PWS Lodging Linen Contract 10.27.22.docx

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PERFORMANCE WORK STATEMENT

FOR

LODGING

LAUNDRY SERVICES

NELLIS AFB, NV

26 October 2022

TABLE OF CONTENTS

Part PAGE

1.DESCRIPTION OF SERVICES
1.1 Scope of Work30
1.2 Basic Services30
1.3 Quality Standards30
1.4 Contract Manager30
1.5 Pick Up and Delivery30
1.6 Holiday Observation31
1.7 Supply of the Laundry Tickets and Itemized Receipt forms31

1.8 Separating, Weighing, and Counting of Articles, 31

And Itemized Receipt Form

1.9 Blood Bourne Pathogens and Other Potentially Infectious Materials32
1.10 Linens with Suspected Bed Bugs32
1.11Maintaining Separation of Government Property32
1.12 Incorrect Counts/Counts32

1.13 Specific Requirements for Packing Clean Linen and Laundering

Soiled Linen32
1.14 Stained, Damaged and Lost Laundry32-33
1.15 Stain Treatment33
1.16 Dye Treatment33
1.17 Rejected Laundry33
1.18 Carts33
1.19 Number of Beds Supported at Pickup/Delivery Location34
1.20 Contingency Plan34

2. SERVICE SUMMARY 35

3. GOVERNMENT FURNISHED PROPERTY 36

4.GENERAL INFORMATION
4.1 Quality Control37
4.2 Quality Assurance37
4.3 Government Remedies37
4.4 Hours of Operation37
4.5 Codes37
4.6 Performance of Services during Crisis37
4.7 Compliance with Installation Security37
4.8 Safeguard Government Property38
4.9 Personnel38
4.10 Vehicle38
4.11 Equipment38
4.12 Mandatory Publications38
5.APPENDICES
A. Estimated Annual Workload Data40-41
B. Sample of Rags Dye Treatment Receipt (3 Part, Carbonless)42-43
C. Sample of Laundry Count/Count Receipt (3 Part, Carbonless)44-45
D. Sample of Laundry Count/Count Receipt (3 Part, Carbonless)46-47

Re-Perform

PART 1. DESCRIPTION OF SERVICES

1.1 SCOPE OF WORK: The Contractor shall furnish all personnel, equipment, tools, materials, supervision and other items and services necessary to perform laundry cleaning services on government owned property located at Nellis AFB Lodging. All work shall be accomplished in accordance with the recommendations set forth by the attached Air Force Lodging Linen Standards, and standards established by the Occupational Safety and Health Administration (OSHA Standard 29 CFR 1910.264 and 1910.1030).

1.2 BASIC SERVICES: The Contractor shall accomplish laundry cleaning services to meet the requirements of the Performance Work Statement (PWS) and the Service Summary (SS).

1.3 QUALITY STANDARDS: The Contractor shall perform laundry service in accordance with manufacturer’s recommendations/instructions. The Contractor shall ensure items are clean and dry, free of soil, stains, rips, tears, and odors. Items shall be processed by the contractor in accordance with codes identified in Appendix A.

1.4 CONTRACT MANAGER: The service provider shall provide a contract manager at the cleaning location who shall be responsible for the performance of the work. The name of the primary, as well as an alternate contract manager, who shall act for the service provider when the manager is absent, shall be designated in writing to the contracting officer. The contract manager or alternate shall be available during normal duty hours within 3 hours to meet on the installation with government personnel designated by the contracting officer to discuss problem areas or emergency requirements. After normal duty hours the manager or designated alternate shall be available by phone within 1 hour for emergency actions which cannot wait until the next normal duty day. The contract manager and alternate(s) must be able to read, write, speak, and understand English.

1.5 PICK-UP AND DELIVERY: Contractor shall pick-up and deliver to the following locations:

Warrior Inn Building 466, 4075 Duffer Drive

Thunder Inn Building 536, 4425 N. Washington Blvd
Main Lodging Building 556, 5941 Fitzgerald Blvd
TLF Building 444, 4039 Griffiss Ave.

