W911SA-22-Q-3007 UT002 CU - Attachment 5 - Service Ticket Template.docx
DOCX document 32 KB Posted
- Solicitation number
- W911SA-22-Q-3007
About this file
This solicitation is for custodial services at one location in Utah. The performance period is from June 16, 2022 to May 31, 2023 with four option years and a six month option to extend. Quotes are due by the date and time listed on the solicitation issued on April 26, 2022 via SAM.gov. The site of performance is 296 S. Chase St. Salt Lake City, UT 84113. A site visit will be held on May 3, 2022 at 10:00 AM CST. Written questions must be submitted by May 6, 2022 at 10:00 AM CST. The solicitation documentation will be available on SAM.gov and vendors will not be directly notified of amendments. The agency is the Department of the Army Materiel Command Mission and Installation Contracting Command at Fort McCoy.
The attached document is a service ticket template for custodial services that includes sections for listing the types of services provided, comments, and signatures for check-in and check-out. It does not provide proof of inspection or acceptance of services.
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Text version
On Site Service Ticket – Custodial Version 1.6; 18 JAN 2019 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.
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