W911SA24Q3054 Attachment 5 88th RD Universal Pest Management Application Reporting Form.docx
DOCX document 31 KB Posted
- Attached to
- Grounds Services at WI064 - Milwaukee, WI
- Solicitation number
- W911SA24Q3054
About this file
This document contains a universal pest management application reporting form and details of a related federal contract opportunity for grounds services. The reporting form requires contractors to provide key details of each pest management operation, including date, location, type of control operation, site description, pest targeted, area treated, name of applicator, pesticide/herbicide used with trade name, active ingredient, EPA registration number, formulation, and quantity applied. Comments on survey results, wind conditions, and sanitation deficiencies are also to be included.
The solicitation will be issued on January 19, 2024 for grounds services at a location in Milwaukee, Wisconsin, with a performance period from March 1, 2024 to February 28, 2025 and four optional 12-month extension periods. Quotes are due by the solicitation closing date and time and shall be emailed to the specified Army contracting officer. Contractors must submit all required documents with their quote, including a signed SF1449, completed supplemental information, completed price schedule, signed amendments if applicable. A site visit will take place on January 29, 2024 and written questions are due by January 30, 2024. The soliciting agency is the Department of the Army Materiel Command Mission and Installation Contracting Command at Fort McCoy.
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Other files
| File | Type | Posted |
|---|---|---|
| W911SA24Q3054 Amendment 2 (f) 2-1-24.pdf | ||
| W911SA24Q3054 Amendment 1.pdf | ||
| W911SA24Q3054 Attachment 1 Price Schedule V2 - CUI.xlsx | XLSX spreadsheet | |
| W911SA24Q3054 Attachment 1 Price Schedule CUI.xlsx | XLSX spreadsheet | |
| W911SA24Q3054 Attachment 2 Drawing.pdf | ||
| W911SA24Q3054 Attachment 3 AT-OPSEC.pdf | ||
| W911SA24Q3054 Attachment 6 Initial Clean up.docx | DOCX document | |
| W911SA24Q3054 Attachment 4 Sample Service Ticket.docx | DOCX document | |
| W911SA24Q3054 Attachment 7 WI064 Site photos 10-23-2023.pdf | ||
| W911SA24Q3054 Attachment 1 Price Schedule.xlsx | XLSX spreadsheet | |
| W911SA24Q3054 Solicitation.pdf |
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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 .