TE 3 Service Order Request Form.pdf

Technical Exhibit 3: Service Order Report Form May 28 2020

There is no requirement for a specific form to be used for the Service Order Report Form required by the PWS, but there is a requirement for specific information to be recorded on the form. It may be a form currently being used by the Contractor, or a form specifically designed for this Contract, but it must include at a minimum, areas to record the following information.

1) General Information:

a) Contract Number

b) Servicing Company’s Name, Address, and Phone

c) Date and Time of Service Order Request

d) Facility and Location of Needed Service

e) Initiator/POC for coordinating the Service

f) Short Description of Service

2) Cost Summary

a) Labor Utilized

i) Labor Classification

ii) Time, Rate and Total Cost

iii) Overtime if applicable

b) Subcontractor Costs

c) Parts and Materials and Supplies

i) Quantity

ii) Units

iii) Unit Price

iv) Total Cost

d) Total Cost to be Charged

3) Authorization for Work to be performed based on estimated costs

a) Signature of Government Official Authorizing Services

4) Receipt and Acceptance of Work

a) Signature of Government Official stating work is satisfactorily completed