D.2 Statement of Compliance Wage Dertermination.pdf

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Attached to
R602--Courier Service Chillicothe | Base + 4 | POP: 7 Jan 24-6 Jan 25
Solicitation number
36C25024Q5383
Issued by

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This document is a statement of compliance with Department of Labor wage determinations for a courier service contract opportunity with the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 10. The solicitation requires that all employees performing courier services under the contract must be paid hourly wages equal to or greater than the current DOL wage determination for the labor category of Driver Courier in the county where the VA medical center being supported is located. The statement must be signed by the company owner, CEO, and COO certifying compliance with this requirement. The related federal contract opportunity is solicitation number 36C25024Q5383 for courier services at the Chillicothe VA Medical Center from January 7, 2024 to January 6, 2025.

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Text version

D.3 52.212-2 – Statement of Department of Labor Wage Determination Compliance

MEMORANDUM FOR RECORD

____________(Date)

MEMORANDUM FOR RECORD

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:

31043 (Driver Courier)

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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