Attachment_8_-_SF_1444_0002.pdf
PDF 697 KB Posted
- Attached to
- BLUE RIVER FISH BARRIER MAINTENANCE Federal contract opportunity
- Solicitation number
- 140R3024R0036
About this file
This document is a Standard Form 1444 - Request for Authorization of Additional Classification and Rate. It is used by a contractor to request the establishment of wage rates and fringe benefits for additional labor classifications needed to complete work under a federal contract, but not included in the Department of Labor's wage determination. The contractor must provide details on the proposed classifications, job descriptions, duties, and rationale, as well as the requested wage rates and fringe benefits. The contracting officer will then determine if the interested parties agree on the proposal, or if a wage determination by the Wage and Hour Division is required. This standard form provides the process for the contractor to submit such requests to the government.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Attachment_9_-_344-331-498_Blue_River_Fish_Barrier_Plan_0002.pdf | ||
| Attachment_7_-_Questions_and_Answers_0002.pdf | ||
| Sol_140R3024R0036_Amd_0002.pdf | ||
| Sol_140R3024R0036_Amd_0001.pdf | ||
| 140R3024R0036_BRFB_Steel_Plate_Armoring_RFP.pdf | ||
| Attachment_6_Site_Photographs.pdf | ||
| Attachment_1_Specifications.pdf | ||
| Attachment_4_Bond_Forms.pdf | ||
| Sol_140R3024R0036.pdf | ||
| Attachment_3_Wage_Determination.pdf | ||
| Attachment_5_DI-137_Release_of_Claims.pdf | ||
| Attachment_2_Drawings.pdf |
Show all 12
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Request For Authorization Of Additional Classification And Rate
Instructions: The Contractor shall complete items 3 through 16, keep a pending copy, and submit the request, in quadruplicate, to the Contracting Officer.
1. To:
Administrator, Wage And Hour Division U.S. Department Of Labor Washington, DC 20210
2. From: (Reporting Office)
3. Contractor 4. Date Of Request
5. Contract Number 6. Date Bid Opened (Sealed Bidding)
7. Date Of Award
8. Date Contract Work Started
9. Date Option Exercised (If Applicable) (Service Contract Only)
10. Subcontractor (If Any)
11. Project And Description Of Work (Attach Additional Sheet If Needed)
12. Location (City, County, And State)
13. In Order To Complete The Work Provided For Under The Above Contract, It Is Necessary To Establish The Following Rate(s) For The Indicated Classification(s) Not Included In The Department Of Labor Determination Number: Dated:
a. List In Order: Proposed Classification Title(s); Job Description(s); Duties; And Rationale For Proposed Classifications (Service contracts only)
b. Wage Rate(s) c. Fringe Benefits Payments
(Use reverse or attach additional sheets, if necessary)
14. Signature And Title Of Subcontractor Representative (If Any)
15. Signature And Title Of Prime Contractor Representative
STANDARD FORM 1444 (REV. 10/2023)
Prescribed by GSA-FAR (48 CFR) 53.222(f)
Check Appropriate Box Service Contract Construction Contract
OMB Control Number: 9000-0066 Expiration Date: 5/31/2025
Authorized For Local Reproduction Previous Edition Is Not Usable
Paperwork Reduction Act Statement
This information collection meets the requirements of 44 U.S.C. § 3507, as amended by section 2 of the
Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget (OMB) control number. The OMB control number for this collection is 9000-0066. We estimate that it will take .5 hours to read the instructions, gather the facts, and answer the questions. Send only comments relating to our time estimate, including suggestions for reducing this burden, or any other aspects of this collection of information to: U.S. General Services
Administration, Regulatory Secretariat Division (M1V1CB), 1800 F Street, NW, Washington, DC 20405.
To Be Completed By Contracting Officer (Check As Appropriate - See FAR 22.1019 (Service Contract Labor Standards) Or FAR 22.406-3 (Construction Wage Rate Requirements))
The Interested Parties Agree And The Contracting Officer Recommends Approval By The Wage And Hour Division. Available Information And Recommendations Are Attached.
The Interested Parties Cannot Agree On The Proposed Classification And Wage Rate. A Determination Of The Question By The Wage And Hour Division Is Therefore Requested. Available Information And Recommendations Are Attached.
(Send 3 copies to the Department of Labor)
Date SubmittedTitle And Commercial Telephone Number
Signature Of Contracting Officer Or Representative
DisagreeAgree
Check Appropriate Box - Referencing Block 13.
