1605JW-21-R-00017-0004-AMS (003) Carrasco.pdf

(x)

1605JW-21-R-00017

x x

1 copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted ; or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGEMENT TO BE RECEIVED AT

THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted , such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

x

Washington DC 20210

JCAS

N-4643 200 Constitution Ave, NW Job Corps Acquisition Services US Department of Labor

01/19/20220004

13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

12. ACCOUNTING AND APPROPRIATION DATA (If required) is not extended.is extended, Items 8 and 15, and returning

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended , by one of the following methods: (a) By completing

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

FACILITY CODE CODE

10B. DATED (SEE ITEM 13)

10A. MODIFICATION OF CONTRACT/ORDER NO.

9B. DATED (SEE ITEM 11)

9A. AMENDMENT OF SOLICITATION NO.

CODE

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)

7. ADMINISTERED BY (If other than Item 6)CODE 6. ISSUED BY

PAGE OF PAGES

4. REQUISITION/PURCHASE REQ. NO.3. EFFECTIVE DATE2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO. (If applicable)

1. CONTRACT ID CODE

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

11/16/2021

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority) appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

E. IMPORTANT: Contractor is not, is required to sign this document and return __________________ copies to the issuing office.

ORDER NO. IN ITEM 10A.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

The purpose of this amendment is to answer clarification questions. The solicitation is amended as follows:

1) All submitted clarification questions and answers are attached to this amendment.

2) Attachments J-01, J-12.1, J-16, J-23.1, J-23.2, J-27, and J-28 have been updated and/or added.

3) Section L.7 Proposal Content is amended as follows:

"PLEASE BE ADVISED: Executive Order (EO)14026, “Increasing the Minimum Wage for Federal

Continued ...

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)15A. NAME AND TITLE OF SIGNER (Type or print)

15C. DATE SIGNED 16B. UNITED STATES OF AMERICA 15B. CONTRACTOR/OFFEROR 16C. DATE SIGNED

(Signature of person authorized to sign) (Signature of Contracting Officer)

Douglas A. Gosselin

STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA

FAR (48 CFR) 53.243

NSN 7540-01-152-8070

Previous edition unusable

Except as provided herein, all terms and conditions of the document referenced in Item 9 A or 10A, as heretofore changed, remains unchanged and in full force and effect .

TEL: EMAIL: 972-850-4111 GOSSELIN.DOUGLAS.A@DOL.GOV

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

2 2

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

1605JW-21-R-00017/0004

Contractors,” was signed by the President on

April 27, 2021. EO 14026 provides for increasing the minimum wage for Federal contractors to

$15.00 per hour, effective January 30, 2022. EO

14026 can be accessed at:

https://www.whitehouse.gov/briefing-room/president ial-actions/2021/04/27/executive-order-on-increasi ng-the-minimum-wage-for-federal-contractors/. As the performance of this requirement is anticipated to begin on/after the January 30, 2022 effective date, offerors shall include the increased minimum wage in their price proposal.

However, for positions that are covered by a

Service Contract Labor Standards Determination or a Construction Wage Determination, the contractor shall comply with the Wage Determination and once a new Determination is issued to reflect the new

Federal Minimum Wage, a contract modification will be issued. Please note that the modification incorporating the new Determination may be issued at a time sooner than the modification exercising the option period, and is done only to accommodate the new change to the minimum wage and cannot be viewed by the contractor as an indicating that the government will incorporate new wage determinations more frequently than at contract award and the exercising of options."

4) All other terms and conditions remain unchanged.

Period of Performance: 05/01/2022 to 04/30/2027

Unless amended herein, all other terms and conditions of the solicitation remain unchanged and in full force and effect.

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110

"REGISTER OF WAGE DETERMINATIONS UNDER | U.S. DEPARTMENT OF LABOR

THE SERVICE CONTRACT ACT | EMPLOYMENT STANDARDS

ADMINISTRATION

By direction of the Secretary of Labor | WAGE AND HOUR DIVISION

| WASHINGTON D.C. 20210

| Wage Determination No.: 2015-

Daniel W. Simms Division of | Revision No.: 15

Director Wage Determinations| Date Of Last Revision:

10/20/2021

Note: Under Executive Order (EO) 13658 an hourly minimum wage of $10.95 for calendar year 2021 applies to all contracts subject to the Service

Contract

Act for which the contract is awarded (and any solicitation was issued) on or after January 1 2015. If this contract is covered by the EO the contractor must pay all workers in any classification listed on this wage determination at least $10.95 per hour (or the applicable wage rate listed on this wage determination if it is higher) for all hours spent performing on the contract in calendar year 2021. The EO minimum wage rate will be adjusted annually.

Additional information on contractor requirements and worker protections under the EO is available at www.dol.gov/whd/govcontracts.

