W911SA-20-Q-3012_Attachment_5_Snow_Service_Ticket.pdf

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Attached to
Snow MO081 for Multi-Site Locations
Solicitation number
W911SA-12-Q-3012
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Attachment 5 Snow Service Ticket

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Text version

On Site

Service Ticket – Snow Removal

Version 1.5; 01 May 2019

Contract number: _____________________ Location: _____________________

DATE: __________ Time Vendor Called: ____________ Snow Depth: ____________

Time Service Performed: ______________

SNOW REMOVAL TYPE (include all) ☐Type 1 (All – Roads, Sidewalks, POV Parking, MEP Parking)

☐Type 2 (Roads, Sidewalks, POV Parking only) ☐Type 3 (MEP Parking Only) ☐Type 4 (Sidewalks Only)

☐Type 5 (Plowing, Salting and Sanding – Ice Storm only) ☐Type 6 (Haul excess snow from site if required)

☐Type 8 (End of Season Cleanup, Sweep Parking lots & remove debris)

Comments

Check In/Out

Employee(s) Name (print):___________________________________________________

Designated Rep. Signature: ___________________________________________________

Designated Rep. 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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