Technical Exhibit 5 - Service Order Summary Report.pdf

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Attached to
Chemical Latrines & Pumping
Solicitation number
W9124R25QA0003
Issued by

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 .