DASS_RFP_Attachment_4.4_DRD_6_Wage_Salary_and_Fringe_Benefit_Data.pdf

PDF 235 KB Posted Feb 18, 2020

Attached to: Dual Administrative Support Services (DASS)
Solicitation number: 80SSC020R0007
Issued by: National Aeronautics and Space Administration Stennis Space Center

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FORM 1

Wage/Salary Rate Information

Standard Labor

Wage Determination

Exempt or

Union or

Current

FTE No. of

Category

Classification

Nonexempt

Nonunion

Hourly Rate

Employees

Illustration of required data:

Program Manager

Not Required

$40.00

Supervisor

Not Required

$32.00

Electrical Technician

Electronics Technician Maintenance II

(Code 23182)

$23.89

File Clerk

General Clerk III (Code 01112)

$14.90

Secretary

Secretary II (Code 01312)

$18.57

Submit data in the above-illustrated format for all labor classifications used or planned to be used on this contract. All nonexempt labor classifications must be matched to wage determination classes listed in the area wage determination or applicable collective bargaining agreement.

Wage/Salary Rate Information

Contractor’s Labor Category

Wage Determination Classification

Exempt or Nonexempt

Union or Nonunion

Current Hourly Rate

FTE No. of Employees

FORM 2

Fringe Benefits Per Collective Bargaining Agreement

For period from to _

Contractor: Contract Number:

Number of employees in bargaining unit:

Total number of employees on contract: _

1. Shift Differential: (Describe any pay over and above base rates for 2nd, 3rd, weekend, or other shifts.)

2. Health and Welfare Items and Other Fringe Items: (Indicate whether or not coverage is provided to employees and state current average hourly cost per employee covered by a Collective Bargaining Agreement.)

Coverage Average

Item Provided Hourly Cost (Yes or No)

a. Life Insurance

b. Accidental Death

c. Disability

d. Medical and Hospital

e. Dental

f. Retirement Plan

g. Savings/Thrift Plan

h. Sick Leave

i. Tuition

j. Other (Describe) TOTAL k.

FORM 2

3. Paid Absences:

Service Requirement Days per Year

a. Vacation

b. Holiday

c. Sick Leave

d. Jury Leave

e. Funeral Leave

f. Military Leave

g. Other (Describe)

4. Severance Pay: (Briefly describe terms and amounts.)

5. Other Fringe Benefits: (Describe any other fringe benefits not included above, and show average hourly cost.)

6. Premium Pay: (Discuss all premium pay provisions not previously shown on this form.)

_ _ _ _ Signature of Company Representative Date

FORM 3

Fringe Benefits For Service Employees

For Period from____________________________ to ____________________________

Contractor:_________________________________________________________________

Number of nonexempt employees on contract:__________________________________

Total number of employees on contract: ______________________________________

1. Health and Welfare Items and Other Fringe Items:

(Indicate whether or not coverage is provided to employees and state current average hourly cost per service employee.)

Item

Coverage

Average

Provided

Hourly Cost a.

Life Insurance b.

Accidental Death c.

Disability d.

Medical & Hospital e.

Dental f.

Retirement Plan g.

Savings/Thrift Plan h.

Sick Leave i.

Tuition Reimbursement j.

Other (Describe)

2. Paid Absences

a. Vacation

b. Holidays

c. Sick Leave

d. Jury Leave

e. Funeral Leave

f. Military Leave

g. Other (Describe)

Signature Date

Service Requirement Days per Year

SSC-166 (Adobe PDF 09/2019) Page of Page Count ..\Desktop\Nasa_MB_Color.png National Aeronautics and Space Administration John C. Stennis Space Center Stennis Space Center, MS 39529-6000 Data Requirement (DR) Organizational File Plan and Records List

SUBMITTAL REQUIREMENTS

DATA REQUIREMENT DESCRIPTION (DRD)

1.1 Anne Mills 2/14/2014

CO00

Organizational File Plan and Records List M. Aponte GRC278.pdf 12/11/2014 National Aeronautics and Space Administration John C. Stennis Space Center Stennis Space Center, MS 39529-6000 Data Requirement (DR) Continuation Sheet SSC Facilities Equipment List

DATA REQUIREMENT DESCRIPTION - CONTINUATION

Data Procurement Document ..\Desktop\Nasa_MB_Color.png

CurrentPageNumber:

NumberofPages:

Number:

Title: Wage/Salary and Fringe Benefit Data

DRNumber: DASS-6 Page 1 of 3 Supplemental Attachment

Type:

Frequency: See 7

Distribution: SSC/JSC - CO

SSC.JSC- COR

SSC.JSC - RO

Submission: Annually, 90 days prior to the anniversary date of the contract.

AsOfDate: Contract Award

Use: The wage/salary and fringe benefit data shall be used by the NASA Contracting Officer to assist in the monitoring of Service Contract Act compliance.

Reference: Attachment 4.8

FAR 52.222-41, Service Contract Act of 1965 & FAR 52.222-42, Statement of Equivalent Rates for Federal Hires

Comment:

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File details come from the government source that posted it. Updated Feb 18, 2020.