1.5.1 PICK-UP AND DELIVERY SCHEDULE FOR LODGING: ONE DAY TURN-AROUND – 7 DAYS A WEEK

Pick UpDeliver
MondayTuesday
TuesdayWednesday
WednesdayThursday
ThursdayFriday
FridaySaturday
SaturdaySunday
SundayMonday

Delivery of clean lodging linens shall be accomplished between the hours of 9:00AM and 2:00PM. Delivery of clean linen shall be completed no later than 2:00PM. All pick-up of lodging dirty linen for cleaning shall be between the hours of 2:00PM – 4:00PM, with pick-up of dirty linen completed no later than 4:00PM. The Contractor shall insure the correct mix of items and quantities that are picked up for cleaning and after cleaning are delivered to the location where they were picked up. Mix of clean linen returned shall be comparable to the soiled linen picked up to ensure continued and uninterrupted hotel operations required to meet guest requirements and Air Force Lodging Linen Standards. *If the intention is to drop off and pick up during the same trip, the window of operation shall be 10:00 AM – 2: 00 PM

1.6 HOLIDAY OBSERVATION: Lodging will not observe holidays due to the nature of the business and standard business practices.

1.7 SUPPLY OF LAUNDRY TICKETS/ITEMIZED RECEIPT FORMS: Contractor shall provide necessary Individual Laundry Ticket/Itemized Laundry Receipt for every pick-up day and location to the COR. (A sample form of individual laundry ticket/ itemized laundry receipt is provided at Appendix B.) Adequate stock (a minimum of a 60-day stock on hand for the duration of the contract) of individual laundry tickets/itemized laundry receipts shall be provided to the COR prior to contract start date and throughout the entire contract period. The Contractor shall mark or annotate the appropriate pickup and delivery location and count in the appropriate column.

1.8 SEPARATING AND COUNTING OF ARTICLES, AND ITEMIZED RECEIPT FORM:

Government personnel shall count articles, including any linen bagged, in red plastic biohazard bags provided by the Government and accepted by the Contractor. (Blood Borne Pathogen or Bed Bug) and document this information on the contractor supplied 3-Part Itemized Laundry Receipt Form (Appendix B) prior to pick-up of soiled laundry. Contractor personnel shall be responsible for physically loading soiled linen and unloading clean linen.

PIECE VARIANCE

The count variance for linen shall not exceed =/- 3% on any given delivery of clean linen Allowable variances are listed in the Service Summary. Piece count listed on the 3-part receipt, once signed for is considered accepted as shown.

PIECE COUNT

All items shall be done by piece count. (Method of tracking shall be by piece count at pick-up/delivery location). Using the Itemized Laundry Receipt, the contractor shall verify the count of the articles at the time of pick-up and annotate any discrepancy before signing the receipt. The contractor will be given two copies receipt at time of pick-up, the original will be retained by the COR. Count returned will be annotated by the contractor and verified by the COR at the time of delivery. The copy with signatures will be retained by the Government for computing variance in the count when laundry is delivered.

1.8.1. LODGING BED LINEN, BATH LINEN, AND RAGS: Bed sheets, bath linen and rags specified within this PWS shall be laundered as bulk laundry items. They shall be counted by Government personnel prior to pick up. Please reference Appendix A, B and paragraph 1.10 to determine whether item will be measured by Count or individual piece count. Contractor shall piece count all items, as applicable, at time of pickup/delivery and complete the Itemized Receipt Form. Any differences in numbers shall be reconciled at time of verification by signatures of the contractor and the COR. The contractor shall be given a copy of the itemized receipt form at time of pickup/delivery. Laundered rags shall be returned sorted by color. Contractor personnel shall be responsible for physically unloading clean linen and loading soiled linen.

Contractor shall immediately notify the government if they receive garbage or anything outside of linen in the laundry picked up. Notification will be made via telephone followed up with a written report by email.

1.9 BLOOD BORNE PATHOGENS AND OTHER POTENTIALLY INFECTIOUS MATERIALS (OPIM): Handling and processing of linens will be in accordance with OSHA standard 29 CFR Blood borne Pathogens – 1910.1030. Linens with blood borne pathogens or OPIM will be bagged by the Government in a Biohazard bag for ease of identification, employee protection and laundering. Government will provide an itemized list of contents attached to the bag. Handling and processing shall be in accordance with OSHA standards.