Title16. Signature Of Employee Or Representative
STANDARD FORM 1444 (REV. 10/2023) BACK
Request For Authorization Of Additional Classification And Rate Instructions: The Contractor shall complete items 3 through 16, keep a pending copy, and submit the request, in quadruplicate, to the Contracting Officer.
1. To:
Administrator, Wage And Hour Division U.S. Department Of Labor Washington, DC 20210
2. From: (Reporting Office)
3. Contractor
4. Date Of Request
5. Contract Number
6. Date Bid Opened (Sealed Bidding)
7. Date Of Award
8. Date Contract Work Started
9. Date Option Exercised (If Applicable) (Service Contract Only)
10. Subcontractor (If Any)
11. Project And Description Of Work (Attach Additional Sheet If Needed)
12. Location (City, County, And State)
13. In Order To Complete The Work Provided For Under The Above Contract, It Is Necessary To Establish The Following Rate(s) For The Indicated Classification(s) Not Included In The Department Of Labor Determination Number:
Dated:
a. List In Order: Proposed Classification Title(s); Job Description(s); Duties; And Rationale For Proposed Classifications (Service contracts only)
b. Wage Rate(s)
c. Fringe Benefits Payments (Use reverse or attach additional sheets, if necessary)
14. Signature And Title Of Subcontractor Representative (If Any)
15. Signature And Title Of Prime Contractor Representative
STANDARD FORM 1444 (REV. 10/2023)
Prescribed by GSA-FAR (48 CFR) 53.222(f) Check Appropriate Box Service Contract Construction Contract OMB Control Number: 9000-0066 Expiration Date: 5/31/2025 Authorized For Local Reproduction Previous Edition Is Not Usable Paperwork Reduction Act Statement
This information collection meets the requirements of 44 U.S.C. § 3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget (OMB) control number. The OMB control number for this collection is 9000-0066. We estimate that it will take .5 hours to read the instructions, gather the facts, and answer the questions. Send only comments relating to our time estimate, including suggestions for reducing this burden, or any other aspects of this collection of information to: U.S. General Services Administration, Regulatory Secretariat Division (M1V1CB), 1800 F Street, NW, Washington, DC 20405.
To Be Completed By Contracting Officer (Check As Appropriate - See FAR 22.1019 (Service Contract Labor Standards) Or FAR 22.406-3 (Construction Wage Rate Requirements)) The Interested Parties Agree And The Contracting Officer Recommends Approval By The Wage And Hour Division. Available Information And Recommendations Are Attached.
The Interested Parties Cannot Agree On The Proposed Classification And Wage Rate. A Determination Of The Question By The Wage And Hour Division Is Therefore Requested. Available Information And Recommendations Are Attached.
(Send 3 copies to the Department of Labor) Date Submitted Title And Commercial Telephone Number Signature Of Contracting Officer Or Representative Disagree Agree Check Appropriate Box -Referencing Block 13.
Title
16. Signature Of Employee Or Representative
STANDARD FORM 1444 (REV. 10/2023) BACK
8.2.1.4029.1.523496.503679 Standard Form 1444 - Request for Authorization of Additional Classification and Rate
| Click here to select, "Service Contract" for Checking the Appropriate Box. : 0 |
| Click here to select, "Construction Contract" for Checking the Appropriate Box. : 0 |
| 2. Enter the From: (Reporting Office) info. : |
| 3. Enter the Contractor name. : |
| 4. Enter the Date of Request (enter 2 digit month, 2 digit day and 4 digit year).: |
| 9. Enter the Date the Option was Exercised, if applicable, Service Contract Only (enter 2 digit month, 2 digit day and 4 digit year).: |
| 8. Enter the Date the Contract Work Started (enter 2 digit month, 2 digit day and 4 digit year).: |
| 7. Enter the Date of Award (enter 2 digit month, 2 digit day and 4 digit year).: |
| 6. Enter the Date the Bid Opened (Sealed Bidding) (enter 2 digit month, 2 digit day and 4 digit year).: |
| 5. Enter the Contract Number. : |
| 10. Enter the Name of the Subcontractor (if any).: |
| 11. Enter the Project title and a Description of the Work (attach an additional sheet if needed). : |
| 12. Enter the Location (City, County, and State).: |
| 13. Enter the Number used to establish the rate(s) for the indicated classification(s) NOT included in the Department of Labor Determination, in order to complete the work provided for under the above contract. : |