State: Texas

Area: Texas Counties of El Paso Hudspeth

**Fringe Benefits Required Follow the Occupational Listing**

OCCUPATION CODE - TITLE FOOTNOTE

RATE

01000 - Administrative Support And Clerical Occupations

01011 - Accounting Clerk I

14.02

01012 - Accounting Clerk II

15.75

01013 - Accounting Clerk III

17.61

01020 - Administrative Assistant

25.82

01035 - Court Reporter

20.90

01041 - Customer Service Representative I

11.64

01042 - Customer Service Representative II

12.92

01043 - Customer Service Representative III

14.51

01051 - Data Entry Operator I

10.53

01052 - Data Entry Operator II

11.62

01060 - Dispatcher Motor Vehicle

16.97

01070 - Document Preparation Clerk

12.78

01090 - Duplicating Machine Operator

01111 - General Clerk I

12.41

01112 - General Clerk II

13.53

01113 - General Clerk III

15.19

01120 - Housing Referral Assistant

18.71

01141 - Messenger Courier

10.66

01191 - Order Clerk I

12.82

01192 - Order Clerk II

13.99

01261 - Personnel Assistant (Employment) I

15.60

01262 - Personnel Assistant (Employment) II

17.44

01263 - Personnel Assistant (Employment) III

19.44

01270 - Production Control Clerk

17.14

01290 - Rental Clerk

13.95

01300 - Scheduler Maintenance

15.01

01311 - Secretary I

15.01

01312 - Secretary II

16.78

01313 - Secretary III

18.71

01320 - Service Order Dispatcher

15.18

01410 - Supply Technician

01420 - Survey Worker

15.95

01460 - Switchboard Operator/Receptionist

11.06

01531 - Travel Clerk I

13.97

01532 - Travel Clerk II

15.34

01533 - Travel Clerk III

16.39

01611 - Word Processor I

15.33

01612 - Word Processor II

17.21

01613 - Word Processor III

19.26

05000 - Automotive Service Occupations

05005 - Automobile Body Repairer Fiberglass

18.05

05010 - Automotive Electrician

15.40

05040 - Automotive Glass Installer

14.37

05070 - Automotive Worker

05110 - Mobile Equipment Servicer

12.32

05130 - Motor Equipment Metal Mechanic

17.31

05160 - Motor Equipment Metal Worker

05190 - Motor Vehicle Mechanic

05220 - Motor Vehicle Mechanic Helper

11.29

05250 - Motor Vehicle Upholstery Worker

13.34

05280 - Motor Vehicle Wrecker

05310 - Painter Automotive

05340 - Radiator Repair Specialist

05370 - Tire Repairer

13.25

05400 - Transmission Repair Specialist

07000 - Food Preparation And Service Occupations

07010 - Baker

11.05

07041 - Cook I

12.40

07042 - Cook II

14.81

07070 - Dishwasher

9.05

07130 - Food Service Worker

10.10

07210 - Meat Cutter

11.37

07260 - Waiter/Waitress

9.25

09000 - Furniture Maintenance And Repair Occupations

09010 - Electrostatic Spray Painter

19.03

09040 - Furniture Handler

10.65

09080 - Furniture Refinisher

19.03

09090 - Furniture Refinisher Helper

13.38

09110 - Furniture Repairer Minor

15.92

09130 - Upholsterer

19.55

11000 - General Services And Support Occupations

11030 - Cleaner Vehicles

10.31

11060 - Elevator Operator

11090 - Gardener

14.73

11122 - Housekeeping Aide

11150 - Janitor

11210 - Laborer Grounds Maintenance

10.39

11240 - Maid or Houseman

9.27

11260 - Pruner

9.23

11270 - Tractor Operator

13.26

11330 - Trail Maintenance Worker

10.39

11360 - Window Cleaner

11.96

12000 - Health Occupations

12010 - Ambulance Driver

14.64

12011 - Breath Alcohol Technician

21.06

12012 - Certified Occupational Therapist Assistant

29.56

12015 - Certified Physical Therapist Assistant

29.54

12020 - Dental Assistant

16.90

12025 - Dental Hygienist

30.57

12030 - EKG Technician

32.41

12035 - Electroneurodiagnostic Technologist

32.41

12040 - Emergency Medical Technician

12071 - Licensed Practical Nurse I

18.83

12072 - Licensed Practical Nurse II

21.06

12073 - Licensed Practical Nurse III

23.47

12100 - Medical Assistant

12.43

12130 - Medical Laboratory Technician

22.19

12160 - Medical Record Clerk

16.05

12190 - Medical Record Technician

17.95

12195 - Medical Transcriptionist

17.29

12210 - Nuclear Medicine Technologist

44.91

12221 - Nursing Assistant I

11.50

12222 - Nursing Assistant II

12.92

12223 - Nursing Assistant III

14.10

12224 - Nursing Assistant IV

15.84

12235 - Optical Dispenser

14.20

12236 - Optical Technician

13.62

12250 - Pharmacy Technician

16.85

12280 - Phlebotomist

15.10

12305 - Radiologic Technologist

28.29

12311 - Registered Nurse I

23.99

12312 - Registered Nurse II

28.64

12313 - Registered Nurse II Specialist

28.64

12314 - Registered Nurse III

34.65

12315 - Registered Nurse III Anesthetist

34.65

12316 - Registered Nurse IV

41.55

12317 - Scheduler (Drug and Alcohol Testing)

26.09

12320 - Substance Abuse Treatment Counselor

23.23

13000 - Information And Arts Occupations

13011 - Exhibits Specialist I

24.93

13012 - Exhibits Specialist II

30.88

13013 - Exhibits Specialist III

37.78

13041 - Illustrator I

13042 - Illustrator II

13043 - Illustrator III

37.78

13047 - Librarian

34.20

13050 - Library Aide/Clerk

12.85

13054 - Library Information Technology Systems

Administrator

13058 - Library Technician

17.24

13061 - Media Specialist I

22.28

13062 - Media Specialist II

13063 - Media Specialist III

27.79

13071 - Photographer I

14.22

13072 - Photographer II

17.86

13073 - Photographer III

22.12

13074 - Photographer IV

26.90

13075 - Photographer V

30.67

13090 - Technical Order Library Clerk

16.14

13110 - Video Teleconference Technician

19.32

14000 - Information Technology Occupations

14041 - Computer Operator I

15.70

14042 - Computer Operator II

17.56

14043 - Computer Operator III

19.57

14044 - Computer Operator IV

21.75

14045 - Computer Operator V

24.09

14071 - Computer Programmer I (see 1)

22.18

14072 - Computer Programmer II (see 1)

27.48

14073 - Computer Programmer III (see 1)

14074 - Computer Programmer IV (see 1)

14101 - Computer Systems Analyst I (see 1)

14102 - Computer Systems Analyst II (see 1)

14103 - Computer Systems Analyst III (see 1)

14150 - Peripheral Equipment Operator

15.70

14160 - Personal Computer Support Technician

22.41

14170 - System Support Specialist

15000 - Instructional Occupations

15010 - Aircrew Training Devices Instructor (Non-Rated)

29.48

15020 - Aircrew Training Devices Instructor (Rated)

35.67

15030 - Air Crew Training Devices Instructor (Pilot)

42.75

15050 - Computer Based Training Specialist / Instructor

29.48

15060 - Educational Technologist

36.37

15070 - Flight Instructor (Pilot)

15080 - Graphic Artist

19.58

15085 - Maintenance Test Pilot Fixed Jet/Prop

15086 - Maintenance Test Pilot Rotary Wing

15088 - Non-Maintenance Test/Co-Pilot

15090 - Technical Instructor

19.87

15095 - Technical Instructor/Course Developer

24.30

15110 - Test Proctor

16.04

15120 - Tutor

16.04

16000 - Laundry Dry-Cleaning Pressing And Related Occupations

16010 - Assembler

9.32

16030 - Counter Attendant

9.40

16040 - Dry Cleaner

10.90

16070 - Finisher Flatwork Machine

16090 - Presser Hand

16110 - Presser Machine Drycleaning

16130 - Presser Machine Shirts

16160 - Presser Machine Wearing Apparel Laundry

16190 - Sewing Machine Operator

11.54

16220 - Tailor

12.18

16250 - Washer Machine

9.73

19000 - Machine Tool Operation And Repair Occupations

19010 - Machine-Tool Operator (Tool Room)

