP450017R0008_Attachments_2-17.pdf

SP450017R0008

Attachment 2

PICKUP LOCATIONS

Location Street Address Point of Contact

Okinawa Area TBD TBD

Kanto Region

Tokyo

Saitama

Kanagawa

Shizuoka

Misawa

Sasebo

Iwakuni

Attachment 3 Definitions

Asbestos Containing Materials. Japanese Law defines any material containing equal to or greater than 0.1 percent asbestos by weight, as an Asbestos Containing Material (ACM).

Biodegradation: Wastes are degraded by microbial action. Such units shall be operated under aerobic or anaerobic conditions so that the concentrations in a representative compound or indicator parameter (e.g., total organic carbon) have been substantially reduced in concentration in the residuals.

Contracting Officer (CO): A Contracting Officer is a person duly appointed with the authority to enter into, change, and administer contracts on behalf of the US Government.

Contracting Officer's Representative (COR): A Contracting Officer may designate in writing individuals, in accordance with subsection 201.602-2 of the Defense Federal Acquisition Regulation Supplement, as CORs to perform specific technical or administrative functions (see clause G-3). The CORs under this contract will be located at DRMO Sagami. The CORs will be the contractor's primary point of contact for the duration of this contract.

Corrosives: Corrosive wastes are defined as wastes possessing a characteristic of corrosivity, which generally corresponds to a pH of less than or equal to 2 or greater than or equal to12.5.

Disposal: The utilization of those methods of treatment and/or containment technologies (as listed in this section) which effectively mitigate the hazards to human health or the environment when hazardous waste is discharged, deposited, injected, dumped, spilled, leaked or placed into the land, air or water.

Final Treatment: Final treatment means processing at a facility that is appropriately licensed/permitted by the Government of Japan or local prefecture to accept the waste for treatment in accordance with local laws.

Hazardous Waste Accumulation Point (HWAP): Hazardous Waste Accumulation Points are areas at or near the point of waste production (photo lab, paint shop, vehicle maintenance shop, etc.) where the waste is temporarily stored until removed to a Hazardous Waste Storage Area or shipped for disposal. The limits of storage at a HWAP are up to 208 liters (55 gallons) of hazardous waste or one liter (quart) of acute hazardous waste of each waste stream.

Hazardous Waste Storage Area (HWSA): Hazardous Waste Storage Area refers to a location on a US military installation, where more than 208 liters (55 gallons) of hazardous waste, or one liter (quart) of an acute hazardous waste, from any one waste stream is stored prior to shipment to a treatment or disposal/recycling facility. This is not the point of waste production.

Incidental Spill: A small spill occurring as a result of improper waste transfer from small containers to drums, small leaks in containers, minor engine leaks. The quantity shall be no more than 1.5 gallons (5 liters).

Incinerator Standards: An incinerator must be licensed or permitted by the competent authority after demonstrating its technical effectiveness in accordance with regulations. A hazardous waste incinerator is any device for thermally destroying or recovering heat from a waste, such as an incinerator, industrial boiler and furnace. It must be designed and operated to effectively achieve a destruction and removal efficiency of 99.99% for the organic hazardous constituents which represent the greatest degree of difficulty of Incineration in each waste or mixture of waste. The incinerator must minimize emission or particulate matter and emit no more than 1.8 Kg (4 pounds) of hydrogen chloride per hour.

Land Disposal Requirements: The land disposal facility, authorized by the competent authority, must have at least one (1) liner and a leachate collection system. The liner made of either natural or man-made materials, must restrict the downward or lateral escape of hazardous waste, hazardous constituents or leachate and have a permeability rate equal to or less than 10-7 cm/sec. The land disposal facility must also monitor and determine the impact on groundwater quality, if the facility overlays an aquifer or if the runoff from the facility flows into an aquifer recharge area. Other land disposal facilities may qualify as a secure landfill, provided the methods for preventing migration are proven to be at least as effective as a liner and leachate collection system, as described above.

Recovery (metal wastes): Wastes are treated to recover the metal fraction by thermal processing; precipitation; exchange; carbon adsorption, or other techniques that yield non-hazardous levels of heavy metals in the residuals.

Recycling: Beneficial use, reuse, or reclamation.

Shipping papers: Any transport document used in the shipment of hazardous materials or hazardous wastes, including in-country hazardous waste manifests.

