W911SA25QA008 Attachment 9 Service Ticket Template.docx
DOCX document 24 KB Posted
- Solicitation number
- W911SA25QA008
About this file
This is a service ticket template that contractors must complete when performing custodial services at the facility. The template includes checkboxes for various cleaning tasks including dust mopping, damp mopping, spray buffing/burnishing, stripping/waxing/buffing, sealing/polishing, trash removal, carpet vacuuming and shampooing, and restroom services (cleaning/sanitizing toilets, urinals, sinks, showers, walls, and partitions). The form also includes spaces for documenting the contract number, location, date, contractor employee names, and designated representative check-in/out verification.
The template is associated with solicitation W911SA25QA008 for custodial services at multiple Indiana locations (IN075), including sites in Bloomington and Richmond. The contract period is March 1, 2025 to February 28, 2026, with four 12-month option years. Site visits are scheduled for January 28, 2025, at 8:00 AM in Richmond and 11:00 AM in Bloomington. Questions are due by January 31, 2025, at 10:00 AM CST. The contracting agency is the Department of the Army Materiel Command Mission and Installation Contracting Command at Fort McCoy.
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Other files
| File | Type | Posted |
|---|---|---|
| W911SA25QA008 Solicitation.pdf | ||
| W911SA25QA008 Attachment 7 Drawings.pdf | ||
| W911SA25QA008 Attachment 2 AT-OPSEC.pdf | ||
| W911SA25QA008 Attachment 1 PWS.docx | DOCX document | |
| W911SA25QA008 Attachment 10 Sample Rest Room Cleaning Sheet.docx | DOCX document | |
| W911SA25QA008 Attachment 5 Wage Determination Log.xlsx | XLSX spreadsheet | |
| W911SA25QA008 Attachment 8 Room Chart and Task Frequency.xlsx | XLSX spreadsheet | |
| W911SA25QA008 Attachment 6 Price Schedule CUI.xlsx | XLSX spreadsheet | |
| W911SA25QA008 Attachment 3 PRS.xlsx | XLSX spreadsheet | |
| W911SA25QA008 Attachment 4 Deliverables.docx | DOCX document |
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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 .