W911SA26QA060 Attachment 08 - Sample Cleaning Ticket.docx

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Attached to
Custodial Services at TX232 - Houston, TX
Solicitation number
W911SA26QA060
Issued by

About this file

This is a sample service ticket template for custodial services documentation. The ticket is designed for vendor completion each time custodial services are performed on-site at the contract location. It captures essential service information including the contract number, location, date of service, and specific custodial service types performed such as dust mopping, damp mopping, spray buffing, carpet shampooing, restroom cleaning and sanitization, dusting, window cleaning, and trash removal. The form includes checkboxes for various cleaning activities and provides space for detailed comments regarding work performed. The ticket requires documentation of vendor employee names and designated representative signatures for both check-in and check-out, establishing accountability for service delivery.

The document explicitly states that the service ticket serves as a work documentation record but does not constitute proof of inspection or government acceptance of services. The government reserves the right to conduct full inspections of work performance at any time or location as deemed necessary. This template is associated with solicitation W911SA26QA060 for custodial services at TX232 in Houston, Texas, with a performance period from March 1, 2026 through February 28, 2027, plus four option periods and a potential six-month extension. The procurement is set-aside exclusively for Service-Disabled Veteran-Owned Small Businesses (SDVOSBs), requiring vendors to be listed and verified on the SBA Small Business Search website.

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Text version

On Site Service Ticket – Custodial Version 2.3; 18 MAR 2025 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 .