W911SA25QA072 Attachment 09 - Sample Service Ticket.docx
DOCX document 25 KB Posted
- Solicitation number
- W911SA25QA072
About this file
This is a template service ticket form for documenting grounds maintenance services. The form requires contractors to record details of lawn maintenance services performed, including specific types of work such as mowing, edging, trimming, policing, spring/fall cleanup, weed & feed application, weeding, aeration, and herbicide application. Chemical reports are required for weed & feed and herbicide applications.
The form includes spaces for recording the contract number, location, date, vendor employee names, and designated representative check-in/check-out verification. The document specifies that while this ticket must be completed for each service visit, it does not constitute proof of inspection or acceptance of services, and the Government maintains the right to inspect work performance at any time or place deemed necessary. This template is Version 2.2, dated 03 JUN 2024.
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Other files
| File | Type | Posted |
|---|---|---|
| W911SA25QA072 Solicitation Amendment 0002 Final.pdf | ||
| W911SA25QA072 Attachment 06 - Price Schedule_CUI.xlsx | XLSX spreadsheet | |
| W911SA25QA072 Attachment 02 - AT-OPSEC.pdf | ||
| W911SA25QA072 Attachment 05 - Wage Determination Log.xlsx | XLSX spreadsheet | |
| W911SA25QA072 Attachment 01 - PWS.docx | DOCX document | |
| W911SA25QA072 Attachment 10 - Universal Pest Management Application Reporting Form.docx | DOCX document | |
| W911SA25QA072 Solicitation Final.pdf | ||
| W911SA25QA072 Amendment 01 Final.pdf | ||
| W911SA25QA072 Attachment 07 - Drawing.pdf | ||
| W911SA25QA072 Attachment 08 - DOD Pesticides List.pdf | ||
| W911SA25QA072 Attachment 03 - PRS.xlsx | XLSX spreadsheet | |
| W911SA25QA072 Attachment 04 - Deliverables.docx | DOCX document |
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Text version
On Site Service Ticket – Grounds Maintenance Version 2.2; (03 JUN 2024) Contract number: _____________________ Location: _____________________
DATE: __________
LAWN MAINTENANCE TYPE (include all) ☐Type 1 ☐Type 2 ☐Type 3 ☐Type 4 ☐Mowing ☐Edging ☐Trimming ☐Policing ☐Spring/Fall Cleanup ☐Weed & Feed (Provide Chemical report) ☐Weeding ☐Aeration ☐Herbicide Application (Provide Chemical report) 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 .