W911SA25Q3004 Attachment 4 (Service Ticket Template).docx

DOCX document 28 KB Posted

Attached to
Custodial Services MO001; Belton, MO Federal contract opportunity
Solicitation number
W911SA25Q3004
Issued by
Department of the Army Materiel Command Mission and Installation Contracting Command Fort McCoy

About this file

The provided document appears to be an On Site Service Ticket - Custodial Version 2.2 form. This form is intended to be filled out by the contracted vendor each time custodial services are performed at a specific location under a federal contract. The form includes space to record the contract number, location, date, and types of custodial services performed, such as dusting, mopping, trash removal, and restroom cleaning. It also includes sections for contractor employee names, designated government representatives, and comments.

The related federal contract opportunity is for Custodial Services at Facility MO001 in Belton, MO. Solicitation W911SA-25-Q-3004 will be issued on September 25, 2024 and can be accessed on SAM.gov. The period of performance is anticipated to be January 1, 2025 to December 31, 2025, with four one-year option periods and a six-month extension option. Quotes are due to the Government by the date and time listed in the solicitation. Contractors must submit a signed SF 1449, completed supplemental information, price schedule, and any amendments. No site visit will be held, and vendors will not be directly notified of solicitation amendments.

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Other files for this federal contract opportunity

Other files attached to Custodial Services MO001; Belton, MO, newest first.
File Type Posted
W911SA25Q3004 Attachment 5 (Rest Room Cleaning Sheet).docx DOCX document
W911SA25Q3004 Attachment 1 (Price Schedule) CUI.xlsx XLSX spreadsheet
W911SA25Q3004 Solicitation.pdf PDF
W911SA25Q3004 Attachment 2 (AT-OPSEC).pdf PDF
W911SA25Q3004 Attachment 3 (MO001 Drawing).pdf PDF

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Text version

On Site Service Ticket – Custodial Version 2.2; 03 JUN 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 .