W911SA22Q3036 Attachment 4 - Snow Service Ticket.docx

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Attached to
Snow Removal Services IA014; Dubuque, IA
Solicitation number
W911SA22Q3036
Issued by

About this file

This federal contract opportunity is for snow removal services at a facility located in Dubuque, Iowa. The solicitation seeks a contractor to provide snow removal at one location for an initial period of one year beginning March 21, 2022, with four optional one-year extensions and an additional optional six-month extension. Services include plowing, salting, sanding, and hauling excess snow as needed. A site visit will be held on February 22, 2022 at 10:00 AM local time, and written questions must be submitted by February 22 at 4:00 PM Central Standard Time. The solicitation will be issued on February 16, 2022 and can be accessed on SAM.gov under number W911SA-22-Q-3036. The contracting agency is the Department of the Army Materiel Command Mission and Installation Contracting Command at Fort McCoy.

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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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