W911SA-23-Q-3095 - Attachment 4 - Custodial Service Ticket.docx

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Custodial Services at ND009 in Fargo, ND
Solicitation number
W911SA-23-Q-3095
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About this file

This document contains a service ticket template for custodial services at a Department of the Army facility in Fargo, North Dakota. The template requires contractors to record the type of custodial work performed at each location, including tasks like dust mopping, damp mopping, vacuuming, cleaning restrooms and windows. Contractors must print the names of employee(s) performing the work and have a designated representative from the facility sign the ticket upon check-in and check-out. The related federal contract opportunity is solicitation number W911SA-23-Q-3095 for custodial services at the ND009 facility in Fargo, to be awarded by the Department of the Army Materiel Command Mission and Installation Contracting Command at Fort McCoy.

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Text version

On Site Service Ticket – Custodial Version 1.7; 6 SEP 2022 Contract number: _____________________ Location: _____________________

DATE: __________

Custodial Service TYPE (include all): ☐Dust Mop ☐Damp Mop ☐Spray Buff, Burnish ☐Strip, wax, Buff ☐Seal, Polish ☐Remove Trash ☐Vacuum ☐Carpet Shampoo ☐Service Restrooms (Clean/Sanitize toilets, urinals, sinks, showers, walls, partitions) ☐ Contractor Restroom Cleaning Sheet completed ☐Restroom floor cleaning ☐Low Dusting ☐High Dusting ☐Window Cleaning 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.

File details come from the government source that posted it. Updated .