Attachment 11 Custodial Service Ticket Template.docx
DOCX document 28 KB Posted
- Solicitation number
- W911SA25QA009
About this file
This is a custodial service ticket template that contractors must complete when performing services at government facilities. The template includes checkboxes for various custodial tasks including dust mopping, damp mopping, spray buffing/burnishing, stripping/waxing/buffing, sealing/polishing, trash removal, carpet vacuuming and shampooing, and restroom cleaning services (including sanitization of toilets, urinals, sinks, showers, walls, and partitions). The form requires documentation of contractor employee names, check-in/out verification by a designated representative, and includes space for comments.
The template is associated with a solicitation (W911SA25QA009) for custodial services at two locations in Kansas (Parsons and Pittsburg) issued by the Army Materiel Command MICC Fort McCoy. While the template itself is just a service documentation form, the related contract opportunity has a period of performance from March 2025 to February 2026, with four 12-month options and a six-month extension option.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment 13 Questions and Answers.docx | DOCX document | |
| W911SA25QA0090001 Amendment 0001.pdf | ||
| Attachment 5 Wage Determination Log updated 20250117.xlsx | XLSX spreadsheet | |
| W911SA25QA009.pdf | ||
| Attachment 02 - AT-OPSEC Coversheet.pdf | ||
| Attachment 10 Custodial Contractor Rest Room Cleaning Sheet.docx | DOCX document | |
| Attachment 01 - PWS.docx | DOCX document | |
| Attachment 08 Drawings KS027 Custodial.docx | DOCX document | |
| Attachment 07 Drawings KS026 Custodial.docx | DOCX document | |
| Attachment 12 Custodial Multi site Contractor Performance Checklist.xlsx | XLSX spreadsheet | |
| Attachment 03 - PRS.xlsx | XLSX spreadsheet | |
| Attachment 04 - Deliverables.docx | DOCX document | |
| Attachment 06 - KS065 Custodial Price Schedule Blank.xlsx | XLSX spreadsheet | |
| Attachment 5 Wage Determination Log.xlsx | XLSX spreadsheet | |
| Attachment 09 Custodial Room Chart Task Frequency.xlsx | XLSX spreadsheet |
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Text version
On Site Service Ticket – Custodial Version 2.2; 03 JUN 2024 Contract number: _____________________ Location: _____________________
DATE: __________
Custodial Service TYPE (include all): ☐Dust Mop ☐Damp Mop ☐Spray Buff, Burnish ☐Strip, wax, Buff ☐Seal, Polish ☐Remove Trash ☐Vacuum ☐Carpet Shampoo ☐Service Restrooms (Clean/Sanitize toilets, urinals, sinks, showers, walls, partitions) ☐ Contractor Restroom Cleaning Sheet completed ☐Restroom floor cleaning ☐Low Dusting ☐High Dusting ☐Window Cleaning Comments:
Check In/Out:
Vendor Employee(s) Name (print):_________________________________________________
| _____________________________________________ |
| _____________________________________________ |
| _____________________________________________ |
Designated Rep. Person Check-In Print Name: ________________________________________ Designated Rep. Person Check-Out Print Name: ______________________________________
This Service Ticket shall be filled out by the contracted vendor each time the service provider performs services on location. This service ticket does not provide proof of inspection or acceptance of services. The Government reserves the right to fully inspect work performance of all requirements under contract any time or place it deems necessary.
File details come from the government source that posted it. Updated .