W911SA24Q3114 Attachment 5 (Service Ticket Template).docx

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Attached to
Custodial Services at Facility NE023 in Lincoln, NE
Solicitation number
W911SA-24-Q-3114
Issued by

About this file

This document appears to be an On Site Service Ticket - Custodial Version 2.1 template for a federal contract. The template includes various custodial service options such as dusting, floor cleaning, restroom cleaning, and other services. The template is to be filled out by the contracted vendor each time services are performed, though it does not provide proof of inspection or acceptance of the services. The government reserves the right to inspect the work performed under the contract at any time.

The related federal contract opportunity is for Custodial Services at Facility NE023 in Lincoln, NE under Solicitation Number W911SA-24-Q-3114. The anticipated period of performance is 1 July 2024 to 30 June 2025, with four (4) one (1) year option periods and a six (6) month option to extend services. Quotes are due to the government by the date and time listed in the solicitation, and must include a signed SF 1449, completed information from the Supplemental Information section, completed Price Schedule Attachment, and signed amendments (if applicable). No site visit will be held, and vendors must access the solicitation and associated documents through SAM.gov.

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Text version

On Site Service Ticket – Custodial Version 2.1; 20 MAR 2024 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 .