W911SA24Q3142 Attachment 8 - 88th RD Universal Pest Management Application Reporting Form.docx
DOCX document 31 KB Posted
- Solicitation number
- W911SA24Q3142
About this file
This document is an 88th Readiness Division Universal Pest Management Application Reporting Form. It is used to document pest management operations, including the date, location, type of pest control, area treated, pesticide/herbicide used, and applicator information. The related federal contract opportunity is for Grounds Maintenance and Snow Removal Services at one location in Missouri. The performance period is 1 November 2024 to 31 October 2025 with four option years and a six-month option to extend services. Quotes are due to the Government by the solicitation closing date and time, and the contractor must provide a signed SF 1449, completed supplemental information, price schedule, and signed amendments (if applicable). Written questions must be furnished to the Government no later than 10:00 AM CST on Wednesday, 25 September 2024. The contracting agency is the Department of the Army Materiel Command Mission and Installation Contracting Command Fort McCoy.
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Other files
| File | Type | Posted |
|---|---|---|
| W911SA24Q3142 Attachment 1 - Price Schedule- CUI.xlsx | XLSX spreadsheet | |
| W911SA24Q3142 Attachment 2 - Snow Drawing.pdf | ||
| W911SA24Q3142 Attachment 5 - Snow Service Ticket.docx | DOCX document | |
| W911SA24Q3142 Attachment 4 - AT OPSEC.pdf | ||
| W911SA24Q3142 MO074 Solicitation (f) 9-19-24.pdf | ||
| W911SA24Q3142 Attachment 7 - Snow Task and Frequency.xlsx | XLSX spreadsheet | |
| W911SA24Q3142 Attachment 6 - Grounds Service Ticket.docx | DOCX document | |
| W911SA24Q3142 Attachment 3 - Grounds Drawing.pdf |
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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: _________________________________(percentage of AI from label) 8e. Amount of Product Used: ___________________________________________ [include unit, FL (fluid ounce), GA (gallon), ML (milliliter), LT (liter), LB (pound), DR (dry ounce), GR (gram), KG (kilogram) AND how much water was added] 8f. Final Concentration Applied: _______________________________________ [amount of ACTIVE INGREDIENT (AI) per area (examples: 1.5 oz/gal, 4lbs/1000 SF] 8g. Total Amount of Active Ingredient applied in this pest management operation: ___________________________________ [in fl oz (if liquid) or weight (if solid)]
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 .