Stabilization or Fixation: Wastes are treated in such a way that soluble heavy metals are fixed by oxidation/reduction, or by some other means which renders the metals immobile in a landfill environment.

Treatment: Any method, technique, or process, designed to change the physical, chemical, or biological character or composition of any hazardous waste. Treatment includes neutralization, energy or material resource recovery, or any process rendering a waste non-hazardous or less hazardous; safer to transport, store or dispose of; or amenable for recovery, amenable for storage, or reduced in volume.

PolyChlorinated Biphenly (PCB): Any of a family of industrial compounds produced by chlorination of biphenyl, used as insulating materials in electrical equipment, including transformers and capacitors, and in various other industrial applications. Chemical formula C12H10−xClx; 209 configurations with 1 to 10 chlorine atoms of which 130 are used commercially.

https://en.wikipedia.org/wiki/Carbon https://en.wikipedia.org/wiki/Hydrogen https://en.wikipedia.org/wiki/Chlorine

Attachment 4 Acronyms

AEDA Ammunition, Explosives and Dangerous Articles

APL Acceptable Performance Level

ARD Automatic Release Date

CERCLA Comprehensive Environmental Response, Compensation, and Liability Act

CFR Code of Federal Regulations

CGC Compressed Gas Cylinder

COB Close of business

CONUS Continental United States

DAISY Defense Reutilization and Marketing Automated Information System

DEMIL Demilitarize/demilitarization

DLA Defense Logistics Agency

DLAR Defense Logistics Agency Regulation

DoD Department of Defense

DoDAAC Department of Defense Activity Address Code

DRMO Defense Reutilization and Marketing Office

DRMS Defense Reutilization and Marketing Service

DTID Disposal Turn-In Document

FAR Federal Acquisition Regulation

FLIS Federal Logistics Information System

FSC Federal Supply Class

FSG Federal Supply Group

HM or HAZMAT Hazardous Material

HW Hazardous Waste

IAW In Accordance With

IFB Invitation for Bid

JEAP Joint Equipment Assessment Program

KO Contracting Officer

MSDS Material Safety Data Sheets

W/M Per 2,000 pounds or 40 cubic feet (A revenue ton)

NSN National Stock Number

OSHA Occupational Safety and Health Act

CONTRACTOR Performing Activity

PWS Performance Work Statement

QA Quality Assurance

R/T/D Reutilization, Transfer and/or Donation

R/T/D/S Reutilization, Transfer, Donation and/or Sales

RCP Recycling Control Point

RCRA Resource Conservation and Recovery Act

RIP Receipt in Place

Attachment 5 Acceptable Performance Levels

Acceptable Performance Levels are the minimum performances of each requirement before the Government considers performance unsatisfactory. Specification of an acceptable performance level does not allow the contractor to knowingly provide defective service; it is recognition of the fact that defective performance may sometimes occur unintentionally. As long as the performance percentage does not fall below the specified acceptable performance level, the Government will not deduct for poor performance. However, the contractor shall be required to re-perform or correct the defective service or product at no additional cost to the Government.

The surveillance method shall be from Collection Summary Report(s) (CSR) furnished by the COR, customer feedback, and tracking of final disposal/recycling submittals. All negative and positive actions/performance shall be the basis for monetary deductions and/or past performance annotations.

Performance incentives for the contractor shall include, but are not necessarily limited to, favorable impact on option exercise decisions, future awards of the same requirement, and future awards of similar requirements by DRMS as well as other Government and non- Government entities that may review performance of this contract.

DELIVERABLES

A Deliverable

B Phase

C Standard

D Time Frame

E Acceptable Performance

F Reduction for Failure

G Method of Surveillance

1 Compliant Removal

Pre-Removal Submittal of shipping documentation

1-5 days depending on removal time

100% on time, 95% accuracy

10-100% consideration and past performance annotated

Collection Summary Reports. Customer and COR input.

1.1 Pre-Removal Notification 1-5 days Timely notification

100%

10-100% consideration and past performance annotated*

Collection Summary Reports. Customer and COR input.

1.2 Removal Safe, compliant, timely removal and transportation

1-15 days as required per task order

100% 10-100% consideration and past performance annotated

Collection Summary Reports. Customer and COR input.

1.3 Post-Removal Compliant, transportation, interim storage and shipment to initial qualified

TSDF

Return of manifest or shipping documentation within the contract period

100% 10-100% consideration and past performance annotated

Collection Summary Reports. Customer and COR input.