1.10 LINENS WITH SUSPECTED BED BUGS: Linens removed from rooms that have been identified as having bed bugs will be placed in Biohazard bags. The Government will label this bag “Bed Bug” and provide an itemized list of contents attached to the bag. Items identified under this section shall be laundered according to OSHA standards.

1.11 MAINTAINING SEPARATION OF GOVERNMENT PROPERTY: All lodging property, other government accounts property, commercial accounts property, or private accounts property shall be handled, laundered, and maintained separately. Separation between property belonging to different/other customers shall be maintained, at all times.

1.12 INCORRECT COUNTS: The Contractor shall make no adjustments to the counts other than those agreed upon at pick up or delivery and signed by both parties. If incoming items returned to the government are not government property, they will be subtracted from the count on the date of discovery and returned to the contractor. If the count returned to the government is less than those sent to the contractor, and these lesser quantities are greater than the variance allowed in the service summary, the Government reserves the right to recoup the value of these lost linens from the Contractor (REF: DFARS 252.237-7014).

1.13 SPECIFIC REQUIREMENTS FOR PACKAGING CLEAN LINEN AND LAUNDERING SOILED LINEN: Refer to Appendix A for required processing of items. All items shall be separated by size, color, and content. The packages shall be clearly marked with the quantity of each item in the bundle. Lodging has three different sizes of sheets Twin Full, Queen, and King. All pieces shall be counted by size with a variance of +/- 3%. All items returned shall be bundled with like items and be completely covered in shrink wrap. Blankets and coverlets are Twin, Full, Queen and King. Drapes shall be packaged individually.

1.14 STAINED, DAMAGED AND LOST LAUNDRY: Clean linen delivered that is identified by the Government that appear to be dirty shall be returned to the Contractor for re-cleaning at no cost to the Government.

Excessively stained and damaged linen discovered by the Contractor at the laundry facility, shall be separated and not laundered, packaged separately, and labeled “Excessively Stained and/or Damaged”, and returned to the Government the next delivery day to ensure accountability and proper disposal, shrink wrap not required.

For the purposes of this contract, excessively stained 1” in diameter shall be defined as items marked with boot polish, excessive amounts of makeup, or any other substance that cannot be removed by stain treatment. Comment by TILLEY, RACHEL N GS-12 USAF ACC 99 CONS/PKB: Is there anything else that should be added to this paragraph to ensure we clearly define what excessively stained means?

Items lost by the Contractor shall be replaced with items that meet the Government’s specifications by the contractor, at the contractor’s expense, within 10 (ten) business days of discovery. Discovery of lost items by the Contractor shall be communicated to the COR within 24 (twenty-four) hours of discovery.

The contractor shall repair all rips, tears, open seams, and holes caused by contractor processing as Non-Reimbursable Repairs. This is accomplished by using thread and materials of the same quality, color, colorfastness, and texture as that used in manufacture of the articles.

Repairs are to be made only to tears and ripped seams that are 1 inch or less. Repairs are required on holes that are 1/2 inch or less, in diameter. Items damaged by the Contractor, that are not reparable based on these standards, shall be replaced by the Contractor with items that meet the Government’s specifications.

Replacement items shall be ordered through Star Linen and meet the Air Force Lodging Linen Standards in place at the time of the replacement.

Replacement items provided shall be bundled separately and clearly marked “Replacement Items”. For items that are damaged/destroyed or lost, that are not replaced by the Contractor within 10 (ten) business days, the contractor shall reimburse the Government in accordance with Defense Federal Acquisition Regulation (DFARs) Clause 252.237-7015.

1.15 STAIN TREATMENT: Linen separated to be stain treated shall be counted by piece and accounted for separate from any other soiled linen. Contractor shall treat the stained laundry in a chemical solution that will remove the stain(s) from any article of fabric. After the stain treatment of the linen has been completed, the contractor shall launder, sort, and package, separate from the main laundered items, the linen for accountability and distribution. Items that remain stained after treatment shall be packaged separately and marked “Unsalvageable Stained” and returned to the Government for disposal or future dye treatment.

1.16 DYE TREATMENT: Salvaged or damaged linen sent out by bulk count for dye treatment shall be conspicuously dyed a different color and packaged separately when requested by the Government. Dye colors to be used are red, dark green and dark blue. A minimum of one full cart of items will be sent out for dye treatment, dyed items shall be returned clean and odor free.

