D.1 Statement of Compliance Wage Determination.pdf
PDF 212 KB Posted
- Solicitation number
- 36C25025Q5525
About this file
This is a Statement of Department of Labor Wage Determination Compliance form (D.3 52.212-2) that must be completed by companies responding to solicitation #36C25025Q5525 for valet services at the Dayton VA Medical Center.
The form requires the responding company to certify that they will comply with Department of Labor Wage Determinations, specifically confirming that all employees performing services under the contract will be paid at hourly rates equal to or greater than the current wage determination rates for their labor categories. The form specifically references labor category 31043 (Driver Courier) and requires signatures from the company's Owner, CEO, and COO. The form must be submitted to Robert Bolcavage, Contracting Specialist at NCO-10, and requires the company to provide their name, address, DUNS number, and CAGE code.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C25025Q5525 0001.docx | DOCX document | |
| 36C25025Q5525 RFQ.docx | DOCX document | |
| D.3 Past Performance Questionnaire.docx | DOCX document | |
| D.4 Valet Service Dayton Site picutre.docx | DOCX document | |
| D.2 WD 2015-4731 Rev 25 Dayton 23 December 2024.docx | DOCX document |
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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: ______________
File details come from the government source that posted it. Updated .