Attachment 2 Statement of Work 1232SA26Q0163.pdf

Attachment 2 Specifications/Statement of Work

USDA, ARS, Thad Cochran Southern Horticultural Research Center

Period of Performance

BASE YEAR XX/XX/2026 thru XX/XX/2027 OPTION Year 1 – XX/XX/2027 thru XX/XX/2028 OPTION Year 2 – XX/XX/2028 thru XX/XX/2029 OPTION Year 3 – XX/XX/2029 thru XX/XX/2030

Janitorial Services Poplarville, MS

JANITORIAL SERVICES STATEMENT OF WORK

USDA, ARS, Thad Cochran Southern Horticulture

Research Center 810 Hwy 26 West Poplarville, MS 39470

A. GENERAL REQUIREMENT

The requirement of this contract is to provide custodial services to the USDA, ARS USDA, ARS, Thad Cochran Southern Horticulture Research Center 810 Hwy 26 West Poplarville, MS 39470 The Contractor shall provide all labor, equipment (unless provided by the Government), transportation, and all other necessary supplies not identified as being supplied by the Government. All services will be performed in accordance with the terms, conditions, and statements and specifics of work contained herein.

B. PRICE SCHEDULE - EXERCISE OF OPTIONS

This contract will provide janitorial service for the USDA, ARS, Thad Cochran Southern Horticulture Research Center 810 Hwy 26 West Poplarville, MS 39470. The Government anticipates the award of this contract for janitorial services for the period of date of February 15, 2026– February 15, 2027 with 3 one year options. The Bidder shall furnish a lump sum total price for fulfilling the requirements of this contract. Award will be made to the responsive/responsible bidder indicating the best value to the government considering the period of evaluatperformance.ed. The total cost to the Government will be

Period of Performance:

Item 1

Base Award Item 2

Option Year 1 Item 3

Option Year 2

1st Period 2nd Period 3rd Period

XX/XX/2027 XX/XX/2028 XX/XX/2029

Thru Thru Thru

XX/XX/2028 XX/XX/2029 XX/XX/2030

Lump Sum Lump Sum Lump Sum Lump Sum Lump Sum

TOTAL

CONTRACT PRICE ______________

C. CONTRACT SPECIFICATIONS

The USDA, ARS Thad Cochran Southern Horticulture Research Center 810 Hwy 26 West Poplarville, MS 39470 .

The Contractor in accordance with the requirements of these specifications shall perform the services identified in the Matrix of Services. Such services shall include providing all labor, supervision, equipment, tools, and other items or services necessary for the performance of the work unless otherwise stated herein. The Government has not made and will not make any efforts at determining square footages. It is the responsibility of all prospective bidders to visit the site and make appropriate determinations of size of areas and services required within each area.

A site visit is scheduled by appointment only at the site where services shall be provided.

Check in will occur at Building #1. Bidders are advised to visit the site and fully inform themselves as to the location of the work, verify areas to be cleaned and the conditions under which the work is to be performed prior to submitting a quotation. Failure to do so will not relieve the successful quote of their responsibility under the resulting contract.

For Directions to the Site please contact Ray Morris Facilities Manager at (601) 916-8895 or Email at ray.morris@ars.usda.gov.

D. SUPERVISON

1. Prior to commencement of services, the Contractor shall furnish to the LSM, a list of individuals (1 or 2) that they propose to use in the performance of the on-site work required. S h o u l d m o r e t h a n 2 i n d i v i d u a l s b e n e c e s s a r y t o c o m p l e t e t h e w o r k t h e c o n t r a c t o r s h a l l n o t i f y t h e g o v e r n m e n t . A n y i n d i v i d u a l s c o n d u c t i n g w o r k a s s o c i a t e d w i t h t h i s c o n t r a c t w i l l :

2. Ensure that care is used when working around doors/walls so as not to hit or scrape them and ensure that carts are not used to push open doors.

3. Report damage to Government property, loss of keys, personal injuries, and/or hazardous conditions, to the LSM within twenty-four (24) hours after the occurrence.

4. Arrange to meet with LSM prior to commencement of any work to allow for the identification of any hazards located throughout the Complex.

5. Provide personal information (for employees accessing the facility required for fingerprint background check and Homeland security clearance process for facility access.

