W911SA25QA061 - Attachment 09 - Service Ticket.docx

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Attached to
Custodial Services - MO006 Columbia, Missouri
Solicitation number
W911SA25QA061
Issued by

About this file

This is a service ticket template to be used by custodial service contractors when performing work at government facilities. The ticket requires documentation of specific custodial services performed, including dust mopping, damp mopping, spray buffing/burnishing, stripping/waxing/buffing, sealing/polishing, trash removal, carpet vacuuming and shampooing, and restroom cleaning/sanitizing. The form includes fields for the contract number, location, date, contractor employee names, and designated government representative check-in/check-out verification.

The related contract opportunity (W911SA25QA061) is for custodial services at one location in Missouri, with performance from February 1, 2025, through January 31, 2026, plus four option years and a six-month extension option. The solicitation will be issued January 17, 2025, with questions due by January 21, 2025, at 10:00 AM CST and quotes due January 23, 2025, at 10:00 AM CST. No site visit will be conducted. Required submission documents include signed SF 1449, completed supplemental information, price schedule, and any signed amendments. The contract will be administered by the Army Materiel Command Mission and Installation Contracting Command at Fort McCoy.

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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 .