14-ATTACHMENT A- DAILY SERVICE REPORT.pdf
PDF 129 KB Posted
- Solicitation number
- OPN2130579B1
- Issued by
- Broward County, Florida
About this file
This document is a Daily Service Report form from Broward County, Florida, designed for vendors to document service work performed for the county. The form provides space for detailed tracking of service activities, including vendor information, purchase order and work order numbers, service date, job description, parts used, and sub-contractors engaged. The form requires comprehensive documentation of work performed, with sections for model and serial numbers, parts used, sub-contractor details including classification and time worked, and designated areas for both contractor and county personnel signatures.
The form is structured to facilitate thorough documentation and payment verification, with fields to capture precise details about the service rendered. It includes provisions for recording parts costs, labor rates, and total expenses, and requires mandatory vendor backup for parts and sub-contractor information. The document allows county personnel to confirm job completion, with checkboxes for job status and a section for final acceptance, ensuring a formal process for service verification and payment authorization. The form is color-coded, with white copies designated for the county and yellow copies for the vendor, supporting clear record-keeping and administrative tracking of service work.
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Other files
| File | Type | Posted |
|---|---|---|
| 3-Summary of Vendor Rights for Broward County Competitive Solicitations.docx | DOCX document | |
| 10-General Conditions - Quotes and Bids.pdf | ||
| 6-Litigation History.docx | DOCX document | |
| 15-Specifications and Requirements OPN2130579B1 -.pdf | ||
| 9-Insurance Requirement - OPN2130579B1.pdf | ||
| 8-OESBD - Procurement Preferences SBE-CBE.docx | DOCX document | |
| 7-Location Certification - Invitation to Bid.docx | DOCX document | |
| 11-Vendor Questionnaire - Quotes and Bids.docx | DOCX document | |
| 4-OESBD Ownership Disclosure.docx | DOCX document | |
| 5-Security Requirements.docx | DOCX document | |
| 13-Special Instructions to Vendors -OPN2130579B1.pdf | ||
| 1-Anti-Human Trafficking Affidavit.docx | DOCX document | |
| 12-Bid Bonds, Performance and Payment Bonds, and Surety Qualification Requirements (4).pdf | ||
| 2-Insurance Requirements - Quotes Bids.docx | DOCX document |
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Text version
VENDOR: PURCHASE ORDER #:
LOCATION: WORK ORDER #
ADDRESS: DATE OF SERVICE: ______________________
PM: SERVICE:
DESCRIPTION OF JOB:
MODEL # SERIAL #
QTY / LINE # PARTS USED / LINE DESCRIPTION (MANDATORY VENDOR BACKUP NEEDED) PRICE $ TOTAL
SUB-CONTRACTORS USED (MANDATORY VENDOR BACKUP NEEDED)
NAME & CLASSIFICATION (Master, Journey, Apprentice, Laborer) TIME IN RATE $ TOTAL
WORK PERFORMED:
CONTRACTOR SIGNATURE_________________________________ BC SIGNATURE_____________________________________
INFORMATION BELOW TO BE COMPLETED BY AUTHORIZED COUNTY PERSONNEL
JOB COMPLETE? YES NO
IF YES, SIGN "FINAL ACCEPTANCE" *AUTHORIZED COUNTY PERSONNEL SIGNATURE________________________________________
*I HAVE THE AUTHORITY TO ORDER WORK OUTLINED ABOVE WHICH HAS BEEN SATISFACTORLY COMPLETED AND AGREE TO PAY ALL PARTS
AND HOURS AS INDICATED ON THIS SERVICE REPORT.
WHITE-BC, YELLOW-Vendor
IF NO, STATUS:
TIME OUT
AGENCY: _____________
DAILY SERVICE REPORT
Attachment "A"
Service Report for WWOD
File details come from the government source that posted it. Updated .