W911SA-19-Q-3029_Attachment_11_Grounds_Service_Ticket_11_29_18.docx

On Site Service Ticket – Grounds Maintenance Version 1.4; 29 Nov 2018 Contract number: _____________________ Location: _____________________

DATE: __________

LAWN MAINTENANCE TYPE (include all) ☐Mowing ☐Edging ☐Trimming around fixed objects ☐Trimming Fence Lines ☐Grass Clippings removed ☐Trash Removal ☐Pruning ☐Xeriscape ☐ Policing 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.