W911SA24Q3056 - Attachment 4 - Sample Service Ticket.docx

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Attached to
Grounds Maintenance Services at NE024 - Elkhorn, Nebraska
Solicitation number
W911SA24Q3056
Issued by

About this file

This document includes a sample service ticket template and details of a related federal contract opportunity for grounds maintenance services. The contract opportunity W911SA24Q3056 will be issued on March 14, 2024 through the SAM website and is for grounds maintenance at Reserve Facility NE024 in Elkhorn, Nebraska. The period of performance is April 1, 2024 through March 31, 2025 with four option years and a six month option to extend. Quotes are due by March 22, 2024 at 10:00 AM CST by email to laurie.e.lago.civ@army.mil and must include a signed SF1449, completed supplemental information, completed price schedule attachment, and any signed amendments. The place of performance is 9750 North 204th Street in Elkhorn. Questions are due by March 20, 2024.

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Text version

On Site Service Ticket – Grounds Maintenance Version 2.0; 29 SEP 2023 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.

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