E. SAFETY

Contractor will provide a safe working environment for contractor personnel and will ensure all personnel practice safe working techniques. The contractor shall follow, but is not limited to, the following safety precautions:

1. Providing safety-warning devices and ensuring they are used as necessary (e.g., wet floor signs).

2. Providing all Contractor personnel with proper personal protective equipment as necessary.

3. Ensuring all Contractor personnel are aware of the various hazards located throughout the facility.

The Government will provide site-hazard awareness training for Contractor personnel once per year (not to exceed one hour and to be scheduled at the convenience of the Government).

4. Ensuring that all Contractor personnel are familiar with the hazards of cleaning supplies used.

5. Although not anticipated, will provide the Government with copies of MSDS for any hazardous material brought or used on-site.

6. Ensuring all machinery brought on-site is routinely inspected and is in safe working order and meets all Occupational Safety & Health Administration (OSHA) regulations.

7. Removing from service any machinery found to be unsafe. Any equipment deemed unsafe will be removed from the site or disabled from service to prevent inadvertent use. Additionally, any equipment deemed to be unsafe by the LSM must be promptly removed from service.

8. Contractor personnel working in the USDA facility shall complete annual training, as required.

mailto:Tammy.Horton@ars.usda.gov

F. INSURANCE

The Contractor’s Workers’ Compensation Insurance shall cover all Contractor personnel. All contractor personnel work related injuries shall be handled by the Contractor’s Workers’ Compensation Insurance.

Additionally, the Contractor shall maintain insurance to cover any site damages caused as a direct or indirect result of the janitorial services provided under the terms of this contract.

G. LIABILITY AND BONDING

Proof of bonding and liability insurance of a minimum of $100,000 will be required after award of the contract and before commencement of work.

H. RESPONSIBILITY FOR PERFORMANCE

The Contractor shall be directly responsible for work performance specified in the contract. All areas served by this contract are indicated on the attached floor plans of each building where services are provided. The Contractor will ensure that all discrepancies reported are corrected in a timely manner.

I. QUALITY CONTROL

The Contractor shall establish a quality control program to assure the requirements of the contract are provided as specified. The program shall include, but is not limited to, the following:

A) An inspection system performed by the on-site Manager covering all services being performed.

B) A method of identifying deficiencies in the quality of services before the level of performance is unacceptable.

C) A means of correcting deficiencies in a prompt and efficient manner.

J. KEY CONTROL

The Contractor shall establish and implement methods of ensuring that the building key(s) IF issued to the Contractor by the Government is/are not lost, misplaced, or used by unauthorized personnel. The key(s) shall not be duplicated. If the key(s) is/are lost, the contractor/subcontractor shall immediately notify the government to initiate procedures to re-key areas impacted.

K. CONDUCT OF CONTRACTOR EMPLOYEES

Contractor personnel shall comply with all policies pertaining to the conduct of persons on Government property. They shall not disturb papers on desks, open desks or cabinets, or use office equipment. Use of the telephone is allowed only for emergency calls.

All Contractor personnel shall be easily identifiable as being a member of the janitorial crew. Acceptable means of identification shall include wearing uniforms with company’s name OR utilizing name badges clipped to the front of an outer clothing garment or other method as approved by the LSM. All contractor personnel shall use the same form of identification and the method of identification is to be agreed upon by the LSM prior to services being provided. The Government reserves the right to require all contractor personnel to wear Government issued ID badges.

Contractor personnel shall utilize energy conservation policies by not adjusting heating or cooling devices; and by turning off lights in unoccupied areas, unless otherwise directed. Doors shall be left in the state encountered (opened/unopened; locked/unlocked). Contractor shall not enter any area where janitorial services are not to be rendered under the contract.

L. SECURITY

Security of all Government facilities and property is essential. All contractor personnel must be U.S. citizens or have proper documentation to work in the U. S. All contractor personnel are subject to fingerprint and background checks prior to being allowed to work on site. The Government reserves the right to deny access to any person who it determines is not in the best interest of the Government. Contractor personnel will ensure that all exterior building doors are kept closed and locked. Only contractor personnel are allowed in the facilities. Contractor personnel will not provide access to any other person including person claiming to be Government employees— all authorized Government employees have keys to the areas they are allowed to have access to.

In cases of Inclement weather or Pandemic issues, OR lapse in appropriations, wherein the location is designated as “Closed” due to these events, the Contractor (and their employees) shall not access the facility for the performance of this contract nor will compensation for service be deducted as a result. Due to the location being officially closed, no make-up of days lost is needed.

