W911SA25Q3010 Attachment 4 - Snow Service Ticket V 2.2.docx

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Attached to
W911SA25Q3010 Snow Removal Services for KS100 in New Century, KS
Solicitation number
W911SA25Q3010
Issued by

About this file

This document is an On Site Service Ticket template for snow removal services under contract W911SA25Q3010. The template is to be filled out by the contracted vendor each time services are performed, including details such as the contract number, location, service date and time, snow depth, type of snow removal performed (e.g. roads, sidewalks, parking areas), and signatures of the vendor and government representative. While this document does not provide proof of inspection or acceptance of services, the government reserves the right to fully inspect work performance under the contract at any time. The related federal contract opportunity is a Request for Quotes for snow removal services at the KS100 location in New Century, 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 – Snow Removal Version 2.2; 03 JUN 2024 Contract number: _____________________ Location: _____________________ DATE: __________ Time Vendor Called: ____________ Snow Depth: ____________ Time Service Performed: ______________ SNOW REMOVAL TYPE (include all) ☐Type 1 (All – Roads, Sidewalks, POV Parking, MEP Parking) ☐Type 2 (Roads, Sidewalks, POV Parking only) ☐Type 3 (MEP Parking Only) ☐Type 4 (Sidewalks Only) ☐Type 5 (Plowing, Salting and Sanding – Ice Storm only) ☐Type 6 (Haul excess snow from site if required) ☐Type 8 (End of Season Cleanup, Sweep Parking lots & remove debris)

Comments

Check In/Out Employee(s) Name (print):___________________________________________________

___________________________________________________
___________________________________________________
___________________________________________________

Designated Rep. Signature: ___________________________________________________ Designated Rep. 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 .