| 13. Enter the Date used to establish the rate(s) for the indicated classification(s) NOT included in the Department of Labor Determination, in order to complete the work provided for under the above contract (enter 2 digit month, 2 digit day and 4 digit year).: |
| 13a. List in Order: Proposed Classification Title, Job Description, Duties, and Rationale for Proposed Classifications (Service Contracts Only). Line 1 of 10.: |
| 13c. Enter the ninth Fringe Benefit Payment, if applicable. : |
| 13b. Enter the ninth Wage Rate, if applicable. : |
| 13a. List in Order: Proposed Classification Title, Job Description, Duties, and Rationale for Proposed Classifications (Service Contracts Only). (Line 9 of 10).: |
| 13c. Enter the tenth Fringe Benefit Payment, if applicable. : |
| 13b. Enter the tenth Wage Rate, if applicable. : |
| 13a. List in Order: Proposed Classification Title, Job Description, Duties, and Rationale for Proposed Classifications (Service Contracts Only). (Line 10 of 10).: |
| 13c. Enter the eighth Fringe Benefit Payment, if applicable. : |
| 13b. Enter the eighth Wage Rate, if applicable. : |
| 13a. List in Order: Proposed Classification Title, Job Description, Duties, and Rationale for Proposed Classifications (Service Contracts Only). (Line 8 of 10).: |
| 13c. Enter the seventh Fringe Benefit Payment, if applicable. : |
| 13b. Enter the seventh Wage Rate, if applicable. : |
| 13a. List in Order: Proposed Classification Title, Job Description, Duties, and Rationale for Proposed Classifications (Service Contracts Only). (Line 7 of 10).: |
| 13c. Enter the sixth Fringe Benefit Payment, if applicable. : |
| 13b. Enter the sixth Wage Rate, if applicable. : |
| 13a. List in Order: Proposed Classification Title, Job Description, Duties, and Rationale for Proposed Classifications (Service Contracts Only). (Line 6 of 10).: |
| 13c. Enter the fifth Fringe Benefit Payment, if applicable. : |
| 13b. Enter the fifth Wage Rate, if applicable. : |
| 13a. List in Order: Proposed Classification Title, Job Description, Duties, and Rationale for Proposed Classifications (Service Contracts Only). (Line 5 of 10).: |
| 13c. Enter the fourth Fringe Benefit Payment, if applicable. : |
| 13b. Enter the fourth Wage Rate, if applicable. : |
| 13a. List in Order: Proposed Classification Title, Job Description, Duties, and Rationale for Proposed Classifications (Service Contracts Only). (Line 4 of 10).: |
| 13c. Enter the third Fringe Benefit Payment, if applicable. : |
| 13b. Enter the third Wage Rate, if applicable. : |
| 13a. List in Order: Proposed Classification Title, Job Description, Duties, and Rationale for Proposed Classifications (Service Contracts Only). (Line 3 of 10).: |
| 13c. Enter the second Fringe Benefit Payment, if applicable. : |
| 13b. Enter the second Wage Rate, if applicable. : |
| 13a. List in Order: Proposed Classification Title, Job Description, Duties, and Rationale for Proposed Classifications (Service Contracts Only). (Line 2 of 10).: |
| 13b. Enter the first Wage Rate.: |
| 13c. Enter the first Fringe Benefit Payment. : |
| 14. If you are the Subcontractor Representative, enter your Title. : |
| Enter the Employee's or Representative's Title.: |
| 16. Sign here if you are the Employee or Representative making this request. : |
| To be completed by the Contracting Officer. Click here to select, "The Interested Parties Agree and the Contracting Officer Recommends Approval by the Wage and Hour Division. Available Information and Recommendations are Attached." : 0 |
| To be completed by the Contracting Officer. The Interested Parties CANNOT agree on the Proposed Classification and Wage Rate. A Determination of the Question by the Wage and Hour Division is therefore requested. Available Information and Recommendations are Attached.": 0 |
| To be completed by the Contracting Officer. If you are the Contracting Officer or Representative, enter your Title.: |
| To be completed by the Contracting Officer. If you are the Contracting Officer or Representative, enter the Date you submitted this form (enter 2 digit month, 2 digit day, and 4 digit year).: |
| To be completed by the Contracting Officer. If you are the Contracting Officer or Representative, enter your Commercial Telephone Number. : |
| Click here to select, "Disagree" after Referencing Block 13 to check the appropriate box.: 0 |
| Click here to select, "Agree" after Referencing Block 13 to check the appropriate box.: 0 |
File details come from the government source that posted it. Updated .