W911SSA25QA005 Attachment 10 Sample Service Ticket.docx
DOCX document 28 KB Posted
- Attached to
- Custodial Services at NE024 Elkhorn, NE Federal contract opportunity
- Solicitation number
- W911SA25QA005
About this file
This is a service ticket template (Attachment 10) that contractors must complete when performing custodial services at the NE024 Elkhorn, NE facility. The ticket documents specific cleaning tasks performed including dust/damp mopping, spray buffing, stripping/waxing, trash removal, carpet vacuuming/shampooing, restroom cleaning/sanitization, dusting, and window cleaning. The form requires contractor employee names, check-in/check-out verification by a designated representative, and includes space for comments.
The related solicitation (W911SA25QA005) is for custodial services at 9750 North 204th Street Elkhorn, NE, issued by MICC Fort McCoy. The performance period runs from February 1, 2025 to January 31, 2026, with one 11-month extension option. Quotes must be emailed to the specified contracting officer and must include a signed SF 1449, completed supplemental information, price schedule, and any signed amendments. The solicitation will be issued December 23, 2024, with questions due by January 3, 2025 at 10:00 AM CST. No site visit is scheduled.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| W911SA25QA005 Solicitation Final.pdf | ||
| W911SA25QA005 Attachment 2 PWS.docx | DOCX document | |
| W911SA25QA005 Attachment 4 Wage Determination Log.xlsx | XLSX spreadsheet | |
| W911SA25QA005 Attachment 7 AT-OPSEC.pdf | ||
| W911SA25QA005 Attachment 1 Price Schedule CUI.xlsx | XLSX spreadsheet | |
| W911SA25QA005 Attachment 6 Room Chart and Task and Frequency.xlsx | XLSX spreadsheet | |
| W911SA25QA005 Attachment 9 Contractor Cleaning Sheet.docx | DOCX document | |
| W911SA25QA005 Attachment 3 PRS.xlsx | XLSX spreadsheet | |
| W911SA25QA005 Attachment 8 Deliverables.docx | DOCX document | |
| W911SA25QA005 Attachment 5 Drawing.docx | DOCX document |
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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 .