W911SA24Q3109 Attachment 5 Sample Service Ticket.docx

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Attached to
Custodial Services at IA058 Multi-Site in Iowa
Solicitation number
W911SA24Q3109
Issued by

About this file

This document appears to be a sample service ticket for custodial services under a federal contract. The service ticket details the types of custodial services that may be performed, such as dust mopping, vacuuming, restroom cleaning, and window washing. It requires the contracted vendor to fill out the service ticket each time services are performed, though it notes that the ticket does not constitute proof of inspection or acceptance of the services by the government.

The related federal contract opportunity is for custodial services at multiple sites in Iowa. Solicitation W911SA24Q3109 will be issued on June 6, 2024 and can be accessed on www.sam.gov. The performance period is from August 1, 2024 (or a subsequent date) to July 31, 2025, with four 12-month option years. Quotes must be emailed to the specified government representative by the due date and time, and all required documents, including a completed price schedule, must be submitted with the quote. A site visit is scheduled for June 12 and June 13, 2024, and written questions must be submitted by June 17, 2024.

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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 .