Hazardous Waste Disposal Past Performance Survey Form-

Contractor Past Performance Evaluation



Contract Number: VA248-14-Q-0690 Contracting Officer: Keila President

Contractor:



Type of Service or Supply: Hazardous Waste Disposal (non Medical)

Evaluation Period:

Name of Evaluator:

Date:



Rate each performance element by marking the box next to the appropriate number that best applies. Excellent = 4; Good = 3; Satisfactory = 2; Poor = 1; Unsatisfactory = 0; or Not Observed.

A. Quality of Service:



Excellent 4 0 3 0 2 0 1 0 0 0 Unsatisfactory Not Observed 0



Comments for quality and/or quantity of service:



B. Timeliness of Performance:



Excellent 4 0 3 0 2 0 1 0 0 0 Unsatisfactory Not Observed 0



Comments for timeliness of performance:



C. Business Relations (Resolving problems, complaints; response to inquiries):



Excellent 4 0 3 0 2 0 1 0 0 0 Unsatisfactory Not Observed 0



Comments for business relations:



D. Cost Control:



Excellent 4 0 3 0 2 0 1 0 0 0 Unsatisfactory Not Observed 0



Comments for business relations:





E. Customer Satisfaction:



Is/was the contractor committed to customer satisfaction? 0 Yes 0 No



Comments for customer satisfaction:

_______________________________________________________________________________________________________



F. Overall Performance:



How would you rate the contrator's overall peformance? ______________________

***PLEASE FAX PAST PERFORMANCE SURVEY TO 813-631-3361 NO LATER THAN 3/20/2014 @ 11:00 AM.***



A. Quality of Service

Unsatisfactory Non-conformances are jeopardizing the achievement of contract requirements, despite use of Agency resources. Recovery is not likely. If performance cannot be substantially corrected, it constitutes a significant impediment in consideration for future awards containing similar requirements.

Poor Overall compliance requires significant Agency resources to ensure achievement of contract requirements.

Satisfactory There are no, or very minimal, quality problems, and the Contractor has met the contract requirements.

Good There are no quality issues, and the Contractor has substantially exceeded the contract performance requirements without commensurate additional costs to the Government.

Excellent The contractor has demonstrated an outstanding performance level that was significantly in excess of anticipated achievements and is commendable as an example for others, so that it justifies adding a point to the score. It is expected that this rating will be used in those rare circumstances where contractor performance clearly exceeds the performance levels described as "Good".

B. Timeliness of Performance

Unsatisfactory Delays are jeopardizing the achievement of contract requirements, despite use of Agency resources. Recovery is not likely. If performance cannot be substantially corrected, it constitutes a significant impediment in consideration for future awards.

Poor Delays require significant Agency resources to ensure achievement of contract requirements.

Satisfactory There are no, or minimal, delays that impact achievement of contract requirements.

Good There are no delays and the contractor has exceeded the agreed upon time schedule.

Excellent The contractor has demonstrated an outstanding performance level that justifies adding a point to the score. It is expected that this rating will be used in those rare circumstances where contractor performance clearly exceeds the performance levels described as "Good".

C. Business Relations

Unsatisfactory Response to inquiries and/or technical, service, administrative issues is not effective. If not substantially mitigated or corrected it should constitute a significant impediment in considerations for future awards.

Poor Response to inquiries and/or technical, service, administrative issues is marginally effective.

Satisfactory Response to inquiries and/or technical, service, administrative issues is consistently effective.

Good Response to inquiries and/or technical, service, administrative issues exceeds Government expectation.

Excellent The contractor has demonstrated an outstanding performance level that justifies adding a point to the score. It is expected that this rating will be used in those rare circumstances where contractor performance clearly exceeds the performance levels described as "Good".

D. Cost Control

Unsatisfactory Cost control is not effective. If not substantially mitigated or corrected it should constitute a significant impediment in considerations for future awards.

Poor Cost control is marginally effective.

Satisfactory Cost control is consistently effective.

Good Cost control exceeds Government expectation.

Excellent The contractor has demonstrated an outstanding performance level in Cost Control. It is expected that this rating will be used in those rare circumstances where contractor performance clearly exceeds the performance levels described as "Good".

DO NOT WRITE ON THIS FORM. THIS FORM EXPLAINS HOW TO ANSWER PAGE ONE (1).