1.4 Post-Removal Timely delivery to

qualified TSDF

Return manifest timely to eliminate potential exception report

No more than two

(2) exceptions reports received per generator during a 12 month period

10-100% consideration and past performance annotated

Collection Summary Reports. Customer and COR input.

2 Compliant Disposal and/or Recycling

Disposal (or recycling)

On time, proper disposal or recycling

IWA

hazardous waste regulations

225 days for disposal all items

100% all item with the exception of Non- RCRA which requires 95% accuracy

10-100% consideration and past performance annotated

3 Compliant Special Services

Spill Response Services

Timely and accurate reporting

As stated in contract for service specified

100% 10-100% consideration and past performance annotated

Customer, COR and CO review and input

3.1 Delivery of

certificates of disposal and/or recycling

Timely provision As stated in contract for service specified

100% 10-100% consideration and past performance annotated

Customer, COR and CO review and input

*NOTE: The Government reserves the right to conduct added surveillance/review of final tracking information and/or delay all payments until after final tracking information is received if warranted by performance problems in this area.

14. SHIP TO

ORDER FOR SUPPLIES OR SERVICES

PAGE 1 OF

1. CONTRACT/PURCH ORDER/AGREEMENT NO. 2. DELIVERY ORDER/CALL NO. 3. DATE OF ORDER/CALL

(YYYYMMMDD)

4. REQUISITION/PURCH REQUEST NO. 5. PRIORITY

6. ISSUED BY CODE 7. ADMINISTERED BY (If other than 6) CODE 8. DELIVERY FOB

DESTINATION

OTHER

(See Schedule if other)

10. DELIVER TO FOB POINT BY (Date)

(YYYYMMMDD)

12. DISCOUNT TERMS

13. MAIL INVOICES TO THE ADDRESS IN BLOCK

11. X IF BUSINESS IS

SMALL

SMALL DISAD-

VANTAGED

WOMEN-OWNED

CODE 15. PAYMENT WILL BE MADE BY CODE MARK ALL

PACKAGES AND

PAPERS WITH

IDENTIFICATION

NUMBERS IN

BLOCKS 1 AND 2.

16.

TYPE

OF

ORDER

DELIVERY/

CALL

PURCHASE

This delivery order/call is issued on another Government agency or in accordance with and subject to terms and conditions of above numbered contract.

Reference your furnish the following on terms specified herein.

ACCEPTANCE. THE CONTRACTOR HEREBY ACCEPTS THE OFFER REPRESENTED BY THE NUMBERED PURCHASE ORDER AS IT MAY PREVIOUSLY HAVE BEEN OR IS NOW MODIFIED, SUBJECT TO ALL OF THE TERMS AND CONDITIONS SET FORTH, AND AGREES TO PERFORM THE SAME.

If this box is marked, supplier must sign Acceptance and return the following number of copies:

NAME OF CONTRACTOR SIGNATURE TYPED NAME AND TITLE DATE SIGNED

(YYYYMMMDD)

17. ACCOUNTING AND APPROPRIATION DATA/LOCAL USE

18. 19. OF SUPPLIES/SERVICES

20. QUANTITY

ORDERED/

ACCEPTED*

21.

UNIT

22. UNIT PRICE 23.

*If quantity accepted by the Government is same as quantity ordered, indicate by X.

If different, enter actual quantity accepted below quantity ordered and encircle.

24. UNITED STATES OF AMERICA 25.

26.

DIFFERENCES

30.

27a. QUANTITY IN COLUMN 20 HAS BEEN

INSPECTED RECEIVED ACCEPTED, AND CONFORMS TO

THE CONTRACT EXCEPT AS NOTED:

c. DATE

(YYYYMMMDD)

b. OF AUTHORIZED GOVERNMENT REPRESENTATIVE

28. SHIP.

PARTIAL

FINAL

31. PAYMENT

COMPLETE

PARTIAL

FINAL

29. D.O. VOUCHER NO.

32. PAID BY 33. FOR

34. NUMBER

35. OF LADING NO.

42.

36. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT.

a. DATE

(YYYYMMMDD)

b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

37. RECEIVED

AT

38. RECEIVED BY (Print) 39. DATE RECEIVED

(YYYYMMMDD)

40. TOTAL CON-

TAINERS

41. S/R ACCOUNT NUMBER

CONTRACTING/ORDERING OFFICER

9. CONTRACTOR CODE FACILITY

z z z z

NAME

AND

ADDRESS

BY:

d. NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE

f. g.