20.62

19040 - Tool And Die Maker

26.66

21000 - Materials Handling And Packing Occupations

21020 - Forklift Operator

21030 - Material Coordinator

21040 - Material Expediter

21050 - Material Handling Laborer

11.51

21071 - Order Filler

11.95

21080 - Production Line Worker (Food Processing)

21110 - Shipping Packer

12.94

21130 - Shipping/Receiving Clerk

12.94

21140 - Store Worker I

11.01

21150 - Stock Clerk

14.83

21210 - Tools And Parts Attendant

21410 - Warehouse Specialist

23000 - Mechanics And Maintenance And Repair Occupations

23010 - Aerospace Structural Welder

39.37

23019 - Aircraft Logs and Records Technician

29.09

23021 - Aircraft Mechanic I

36.79

23022 - Aircraft Mechanic II

39.37

23023 - Aircraft Mechanic III

41.90

23040 - Aircraft Mechanic Helper

23.87

23050 - Aircraft Painter

33.08

23060 - Aircraft Servicer

23070 - Aircraft Survival Flight Equipment Technician

33.08

23080 - Aircraft Worker

31.67

23091 - Aircrew Life Support Equipment (ALSE) Mechanic

I

23092 - Aircrew Life Support Equipment (ALSE) Mechanic

II

23110 - Appliance Mechanic

19.82

23120 - Bicycle Repairer

23125 - Cable Splicer

26.47

23130 - Carpenter Maintenance

16.56

23140 - Carpet Layer

18.40

23160 - Electrician Maintenance

18.82

23181 - Electronics Technician Maintenance I

25.46

23182 - Electronics Technician Maintenance II

27.44

23183 - Electronics Technician Maintenance III

29.58

23260 - Fabric Worker

16.90

23290 - Fire Alarm System Mechanic

21.13

23310 - Fire Extinguisher Repairer

15.41

23311 - Fuel Distribution System Mechanic

19.79

23312 - Fuel Distribution System Operator

15.20

23370 - General Maintenance Worker

23380 - Ground Support Equipment Mechanic

23381 - Ground Support Equipment Servicer

23382 - Ground Support Equipment Worker

23391 - Gunsmith I

23392 - Gunsmith II

23393 - Gunsmith III

21.37

23410 - Heating Ventilation And Air-Conditioning

18.61

Mechanic

23411 - Heating Ventilation And Air Contidioning

19.91

Mechanic (Research Facility)

23430 - Heavy Equipment Mechanic

19.34

23440 - Heavy Equipment Operator

17.13

23460 - Instrument Mechanic

21.50

23465 - Laboratory/Shelter Mechanic

19.82

23470 - Laborer

11.51

23510 - Locksmith

19.79

23530 - Machinery Maintenance Mechanic

20.77

23550 - Machinist Maintenance

17.94

23580 - Maintenance Trades Helper

13.41

23591 - Metrology Technician I

21.50

23592 - Metrology Technician II

22.87

23593 - Metrology Technician III

24.34

23640 - Millwright

21.40

23710 - Office Appliance Repairer

15.62

23760 - Painter Maintenance

14.67

23790 - Pipefitter Maintenance

19.39

23810 - Plumber Maintenance

18.21

23820 - Pneudraulic Systems Mechanic

23850 - Rigger

22.65

23870 - Scale Mechanic

23890 - Sheet-Metal Worker Maintenance

21.33

23910 - Small Engine Mechanic

18.36

23931 - Telecommunications Mechanic I

26.93

23932 - Telecommunications Mechanic II

28.82

23950 - Telephone Lineman

31.37

23960 - Welder Combination Maintenance

18.95

23965 - Well Driller

20.76

23970 - Woodcraft Worker

23980 - Woodworker

24000 - Personal Needs Occupations

24550 - Case Manager

24570 - Child Care Attendant

8.99

24580 - Child Care Center Clerk

11.21

24610 - Chore Aide

8.83

24620 - Family Readiness And Support Services

Coordinator

24630 - Homemaker

25000 - Plant And System Operations Occupations

25010 - Boiler Tender

25040 - Sewage Plant Operator

17.23

25070 - Stationary Engineer

25190 - Ventilation Equipment Tender

14.35

25210 - Water Treatment Plant Operator

17.23

27000 - Protective Service Occupations

27004 - Alarm Monitor

18.22

27007 - Baggage Inspector

11.59

27008 - Corrections Officer

22.93

27010 - Court Security Officer

27030 - Detection Dog Handler

14.84

27040 - Detention Officer

27070 - Firefighter

27101 - Guard I

11.59

27102 - Guard II

14.84

27131 - Police Officer I

28.50

27132 - Police Officer II

28000 - Recreation Occupations

28041 - Carnival Equipment Operator

14.22

28042 - Carnival Equipment Repairer

15.81

28043 - Carnival Worker

9.92

28210 - Gate Attendant/Gate Tender

14.12

28310 - Lifeguard

11.90

28350 - Park Attendant (Aide)

15.79

28510 - Recreation Aide/Health Facility Attendant

11.52

28515 - Recreation Specialist

19.56

28630 - Sports Official

12.57

28690 - Swimming Pool Operator

18.87

29000 - Stevedoring/Longshoremen Occupational Services

29010 - Blocker And Bracer

23.01

29020 - Hatch Tender

29030 - Line Handler

29041 - Stevedore I

21.45

29042 - Stevedore II

25.27

30000 - Technical Occupations

30010 - Air Traffic Control Specialist Center (HFO) (see 2)

40.29

30011 - Air Traffic Control Specialist Station (HFO) (see 2)

27.78

30012 - Air Traffic Control Specialist Terminal (HFO) (see 2)