1.17 REJECTED LAUNDRY. Linen is rejected when it fails to meet the standards of quality by random sampling at the time of delivery or when unpacked as defined in this PWS. Laundry rejected for cleanliness or odor shall be collected by Lodging as discovered and returned to the Contractor who shall re-perform and deliver re-cleaned laundry by the next scheduled delivery day, re-performance shall be at no cost to the Government. Laundry rejected for damage shall be processed as stated in paragraph 1.14. The Government will reject by individual piece, package, or cart(s) at the time of discovery.

1.18 CARTS: Historically Lodging has used up to 100 carts at any given time. The Contractor shall provide at least 36 plastic laundry carts to the government for daily linen transportation. An additional 25 carts shall be available, on a rotational basis, for gathering of soiled linen. Quantities will vary based on the workload; however, the number of available carts provided by the Contractor shall be sufficient to perform operations.

Additional carts are required on heavy checkout days for soiled linen collections. The COR will contact the Contractor in advance to identify heavy checkout days and request additional carts. The Contractor shall deliver additional carts one (1) calendar day prior to heavy checkout days to ensure all dirty linen is contained in a cart.

All carts with dirty linen shall be picked up on the day presented, regardless of the number of the number of trips or size of the truck required by the Contractor. Carts provided shall be clean and in good operating condition at all times; to include proper operating condition of the wheels. Each cart shall have an individual identification letter or number and the tare count clearly stenciled on two (2) opposing sides.

1.19 NUMBER OF BEDS SUPPORTED AT EACH PICK-UP/DELIVERY LOCATION FOR LODGING:

Bldg. 444,466,536,556 - Up to 1 King Bed

- Up to 812 Queen Size beds
- Up to 80 Twin Size Beds
- Up to 40 Full Size Beds

1.20 CONTINGENCY PLAN: Contractor shall have a contingency plan, in the event of equipment failure, to ensure no disruption of services. The contingency plan shall be submitted at the pre-performance conference for acceptance by the CO.

PART 2. SERVICE SUMMARY (SS).

PERFORMANCE OBJECTIVE
PWS

PARAGRAPH

PERFORMANCE

THRESHOLD

1. Pick-up and delivery of laundry items on the designated days, within specified times, and locations per the PWS
1.5, 1.5.1, 1.6, 1.7
No more than 2 CARs per Quarter for deliveries outside of scheduled days, times, or wrong location.

2. Piece Count Variance – Correct quantities returned Daily by line item, 100% of piece count items shall be returned clean and odor free daily

1.8, 1.11, 1.12
No more than 2 CARs per Quarter
3. Rag Variance- 80% of soiled rags outgoing must be returned clean
1.9
No more than 3 CARs per Quarter
4. Correct Quantities/Sizes Returned daily
1.9,1.10,1.11,1.12, 1.13

No more than 2 CARs per Quarter

5. Dye Treatment Items sent out for dye treatment - 93% of outgoing Count must be returned clean, odor free and dyed as specified in PWS

1.16
No more than 2 CARs per Quarter

6. Rejected Laundry

a. Re-process laundry rejected for soil or odor and deliver by next scheduled delivery day, as required in PWS.

b. Repair or replace items damaged by the contractor within 10 business days per the PWS 1.20, 1.17, 1.14

No more than 2 CARs per Quarter

7. Packaging Clean Linen and Laundering Soiled Linen Comply with packaging and laundering requirements.

1.13, 1.15
No more than 3 CARs per Quarter

8. Laundry Carts/Bags Provide sufficient, clean and serviceable laundry carts.

1.18
No more than 2 CARs per Quarter

9. Maintaining Separation of Government Property

1.11
No more than 2 CARs per Quarter

10. The items sent out for cleaning shall be the same items returned to the location where they were picked up

1.5,1.5.1
No more than 2 CARs per Quarter

NOTE: (CAR) Corrective Action Report

PART 3. GOVERNMENT FURNISHED PROPERTY

3.0 GOVERNMENT FURNISHED PROPERTY AND SERVICES

3.1. Government-Furnished Property and Services. The Government will provide the items listed below.

3.1.1 Linens. In accordance with DFARS 252.237-7018, all linens listed in Appendix B are government-owned property.

PART 4. GENERAL INFORMATION

4.1. QUALITY CONTROL. The Contractor shall have a quality program to ensure laundry services are performed in accordance with commonly accepted commercial practices. The Contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of non-conformance to PWS requirements. At a minimum the Contractor shall develop quality control procedures addressing the areas identified in Part 2, Service Summary (SS). The Contractor shall submit their quality control plan at the post-award conference for acceptance by the Government.

