W911SA24Q3103 Attachment 4 - Service Ticket.docx

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Attached to
Custodial Services for KS083 in Hays, KS
Solicitation number
W911SA24Q3103
Issued by

About this file

This document is an On Site Service Ticket - Custodial Version 2.0, which is a template to be used by the contracted vendor providing custodial services for Contract Number W911SA24Q3103 at a location in Hays, KS. The ticket covers a variety of custodial services including dust mopping, damp mopping, spray buffing, carpet shampooing, restroom cleaning, low and high dusting, and window cleaning. The contractor must complete this service ticket each time they perform services on location. The service ticket does not constitute proof of inspection or acceptance of the services by the Government, as the Government reserves the right to fully inspect the work performed at any time. The related federal contract opportunity is a Request for Quotes (RFQ) for Custodial Services for KS083 in Hays, KS, issued by the Department of the Army Materiel Command Mission and Installation Contracting Command 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.

File details come from the government source that posted it. Updated .