30.59

30021 - Archeological Technician I

18.13

30022 - Archeological Technician II

20.27

30023 - Archeological Technician III

25.11

30030 - Cartographic Technician

25.12

30040 - Civil Engineering Technician

21.08

30051 - Cryogenic Technician I

25.87

30052 - Cryogenic Technician II

28.57

30061 - Drafter/CAD Operator I

16.85

30062 - Drafter/CAD Operator II

18.49

30063 - Drafter/CAD Operator III

21.02

30064 - Drafter/CAD Operator IV

26.25

30081 - Engineering Technician I

16.00

30082 - Engineering Technician II

17.98

30083 - Engineering Technician III

20.27

30084 - Engineering Technician IV

24.96

30085 - Engineering Technician V

30.46

30086 - Engineering Technician VI

36.86

30090 - Environmental Technician

20.89

30095 - Evidence Control Specialist

23.35

30210 - Laboratory Technician

23.12

30221 - Latent Fingerprint Technician I

24.68

30222 - Latent Fingerprint Technician II

27.26

30240 - Mathematical Technician

27.39

30361 - Paralegal/Legal Assistant I

18.54

30362 - Paralegal/Legal Assistant II

22.97

30363 - Paralegal/Legal Assistant III

28.10

30364 - Paralegal/Legal Assistant IV

34.00

30375 - Petroleum Supply Specialist

30390 - Photo-Optics Technician

22.90

30395 - Radiation Control Technician

30461 - Technical Writer I

26.68

30462 - Technical Writer II

32.65

30463 - Technical Writer III

39.49

30491 - Unexploded Ordnance (UXO) Technician I

25.60

30492 - Unexploded Ordnance (UXO) Technician II

30.98

30493 - Unexploded Ordnance (UXO) Technician III

37.13

30494 - Unexploded (UXO) Safety Escort

30495 - Unexploded (UXO) Sweep Personnel

30501 - Weather Forecaster I

25.87

30502 - Weather Forecaster II

31.92

30620 - Weather Observer Combined Upper Air Or (see 2)

21.02

Surface Programs

30621 - Weather Observer Senior (see 2)

23.35

31000 - Transportation/Mobile Equipment Operation Occupations

31010 - Airplane Pilot

30.98

31020 - Bus Aide

10.18

31030 - Bus Driver

15.82

31043 - Driver Courier

13.32

31260 - Parking and Lot Attendant

10.00

31290 - Shuttle Bus Driver

13.62

31310 - Taxi Driver

13.38

31361 - Truckdriver Light

14.80

31362 - Truckdriver Medium

16.23

31363 - Truckdriver Heavy

21.63

31364 - Truckdriver Tractor-Trailer

21.63

99000 - Miscellaneous Occupations

99020 - Cabin Safety Specialist

15.10

99030 - Cashier

10.09

99050 - Desk Clerk

10.61

99095 - Embalmer

99130 - Flight Follower

99251 - Laboratory Animal Caretaker I

14.19

99252 - Laboratory Animal Caretaker II

15.75

99260 - Marketing Analyst

32.61

99310 - Mortician

99410 - Pest Controller

16.10

99510 - Photofinishing Worker

13.45

99710 - Recycling Laborer

17.01

99711 - Recycling Specialist

21.78

99730 - Refuse Collector

15.19

99810 - Sales Clerk

10.25

99820 - School Crossing Guard

9.22

99830 - Survey Party Chief

21.55

99831 - Surveying Aide

14.92

99832 - Surveying Technician

17.62

99840 - Vending Machine Attendant

13.50

99841 - Vending Machine Repairer

17.90

99842 - Vending Machine Repairer Helper

13.50

Note: Executive Order (EO) 13706 Establishing Paid Sick Leave for Federal

Contractors applies to all contracts subject to the Service Contract Act for which the contract is awarded (and any solicitation was issued) on or after

January 1

2017. If this contract is covered by the EO the contractor must provide employees with 1 hour of paid sick leave for every 30 hours they work up to 56 hours of paid sick leave each year. Employees must be permitted to use paid sick leave for their own illness injury or other health-related needs including preventive care; to assist a family member (or person who is like family to the employee) who is ill injured or has other health-related needs including preventive care; or for reasons resulting from or to assist a family member (or person who is like family to the employee) who is the victim of domestic violence sexual assault or stalking. Additional information on contractor requirements and worker protections under the EO is available at www.dol.gov/whd/govcontracts.

ALL OCCUPATIONS LISTED ABOVE RECEIVE THE FOLLOWING BENEFITS:

HEALTH & WELFARE: $4.60 per hour up to 40 hours per week or $184.00 per week or

$797.33 per month

HEALTH & WELFARE EO 13706: $4.23 per hour up to 40 hours per week or

$169.20 per week or $733.20 per month*

*This rate is to be used only when compensating employees for performance on an SCA-covered contract also covered by EO 13706 Establishing Paid Sick Leave for Federal

Contractors. A contractor may not receive credit toward its SCA obligations for any paid sick leave provided pursuant to EO 13706.

VACATION: 2 weeks paid vacation after 1 year of service with a contractor or successor 3 weeks after 5 years and 4 weeks after 15 years. Length of service includes the whole span of continuous service with the present contractor successor wherever employed and with the predecessor contractors in the performance of similar work at the same Federal facility. (Reg. 29 CFR

4.173)

HOLIDAYS: A minimum of eleven paid holidays per year: New Year's Day

Martin

Luther King Jr.'s Birthday Washington's Birthday Memorial Day Juneteenth

National Independence Day Independence Day Labor Day Columbus Day

Veterans'

Day Thanksgiving Day and Christmas Day. (A contractor may substitute for any of the named holidays another day off with pay in accordance with a plan communicated to the employees involved.) (See 29 CFR 4.174)

THE OCCUPATIONS WHICH HAVE NUMBERED FOOTNOTES IN PARENTHESES RECEIVE THE

FOLLOWING:

1) COMPUTER EMPLOYEES: Under the SCA at section 8(b) this wage determination does not apply to any employee who individually qualifies as a bona fide executive administrative or professional employee as defined in 29 C.F.R. Part 541.

Because most Computer System Analysts and Computer Programmers who are compensated at a rate not less than $27.63 (or on a salary or fee basis at a rate not less than

$455 per week) an hour would likely qualify as exempt computer professionals (29

C.F.R. 541.

400) wage rates may not be listed on this wage determination for all occupations within those job families. In addition because this wage determination may not list a wage rate for some or all occupations within those job families if the survey data indicates that the prevailing wage rate for the occupation equals or exceeds

$27.63 per hour conformances may be necessary for certain nonexempt employees. For example if an individual employee is nonexempt but nevertheless performs duties within the scope of one of the Computer Systems Analyst or Computer

Programmer occupations for which this wage determination does not specify an SCA wage rate then the wage rate for that employee must be conformed in accordance with the conformance procedures described in the conformance note included on this wage determination.

