W911SA24Q3073 Attachment 2 - Pest Management Application Reporting Form.docx
DOCX document 28 KB Posted
- Solicitation number
- W911SA24Q3073
About this file
This document contains a federal contract solicitation and supporting application form for pest management services. The solicitation seeks quotes for grounds maintenance services at the Denver Federal Center in Denver, Colorado, with a performance period from April 1, 2024 to March 31, 2025 and four optional one-year extensions. Services include mowing, trash and debris removal, weed control, and other grounds maintenance tasks. Quotes are due no later than March 22, 2024 and shall include the completed price schedule, SF-1449 form signed, and any signed amendments. The solicitation will be issued on March 14, 2024 and can be accessed on SAM.gov. A pre-bid site visit will be held on March 20, 2024 at 10:00am local time. The supporting application form requires contractors to provide details of each pest control application such as date, location, type of pests, areas treated, pesticides used, and applicator information.
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Other files
| File | Type | Posted |
|---|---|---|
| W911SA24Q3073 Attachment 5 - Sample Service Ticket.docx | DOCX document | |
| W911SA24Q3073 Attachment 4 - AT OPSEC.pdf | ||
| W911SA24Q3073 - Solicitation.pdf | ||
| W911SA24Q3073 Attachment 1 - Price Schedule - CUI.xlsx | XLSX spreadsheet | |
| W911SA24Q3073 Attachment 3 - Drawing.pdf | ||
| W911SA24Q3073 Attachment 6 - Contractor Performance Checklist.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 .