Should there be a federal holiday on which a contract performance day is to occur (the federal facility is closed) the Contractor shall work with the LSM to determine an alternative day in which the services can be provided to the location.

M. CONTRACTOR FURNISHED EQUIPMENT AND SUPPLIES

The Contractor is responsible for furnishing all necessary supplies not directly specified to be furnished by the Government.

N. GOVERNMENT FURNISHED PROPERTY

The Government shall furnish without cost to the Contractor, electricity and water to facilitate the Contractor’s work.

The Government will furnish toiletry items to include:

• toilet tissue

• towels

• deodorizers

• dispenser soap

• disinfectants

• trash liners

Other than the toiletry items, the Government will furnish the following:

• cleaning solutions

• soap

• floor buffer

• Hand sanitizer

(restrooms)

• stripping compound

• floor wax

• mops

The Government will store these items on-site in an area agreed upon after award of the contract. The Contractor/subcontractor will inform the Government LSM at least two weeks in advance when supplies need to be ordered. The Contractor/subcontractor is responsible for neatly storing material in areas provided. These storage areas will be kept neat and clean at all times (i.e., all material off of floors, empty boxes removed, floor swept and mopped). The GOVERNMENT WILL PROVIDE ALL ITEMS NECESSARY IN

CONFORMANCE OF THE WORK TO BE PERFORMED.

O. BIOBASED PRODUCTS REQUIREMENT

The Contractor, IF PROVIDING ANY PRODUCTS IN PERFORMANCE OF THIS CONTRACT, must comply with Section 9002 of the Farm Security and Rural Investment Act of 2002 (FSRIA), Executive Order (EO) 13423 "Strengthening Federal Environmental, Energy, and Transportation Management”, and the Federal Acquisition Regulation to provide biobased products.

The Contractor/Government shall utilize products and material made from biobased materials (e.g. biobased greases; biobased hydraulic fluids, biobased absorbents) to the maximum extent possible without jeopardizing the intended end use or detracting from the overall quality delivered to the end user. All supplies and materials shall be of a type and quality that conform to applicable Federal specifications and standards. All supplies and materials to be used in the performance of work described herein are subject to the approval of the COR.

The following is an example list of products that may be used in this contract for which biobased products are available. The list is not all inclusive. It is desirable that vendors/government be able to supply the greatest number of biobased products listed meeting the health and environmental specifications.

All-purpose cleaner Heavy duty cleaner Carpet shampoo Gum remover Degreaser/cleaner Deodorizer Floor finish Floor finish restorer Disinfectant sanitizer Extraction fluid Floor stripper Floor sealer Furniture polish Glass cleaner Neutral cleaner (liquid) Stain remover

Air freshener including dispenser Bathroom cleaner Brass polish/cleaner Chrome polish/cleaner Liquid hand soap including dispenser Lime and scale remover (tub and tile cleaner) Grout sealer Stainless steel polish Toilet bowl cleaner White board cleaner Wood floor cleaner Laundry detergent Cream cleaner Solvent

Biobased products that are designated for preferred procurement under USDA's' BioPreferred program must meet the required minimum biobased content as stated in the USDA Final Rule available at www.biopreferred.gov. The Contractor should provide data for their biobased products such as biobased content.

In addition to the biobased products designated by the U.S. Department of Agriculture in the BioPreferred Program, the Contractor is encouraged to use other biobased products.

Should the Contractor provide products to perform this contract, the Contractor shall submit with the initial proposal a complete list of biobased products, indicating the name of the manufacturer, cost of each material, and the intended use of each of the materials that are to be used in carrying out the requirements of the contract.

Additionally, the winning Contractor on each anniversary date of the contract shall compile a complete list of biobased products, including the information above, purchased to carry out the contract requirements. The Contractor shall list volume to be used and total cost for each individual product. This information will be used for reporting purposes.

The Contractor shall comply with tile provision at FAR 52.223-1, Biobased Product Certification.

The Contractor shall comply with the clause at FAR 52.223-2, Affirmative Procurement of Biobased Products under Service and Construction Contracts.

Within thirty (30) days of contract award, the Contractor shall submit an Operations and Maintenance Plan. This submittal shall be approved by the LSM in writing. The Contractor shall not commence work until this submittal is approved by the LSM in writing.