4.2. QUALITY ASSURANCE. The Contracting Officer will periodically evaluate the Contractor’s performance by appointing a Contracting Officer Representative(s) (COR) to monitor performance to ensure services are received. The COR will evaluate the Contractor’s performance through intermittent on-site inspections of the Contractor’s quality control program and receipt of customer feedback from lodging personnel. The COR may inspect each task as completed or increase the number of quality assurance inspections if deemed appropriate, in response to repeated failures discovered during quality assurance inspections or repeated customer complaints. Likewise, the COR may decrease the number of quality assurance inspections if performance dictates. The COR will also receive and investigate complaints from various customers located at Lodging. The COR will be responsible for initially validating customer complaints. If validated, the COR will work with the Contracting Officer to issue Corrective Action Reports as necessary.

4.3. GOVERNMENT REMEDIES. The Contracting Officer shall follow FAR 52.212-4, Contract Terms and Conditions-Commercial Items (May 2015), for Contractor’s failure to perform satisfactory services or failure to correct non-conforming services.

4.4. HOURS OF OPERATION. Normal work hours for Lodging are 7:30 AM to 4:30 PM, Monday through Saturday and 8:30 AM to 4:30 PM on Sunday. All pick up of lodging linen for cleaning shall be between the hours of 2:00 PM – 4:00 PM. Clean linens may be delivered between the hours of 9:00 AM and 2:00 PM. If the intention is to pick-up soiled linens and drop of clean linens during the same trip, it shall be between the hours of 10:00 AM – 2:00 PM If the contractor desires to pick up soiled laundry or deliver clean laundry during hours other than scheduled times in the PWS, the request shall be submitted in writing to the Contracting Officer. The Contractor shall list the desired dates and identify the reason(s) for the change of pick-up and delivery times. The Government shall be notified at least three (3) business days in advance. Contractor shall maintain close coordination with the Government. If such notification is not approved in advance, the Contractor bears the risk of possible non-payment of work and/or payment for damages incurred.

4.5. CODES. Contractor shall comply with Air Force Linen standards and all guidelines established by the Occupational Safety and Health Administration (OSHA).

4.6 PERFORMANCE OF SERVICES DURING CRISIS. Nellis Air Force Base requires continued performance of services during any crisis declared by the National Command Authority or 99th Air base Wing Commander, or HQ Air Combat Command. Laundry services are deemed as “vital to mission continuance” and essential for continued quality service during any crisis. Schedule and hours of operation for contract laundry services will be maintained as normal. The Quality Assurance personnel will notify the laundry services contractor as soon as possible after implementation of heightened security posture.

4.7 COMPLIANCE WITH INSTALLATION SECURITY. All personnel employed by the contractor in the performance of this contract, or any representative of the contractor entering the government installation, shall abide by all security regulations of the installation.

4.8 SAFEGUARD GOVERNMENT PROPERTY. The contractor shall be responsible for safeguarding all government property provided for Contractor laundering/cleaning.

4.9 PERSONNEL. The Contractor shall not employ any person who is an employee of the U.S. government if employing that person would create a conflict of interest. The Contractor shall ensure all employees are qualified to perform the requirements of this performance work statement. Contractor employees shall present a neat appearance and be easily recognized as contractor employees. Employees must have in their possession, and present upon request, personnel and vehicle passes issued by the Government. Contractor personnel shall not wear military type uniforms such as Airman Battle Uniform (ABU).

4.10 VEHICLE. All laundry items delivered under this contract shall be transported in clean and enclosed vehicles, provided by the Contractor. The vehicle shall be maintained in a sanitary condition to prevent cross contamination. At no time will clean linen and soiled linen be transported in a vehicle at the same time. Separation between soiled and clean linen shall be maintained at all times.

4.11 EQUIPMENT. Laundry Carts/Bags. Contractor shall provide laundry carts and laundry bags in sufficient quantities at each location.