ITEM NO. SCHEDULE AMOUNT

TOTAL

INITIALS

SIGNATURE

NO.

AMOUNT VERIFIED CORRECT

CHECK

BILL

S/R VOUCHER NO.

PRINTED

TELEPHONE NUMBER E-MAIL ADDRESS

DD FORM 1155, DEC 2001 PREVIOUS EDITION IS OBSOLETE.

Attachment 6

ATTACHMENT 7

U.S. Holidays

The following U.S. Government holidays are observed by this agency:

January 01* New Years Day Third Monday in January Martin Luther King's Birthday Third Monday in February President's Day Last Monday in May Memorial Day July 04 Independence Day First Monday in September Labor Day Second Monday in October Columbus Day November 11* Veteran's Day Fourth Thursday in November Thanksgiving Day December 25* Christmas Day

*If this date falls on a Saturday, the preceding Friday is the holiday; if it falls on a Sunday, the following Monday is a holiday.

Attachment 8

Attachment 8

ATTACHMENT 9

PCB Treatment Standards in Japan

PCB Standards After Treatment Under the "Waste Disposal and Public Cleansing Law (Law No.137 of 1970)", treated PCB wastes must undergo PCB elimination tests according to waste type, and PCB concentration clear the following standards:

Type of Waste Standard (Test Method) Waste PCB Oil(Treated)

0.5mg/kg or under (Content Test Method)

Waste Acid or Waste Alkali

0.03mg/l or under (Content Test Method)

Waste Plastic, Waste Metal or Pottery Waste

0.5mg/kg or under -Solvent (Cleansing Solvent Test Method) 0.1micrograms/100cm2 or under (Wiping Method) 0.01mg/kg or under - Material (Material Collecting Method)

Others 0.003mg/l or under (Dissolution Test Method)

Attachment 10 PCB Treatment Methods permitted in Japan

New PCB treatment technologies cannot be used in Japan until officially approved. The Waste Management Law regulates PCB waste treatment methods permitted in Japan. To get approval, the methods must be evaluated by the central government, and afterwards approved by the law. Besides PCB incineration at over 1,100 degrees Celsius for over 2 seconds retention time, the following chemical treatment methods are allowed as of April 2005 (Informal Translation).

Form of PCB Category Treatment Method Name of Technology Corporation who Developed Technology

Waste PCB oil (Liquid Form) Decomposition

Dechlorination

Base Catalyzed Decomposition Method (BCD Method) Ebara Corporation

Chemical Extraction Method Tokyo Electric Power Company, Mitsui & Co., NEOS Corporation

Organic Alkali Metal Decomposition Method (tBuOK Method)

KEPCO, Kanden Engineering Catalyst hydrogenation Dechlorination Method (Pd/C Method) Ontario Hydro Technologies Sodium Dispersion Method (OSD Method)

Nuclear Fuel Industries, Ltd., Sumitomo Corporation

Sodium Dispersion Method (SD Method)

Nippon Soda Co., Ltd.

Metallic Sodium Dispersion Method (SP Method) Kobelco EcoSolutions Co,.Ltd., Okinawa Plant

Metallic Sodium Dechlorination Method (PCB Gone Method) Organo Corporation

Metallic Sodium Dechlorination Method (MC Method)

Kyoueigiken, Tokyo Institute of Technology, NTRK

Catalyst Hydrogen Reduction Process

Nikko Rica Corporation, Takaoka Electric Manufacturing Co., Ltd., Showa Engineering Co., Ltd. and Kanae Corporation

Metallic Sodium Dechlorination Method (MR Method) Hitachi, Ltd.

Hydrothermal Oxidization Decomposition

Supercritical Hydroxide Decomposition Method

Organo Corporation

Hydrothermal Decomposition Mitsubishi Heavy Industries, Ltd.

Method

Reduction and Thermochemistry Decomposition

Fused Catalyst Extraction Method (CEP Method) Ebara Corporation, Mitsubishi Chemical

GPCR Process Nippon Sharyo, Ltd., Tokyo Boueki

Photodisintegration

Ultraviolet Rays and Biotreatment Method

Railway Technical Research Institute, Mitsubishi Heavy Industries, Ltd.

