36C25518Q9495-004.docx

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Attached to
Veteran Overnight Lodging Base + 4 Option Years Federal contract opportunity
Solicitation number
36C25518Q9495
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15

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36C25518Q9495 ATTACHMENT 3 HOTEL-MOTEL EVALUATION CHECKLIST.docx

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ATTACHMENT II: Hotel/Motel Evaluation Checklist

HOTEL/MOTEL EVALUATION CHECKLIST

NAME OF FACILITY:

ADDRESS:

ROOM REQUIRMENTS (40 out of 50 = 80%)

YES
NO
NA
1
Primary lock on all doors/dead-bolt/all windows
2
Door has a viewport/window
3
Smoke detector
4
Active light switch at main entry to unit
5
Sufficient lamps to properly illuminate the room for reading or writing
6
At least one chair (in good condition)
7
Writing surface (in good condition)
8
A night stand or equivalent ( in good condition)
9
Clothes hanging facilities; drawers or clothes storage area
10
Television (if provided/functioning)
11
Telephone (functioning/direct dial or 24 hour switchboard)
12
Waste basket
13
Electrical Outlets (functioning)
14
Alarm/clock radio
15
Adequate space for one piece of luggage
16
Shades, draperies or blinds on all windows
17
Window covering effectively shut out light from outside
18
Heating system (functioning/reasonably quiet)
19
Air Conditioning system (functioning/reasonably quite)

OVERALL ROOM CLEANLINESS

20
Free of insects/rodents
21
No dust/dirt/liter/stains/cobwebs
22
Odorless/Clean windows

ROOM CARPETING

23
Not dirty/stained/worn out/torn

ROOM WALLS/CEILING

24
Clean/no peeling paint
25
Free of defects such as cracks, holes or stains

MATTRESS/BOX SPRINGS

26
Non-sagging/ sized to fit bed frame
27
Odorless, not stained
28
Non protruding/unbroken

OTHER BEDDING REQUIREMENT

29
Clean pillow(s)/pillow cases
30
Two clean sheets, mattress pad
31
Clean pillow case(s)
32
Suitable, clean blanket, bedsheet

BATH AREA

33
Private bath (with no carpeting in commode area
34
Adequate ventilation (fan/window)
35
Adequate lighting

TOILET

36
Functioning/clean

SHOWER/TUB

37
No grout problems/cracks
38
Adequate water pressure/hot water
39
Non-skid pad/strips
40
Shower curtain/tub enclosure clean and free from tears and mildew

VANITY/SINK

41
Functioning/clean
42
Adequate water pressure/hot water
43
Adequate light fixture above vanity/mirror/electrical outlet convenient

to mirror

BATH TOWELS

44
One quality bath/hand/wash towel/bath mat
45
Towel rack

OTHER BATH REQUIREMENTS

46
Spare toilet tissue/facial tissue
47
One wrapped drinking glass per person
48
Bathroom waste basket
49
One individually wrapped bar of soap per person

OVERALL BATH AREA CLEANINESS/WALLS/CEILING

50
No hair/stains/odor/no peeling paint/free of defects such

as cracks, holes or stains

TOTAL SCORE:_____________

EVALUATORS:

NAME

TITLE

SIGNATURE/DATE

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