D. 4 Statement of FAR 52.212-2 - Statement of DoL WD Compliance.docx
FAR Clause DOCX document 14 KB Posted
- Solicitation number
- 36C25023Q0890
About this file
This memorandum certifies compliance with Department of Labor wage determinations for an ambulance transportation contract solicitation issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 10. The solicitation requires all employees performing services under the resultant contract to be paid hourly rates equal to or greater than the current wage determination for the county where services are provided, including specified labor categories. Non-wage requirements or other contract details are not addressed.
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Other versions and copies of FAR 52.212-2
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Who attaches FAR 52.212-2
Other files
| File | Type | Posted |
|---|---|---|
| 36C25023Q0890 Re-Issue 4 Oct 2023 (use this one).pdf | ||
| 36C25023Q0890 0001.docx | DOCX document | |
| 36C25023Q0890 Re-Issue 4 Oct 2023 (use this one).pdf | ||
| D.1 - WD 2015-4771 R2, Chillicothe 30 June 2023.pdf | ||
| 36C25023Q0890_1.docx | DOCX document | |
| D.3 - Statement of FAR 52.219-14 Limitations on Subcontracting.pdf | ||
| D.2 - EPA Fuel Surcharge Calulator.xlsx | XLSX spreadsheet |
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Text version
D.3 52.212-2 (Addendum B) – Statement of Department of Labor Wage Determination Compliance
MEMORANDUM FOR RECORD
____________(Date) REFERENCE: _______________________(Solicitation Number)
TO: Robert Bolcavage (Contracting Specialist), NCO-10 FROM: ___________________________________(Company Name) ___________________________________(Company Street Address) ___________________________________(City, State and Zip Code) ___________________________________(DUNS Number and CAGE Code)
SUBJECT: Statement of Department of Labor Wage Determination Compliance I do hereby certify that the offer submitted by our company in response to the subject solicitation is fully compliant with the requirement that all employees performing services under the resultant contract (if awarded) shall be paid at an hourly rate that is equal to or greater than current Department of Labor Wage Determination (WD) as specified in the Performance Requirements Summary (PRS) section of the Performance Work Statement (PWS) for all labor categories as appropriate for the county in which the VA medical center being support for this requirement resides to include but not limited to the following:
• (insert WD code and Labor Category)
· (insert WD code and Labor Category)
Company OWNER Full Legal Name (PRINT): ________________________________ Company OWNER Signature: _______________________________ Date: ______________
Company CEO Full Legal Name (PRINT): ________________________________ Company CEO Signature: __________________________________ Date: ______________
Company COO Full Legal Name (PRINT): ________________________________ Company COO Signature: __________________________________ Date: ______________
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