Ultraviolet Rays and Distillation Method

Railway Technical Research Institute, Mitsubishi Heavy Industries, Ltd.

Ultraviolet Rays / Catalyst Decomposition Method Toshiba Corporation

Plasma Decomposition Plasma Decomposition Method (PLASCON Method) Itochu Corporation

PCB Contaminated Waste (Solid PCB Waste)

Decomposition

Hydrothermal Oxidization Decomposition

Supercritical Hydroxide Decomposition Method

Organo Corporation

Hydrothermal Decomposition Method Mitsubishi Heavy Industries, Ltd.

Reduction and Thermochemistry Decomposition

GPCR Process Nippon Sharyo, Ltd., Tokyo Boueki

Mechanical Chemistry Decomposition

Radical Planet Method (RP Method)

Radical Planet Japan

Fusion Decomposition

GeoMelt Method ISV Japan, Ube Kozan, Nihonsouken, Kounoike Construction Co., Ltd., Hamamagumi

Plasma Enhancement Molten Method (PEM Furnace Method) FIT, Kaswasaki Heavy Industries

Plasma Melting Method Nippon Steel Corporation, Kobelco EcoSolutions Co,.Ltd.

Removal Cleansing

SDEC Method Nuclear Fuel Industries, Ltd., Sumitomo Corporation Solvent Extraction Decomposition Method (SED Method)

Kobelco EcoSolutions Co,.Ltd.

Solvent Cleansing Method (Decontaksolv Method) Kobelco EcoSolutions Co,.Ltd.

Solvent Cleansing Method (SD Myers Method) Organo Corporation

MHI Chemical Cleansing Method Mitsubishi Heavy Industries, Ltd.

Solvent Cleansing Method (Denchuuken Method)

Central Research Institute of Electric Power Industry, FEPC

Precise Recovery Cleansing Method Tokyo Electric Power Company, Mitsui & Co.

Solvent Cleansing Method Toshiba Corporation Solvent Extraction Method Mitsubishi Heavy Industries, Ltd.

Separation

Vacuum Thermal Recycling Method(VTR Method) Z.E.R.O. Japan Co., Ltd.

Vacuum Heating Method (Denchuuken Method)

Central Research Institute of Electric Power Industry, FEPC

Vacuum Heating Method Aichi Electric Co., Ltd.

BCD Heating Method Ebara Corporation Nonoxygen Heating Method Nippon Steel Corporation Reduction Heating Method (RHSP Method) Kobelco EcoSolutions Co,.Ltd.

• Permission required for PCB Treatment facilities The Waste Management Law requires incineration facilities, decomposition facilities, and cleaning and separating facilities to receive permits as industrial waste treatment facilities from the prefecture (or government decreed cities) where established.

Attachment 11

CERTIFICATE OF DESTRUCTION

Certificate No.: Pickup Date:

Task Order #: Date Received:

Manifest Number:

DTID# CLIN#

Treatment Disposal

Date Method

I certify, to the best of my knowledge, the above listed items were treated/disposed of as indicated in accordance with applicable laws and regulations at this permitted treatment, storage and disposal facility and have been rendered unusable and unrecoverable.

Print Name Signature Date

Print Title

ATTACHMENT 12

Certificate of Recycling

CERTIFICATE OF RECYCLING

Contract Number:

Company Name:

EPA I.D. Number:

Delivery Order Number:

Date:

This document is to certify that has completed the (Company Name) recycling of your PCB Waste item.

I certify that the information contained in or accompanying this document is true, accurate, and complete.

I certify as the company official having supervisory responsibility for the persons who acting under my direct instruction made the verification that this information is true, accurate, and complete.

Company Officer’s Signature Date

Title

Generator:

CLIN:

Manifest Number(s):

Weight:

Approved by:

Attachment 13

TRANSPORTATION PROFILE SHEET

1. Transporter Data:

Transporter Name:

Address:

Facility Representative(s):

Telephone Number: Fax Number:

Email:

Principle Owner(s):

2. Disposition Services Transporter ID# ___________________________ . (Provide number if transporter has been previously approved by Disposition Services.)

3. For all permits, authorizations, and licenses that authorize the transportation of hazardous waste, provide the following information:

Permitting Authority Permit Number Expiration

Date Country Waste Authorized

TRANSPORTATION PROFILE SHEET

Continuation page

Permitting Authority Permit Number

FIGURES

Transporter Qualification Review Application

1. Transporter Name:

2. Transporter Address:

Instructions: Complete all sections and provide backup documentation where requested. If the requested information is not applicable please identify as N/A.

