W911SA-22-Q-3009 UT003 GR - Attachment 5 - Grounds Service Ticket .docx

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Attached to
Grounds Maintenance Services UT003 Logan, Utah Federal contract opportunity
Solicitation number
W911SA-22-Q-3009
Issued by
Department of the Army Materiel Command Mission and Installation Contracting Command Fort McCoy

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Text version

On Site Service Ticket – Grounds Maintenance Version 1.5; 18 JAN 2019 Contract number: _____________________ Location: _____________________

DATE: __________

LAWN MAINTENANCE TYPE (include all) ☐Type 1 ☐Type 2 ☐Type 3 ☐Type 4 ☐Mowing ☐Edging ☐Trimming ☐Policing ☐Spring/Fall Cleanup ☐Weed & Feed (Provide Chemical report) ☐Weeding ☐Aeration ☐Herbicide Application (Provide Chemical report) 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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