W911SA-20-Q-3013_(Attachment_4_-_Sample_Service_Ticket).pdf

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.