W911SA25QA032 Attachment 9 Sample Service Ticket.docx

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Attached to
Custodial Services at WA005 Bothell, WA
Solicitation number
W911SA25QA032
Issued by

About this file

This is a service ticket template that contractors must complete when performing custodial services at WA005 Bothell, WA. The ticket requires documentation of specific cleaning tasks performed including dust mopping, damp mopping, spray buffing/burnishing, stripping/waxing/buffing, sealing/polishing, trash removal, carpet vacuuming/shampooing, and restroom cleaning services. Contractors must record employee names, check-in/check-out times, and obtain signatures from designated government representatives. The template includes a disclaimer stating that the service ticket does not constitute proof of inspection or acceptance of services, and the government reserves the right to inspect work performance at any time.

The related contract opportunity is a solicitation for custodial services at WA005 130 SW 228th St Bothell, WA, with performance period from March 1, 2025 to February 28, 2026, plus four 12-month option years. Key dates include solicitation issuance on January 17, 2025, site visit on January 22, 2025 at 10:30 AM, and questions due by January 27, 2025 at 10:00 AM CST. The contracting agency is the Department of the Army MICC Fort McCoy, and quotes must be submitted via email to leslie.a.koenig2.civ@army.mil.

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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 .