W911SA-20-Q-3035_Attachment_2_88th_RD_Universal_Pest_Management_Application_Reporting_Form.docx
DOCX document 22 KB Posted
- Attached to
- Grounds Maintenance in Ohio
- Solicitation number
- W911SA20Q3035
About this file
This document contains a universal pest management application reporting form and details of a related federal contract opportunity for grounds maintenance services. The pest management form requires contractors to provide location details, type of pest control operation, site description, pest targeted, area treated, name of applicator, pesticide or herbicide used including trade name, active ingredient, EPA registration number, formulation, quantity applied, and final concentration applied. Comments on survey results, wind conditions, and sanitation deficiencies are also required. The federal contract opportunity is a non-personnel services contract to provide grounds maintenance at six Army Reserve facilities in Ohio from April 1, 2020 through March 31, 2021 with four option periods and an additional six month extension option. Services will be provided at locations in Cincinnati, Dayton, Maineville, Lima, Sharonville, and Troy, Ohio.
The pest management form collects treatment details from contractors, while the federal contract is for grounds maintenance at multiple Army Reserve sites in Ohio with a base period and options through 2026. Contractors must apply pesticides following all label requirements and regulations, and report full treatment details on location, pest, method, and chemicals used.
Attachment 2 88th RD Universal Pest Management Application Reporting Form
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Other files
| File | Type | Posted |
|---|---|---|
| W911SA-20-Q-3035_Attachment_4_ATOPSEC.pdf | ||
| W911SA-20-Q-3035_Attachment_7_SUS_Trifold.pdf | ||
| W911SA-20-Q-3035_Attachment_6_Wage_Determination.docx | DOCX document | |
| W911SA-20-Q-3035_solicitation.pdf | ||
| W911SA-20-Q-3035_Attachment_5_Sample_Service_Ticket.docx | DOCX document | |
| W911SA-20-Q-3035_Attachment_3_Drawings.pdf | ||
| W911SA-20-Q-3035_Attachment_1_Price_Schedule_(blank).xlsx | XLSX spreadsheet |
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Text version
88th Readiness Division
UNIVERSAL PEST MANAGEMENT APPLICATION REPORTING FORM
A separate form shall be filled out for each pest management operation.
Please print for number 1-9.
1. Date of Application: _________________________
2. Location: 2a. Inside or Outside (circle one) 2b. Facility name and/or building #: _______________________________________
3. Type of Pest Control Operation: ______________________________________________ (e.g., baiting, power spray, ULV, manual application of pesticide etc.)
4. Site Description: ______________________________________ (e.g., office, lawn, unimproved ground, fence line, parking lot cracks, etc.)
5. Pest: _________________________________________(rodents, spiders, nates, weeds, etc.)
6. Area Treated: _________________________________ [Include unit, SF (square feet), LF (linear feet), AC (acre), CF (cubic feet), EA (each - for baiting only)]
7. Applicator’s Name: ___________________________________
8. Pesticide/Herbicide Used:
8a. Pesticide/Herbicide Trade Name: _______________________________________ 8b. Pesticide/Herbicide Active Ingredient: ___________________________________ 8c. EPA or Country Reg #: ________________________________________________ 8d. Formulation: _________________________________________________________ 8d. Quantity of pesticide applied: ___________________________________________ [include unit, FL (fluid ounce), GA (gallon), ML (milliliter), LT (liter), LB (pound), DR (dry ounce), GR (gram), KG (kilogram)] 8e. Final Concentration Applied: _______________________________________ (amount of active ingredient per acre/area)
9. Comments: (survey results, wind conditions, sanitation deficiencies, etc.)
10. Signature of Applicator: ____________________________________________
11. Certification # of Applicator: _________________________________________
12. Copy sent to 88th PMC on (date)____________
File details come from the government source that posted it. Updated .