4.12 MANDATORY PUBLICATIONS. The contractor shall comply with the following:

4.12.1 AFI 23-111, Management of Government Property in Possession of the Air Force.

4.12.2 AFI 34-135, Chapter 6. Linen Exchange.

4.12.3 DOD 4145-19, Storage and warehousing of facilities and services

4.12.4 Applicable OSHA Regulations

APPENDICES

A. ESTIMATED ANNUAL WORKLOAD DATA

B. SAMPLE OF RAGS LAUNDRY RECEIPT FOR DYE TREATMENT (3 PART, CARBONLESS)

C. SAMPLE OF LAUNDRY TICKET/ITEMIZED RECEIPT (3 PART, CARBONLESS)

D. SAMPLE OF LAUNDRY TICKET/ITEMIZED RECEIPT (3 PART, CARBONLESS) RE-PERFORM

E. LAUNDERING INSTRUCTIONS

APPENDIX A

ESTIMATED ANNUAL WORKLOAD DATA FOR NELLIS AFB LODGING

LEGEND OF METHODS:

D – Tumble Dry
P – Press on Commercial Pressing Equipment
DC – Dry Clean
S – Starch
F- Fold
W – Wash
I - Press on Flatwork Ironing Equipment
ST – Stain Treatment

OH – Return Finished Work on Hanger

Nellis Inns – Lodging Item No.

Item

Units Maximum Packaging Quantity

Method

Estimated Quantity
Linen Exchange (Y/N)
1
Bedspread, Queen
EA
1
W/D/I/F
16,841
Y
2
Bedspread, King
EA
1
W/D/I/F
12
Y
Bedspread, Twin
EA
1
W/D/I/F
2693
Y
Blanket, Twin
EA
3
W/D/P/F
2867
Y
4
Blanket, Queen
EA
3
W/D/P/F
27,155
Y
5
Blanket, King
EA
3
W/D/P/F
12
Y
6
Mattress Pad, Twin
EA
3
W/D/F
700
Y
7
Mattress Pad, Queen
EA
3
W/D/F
7000
Y
8
Mattress Pad, King
EA
3
W/D/F
12
Y
9
Pillowcase, White
EA
25
W/D/I/F
128,390
Y
10
Sheet, Queen, Flat, White
EA
10
W/D/I/F
33,565
Y
11
Pillow Protector
EA
25
W/D/F
11,536
Y
12
Sheet, Queen, Fitted, White
EA
5
W/D/I/F
58,982
Y
13
Sheet, King, Flat, White
EA
1
W/D/I/F
146
Y
14
Sheet, King, Fitted, White
EA
5
W/D/I/F
146
Y
15
Sheet, Twin, Fitted
EA
5
W/D/I/F
3589
Y
16
Sheet, Twin, Flat
EA
10
W/D/I/F
3916
Y
17
Sheet, Full, Flat
EA
10
W/D/I/F
940
Y
18
Sheet, Full, Fitted
EA
5
W/D/I/F
940
Y
19
Towel, Bath, White
EA
10
W/D/I/F
88,452
Y
20
Towel, Hand, White
EA
10
W/D/I/F
77,012
Y
21
Wash Cloth, White
EA
25
W/D/I/F
56,150
Y
22
Bathmat, White
EA
10
W/D/I/F
61,192
Y
23
Oven Pad
EA
10
W/D
300
Y
24
Kitchen Towel
EA
10
W/D/F
7350
Y
25
Rags
EA
20
W/D/F
57,145
Y
26
Drapes
EA
1
DC/P/F/OH
1784
Y
27
Sheers
EA
1
DC/P/F/OH
1784
Y
28
Bed Skirts
EA
5
W/I/F
1700
Y
29
Rubber Backed floor Mats 4X6
EA
1
W
200
Y
30
Rubber Backed floor Mats 2X3
EA
3
W
700
Y
31
Stain Treatment
EA
25

Y

32
Shower curtains
EA
25
W/D/F
500

APPENDIX B

NELLIS AFB LODGING

Rag Dye Treatment Laundry Receipt

Nellis AFB Lodging Rags Dye Treatment Laundry Receipt

Count

Clean Count

Bulk Cart #
Item
Gross
Tare
Net
Bulk Cart #
Item
Gross
Tare
Net

Total Count

Total Count

**All items need to be separated into separate carts: towel in one cart, sheets and pillow cases in one cart**

Soiled Count Verified By:______________________________ Date:_______________ M T W TH F S

