8. usm623 TOW TICKET.pdf

PDF 575 KB Posted

Attached to
AFD: Towing, Storage, Maintenance and Disposal of Seized and/or Forfeited Vehicles for the District of Puerto Rico
Solicitation number
15M50022QA4400010
Issued by

About this file

This document contains a tow ticket template and information about a federal contract opportunity for vehicle towing, storage, maintenance, and disposal services. The tow ticket form is to be used by contractors and district offices when vehicles are towed to contractor facilities, and includes fields for vehicle details, interior and exterior condition notes, odometer readings, and towing rates.

The related federal contract opportunity is a 100% small business set-aside solicitation issued by the United States Marshals Service for towing, storage, maintenance, and disposal services for seized or forfeited vehicles in the District of Puerto Rico. The solicitation seeks firm fixed price contracts for production vehicles, trucks, vans, motorcycles and other vehicles. Responses were to be submitted using simplified acquisition procedures in accordance with FAR part 13.

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Text version

Form USM-623 Rev. 11/14

Contractor Driver's Name: Gov't Officer Who Ordered Tow:

Date and Time of Pickup:Location of Pickup:

Date and Time of Delivery:Location of Delivery:

Asset ID # (CATS ID):District Office: Vehicle Year:

Color:Model (including XL, XLT, LS, etc.):Make:

License Plate #:VIN: Operable? Keys?Yes No Yes No

State of Registration:Model of Tires:Make of Tires:

Yes NoHidden Compartment? If yes, location:

Towing Rate:Current Vehicle Mileage:

End of Tow:Odometer readings of tow truck/carrier - Beginning of Tow: Total Miles:

INTERIOR CONDITION

Front Carpet

Rear Carpet

Front Seat

Rear Seat

Door Panels

Trunk

Headliner

StainedTornGood

Good StainedTorn

StainedTornGood

StainedTornGood

StainedTornGood

Dash

TRANSMISSION

ENGINE # of Cylinders:

POWER

STEERING

DOORS

SEATS

ROOF

STEREO

OPTIONS

WHEELS

4-Wheel DriveManualAutomatic

Diesel

CruiseTelescopicTiltPower A/C: Yes No

Hatchback432 Other:

Other:BrakesDoor LocksSeatsWindows

Other:

ClothVinylLeather3rd SeatBenchBucket

Convertible CanvasVinylPower SunroofT-TopHardtop

AM/FM Radio CD CD Changer Tape Player

Factory Stereo Brand: No Stereo Custom Stereo Other:

Navigation Heated Seats Alarm System TV DVD

Customized Rims

Custom WheelsFactory WheelsSpoke WheelsHubcaps

EXTERIOR CONDITION IDENTIFICATION CODES

D = Dented CR = Cracked S = Scratch FT = Flat Tire M = Missing BE = Bent L = Loose C = Cut PC = Paint Chip R = Rust DR = Damaged Rim B = Broken

U.S. Department of Justice United States Marshals Service Asset Forfeiture Division - Standard Tow Ticket

INSTRUCTIONS: This form is to be utilized by the contractor or District Office only when a vehicle is towed to the contractor facility. A copy of this form should be placed in the case file.

Comments/Additional Notes:

Yes NoSpecialty Rims? If yes, make and model:

Electric CNG

Form USM-623 Rev. 11/14 ..\VehicleDiagram.jpg Operable?

Keys?

Hidden Compartment?

INTERIOR CONDITION

Front Carpet

Rear Carpet

Front Seat

Rear Seat

Door Panels

Trunk

Headliner

Dash

TRANSMISSION

ENGINE # of Cylinders:

POWER

STEERING

DOORS

SEATS

ROOF

STEREO

OPTIONS

WHEELS

A/C:

EXTERIOR CONDITION IDENTIFICATION CODES

D = Dented CR = Cracked S = Scratch FT = Flat Tire M = Missing BE = Bent L = Loose C = Cut PC = Paint Chip R = Rust DR = Damaged Rim B = Broken U.S. Department of Justice United States Marshals Service Asset Forfeiture Division - Standard Tow Ticket INSTRUCTIONS: This form is to be utilized by the contractor or District Office only when a vehicle is towed to the contractor facility. A copy of this form should be placed in the case file.

Specialty Rims?

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fc-2: 0
fc-1: 0

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