W911SA-24-Q-3067 Attachment 5 - Service Ticket.pdf

PDF 266 KB Posted

Attached to
Weed Control Services at MT008 Helena, MT Federal contract opportunity
Solicitation number
W911SA24Q3067
Issued by
Department of the Army Materiel Command Mission and Installation Contracting Command Fort McCoy

About this file

This document contains a service ticket template for weed control services under federal contract number W911SA-24-Q-3067. The service ticket is to be filled out by the contracted vendor each time services are performed, and includes fields for the contract and location, date, type of weed control services provided which include mechanical removal, herbicide application, and policing. Signatures are required from the vendor employee and a designated representative of the government customer to check employees in and out. While this template does not constitute acceptance of services, the government reserves the right to inspect work performed under contract terms.

The related federal opportunity is a solicitation for weed control services at location MT008 in Helena, Montana, issued by the Department of the Army Materiel Command Mission and Installation Contracting Command at Fort McCoy. The solicitation is a request for quotes to provide the services outlined in the template.

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Text version

On Site

Service Ticket – Weed Control

Version 1.0; 15 April 2019

Contract number: ______________________________________Location: _______________________________

DATE: ____________________

WEED CONTROL SERVICES: (check all that apply for the particular day) ☐ Mechanical weed removal

☐*Herbicide application* ☐Policing

☐ Initial Clean up (only used for base year when contract specifies)

*Reminder: A 88th RD Universal Pest Management Reporting form must be submitted to the COR for all herbicide applications.*

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 .