Additionally because job titles vary widely and change quickly in the computer industry job titles are not determinative of the application of the professional exemption. Therefore the exemption applies only to computer who satisfy the compensation requirements and whose primary duty consists of:

(1) The application of systems analysis techniques and procedures including consulting with users to determine hardware software or system functional specifications;

(2) The design development documentation analysis creation testing or modification of computer systems or programs including prototypes based on and related to user or system design specifications;

(3) The design documentation testing creation or modification of programs related to machine operating systems; or

(4) A combination of the aforementioned duties the performance of which requires the same level of skills. (29 C.F.R. 541.400).

2) AIR TRAFFIC CONTROLLERS AND WEATHER OBSERVERS - NIGHT PAY & SUNDAY

PAY: If you work at night as part of a regular tour of duty you will earn a night differential and receive an additional 10% of basic pay for any hours worked between

6pm and 6am.

If you are a full-time employed (40 hours a week) and Sunday is part of your regularly scheduled workweek you are paid at your rate of basic pay plus a Sunday premium of 25% of your basic rate for each hour of Sunday work which is not overtime

(i.e. occasional work on Sunday outside the normal tour of duty is considered overtime work).

** HAZARDOUS PAY DIFFERENTIAL **

An 8 percent differential is applicable to employees employed in a position that represents a high degree of hazard when working with or in close proximity to ordnance explosives and incendiary materials. This includes work such as screening blending dying mixing and pressing of sensitive ordnance explosives and pyrotechnic compositions such as lead azide black powder and photoflash powder.

All dry-house activities involving propellants or explosives.

Demilitarization modification renovation demolition and maintenance operations on sensitive ordnance explosives and incendiary materials. All operations involving re-grading and cleaning of artillery ranges.

A 4 percent differential is applicable to employees employed in a position that represents a low degree of hazard when working with or in close proximity to ordnance (or employees possibly adjacent to) explosives and incendiary materials which involves potential injury such as laceration of hands face or arms of the employee engaged in the operation irritation of the skin minor burns and the like;

minimal damage to immediate or adjacent work area or equipment being used. All operations involving unloading storage and hauling of ordnance explosive and incendiary ordnance material other than small arms ammunition. These differentials are only applicable to work that has been specifically designated by the agency for ordnance explosives and incendiary material differential pay.

** UNIFORM ALLOWANCE **

If employees are required to wear uniforms in the performance of this contract

(either by the terms of the Government contract by the employer by the state or local law etc.) the cost of furnishing such uniforms and maintaining (by laundering or dry cleaning) such uniforms is an expense that may not be borne by an employee where such cost reduces the hourly rate below that required by the wage determination. The Department of Labor will accept payment in accordance with the following standards as compliance:

The contractor or subcontractor is required to furnish all employees with an adequate number of uniforms without cost or to reimburse employees for the actual cost of the uniforms. In addition where uniform cleaning and maintenance is made the responsibility of the employee all contractors and subcontractors subject to this wage determination shall (in the absence of a bona fide collective bargaining agreement providing for a different amount or the furnishing of contrary affirmative proof as to the actual cost) reimburse all employees for such cleaning and maintenance at a rate of $3.35 per week (or $.67 cents per day).

However in those instances where the uniforms furnished are made of ""wash and wear"" materials may be routinely washed and dried with other personal garments and do not require any special treatment such as dry cleaning daily washing or commercial laundering in order to meet the cleanliness or appearance standards set by the terms of the Government contract by the contractor by law or by the nature of the work there is no requirement that employees be reimbursed for uniform maintenance costs.

** SERVICE CONTRACT ACT DIRECTORY OF OCCUPATIONS **

The duties of employees under job titles listed are those described in

""Service Contract Act Directory of Occupations"" Fifth Edition (Revision

1) dated September 2015 unless otherwise indicated.

** REQUEST FOR AUTHORIZATION OF ADDITIONAL CLASSIFICATION AND WAGE RATE

Standard

Form 1444 (SF-1444) **

Conformance Process:

The contracting officer shall require that any class of service employee which is not listed herein and which is to be employed under the contract (i.e.

the work to be performed is not performed by any classification listed in the wage determination) be classified by the contractor so as to provide a reasonable relationship (i.e. appropriate level of skill comparison) between such unlisted classifications and the classifications listed in the wage determination

(See 29 CFR

4.6(b)(2)(i)). Such conforming procedures shall be initiated by the contractor prior to the performance of contract work by such unlisted class(es) of

(See 29 CFR 4.6(b)(2)(ii)). The Wage and Hour Division shall make a final determination of conformed classification wage rate and/or fringe benefits which shall be paid to all employees performing in the classification from the first day of work on which contract work is performed by them in the classification. Failure to pay such unlisted employees the compensation agreed upon by the interested parties and/or fully determined by the Wage and Hour Division retroactive to the date such class of employees commenced contract work shall be a violation of the Act and this contract. (See 29 CFR 4.6(b)(2)(v)). When multiple wage determinations are included in a contract a separate SF-1444 should be prepared for each determination to which a class(es) is to be conformed.

The process for preparing a conformance request is as follows:

1) When preparing the bid the contractor identifies the need for a conformed occupation(s) and computes a proposed rate(s).

2) After contract award the contractor prepares a written report listing in order the proposed classification title(s) a Federal grade equivalency (FGE) for each proposed classification(s) job description(s) and rationale for proposed rate(s) including information regarding the agreement or disagreement of authorized representative of the employees involved or where there is no authorized representative the employees themselves. This report should be submitted to the contracting officer no later than 30 days after such unlisted class(es) of employees performs any contract work.

3) The contracting officer reviews the proposed action and promptly submits a report of the action together with the agency's recommendations and pertinent information including the position of the contractor and the employees to the U.S.

Department of Labor Wage and Hour Division for review (See 29 CFR

4.6(b)(2)(ii)).

4) Within 30 days of receipt the Wage and Hour Division approves modifies disapproves the action via transmittal to the agency contracting officer notifies the contracting officer that additional time will be required to process the request.

5) The contracting officer transmits the Wage and Hour Division's decision to the contractor.