The Plan must be reviewed and updated annually, and as required by the LSM. The Plan must contain and define the following elements:

• The Contractor's written policy stating its commitment to the use of biobased products, employee health and safety, and sound environmental management practices.

• Detail on how the Contractor intends to keep abreast of the development and increasing availability of biobased products and how any new or improved products will be incorporated on an ongoing basis into contract performance.

• Proposed biobased custodial products which must be selected in accordance with the criteria included above. At a minimum, the Plan must identify products by brand name for each of the product types.

• NOTE: A Contractor may propose more than one product within a product category and/or propose a product or products addressing more than one product category.

• The product guides which define standard operating procedures for instructing staff in the proper use, storage, and disposal of biobased products; proper maintenance of equipment; and other procedures/instructions to accomplish work under this contract.

• The Contractor shall provide data on the quantity and dollar values of biobased products, acquired by the contractor, for use in this contract. The data will be submitted to the LSM quarterly.

• A demonstration of proper use, an effective training program, and technical assistance are essential to http://www.biopreferred.gov/ the success of the purchase and use of some biobased products that may function differently than a conventional product. Therefore we will look for a Contractor who will 1) demonstrate products, and 2) when selected, offer any necessary training to all of the construction staff and 3) be available with technical assistance to trouble shoot problems.

P. SPECIFICS OF WORK

The Contractor shall, in accordance with the Matrix of Services, perform Janitorial Services for the USDA, ARS, Thad Cochran Southern Horticulture Research Center 810 Hwy 26 West Poplarville, MS 39470 buildings and rooms depicted on the figures attached, on the Matrix of Services, and on the Technical Requirements. Services shall be performed during days/times mutually agreeable to the government and contractor. The Contractor shall, in consultation with the COR, establish when work will be scheduled. Cleaning of exterior building glass shall be done during daylight hours (M-F) on days/times proposed by the Contractor and concurred upon by the LSM. The Government reserves the right to modify the requirement that routine janitorial services are performed during normal working hours; however, at this time the Government does not anticipate this action will be necessary. If changes in the working hours are required, the Government will provide the contractor with at least sixty (60) days’ notice but no change in contract price will be allowed.

A site plan showing the general layout of the location is provided. Work specified in this contract will be performed in the following Buildings:

• #38 Main lab

• #42 Headhouse

• Shop

Floor plans (not to scale) for each building are attached indicating the areas included in the contract (hatched areas on the floor plans are not included in the contract). The Government has made an effort to indicate on the floor plans, the flooring material in offices, laboratories, and general areas. The Government provides this information only as guidance; as such the Bidder is responsible for verifying existing conditions in each area where services are to be provided.

Carpeted areas are marked with “C,” laminated floor areas are marked with “L,” ceramic tile areas are marked with “T,” concrete floor areas are marked with “CF,” and unmarked areas are vinyl floor tile. Flooring in restrooms varies from ceramic tile or concrete floor.

The Government routinely renovates areas to meet the changing needs of research. The Contractor at no additional cost to the government will accommodate renovations that result in relatively simple changes, such as vinyl to carpet or carpet to vinyl. Occasionally, the renovation will involve the removal or addition of space.

Upon the completion of each renovation project, an evaluation of any additional services required will be performed by the COR. The evaluation will include the removal of any services no longer required. The LSM will discuss any necessary changes with the Contractor. If the evaluation determines there will be additional burden upon the Contractor, the contract may be modified to provide reasonable compensation to the Contractor.

MATRIX OF SERVICES

Services vary from building to building. At the completion of any service in a building, the janitorial area in that building will be left in a clean and orderly manner. This will include, but is not limited to, all supplies off the floor, mop sink clean and floors swept and mopped. See attached Services Performed checklist.

TWICE A WEEK

The contractor will perform the following services for Bldgs 38 and 42 Services will be performed, twice a week (weekly basis) on nonconsecutive days or as required to satisfy the standards described in the Technical Requirements section.

2. Sweep and wet mop tile floors in tiled offices, conference rooms, foyers, hallways and restrooms.

3. Sweep, wet mop, and then buff (using restorer, spray buff, etc., to condition and enhance the appearance of waxed surfaces) all laboratories/work areas, and all other linoleum-covered surfaces.

Wax as necessary to maintain good appearance.

