W911SA-22-Q-3055 Attachment 6 Pest Management Application Reporting Form.docx
DOCX document 22 KB Posted
- Attached to
- Grounds Services USARC IA058 (MS) multiple sites in Iowa Federal contract opportunity
- Solicitation number
- W911SA-22-Q-3055
About this file
This document provides details for a federal contract solicitation for grounds services at multiple sites in Iowa. The solicitation number is W911SA-22-Q-3055 and will be issued on June 24, 2022 through the System for Award Management website. The requirement is for grounds services at eleven different locations in Iowa. The performance period is from September 1, 2022 to August 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 and must include the completed forms and price schedule from the supplemental information section. Site visits will be held between June 29th and July 8th at the various locations. Written questions about the solicitation are due by July 12, 2022.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| W911SA-22-Q-3055 Grounds IA058 Amendment 2 SF30 072122.docx | DOCX document | |
| W911SA-22-Q-3055 Attachment 7 Wage Determinations - 072122.pdf | ||
| W911SA-22-Q-3055 Grounds IA033 Amendment 1 SF30 071822.docx | DOCX document | |
| W911SA-22-Q-3055 Attachment 7 Wage Determinations - 071822.pdf | ||
| W911SA-22-Q-3055 Grounds IA058 (MS) Solicitation SF1449.docx | DOCX document | |
| W911SA-22-Q-3055 Attachment 2 Drawings IA001 IA006 IA009 IA010 IA014.pdf | ||
| W911SA-22-Q-3055 Attachment 4 AT OPSEC.pdf | ||
| W911SA-22-Q-3055 Attachment 5 Grounds Service Ticket.docx | DOCX document | |
| W911SA-22-Q-3055 Attachment 7 Wage Determinations - 031522.docx | DOCX document | |
| W911SA-22-Q-3055 Attachment 1 Price Schedule (062122).xlsx | XLSX spreadsheet | |
| W911SA-22-Q-3055 Attachment 3 Drawings IA018 IA024 IA025 IA027 IA032.pdf |
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Text version
88th Readiness Division
UNIVERSAL PEST MANAGEMENT APPLICATION REPORTING FORM
A separate form shall be filled out for each pest management operation.
Please print for number 1-9.
1. Date of Application: _________________________
2. Location: 2a. Inside or Outside (circle one) 2b. Facility name and/or building #: _______________________________________
3. Type of Pest Control Operation: ______________________________________________ (e.g., baiting, power spray, ULV, manual application of pesticide etc.)
4. Site Description: ______________________________________ (e.g., office, lawn, unimproved ground, fence line, parking lot cracks, etc.)
5. Pest: _________________________________________(rodents, spiders, nates, weeds, etc.)
6. Area Treated: _________________________________ [Include unit, SF (square feet), LF (linear feet), AC (acre), CF (cubic feet), EA (each - for baiting only)]
7. Applicator’s Name: ___________________________________
8. Pesticide/Herbicide Used:
8a. Pesticide/Herbicide Trade Name: _______________________________________ 8b. Pesticide/Herbicide Active Ingredient: ___________________________________ 8c. EPA or Country Reg #: ________________________________________________ 8d. Formulation: _________________________________________________________ 8d. Quantity of pesticide applied: ___________________________________________ [include unit, FL (fluid ounce), GA (gallon), ML (milliliter), LT (liter), LB (pound), DR (dry ounce), GR (gram), KG (kilogram)] 8e. Final Concentration Applied: _______________________________________ (amount of active ingredient per acre/area)
9. Comments: (survey results, wind conditions, sanitation deficiencies, etc.)
10. Signature of Applicator: ____________________________________________
11. Certification # of Applicator: _________________________________________
12. Copy sent to 88th PMC on (date)____________
File details come from the government source that posted it. Updated .