6) Each affected employee shall be furnished by the contractor with a written copy of such determination or it shall be posted as a part of the wage determination (See

29 CFR 4.6(b)(2)(iii)).

Information required by the Regulations must be submitted on SF-1444 or bond paper.

When preparing a conformance request the ""Service Contract Act Directory of

Occupations"" should be used to compare job definitions to ensure that duties requested are not performed by a classification already listed in the determination. Remember it is not the job title but the required tasks that determine whether a class is included in an established wage determination.

Conformances may not be used to artificially split combine or subdivide classifications listed in the wage determination (See 29 CFR

4.152(c)(1))."

Introduction

Instructions for Completing the Staff Compensation Chart

The following staff compensation chart shall be completed. The number of staff in each function shall be shown on this chart. The estimated average salary of each staff position shall be shown. Each contractor has its own manner of organizing its staff; however, for the purposes of this proposal, follow the outline of this Staff compensation chart.

Different contractors have different position titles for similar functions. However, for purposes of evaluation, offerors may not change position titles in column 1. Where offeror’s position titles differ, actual titles should be entered in the “Remarks” column. The Staffing Chart describes functions. In the event that a position is so unique that it does not fit any title on the chart, place the position in the appropriate place on the chart.

Subcontractor staff must be reported. Therefore, if a subcontractor has deemed their salary information proprietary, they may submit this information directly to the Contracting Officer at the email address identified for receipt of proposals. The subcontractor must clearly identify which prime contractor's proposal their submission is associated with.

DOL recognizes that at the time of proposal submission, offerors would not have made firm offers of employment to individuals that therefore, the salary information provided in this tool may be an estimate of the competitive salary that the offeror anticiaptes for a position(s).

Definitions.

1. Standard Position Title

2. The number of staff at each position title. If none are proposed, leave the line blank. If one person performs more than one function or one person performs the same function in two or more different functional areas, show the allocation of that person's time as a decimal (e.g., .5) allocation to the proper line.

3. If a position is subcontracted, show the number in the appropriate column.

4. Remarks. The center title, if different from the title shown in the left-hand column, and any comments you wish to make.

5. Proposed Salary should be the annual salary estimated for this position title.

6. Fringe benefit percentage should be listed for each position title and the offeror can use it's average fring benefit percentage, rather than the actual percentage for each position.

7. Proposed Salary Source/Justification should be the source used to support the annual salary estimate.

Staffing Summary

TOTAL FULL-TIME EQUIVALENT STAFF

Total Contractor Staff 66

Total Subcontracted Staff 35.45

Total National Training Contractor Staff 0

TOTAL FTE 101.45

Staffing Calculator Center

Staffing Chart

Full-Time Equivalent

Line 01 Academic Personnel Prime Contractor Subcontractor Remarks Estimated Proposed Salary (Annual Salary) Fringe Benefit Ratio Proposed Salary Source/Justification

Career Training Services Director

Academic Manager 1 $ 55,000 25% Indeed.com

Academic Supervisor

Instructors: Please list by Academic Program

Reading Instructor 1 $ 35,000 25% Economic Research Institute (ERI)

Math Instructor 1 $ 35,000 25% Economic Research Institute (ERI)

Applied Academics Instructor

HSE Instructor 0.5 $ 32,500 25% Salary.com

High School Diploma Instructor 1.5 $ 35,000 25% Salary.com

English as a Second Language Instructor

Driver’s Education Instructor 1 $ 45,000 25% Economic Research Institute (ERI)

Communications Instructor

Wellness/Safety Instructor

Information Technology Instructor

Instructor Substitute 0.5

Support:

Testing Coordinator 1 Testing/OCT Coordinator

ACT/OCT Coordinator

Administrative Assistant 0.5

Secretary

Clerical 0.5 Scheduling Clerk

Other Academic Positions (Specify)

Subtotal Academic Personnel 8.5 0

TOTAL Academic Personnel 8.5

Staffing Chart

Full-Time Equivalent

Line 03 Career Technical Training (CTT) Personnel Prime Contractor Subcontractor Remarks Estimated Proposed Salary (Annual Salary) Fringe Benefit Ratio Proposed Salary Source/Justification

Career Training Services Director

CTT Manager 1

CTT Supervisor

Instructors: Please list by CTT Offering

Material Handling and Dist. Ops 1

Facilities Maint, Pre-Apprentice

Plumbing

Office Administration 1

Culinary Arts 1

Welding 1

Computer Technician 1

Cement Masonry

Career Exploration Instructor

Instructor Substitute 0.5

Support:

CTST Coordinator

WBL Coordinator 0.5 WBL/CTST Coordinator

Testing Coordinator

Administrative Assistant 0.5

Secretary

Clerical

Other CTT Positions (Specify)

Subtotal CTT Personnel 7.5 0

TOTAL CTT Personnel 7.5

Staffing Chart

Full-Time Equivalent

Line 05 Career Success Personnel Prime Contractor Subcontractor Remarks Estimated Proposed Salary (Annual Salary) Fringe Benefit Ratio Proposed Salary Source/Justification

Career Success Director

Residential Living Manager 1

Residential Living Supervisor

Center Shift Manager 3

Counseling Manager 1

Counseling Supervisor

Recreation Manager 1

Recreation Supervisor

Student Personnel Officer 1

Residential Counselors 5

Senior Residential Counselors 0

Day RA 1 Day Asst. Res. Counselor

Duty Officer

Substitute Residential Advisor 0.5

Counselor 3

Senior Counselor

ACT/OCT Counselor

Senior Recreation Specialist

Recreation Specialist 2

Recreation Coordinator

Recreation Aide

Arts & Crafts Instructor

Leadership Coordinator

Diversity Coordinator

Student Government Advisor 0.5

Women’s Program Coordinator

Student Safety Advisor/Coordinator

Evening Studies Coordinator 1

Assistant Student Personnel Officer 0

Staffing Chart

Full-Time Equivalent

Line 05 Career Success Personnel - Continued Prime Contractor Subcontractor Remarks Estimated Proposed Salary (Annual Salary) Fringe Benefit Ratio Proposed Salary Source/Justification

Student Personnel Officer Clerk

Support:

Student Store Specialist

Librarian

Administrative Assistant

Secretary

Clerk 1

Residential Counseling Assistants 7

Other Career Success Positions (Specify)

Subtotal Career Success Personnel 28 0

TOTAL Career Success Personnel 28

Staffing Chart

Full-Time Equivalent

Line 09 Support Service Personnel Prime Contractor Subcontractor Remarks Estimated Proposed Salary (Annual Salary) Fringe Benefit Ratio Proposed Salary Source/Justification

