W911SA-22-Q-3040 Attachment 4 Snow Service Ticket.docx

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Attached to
Snow Removal Homewood Illinois IL051
Solicitation number
W911SA-22-Q-3040
Issued by

About this file

This solicitation is for snow removal services at a facility located in Homewood, Illinois. The contractor shall provide all labor, transportation, equipment, materials, supervision, and other items or services necessary to perform snow removal at the facility in accordance with the performance work statement, task and frequency charts, and terms and conditions of the solicitation and resultant contract. The contractor will furnish all supplies necessary to fulfill the performance work statement. The period of performance is from January 1st, 2022 through December 31st, 2022 with four one-year option periods and a six month option to extend services. This procurement is set aside as 100% small business under NAICS code 561790 with a size standard of $8 million. The Department of the Army Materiel Command Mission and Installation Contracting Command at Fort McCoy is the contracting agency.

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Text version

On Site Service Ticket – Snow Removal Version 1.5; 01 May 2019 Contract number: _____________________ Location: _____________________ DATE: __________ Time Vendor Called: ____________ Snow Depth: ____________ Time Service Performed: ______________ SNOW REMOVAL TYPE (include all) ☐Type 1 (All – Roads, Sidewalks, POV Parking, MEP Parking) ☐Type 2 (Roads, Sidewalks, POV Parking only) ☐Type 3 (MEP Parking Only) ☐Type 4 (Sidewalks Only) ☐Type 5 (Plowing, Salting and Sanding – Ice Storm only) ☐Type 6 (Haul excess snow from site if required) ☐Type 8 (End of Season Cleanup, Sweep Parking lots & remove debris)

Comments

Check In/Out Employee(s) Name (print):___________________________________________________

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Designated Rep. Signature: ___________________________________________________ Designated Rep. 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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