4. Sweep floor in the electrical room.

5. Vacuum any carpeting and/or mats in conference room, library, offices, and foyers.

6. Clean all cobwebs and dust from corners of walls, junction of walls, ceilings, and other places.

7. Clean water fountains.

8. Empty all trash containers inside of buildings.

9. Clean and disinfect all restroom floors, walls, counter top, and services (toilets, urinals, basins, dispensers).

10. Service restroom toiletries (fill towels, tissue, soap, hand sanitizer, deodorizer, with supplies as provided by the Government). Clean mirrors.

11. Clean glass entrance doors and aluminum frames inside and outside.

12. Sweep or blow dead insects and leaves away from outside entryways.

13. Vacuum mats at entrances.

14. Wash tabletops in conference rooms and break room areas.

15. Dust door vents.

16. Wet wash hall walls, including door knobs, doorframes and light switches.

17. Clean all glass building entry doors.

Julie.Cuevas Cross-Out

The contractor will perform the following services for the Shop, services will be performed, twice a week (weekly basis) on nonconsecutive days or as required to satisfy the standards described in the Technical Requirements section.

1. Sweep, mop, clean and disinfect restrooms floors and services (toilets, urinals, basins, dispensers).

2. Service restroom toiletries (fill towels, tissue, soap, deodorizer).

3. Clean mirror

4. Sweep and wet mop office floors.

5. Empty all trash containers inside of building offices & restrooms

6. Clean water fountain

7. Clean shower (as needed)

Q. TECHNICAL REQUIREMENTS

DUST MOPPING, SWEEPING AND WET MOPPING

After sweeping and mopping operations, all floors shall be clean and free of dirt streaks; no dirt in corners, under furniture, and behind doors. After being mopped, the floor shall have a uniform appearance with no stains, film, or standing water. There shall not be any splash marks remaining in the area. Under furniture means chairs, desks, or tables having air space.

CLEANING GLASS (WINDOWS AND DOORS) AND FRAMES

After glass has been cleaned, all traces of film, dust or dirt, smudges and other foreign matter shall have been removed from the glass. All dirt, cobwebs, and film will be removed from the aluminum door and window frames or casings.

VACUUMING

After vacuuming, the carpeted floor shall be free of all visible litter and/or soil.

CARPET STEAM CLEANING

Steam cleaned carpeted areas shall be cleaned of residual dirt and stains. Appropriate spot cleaning techniques shall be used to remove stubborn stains.

FLOOR MAINTENANCE

All linoleum-surfaced areas shall receive floor maintenance. This includes dry buffing, spray buffing, stripping, and waxing. Extremely stubborn spots (e.g., gum, rust, burns) shall be removed by hand. Corners and other areas that the floor machines cannot reach shall also be cleaned by hand. After maintenance, the floor shall have a uniform, glossy appearance, free of scuffmarks, heel marks, and other stains or discolorations.

All ceramic-tiled floor in the areas specified in the contract shall be cleaned as appropriate. All mold and mildew shall be removed and treated to prevent its return. Grout will be cleaned as necessary to provide a uniform appearance throughout the room. After cleaning all ceramic-tiled floors shall have a uniform glossy appearance free of water streaks.

All concrete floor surfaces in the areas specified in the contract shall be cleaned shall be cleaned as appropriate.

All mold and mildew shall be removed and treated to prevent its return. After cleaning all concrete floors shall have a uniform glossy appearance free of water streaks.

All carpeted areas in Bldg 1 shall receive care. All areas shall be vacuumed as defined in the matrix and will be steam cleaned twice a year.

CLEANING WALK-IN MATS

Carpet-type entrance mats shall be vacuumed to remove soil and grit. Other mat types will be cleaned using an appropriate method. All soil and moisture underneath the mats shall be removed before the mats are returned to their normal location.

DRINKING FOUNTAINS

Disinfect all polished metal surfaces. After cleaning, the fountain shall be free of streaks, stains, spots, smudges, scale or other obvious soils.

SHOWERS

Fixtures and shower surfaces shall be free from stains, streaks, scum, scale or rust. All scum, mold, and mildew shall be removed.

RESTROOMS

Clean the entire surface, inside and outside of all toilet bowls, wash basin and urinals. Fixtures shall be free from stains, streaks, scum, scale or rust. All laboratory partitions will be wiped clean. All counter tops and mirrors will be cleaned and after cleaning will be free of all stains and water marks. All scum, mold, and mildew on the floor and at base of wall will be removed. All corners and hard to reach places (mop does not fit in space) will be cleaned by hand. All flooring will be wet mopped. All toiletries will be re-stocked as necessary.

