W911SA24Q3084 Attachment 2 - 88th RD Universal Pest Management Application Reporting Form.docx

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Grounds Maintenance Services at WA029 Renton, WA
Solicitation number
W911SA24Q3084
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This document contains a federal contract opportunity solicitation and supporting application forms. The Department of the Army Materiel Command Mission and Installation Contracting Command Fort McCoy is soliciting quotes for grounds maintenance services at one location in Renton, Washington. The performance period is from May 1, 2024 to April 30, 2025 with one option year and a six-month option to extend services. Quotes are due by the date and time listed on the solicitation and must include a completed SF 1449, information from the supplemental section, signed price schedule, and any signed amendments. Written questions about the solicitation are due by April 8, 2024. Interested vendors should monitor www.sam.gov for the issuance and any amendments to the solicitation. The supporting application forms require contractors to provide details of each pest management operation, including date, location, type of application, area treated, pesticide used, and applicator information.

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Other files

File Type Posted
W911SA24Q3084 Attachment 1 - Price Schedule 5-8-24 - CUI.xlsx XLSX spreadsheet
W911SA24Q3084 Attachment 3 - WA029 Grounds Drawing 5-8-24.pdf PDF
W911SA24Q3084 Amendment 2.pdf PDF
W911SA24Q3084 Amendment 1.pdf PDF
W911SA24Q3084 Attachment 1 - Price Schedule - CUI.xlsx XLSX spreadsheet
W911SA24Q3084 Attachment 5 - Sample Service Ticket.docx DOCX document
W911SA24Q3084 Attachment 4 - AT-OPSEC.pdf PDF
W911SA24Q3084 Solicitation.pdf PDF
W911SA24Q3084 Attachment 3 - WA029 Grounds Drawing.pdf PDF

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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 .