W911SA25QA050 Attachment 09 - Sample Service Ticket.docx

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Attached to
Custodial Services at KS065 (MS) - Tonganoxie, KS & Kansas City, MO
Solicitation number
W911SA25QA050
Issued by

About this file

This is a service ticket template that contractors must complete each time they perform custodial services at the facility. The ticket documents specific cleaning tasks performed including dust mopping, damp mopping, spray buffing/burnishing, stripping/waxing/buffing, sealing/polishing, trash removal, carpet vacuuming/shampooing, and restroom services (cleaning/sanitizing toilets, urinals, sinks, showers, walls, and partitions). The form includes fields for contract number, location, date, comments, vendor employee names, and designated representative check-in/check-out verification.

The service ticket corresponds to solicitation W911SA25QA050 for custodial services at KS065 facilities in Tonganoxie, KS and Kansas City, MO, with performance period March 2025 - February 2026 plus four option years and six-month extension option. Quotes are due to Deena Murphy by February 4, 2025, and must include signed SF 1449, completed supplemental information, price schedule in Excel format, and signed amendments. The opportunity is set aside for EDWOSBs, which will be verified before evaluation.

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Text version

On Site Service Ticket – Custodial Version 2.1; 20 MAR 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 .