TRASH REMOVAL

All waste trash containers and other trash containers shall be emptied and returned to their original location.

Trash liners will be replaced as appropriate. Boxes or papers placed near a trash container and marked “trash” shall be removed. The trash shall be deposited in the nearest outside trash dumpster to the building. The Location has a recycling program and any empty cardboard boxes would be deposited in the receptacle for recycling.

DEFICIENCY REPORTS

Deficiency reports showing areas not cleaned and the reason, damage to equipment, damage to buildings, etc., shall be furnished to the CO with 24 hours of work time.

INSPECTIONS

To assure compliance with the specifications, terms, and conditions, the LSM may make random inspections of parts of the buildings where services are provided. The frequency of these inspections is at the discretion of the COR. The LSM will receive, check, and verify complaints related to non-compliance. Upon notification of deficiency corrections, the LSM will re-inspect those areas to assure corrective action has taken place.

The results of the COR’s inspection shall be recorded on the form entitled “Janitorial Services Inspection Report” and if corrective action is required the form will be submitted to the Contractor or to the on-site Manager for corrective action. This document shall be used to determine whether the provision of the Deduction Clause applies. The Contracting Officer will make this determination. Failure of the Contractor to agree with the decision of the Contracting Officer will result in a dispute and will be disposed of in accordance with the contract General Provisions entitled “Disputes.”

R. DEDUCTIONS

Clean and well-maintained buildings is the Government’s goal and while the deduction provision for work omitted or improperly performed is designed to protect the Government’s interest, it is not a desirable substitute for accomplishing the job through normal processes. It is designed only to assure that the Government pays only for the services rendered.

The Deduction Table will be used by the Government in determining deductions for nonperformance of work or for deficiencies in the work performed. If deductions are proposed, the Contracting Officer will inform the Contractor in writing of all proposed deductions. The Contractor must present valid reasons why any or all of the proposed deductions are not warranted within ten (10) working days thereafter. If the Contracting Officer decides that any or all of the proposed deductions are not warranted, the Contractor will be notified and the Contractor shall be paid accordingly.

The following deductions will be made from the Contractor’s monthly invoice for less than satisfactory performance or nonperformance of services required under the contract. The Contractor is advised that the Government’s application of deductions specified below in no way limits the Government’s right under the termination provision of this contract or any other provisions or rights to which the Government is entitled under law.

DEDUCTION TABLE

TASK DEDUCTION UNIT

Tile and Linoleum Floor Maintenance - Dust Mopping, Wet Mopping

Offices 12.00 Each Conference Rooms 10.00 Each Laboratories 10.00 Each Hallways 15.00 Each Break rooms 10.00 Each

Linoleum Floor Maintenance - Buffing, Stripping/Waxing

Buffing – Laboratories 10.00 Each Stripping/Waxing - Laboratories 20.00 Each

Carpet Maintenance - Vacuuming Offices 5.00 Each

Conference Room 15.00 Each Mats 3.00 Each

Carpet Maintenance – Steam Cleaning Offices 7.00 Each

Conference Room 20.00 Each Glass Cleaning

Glass in Doors and Windows 3.00 Each Aluminum window and door frames 5.00 Each

Restrooms Toilets, urinals, wash basins 5.00 Each Mirrors, Countertops 5.00 Each Floor, Base 5.00 Each

JANITORIAL SERVICES INSPECTION REPORT

Date of Inspection:

INSPECTION RESULTS

The janitorial services listed below have been inspected and rated “S” or “U”. “S” indicated satisfactory performance and “U” indicated unsatisfactory performance. Unsatisfactory performance may be corrected in accordance with the terms of the contract. Janitorial Matrix may be used in lieu of this inspection report.

Frequency Task Inspection Re-inspection

Remarks

Vacuum Carpets/Mats Steam Clean Carpets Dust Mop Tile and Linoleum Wet Mop Tile and Linoleum Buffing Glass Cleaning Window/Door Frames Stripping Waxing Washing Walls Entry way Cleaning Restrooms Emptying of Paper Shredder Other

INSPECTION: RE-INSPECTION:

Government Representative Government Representative

Contractor Representative Contractor Representative