W911SA-22-Q-3058 Attachment 4 - Sample Service Ticket.docx

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Attached to
Grounds Maintenance CO147, Colorado Springs, CO
Solicitation number
W911SA-22-Q-3058
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Other files

File Type Posted
W911SA-22-Q-3058 Attachment 1 - Price Schedule (CUI).xlsx XLSX spreadsheet
W911SA-22-Q-3058 Attachment 2 - Grounds Drawing.pdf PDF
W911SA-22-Q-3058 Attachment 3 - AT OPSEC.docx DOCX document
W911SA-22-Q-3058 Attachment 5 - 88th RD Pest Management Form.docx DOCX document
W911SA-22-Q-3058 Solicitation for CO147 Custodial.docx DOCX document

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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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