140D0426Q0420_Attachment_3___Service_Contract_Labor_Standards_Verification_Form.pdf
PDF 535 KB Posted
- Attached to
- AFRH Denture Laboratory Services - Gulfport MS Federal contract opportunity
- Solicitation number
- 140D0426Q0420
About this file
This is a Service Contract Labor Standards (SCLS) Verification Form template for RFQ No. 140D0426Q0420 issued by the Armed Forces Retirement Home in Gulfport, Mississippi for Denture Laboratory Services. The form is designed to ensure contractor compliance with Federal Acquisition Regulation (FAR) 52.222-41 and 41 U.S.C. chapter 67 regarding Service Contract Labor Standards.
Quoters must complete and submit this verification form with their quotation by selecting one of three options: that Service Contract Labor Standards does not apply to any proposed labor categories; that the standards apply to some labor categories which are annotated in the quote with corresponding wage determination titles per FAR 52.222-41(c)(2)(i); or that the standards apply to some labor categories but additional classification is needed. If additional classification is required, the quoter must submit Standard Form 1444 (Request For Authorization of Additional Classification and Rate) to the Contracting Officer within 30 days after the unlisted employee class performs contract work. The form requires certification by an authorized contractor representative with printed name, title, company name, and signature with date.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Sol_140D0426Q0420_Amd_0001.pdf | ||
| 140D0426Q0420_Attachment_2_-_Pricing_Worksheet.xlsx | XLSX spreadsheet | |
| Sol_140D0426Q0420.pdf | ||
| 140D0426Q0420_Attachment_1_-_Performance_Work_Statement.pdf | ||
| 140D0426Q0420_AFRH_Denture_Lab_Services_RFQ.pdf |
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Text version
ATTACHMENT 3 - Service Contract Labor Standards (SCLS) Verification Form RFQ No. 140D0426Q0420 — Denture Laboratory Services Armed Forces Retirement Home – Gulfport, Mississippi
In order to ensure compliance with Federal Acquisition Regulation (FAR) 52.222-41, "Service Contract Labor Standards," the quoter shall complete the following verification form. The form shall be submitted with the quoter'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 quote.1
☐ Applies to some of the Labor Categories proposed; but Additional Classification is needed.2
Certified By (Authorized Contractor Representative)
Print Full Name: _______________________________________________________________
Print Title: ___________________________________________________________________
Company Name: _______________________________________________________________
Signature / Date: ______________________________________________________________
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).
2 The quoter 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).
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