14-WWOD DAILY SERVICE REPORT ATTACHMENT A-1.pdf

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Attached to
FEMA Pipe and Valve Maintenance & Installation Services
Solicitation number
OPN2132461B1
Issued by
Broward County, Florida

About this file

This is a Daily Service Report form used by Broward County's Water and Wastewater Operations Division (WWOD) to document maintenance and installation work performed by contracted vendors. The form serves as the official record for service delivery and payment authorization within the county's water and wastewater operations. The report captures essential project information including the purchase order number, work location, work order number, service date, and detailed descriptions of jobs performed. Vendors are required to document all parts used with pricing, sub-contractors engaged (including their classification levels such as Master, Journey, Apprentice, or Laborer), time spent on work, and hourly rates. The form requires signatures from both the contractor performing the work and authorized WWOD personnel, with a final acceptance signature required upon job completion. The document is distributed in triplicate with separate copies designated for WWOD, the vendor, and Broward County records.

The report includes mandatory vendor backup documentation requirements for both parts used and sub-contractors employed on each job. Completion status must be indicated, with authorized WWOD personnel confirming satisfactory work completion before payment authorization. The certifying WWOD official must attest to having the authority to order the work and approve payment for all documented parts and labor hours. This form is a standard accounting and quality control instrument for the county's maintenance and installation services contract, ensuring transparent documentation of vendor performance and accurate billing for FEMA-compliant Pipe and Valve Maintenance & Installation Services rendered to water and wastewater operations and other Broward County agencies.

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Text version

WATER AND WASTEWATER OPERATIONS DIVISION

DAILY SERVICE REPORT

Original for WWOD

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_________________________________WWOD SIGNATURE___________________________________

INFORMATION BELOW TO BE COMPLETED BY AUTHORIZED WWOD PERSONNEL

JOB COMPLETE? YES NO

IF YES, SIGN "FINAL ACCEPTANCE" *AUTHORIZED WWOD 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-WWOD, YELLOW-Vendor

Broward County

IF NO, STATUS:

TIME OUT

cbgarcia Typewritten Text

ATTACHMENT "A-1"

cbgarcia Typewritten Text cbgarcia Typewritten Text cbgarcia Typewritten Text

Service Report for WWOD

File details come from the government source that posted it. Updated .