3. Transporter EPA I.D. Number:

4. List primary state waste transporter permit numbers:

Motor Carrier Safety

5. Federal Motor Carrier Safety

Administration (FMCSA) USDOT Number:

6. FMCSA audit date:

Click here to enter a date.

Provide audit report from regulatory agency.

7. List dates, city and state location of any Federal or State safety violations in the last 3 years:

8. Has the company had any traffic citations or hazardous materials incidents within the last three years? Choose an item.

If yes, provide enforcement agency copies of traffic citations or hazardous materials incident report.

9. Provide current Office of Motor Carrier Safety rating (OMCS) Carriers must have an OMCS rating within the last 3 years to qualify.

Risk Mitigation

10. Does company have a written hazardous materials safety training program?

Select an item.

If yes, provide a copy of the training program.

11. Does company maintain general, property, bodily injury and pollution liability insurance coverage?

Select an item.

If yes, provide copy of insurance certificates.

12. Are all loads transported by company owned/leased vehicles? Choose an item.

If no, all contractors must meet same criteria to qualify as a DLA approved transporter.

13. List company names and city location below for all contract carriers.

14. Will carrier be providing transportation services using marine vessels?

Select an item.

Carrier Name City Location

If question 14 was yes, carrier is required to submit International Maritime Dangerous Goods (IMDG) transportation licenses.

15. Will carrier be required to transport material outside the continental United States? Choose an item.

If yes to question 15, provide list of countries below and submit foreign country license documentation.

Click to select country/state. Click to select country/state.

Company Representation

16. Name of representative completing application: Click here to enter a date.

17. Phone number & email of primary contact person for transporter:

Please complete form electronically and save file using name of carrier.

Attachment 14

Attachment 15

FACILITY PROFILE SHEET

1. Facility Data:

Facility Name:

Address:

Facility Representative(s):

Telephone Number: Fax Number:

Email:

Principle Owner(s):

2. Disposition Services Transporter ID# ___________________________ . (Provide number if transporter has been previously approved by Disposition Services.)

3. For all permits, authorizations, and licenses that authorize the transportation of hazardous waste, provide the following information:

Permitting Authority Permit Number Expiration

Date Country Waste Authorized

4. For each waste that will be processed through the facility, identify the waste, treatment process and CLIN number.

Waste Treatment Process CLIN Number

FACILTY PROFILE SHEET 1

Continuation page

Permitting Authority Permit Number

Attachment 16

As of: 12/7/2016

Once this document has been completed, the information contained becomes Source Selection Sensitive in accordance with FAR 2.101 and 3.104.

Attachment # Solicitation #

PAST PERFORMANCE INFORMATION (PPI) QUESTIONNAIRE – OFFEROR

The offeror is solely responsible for ensuring references complete and submit this questionnaire to the Government by the required due date.

Section 1

OFFEROR TO COMPLETE THIS SECTION:

Offeror Firm Name:

Offeror Firm Address:

Offeror Firm DUNS:

Offeror Firm Email:

Offeror Firm Phone:

Offeror Firm FAX:

We are in the process of preparing our proposal for DLA Disposition Services’ Solicitation No.

_________________________, closing time and date ___________________________, to provide ______________________________ services at _______________________________________. As part of our proposal we have listed you as a reference for work performed by our firm for your firm/Agency. Your input on our performance is therefore requested. Please complete Sections 2 and 3 of this document and then email the completed documents (Section 1, 2 and 3) to _______________________________________________. The Government must receive the completed document no later than the solicitation closing time and date. Thank you.

Once this document has been completed, the information contained becomes Source Selection Sensitive in accordance with FAR 2.101 and 3.104.

Attachment # Solicitation #

Section 2

OFFEROR REFERENCE TO COMPLETE THIS SECTION:

Reference Contract Title: Contract #:

Reference POC Name: Role/Title for the Contract:

How Long in this Role: Email: Phone:

Firm/Agency Reference Works for:

Contract Performance Location:

Performance Start Date:

Total Contract Dollar Value: $ Description of Contract Requirements:

Contract Completion Date:

Hazardous Material/ Waste Streams Involved and Quantities/Volumes Disposed and Recycled:

Location of Pickup Point(s) or Other Services:

Frequency of Pickup(s) or Other Services (e.g. once a month):

Allowable Response Time after Notification for Performance (e.g., 30 days):

Types of Documents Contractor was required to Provide/Process (i.e. manifests, waste profiles, permits, etc.):

Significant Risks in Performance of the Contract:

What work was performed by the offeror?

