W911SA24Q3056 - Attachment 1 - Pest Management Application Reporting Form.docx
DOCX document 28 KB Posted
- Solicitation number
- W911SA24Q3056
About this file
This document contains a federal contract solicitation and supporting materials. The solicitation is for grounds maintenance services at a Reserve facility in Elkhorn, Nebraska, with a performance period of April 1, 2024 through March 31, 2025 and four optional one-year extensions. Quotes are due no later than March 22, 2024 and shall include completed pricing information, SF-1449 form, and any signed amendments. The Department of the Army Materiel Command Mission and Installation Contracting Command Fort McCoy is the contracting agency. Supporting materials include an application reporting form for pest management operations and instructions regarding accessing the solicitation on SAM.gov and submitting questions by March 20, 2024.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| W911SA24Q3056 - Solicitation.pdf | ||
| W911SA24Q3056 - Attachment 2 - Drawing.pdf | ||
| W911SA24Q3056 - Attachment 5 - Price Schedule (blank) - CUI.xlsx | XLSX spreadsheet | |
| W911SA24Q3056 - Attachment 6 - Contractor Performance Checklist.xlsx | XLSX spreadsheet | |
| W911SA24Q3056 - Attachment 3 - AT-OPSEC.pdf | ||
| W911SA24Q3056 - Attachment 4 - Sample Service Ticket.docx | DOCX document |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 .