140D0426Q0343_Attachment_2_-_SCA_Certification.docx

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Attached to
MPI Art Conservation
Solicitation number
140D0426Q0528
Issued by

About this file

This is a Service Contract Act Verification Form that contractors must complete and submit with their quotation for RFQ Number 140D0426Q0528. The form ensures compliance with Federal Acquisition Regulation (FAR) 52.222-41 and 41 U.S.C. Chapter 67 regarding Service Contract Labor Standards and prevailing wage requirements under 29 CFR Part 4.

Contractors must certify one of three conditions: that the Service Contract Act does not apply to any proposed labor categories; that it applies to some labor categories, which must be identified with corresponding wage determination titles in the proposal; or that it applies to some labor categories but additional classification is needed, requiring submission of Standard Form 1444 within 30 days of when an unlisted employee class begins work. The form requires certification by an authorized contractor representative with signature, printed name, title, and company name. This is a template form only and does not address specific products or services required for the underlying MPI Art Conservation solicitation.

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RFQ Number : 140D0426Q0528 Attachment 2– Service Contract Act Verification Form

In order to ensure compliance with Federal Acquisition Regulation (FAR) 52.222-41, “Service Contract Labor Standards,” the Contractor shall complete the following verification form. The form shall be submitted with the Contractor’s quotation, and shall be in the following format:

41 U.S.C. chapter 67, Service Contract Labor Standards and 29 CFR Part 4: (check one)

☐ Does Not Apply to any of the Labor Categories proposed, or Labor Categories used to support this effort.

☐ Applies to some Labor Categories proposed, which are annotated as such within the proposal[footnoteRef:1] [1: All labor categories subject to wage determinations shall include the corresponding wage determination title in accordance with FAR 52.222-41(c)(2)(i).]

☐ Applies to some of the Labor Categories proposed; but Additional Classification is needed[footnoteRef:2] [2: The Contractor shall submit Standard Form (SF) 1444, Request For Authorization of Additional Classification and Rate, to the Contracting Officer no later than 30 days after the unlisted class of employee performs any contract work, in accordance with FAR 52.222-41(c)(2)(ii).

Certified By (Authorized Contractor Representative) Print full Name Print Title:

Company Name:

Signature / Date

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