W911SA24Q3101 Attachment 4 Sample Service Ticket.docx

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Attached to
Custodial Services at MO026 Saint Joseph, MO
Solicitation number
W911SA24Q3101
Issued by

About this file

This document appears to be a sample service ticket for custodial services provided under a federal contract. The related federal contract opportunity is for custodial services at the MO026 facility in Saint Joseph, Missouri. The contract has a base period of performance from 15 September 2024 to 31 August 2025, with four 12-month option years. The solicitation will be issued on 26 July 2024 and can be accessed through SAM.gov. Quotes must be emailed to the contracting officer by the due date and shall include a signed SF 1449, completed Supplemental Information, Price Schedule, and any applicable signed amendments. A site visit is scheduled for 7 August 2024, and the deadline for written questions is 19 August 2024. The contract will be awarded by the Department of the Army Materiel Command Mission and Installation Contracting Command at Fort McCoy.

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Text version

On Site Service Ticket – Custodial Version 2.0; 3 AUG 2023 Contract number: _____________________ Location: _____________________

DATE: __________

Custodial Service TYPE (include all): ☐Dust Mop ☐Damp Mop ☐Spray Buff, Burnish ☐Strip, wax, Buff ☐Seal, Polish ☐Remove Trash ☐Vacuum ☐Carpet Shampoo ☐Service Restrooms (Clean/Sanitize toilets, urinals, sinks, showers, walls, partitions) ☐ Contractor Restroom Cleaning Sheet completed ☐Restroom floor cleaning ☐Low Dusting ☐High Dusting ☐Window Cleaning 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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