W911SA24Q3086 - Attachment 2 - Pest Management Application Reporting Form.docx

DOCX document 31 KB Posted

Attached to
Grounds Maintenance Services at WI088 (MS) Federal contract opportunity
Solicitation number
W911SA24Q3086
Issued by
Department of the Army Materiel Command Mission and Installation Contracting Command Fort McCoy

About this file

This file contains a federal contract solicitation and related documents. The solicitation seeks quotes for grounds maintenance services at ten locations in Wisconsin under contract number W911SA24Q3086. The performance period is from March 1st, 2024 to February 28th, 2025, with four option years and a six month option to extend. Quotes are due by February 27th, 2024 and shall include the completed solicitation, price schedule, and any amendments. The solicitation will be issued on February 20th and can be accessed on SAM.gov. The Department of the Army Materiel Command Mission and Installation Contracting Command at Fort McCoy is the contracting agency.

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Other files for this federal contract opportunity

Other files attached to Grounds Maintenance Services at WI088 (MS), newest first.
File Type Posted
W911SA24Q3086 - Solicitation.pdf PDF
W911SA24Q3086 - Solicitation.pdf PDF
W911SA24Q3086 - Attachment 4 - AT OPSEC.pdf PDF
W911SA24Q3086 - Attachment 3 - WI088 Drawings (Combined).pdf PDF
W911SA24Q3086 - Attachment 5 - Grounds Service Ticket.docx DOCX document
W911SA24Q3086 - Attachment 1 - Price Schedule (blank).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 .