Attachment 5 - Service Order Form.xlsx

This is a Service Order Form template used for documenting and authorizing maintenance and service work under the Electronic Security System (ESS) Maintenance and Service contract at Fort Leavenworth, Kansas. The form is designed to capture comprehensive information about individual service orders, including contractor details, facility information, service call dates, and task order references. Part I requires documentation of the scope of work, schedule of completion, and safety verification, with checkboxes for contractors to confirm whether Accident Prevention Plans (AHA) are associated with the work or if additional plans are needed.

Part II provides a detailed cost summary structure organized by labor classifications, travel expenses, parts and materials, and subcontracts. Labor categories include Project Manager, Sr. Security System Engineer, Security System Engineer, Maintenance Supervisor, Sr. Electronic Technician, and CAD Operator, with fields for regular and overtime hours and rates. The form includes guidance notes from the Contracting Officer regarding micro-purchase thresholds, requiring three competitive quotes for single items exceeding $10,000 and for subcontractor quotes over $2,500. Part III requires authorization signatures from the On-Site Representative, Engineering Concurrence, and Contracting Officer, while Part IV includes certification of completed services by both the contractor and Government Quality Assurance Evaluator. The template contains placeholder rows for multiple line items and applies profit margins, material handling, shipping, and tax calculations to derive the total service order cost for invoicing.