W911SA-22-Q-3067 Attachment 4 - Sample Service Ticket.docx
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- Solicitation number
- W911SA-22-Q-3067
About this file
This solicitation is for grounds maintenance services at nine locations in Wisconsin. The performance period is from September 2022 to January 2023, with four option years and a six-month option to extend. Services are required at nine places of performance located in Appleton, Green Bay, Eau Claire, Fond Du Lac, Junction City, Neenah, Sheboygan, Wausau, and Hammond, Wisconsin. Quotes are due to the contracting officer by the date and time listed in the solicitation. Required documents to submit with quotes include a completed SF-1449, information from the Supplemental Information section, a completed price schedule, and any signed amendments. Questions regarding the solicitation must be submitted by July 15, 2022. The solicitation and associated documents will be available on SAM.gov. The Department of the Army Mission and Installation Contracting Command at Fort McCoy is the issuing agency.
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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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