Attachment 4 - Sample Service Ticket.docx

DOCX document 28 KB Posted

Attached to
Custodial Services at UT034 - Two Locations (Ogden, Utah)
Solicitation number
W911SA-24-Q-3012
Issued by

About this file

This document contains a sample service ticket for custodial services. The service ticket is to be filled out by a contracted vendor each time services are performed on location. It includes fields to document the type of custodial service provided such as dust mopping, damp mopping, trash removal, vacuuming, carpet shampooing, and restroom cleaning. Sections are included to note the vendor employees who performed the work and for a designated representative to sign upon check-in and check-out.

The related federal contract opportunity is solicitation number W911SA-24-Q-3012 for custodial services at two locations in Ogden, Utah issued by the Department of the Army Materiel Command Mission and Installation Contracting Command Fort McCoy. The service ticket appears to be a sample template for documenting work performed under custodial services contracts.

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Other files

File Type Posted
W911SA24Q3012 Deliverables.docx DOCX document
Attachment 5 - Rest Room Cleaning Sheet.docx DOCX document
Attachment 3 - AT OPSEC (3 Pages).pdf PDF
Attachment 2 - UT030 Drawings.docx DOCX document
W911SA24Q3012 Solicitation.pdf PDF
W911SA24Q3012 PWS.docx DOCX document
W911SA24Q3012 One Wage Determination.docx DOCX document
W911SA24Q3012 Supplemental Info.docx DOCX document
Attachment 2 - UT019 Drawings.docx DOCX document
W911SA24Q3012 PRS.docx DOCX document
Attachment 1 - Price Schedule.xlsx XLSX spreadsheet
W911SA24Q3012 Room Chart Task Frequency.xlsx XLSX spreadsheet
Show all 12

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Text version

On Site Service Ticket – Custodial Version 1.7; 6 SEP 2022 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 .