Dining Hall Manager

Food Service Supervisor 1 Food Service Manager

Assistant Food Service Manager

Transportation Manager

Transportation Supervisor

Vehicle Fleet Manager

Child Care Manager

Child Care Supervisor

Laundry Manager

Senior/Lead Cook

Cook 2

Cook Helper/Assistant 1

Culinary Worker 1

Transportation Coordinator

Driver 3

Substitute Driver

Child care Teacher

Child Care Specialist

Child Care Aide

Laundry Operator

Incidental OA/CTS staff

Support:

Student Intern/WBL 0.5

Administrative Assistant

Secretary

Clerical

Other Support Positions (Specify)

Subtotal Support Service Personnel 0 8.5

TOTAL Support Service Personnel 8.5

Staffing Chart

Full-Time Equivalent

Line 11 Medical/Dental Personnel Prime Contractor Subcontractor Remarks Estimated Proposed Salary (Annual Salary) Fringe Benefit Ratio Proposed Salary Source/Justification

Medical Services Director

Health Services Manager 1

Health Services Administrator

Wellness Supervisor

Physician 0.2 Medical Professional Subcontract

Optometrist

Mental Health Consultant 0.45 Medical Professional Subcontract

Psychiatrist/Psychologist

TEAP Specialist 0.3 Medical Professional Subcontract

TEAP Coordinator

TEAP Assistant

Dentist 0.15 Medical Professional Subcontract

Dental Hygienist 0.15 Medical Professional Subcontract

Dental Technician

Dental Assistant 0.2 Medical Professional Subcontract

Pharmacist

Registered Nurse (RN)

Vocational/Practical Nurse (LVN/LPN) 2

Physician’s Assistant/Nurse Practitioner (PA/NP)

Medical Assistant

Physician Assistant

Staffing Chart

Full-Time Equivalent

Line 11 Medical/Dental Personnel - Continued Prime Contractor Subcontractor Remarks Estimated Proposed Salary (Annual Salary) Fringe Benefit Ratio Proposed Salary Source/Justification

Lab Technician

X-Ray Technician

Reproductive Health Specialist

Support:

Administrative Assistant

Secretary 1

Clerical

Other Medical/Dental Positions (Specify)

Subtotal Medical/Dental Personnel 0 5.45

TOTAL Medical/Dental Personnel 5.45

Staffing Chart

Full-Time Equivalent

Line 13 Career Prep/Career Transition Readiness Personnel Prime Contractor Subcontractor Remarks Estimated Proposed Salary (Annual Salary) Fringe Benefit Ratio Proposed Salary Source/Justification

CP/CTR Manager 1

Career Preparation Manager

Career Preparation Supervisor

Career Transition Readiness Manager

Career Transition Readiness Supervisor

Career Preparation Specialist

Career Preparation Instructor 3

Career Preparation Coordinator

Career Preparation Advisor

Career Transition Readiness Specialist 0.5

Career Transition Readiness Instructor 0.5

Career Transition Readiness Coordinator

Employability Specialist

Substitute Instructor 0.5

Support:

Administrative Assistant

Secretary

Clerical 0.5

Other CP/CTR Positions (Specify)

Subtotal CP/CTR Personnel 0 6

TOTAL CP/CTR Personnel 6

Staffing Chart

Full-Time Equivalent

Line 15 Administrative Personnel Prime Contractor Subcontractor Remarks Estimated Proposed Salary (Annual Salary) Fringe Benefit Ratio Proposed Salary Source/Justification

Center Director 1

Deputy Center Director

Training/Program Director 1

Administration Director 1 F & A Director

Administration Manager

Finance Manager 1

Finance Supervisor

Senior Accountant

Accountant 1

Accounting Clerk

Bookkeeper

Procurement Manager

Procurement Specialist 1

Procurement Clerk

Purchasing Agent/Buyer 1

Human Resources (HR) Manager 1

HR Specialist

Personnel Specialist

Personnel Assistant

EEO Coordinator

Staff Training Coordinator

Business & Community Liaison

Student Records Manager 1

Student Records Supervisor

Scheduling Clerk

Student Records Specialist

Student Records Clerk

Data Integrity/Quality Assurance Supervisor

Data Integrity Specialist 1

Data Integrity Clerk

Student Accountability Officer/Duty Officer

Staffing Chart

Full-Time Equivalent

Line 15 Administrative Personnel - Continued Prime Contractor Subcontractor Remarks Estimated Proposed Salary (Annual Salary) Fringe Benefit Ratio Proposed Salary Source/Justification

Property/Supply Manager

Property/Supply Officer

Property/Supply Specialist 1

Property/Supply Clerk

Warehouse Worker

Payroll/Clothing Clerk

IT Systems Administrator

Information Technology Specialist 1

IT Assistant

Postmaster

Mail Clerk

Receptionist

PBX Operator

Student Intern/WBL

Support:

Executive Assistant (CD) 1

Administrative Assistant 1

Secretary

Clerical

Other Administrative Positions (Specify)

Subtotal Administrative Personnel 14 0

TOTAL Administrative Personnel 14

Staffing Chart

Full-time Equivalent

Line 18 Facilities Maintenance Prime Contractor Subcontractor Remarks Estimated Proposed Salary (Annual Salary) Fringe Benefit Ratio Proposed Salary Source/Justification

Maintenance Manager 1

Maintenance Supervisor

Maintenance Engineer

Maintenance Technician 3

Maintenance Mechanic

Maintenance Worker

Maintenance Helper

Maintenance Custodian 1

Senior Custodian

Utility Worker 0.5

Groundskeeper

Janitor

Student Intern/WBL 0.5

Support:

Administrative Assistant

Secretary

Clerical

Other Facility Maintenance Positions (Specify)

Subtotal Facilities Maintenance Personnel 0 6

TOTAL Facilities Maintenance Personnel 6

Staffing Chart

Full-time Equivalent

Line 20 Security Personnel Prime Contractor Subcontractor Remarks Estimated Proposed Salary (Annual Salary) Fringe Benefit Ratio Proposed Salary Source/Justification

Security Manager

Security Supervisor

Safety/Security Manager 1

Safety/Security Supervisor

Senior/Lead Security Officer 2

Security Officer 6

Security Guard

Front Gate Officer

Substitute Security Officer 0.5

Safety Officer

Fire Chief

Student Intern/WBL

Support:

Administrative Assistant

Secretary

Clerical

Other Security Positions (Specify)

Subtotal Security Personnel 0 9.5

TOTAL Security Personnel 9.5

Staffing Chart

Full-time Equivalent

Prime Contractor Subcontractor Remarks Estimated Proposed Salary (Annual Salary) Fringe Benefit Ratio Proposed Salary Source/Justification

OA/CTS Director 1

Outreach & Admissions Manager

Outreach & Admissions Supervisor

Career Transition Services Manager

Career Transition Services Supervisor

OA Coordinator

Admissions Counselor 3

Quality Assurance Specialist

Career Transition Services Specialist 3

Job Developer

Transition Counselor

WBL Specialist/Coordinator

Student Intern/WBL

Support:

Administrative Assistant

Secretary

Clerk 1

Other OA/CTS Positions (Specify)

Subtotal OA & CTS Personnel 8

TOTAL FULL-TIME EQUIVALENT STAFF

Total Contractor Staff 66

Total Subcontracted Staff 35.45

Total National Training Contractor Staff 0

TOTAL FTE 101.45

ATTACHMENT J-4 STAFFING CHART

&P

Staffing Calculator OACTS

OUTREACH, ADMISSIONS, and CAREER TRANSITION SERVICES

Full-Time Equivalent

Prime Contractor Subcontractor Remarks Estimated Proposed Salary (Annual Salary) Fringe Benefit Ratio Proposed Salary Source/Justification

OA/CTS Director 1 $ 55,000 25% Economic Research Institute (ERI)

Outreach & Admissions Manager

Outreach & Admissions Supervisor

Career Transition Services Manager

Career Transition Services Supervisor

OA Coordinator

Admissions Counselor 3

Quality Assurance Specialist

Career Transition Services Specialist 3

Job Developer

Transition Counselor

WBL Specialist/Coordinator

Student Intern/WBL

Support:

Administrative Assistant

Secretary

Clerk 1

Other OA/CTS Positions (Specify)

Subtotal OA & CTS Personnel 8

TOTAL OA & CTS Personnel 8

Instructions

Notes- Center Operators, please follow the steps below to complete the monthly 2110S Staff Vacancy and Separation report.

Please see and follow instructions from each sections (1-3) below. There is an added 2110S Salary Supplemental Tab. Please fill this worksheet out in it's entirety.

2110S Tab

Section 1- Instructions for Completing the Center Staff Vacancy and Separation Report.

COLUMN ACTION

Auth FTE Positions For each position category, enter the number of authorized full-time equivalent (FTE) staff. The source for Auth FTE Positions is your J-4 Staffing Chart. (Include Prime Contractor, Subcontractor, and National Training Contractor FTE).

On-Board Enter the On-Board EOM (End of Month) staff count for each category

Separations Enter the number of staff who separated from each category this month

Section 2- Instructions for Completing the Report of 45-Day Mandated Vacancies. The following positions must be filled within 45 days of being vacant:

Academic Supervisors Academic Instructors Career Tech Instructors-Ctr Career Tech Instructors-NTC Sr. Residential Counselor or Advisor Counselor Food Service Staff Nurses Other Medical Staff Center Director Maintenance Staff Security Staff

COLUMN ACTION

45-Day Mandated Vacancies Include a row for each of the above positions that is vacant at the end of this month and enter the position title

Date Vacated Enter the date that the position became vacant

Calendar Days Vacant Enter the number of calendar days that the position has been vacant

2110S Salary Supplement Tab

Section 3- Instructions for completing the Salary Supplement Report: Obtain the following information for each employee from your payroll system or other pertinent source:

COLUMN ACTION

Employee Number Obtain from payroll system; mask any PII-related values

Position Title Select from Universe List

Actual Salary Obtain from payroll system

Benefits Ratio Use your approved benefits ratio that you included in your Business Management Proposal to OJC

FTE Align to 2110S

Hourly Rate Obtain from payroll system

2110 Blank

Job Corps Monthly Center Staff Vacancy and Separation Report

Center Name Off-Ctr Training Slots (FTE)

Current Center Operator On-Center Slots

Report for Month Ending Residential Slots

Total Center Slot Capacity Nonresidential Slots

Academic Staff

Academic Supervisor - 0 Yes

Academic Instructors - 0 Yes

Other Academic Staff - 0

Career Technical Training Staff

Career Tech Instructor-Ctr - 0 Yes

Career Tech lnstructors-NTC - 0 Yes

Other Career Tech Staff - 0

Career Success Staff

Sr. Residential Counselor or Advisor - 0 Yes

Counselor - 0 Yes

Residential Advisors - 0

Art/Recreation Specialist - 0

Other Career Success Staff - 0

Support Services Staff

Food Service - 0 Yes

Other Support Staff - 0

Health and Wellness Staff

Nurses - 0 Yes

Other Medical Staff - 0 Yes

Career Prep/Transition Readiness Staff

CP/CTR Staff - 0

Administration Staff

Center Director - 0 Yes

Other Administration Staff - 0

Maintenance Staff

Maintenance Staff - 0 Yes

Security Staff

Security Staff - 0 Yes

Total - 0 - 0 - 0 - 0

4% of Authorized Positions= - 0 - 0

Report of 45-Day Mandated Vacancies

45-Day Mandated Vacancies: Date Vacated Calendar Days Vacant

Salary Supplement

Center Name

Current Center Operator

Report for Month Ending

Salary Supplement (FTE total should agree with that reported in 2110S tab)

Universe List

2110 Category 2110 Sub Category Position Title

Academic Staff Academic Instructors Academic Instructor

Academic Staff Academic Supervisor Academic Manager

Academic Staff Academic Instructors Drivers Education Instructor

Academic Staff Academic Instructors ESL Instructor

Academic Staff Other Academic Staff Secretary/Admin Assistant

Academic Staff Other Academic Staff Testing Coordinator

Administration Staff Other Administration Staff Accountant

Administration Staff Other Administration Staff Administration Manager/Director

Administration Staff Other Administration Staff Bookkeeper/Accounting Clerk

Administration Staff Other Administration Staff Bus/Community Liaison Specialist

Administration Staff Center Director Center Director

Administration Staff Other Administration Staff Deputy Center Director

Administration Staff Other Administration Staff Executive Secretary/Office Manager

Administration Staff…