Clean Count Verified By:_______________________________ Date:_______________ M T W TH F S

Rejected Items to be Re-Performed:

QAE Signature:________________________________________________ Date:_________________

Errors Noted: _________________________________________________

NOTE: RAGS LAUNDRY RECEIPT, 3 PART CARBONLESS (LODGING)

*(ALL DIFFERENT COLORS)

ORIGINAL: RETAINED BY LODGING (White copy) COPY 2: CONTRACTORS’ COPY OF ITEMS RETURNED (Yellow Copy) COPY 3: CONTRACTORS’ COPY OF ITEMS TURNED IN (Pink Copy)

APPENDIX C

NELLIS AFB LODGING

Laundry Count Receipt

COUNT SHEET

Bldg. 444, 466, 536,556 (CIRCLE)

ITEM #
ITEM / UNIT OF ISSUE

Circle one

QUANTITY GIVEN TO CONTRACTOR
QUANTITY RECEIVED FROM CONTRACTOR

Bath towels (EA)

Hand towels (EA)

Wash cloths (EA)

Bath mats (EA)

Pillow Protector (EA)

Pillowcases (EA)

Pillows (EA)

Full flat sheets (EA)

Full fitted Sheets (EA)

Full mattress pads (EA)

Full blankets (EA)

Twin flat sheets (EA)

Twin fitted sheets (EA)

Twin mattress pads (EA)

Twin blankets (EA)

Twin bed spread (EA)

Queen flat / fitted sheets

Queen fitted sheets (EA)

Queen mattress pads (EA)

Queen blankets (EA)

Queen bed spread (EA)

Shower curtains (EA)

Rags (EA)

King fitted sheets (EA)

King mattress pads (EA)

King blankets (EA)

King bed spread (EA)

Drapes (EA)

NOTE: LAUNDRY COUNT / COUNT RECEIPT, 3 PART CARBONLESS (LODGING)

ORIGINAL: RETAINED BY LODGING (White copy) COPY 2: CONTRACTORS’ COPY AT DELIVERY OF ITEMS RETURNED (Yellow Copy) COPY 3: CONTRACTORS’ COPY AT PICK UP OF ITEMS TURNED IN (Pink Copy)

APPENDIX D

Nellis AFB LODGING Laundry Count/Count Receipt (Re-Perform)

COUNT/COUNT SHEET
RE-PERFORM
RE-PERFORM

Bldg. 444, 466, 536,556 (CIRCLE)

ITEM #
ITEM / UNIT OF ISSUE

Circle One

QUANTITY GIVEN TO CONTRACTOR
QUANTITY RECEIVED FROM CONTRACTOR

Bath towels (EA)

Hand towels (EA)

Wash cloths (EA)

Bath mats (EA)

Pillow Protector (EA)

Pillowcases (EA)

Pillows (EA)

Full flat sheets (EA)

Full fitted sheets (EA)

Full mattress pads (EA)

Full blankets (EA)

Twin flat sheets (EA)

Twin fitted sheets (EA)

Twin mattress pads (EA)

Twin blankets (EA)

Twin bedspreads (EA)

Queen flat sheets (EA)

Queen fitted sheets (EA)

Queen mattress pads (EA)

Queen blankets (EA)

Queen bed spread (EA)

Shower Curtains (EA)

King Flat Sheets (EA)

King Fitted Sheets (EA)

King blanket (EA)

King bed spreads (EA)

Rags (EA)

Drapes (EA)

Pick up date:_____________________ / Return Date:________________

Signature:___________________ (Contractor Representative at Pick-up)

Signature:___________________ (Contractor Representative at Delivery)

Signature:___________________ (Govt. Representative at delivery)

NOTE: LAUNDRY COUNT / COUNT RECEIPT, 3 PART CARBONLESS (LODGING)

ORIGINAL: RETAINED BY LODGING (White copy) COPY 2: CONTRACTORS’ COPY AT DELIVERY OF ITEMS RETURNED (Yellow Copy) COPY 3: CONTRACTORS’ COPY AT PICK UP OF ITEMS TURNED IN (Pink Copy)

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