8-13 - 27-02 - JOB LOG FORM - EXHIBIT-3.pdf

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Attached to
27-02/AL - Cleaning Services for Grease Traps, Building and Storm Drain Lines, Lift Stations and Wastewater Tanks
Solicitation number
27-02/AL
Issued by
Palm Beach County, Florida

About this file

This is a Job Log Form (Exhibit 3) associated with Solid Waste Authority of Palm Beach County Bid No. 27-02/AL for cleaning services related to grease traps, building and storm drain lines, lift stations, and wastewater tanks. The form serves as documentation that must accompany all invoices for work performed under this term contract. The form identifies multiple service locations across Palm Beach County facilities, including the North County Landfill, South West County Transfer Station, Recycling Facility, Compost Facility, Utilities Plant, Environmental Lab, and various other SWA administrative and maintenance facilities. Vendor employees performing work must be documented with their names, times in and out, total hours worked, and a detailed description of work completed, including materials and manufacturer brands used.

The form requires authorization from an Authority representative who certifies that work has been satisfactorily completed and includes space for the representative's signature and date. This document is essential for tracking labor, materials, and work completion across the Solid Waste Authority's multiple operational sites on an as-needed basis under the term contract. The Job Log Form enables the Authority to monitor contractor performance, verify work quality, and process invoices accurately for cleaning services at its various facilities throughout Palm Beach County.

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Text version

JOB LOG FORM (EXHIBIT-3)

SOLID WASTE AUTHORITY

A copy of this completed form must accompany all Invoices for work to be performed under SWA Bid No. 27-02/AL

DATE: Purchase Order or Blanket Purchase Order Number:

Locations: Check ( ) one or write in Location

NCRRF Scalehouse Hazardous Waste Facility Compost Facility

South West County T/S South West County T/S Scalehouse Recycling Facility

North County Landfill North County Landfill Scalehouse Utilities Plant

Central County (Lantana) T/S Central County T/S Scalehouse Visitor Center

North County (Jupiter) T/S North County T/S Scalehouse Facility/Utility Maint.

West Central County (RPB)T/S West Central County T/S Scalehouse Environmental Lab

West County (Belle Glade) T/S Administration Building Landfill Buildings

South County T/S Central County Multi-use Building SWA Maint. Truck wash

Central County Recycle Building Other:_____________

VENDOR EMPLOYEES PERFORMING WORK:

NAME OF EMPLOYEE: TIME IN/OUT: HOURS WORKED:

Description of work:

Materials used in above work (include MFG/Brands) (attach additional sheet if necessary):

Authority Representative hereby signifies that above work has been satisfactorily completed.

Name: Date:

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