W911SA25Q3033 Attachment 4 - Sample Service Ticket.docx

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Snow Removal Services at KS013 Independence, KS
Solicitation number
W911SA25Q3033
Issued by

About this file

This document is an On Site Service Ticket for Snow Removal services under Contract W911SA25Q3033. The contract is for snow removal services at one location in Independence, Kansas. The performance period is from November 1, 2024 to October 31, 2025, with four option years and a six-month extension. The service ticket provides details on the types of snow removal services that can be performed, such as plowing roads, sidewalks, parking lots, and hauling excess snow. The ticket must be filled out by the contracted vendor each time services are performed, but does not constitute proof of inspection or acceptance of services by the government. The government reserves the right to fully inspect the work performed under the contract.

The related federal contract opportunity, Solicitation W911SA25Q3033, will be issued on September 18, 2024 and can be accessed on SAM.gov. Quotes are due by the date and time listed in the solicitation. Contractors must submit a signed SF1449, completed supplemental information, price schedule, and any applicable amendments. The place of performance is 620 Oak Street, Independence, KS 67301. A site visit will not be held.

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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):___________________________________________________

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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 .