Technical Exhibit 5 - Service Order Summary Report.pdf
PDF 35 KB Posted
- Attached to
- Chemical Latrines & Pumping
- Solicitation number
- W9124R25QA0003
About this file
Technical Exhibit 5 is a Service Order Summary Report template for a chemical latrines and pumping services contract with Yuma Proving Ground. The template enables vendors to document detailed service order information including rental dates, portable latrine quantities, hand wash stations, pumping services, and associated pricing across different contract line item numbers (CLINs). It allows for tracking daily, weekly, and monthly service rates for standard and handicap-accessible portable toilets, with dedicated columns for extra cleaning, relocation, gallons pumped, and service hours.
The template is specifically designed for the W9124R25QA0003 solicitation, which is a 100% small business set-aside contract for septic and portable toilet services at Yuma Proving Ground. The contract will run from September 2025 to July 2030, with base and four option periods, covering services such as chemical toilet delivery, cleaning, staking, repairs, scheduled and emergency pumping of septic tanks, wash racks, and grease traps. The acquisition will be awarded using a Lowest Price Technically Acceptable (LPTA) evaluation methodology, with technical capability as the primary factor and price as the secondary consideration.
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Text version
Invoice Month - (enter here) Enter CLIN and Rate
Enter CLIN and Rate
Enter CLIN and Rate
Enter CLIN and Rate
Enter CLIN and Rate
Enter CLIN and Rate
Enter CLIN and Rate
Enter CLIN and Rate
Enter CLIN and Rate
Enter CLIN and Rate
Enter CLIN and Rate
Enter CLIN and rate p/gl
Enter CLIN and rate p/hr
SERVICE ORDER
(SO) # LOCATION START END PL QTY
HANDICAP
QTY DAILY WEEKLY MONTHLY
HANDICAP
DAILY
HANDICAP
WEEKLY
HANDICAP
MTHLY XTRA CLN RELOC HW Qty DAILY WEEKLY MTHLY
PUMPING
SERVICE
GALLONS
PUMPED
PUMPING
SERVICE HOURS TOTAL
(Enter Service Order Number here) (Enter YPG Location here)
Enter rental start date here
Enter rental end date here
Enter the total number of
Portable Latrines on the
SO here
Enter the total number of Disability
Friendly latrines on
SO here Enter total if daily Enter total if weekly Enter total if monthly Enter total if applicalble
Enter total if applicalble
Enter total if applicalble
Enter total if applicalble
Enter total if applicalble
Enter the total number of Hand Wash Stations on the SO Enter total if daily Enter total if weekly Enter total if monthly Enter total Enter amount of gallons pumped Enter total
Enter amount of hours #VALUE!
0 0 DAILY WEEKLY MONTHLY HANDICAP DAILY HANDICAP WEEKLY HANDICAP MTHLY XTRA CLN RELOC 0 DAILY WEEKLY MTHLY
Enter CLIN # Daily -$
Weekly -$ Monthly -$ Handwash
Handicap Daily -$ Enter CLIN # Handicap Week -$ Daily -$ Handicap Month -$ Weekly -$ Relocation -$
XCLN -$ Monthly -$ Enter CLIN # -$ -$
Sub Total -$
YUMA PROVING GROUND Contract # (Enter Contract number here)
(Enter Vendor Name here)
RENTAL DATES
Pumping Services Gall Pumping Services Hour
Enter CLIN #
PUMPING SERVICECLIN PORTABLE TOILETS EXTRA SERVICE HAND WASH STATIONS
FY25 AUG
File details come from the government source that posted it. Updated .