Exhibit_4_Nonvehicular_Service_Form_1_July.xls
XLS spreadsheet 35 KB Posted
- Solicitation number
- W564KV-17-R-0002
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Exhibit 4 - Nonvehicular Service Form
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Sheet1
| NON-VEHICULAR SERVICE FORM | ||||
| NAME OF CONTRACTOR: ___________________________ CONTRACT# _________________________ | ||||
| TASK ORDER#: ___________ REQUISITION#: ________________________________ DATE:__________________ | ||||
| REASONS FOR THESE SERVICES: | ||||
| 1. Relocating furniture from floor to floor, building to building | ||||
| 2. Loading / off-loading of Government vehicles and / or containers | ||||
| 3. Unpacking, assembling, disassembly and staging of furniture | ||||
| 4. Minor touch-up, preparation and cleaning of furniture | ||||
| 5. Cleaning of domestic appliances | ||||
| Line # | LOCATION OF PERFORMANCE:(to include building/warehouse no.) | Number of Hours Requested | Reason for Service | Remarks |
| 1 | ||||
| 2 | ||||
| 3 | ||||
| 4 | ||||
| 5 | ||||
| 6 | ||||
| 7 | ||||
| 8 | ||||
| DATE: | CONTRACTOR'S SIGNATURE | REVIEWED BY GOVERNMENT OFFICIAL |
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