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TITLE: External Provider Evaluation Form

FORM NO.: LO-F06 EFFECTIVE DATE: January 2, 2018

Date:__________________________________
Company Name:

Business Address:

Telephone No: Email Address:

Product or Service Rendered:


From To
Period of Evaluation:

Section 1: Cost Criteria (30%) 5 4 3 2 1


Outstanding Very Satisfactory Satisfactory Unsatisfactory Failed

1 Cost competitiveness

2 Terms of payment

3 Commitment to cost reduction

4 Warranty period

Score

Average Score (Total of Scores ÷ 4)


Comment:

Section 2: Quality Criteria (30%) 5 4 3 2 1


Outstanding Very Satisfactory Satisfactory Unsatisfactory Failed

1 Conformance to specifications

2 Commitment to improve quality

3 Quality of information (documentation)

4 Claims and credit returns

Score

Average Score (Total of Scores ÷ 4)


Comment:

Section 3: Delivery Criteria (25%) 5 4 3 2 1


Outstanding Very Satisfactory Satisfactory Unsatisfactory Failed

1 On-time arrival or service

2 Accuracy of quantities

3 Replacement of unaccepted items


Conformance to product packaging or staff
4
conduct/appearance
Score

Average Score (Total of Scores ÷ 4)


Comment:
Section 4: Service Criteria (25%) 5 4 3 2 1

Form No. DCS-F04 Effective Date: December 15, 2016


THIS IS A PART OF THE PROCEDURE SHEETS AND IS NOT TO BE DISCARDED UNLESS BY A REVISED ISSUE. NOT TO BE REPRODUCED WITHOUT PERMISSION.
TITLE: External Provider Evaluation Form

FORM NO.: LO-F06 EFFECTIVE DATE: January 2, 2018

Outstanding Very Satisfactory Unsatisfactory Failed


Satisfactory

1 Response to emergencies

2 Response to client issues (i.e. back jobs)

3 Invoice accuracy

4 Management visibility

Score

Average Score (Total of Scores ÷ 4)


Comment:
Tabulation:
Average Score Weighted Score
Section Weight
(per section) (Average Scores X Weight)

1. Cost Criteria 30%

2. Quality Criteria 30%

3. Delivery Criteria 20%

4. Service Criteria 20%

Total 100%
Over-all Evaluation: Recommendation:
4.50 – 5.00 Outstanding Retained
A

3.50 – 4.49 Very Satisfactory

2.50 – 3.49 Satisfactory Retained with condition

1.50 – 2.49 Unsatisfactory

1.00 – 1.49 Failed Black-listed

Comments:

Evaluated by:

______________________ ______________________
Logistics Supervisor Senior Operations Manager

Approved by:

______________________ ______________________ ______________________ _____________________


VP - Finance Chief Operating Officer President & CEO Chairman

Form No. DCS-F04 Effective Date: December 15, 2016


THIS IS A PART OF THE PROCEDURE SHEETS AND IS NOT TO BE DISCARDED UNLESS BY A REVISED ISSUE. NOT TO BE REPRODUCED WITHOUT PERMISSION.

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