Once this document has been completed, the information contained becomes Source Selection Sensitive in accordance

Section 3

OFFEROR REFERENCE TO COMPLETE THIS SECTION:

Based on the following adjectival ratings scale, please evaluate the quality of the offeror’s performance by selecting the appropriate ratings and applying to elements I through V on the following pages.

SCALE:

NOT

APPLICABLE

UNSATISFACTORY

MARGINAL

SATISFACTORY

VERY GOOD

EXCEPTIONAL

N/A 1 2 3 4 5

DEFINITIONS:

EXCEPTIONAL: Performance met and exceeded many contractual requirements. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

VERY GOOD: Performance met and exceeded some contractual requirements. The contractual performance of the element or sub-element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

SATISFACTORY: Performance met contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

MARGINAL: Performance did not meet some contractual requirements. The contractual performance of the element or sub-element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions.

The contractor’s proposed actions appear only marginally effective or were not fully implemented.

UNSATISFACTORY: Performance did not meet most contractual requirements and recovery in a timely manner is not likely. The contractual performance of the element or sub-element contains serious problem(s) for which the contractor’s corrective action(s) appear or was/were ineffective.

NOT APPLICABLE: Self-explanatory.

Once this document has been completed, the information contained becomes Source Selection Sensitive in accordance

I. QUALITY OF PRODUCT/SERVICE

a. Compliance with contract requirements (to include regulatory compliance)

b. Accuracy of reports and documentation (e.g. manifests, bills of lading)

c. Manifesting and land disposal notifications (includes basal notifications)

d. Waste profiling

e. Compliance with transportation laws and regulations (DOT, maritime, foreign)

f. Packaging, labeling, and disposal

g. Demonstrated knowledge of hazardous waste laws and regulations

If assigning a rating of 2 or 1, please provide examples of how the contractor did not meet contract requirements:

If assigning a rating of 4 or 5, please provide examples of how the contractor exceeded contract requirements:

II. SCHEDULE

a. Adherence to transportation scheduling

b. Adherence to performance timeframes (removal of waste/Mgt services)

c. Adherence to performance timeframes (analysis)

d. Timeliness in submission of initial documentation/reports

e. Timeliness in submission of final documentation/reports

f. Advance notice and scheduling/receipt of correct and complete documents

If assigning a rating of 2 or 1, please provide examples of how the contractor did not meet contract requirements:

If assigning a rating of 4 or 5, please provide examples of how the contractor exceeded contract requirements:

Once this document has been completed, the information contained becomes Source Selection Sensitive in accordance

III. MANAGEMENT

a. Orientation toward the customer

b. Professionalism of staff

c. Interactions with the Government

d. Promptness in making notifications of problems encountered during performance

e. Flexibility and productiveness in problem solving

f. Effectiveness of corrective actions taken

If assigning a rating of 2 or 1, please provide examples of how the contractor did not meet contract requirements:

If assigning a rating of 4 or 5, please provide examples of how the contractor exceeded contract requirements:

Once this document has been completed, the information contained becomes Source Selection Sensitive in accordance

ATTACHMENT # Solicitation #

IV. REGULATORY COMPLIANCE

a. Compliance with all contract clauses and reporting requirements (e.g., safety, environmental, EEO, trafficking in persons, etc.)

b. Compliance with transportation laws and regulations (DOT, maritime, foreign)

c. Demonstrated knowledge of hazardous waste laws and regulations

If assigning a rating of 2 or 1, please provide examples of how the contractor did not meet contract requirements:

If assigning a rating of 4 or 5, please provide examples of how the contractor exceeded contract requirements:

V. OTHER COMMENTS (Include overall comments regarding highly rated or poorly rated performance):

Would you recommend this contractor for potential future awards? (Please check one of the following)

DEFINITELY WOULD

PROBABLY WOULD

MIGHT OR MIGHT NOT

PROBABLY WOULD NOT

DEFINITELY WOULD NOT

If you have checked anything other than DEFINITELY WOULD recommend, please explain why: