Attachments.pdf

List of Attachments

1. Wage Determination #2005-2159, Rev 14, 7/25/14, 9 Pages

2. Office Floor Plan, 1 Page

3. Workman’s Compensation Information, 1 Page

4. Workman’s Compensation Forms, 3 Pages

5. Non-Employee Identity System Requirement, 3 Pages

6. Past Performance Questionnaire, 4 Pages

7. 452.209-71, Assurance Regarding Felony Conviction or Tax Delinquent Status for Corporate

Applicants, 1 Page

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ATTACHMENT 01

WD 05-2159 (Rev.-15) was first posted on www.wdol.gov on 08/05/2014

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.: 2005-2159 Diane C. Koplewski Division of | Revision No.: 15 Director Wage Determinations| Date Of Revision: 07/25/2014 State: Idaho Area: Idaho Statewide **Fringe Benefits Required Follow the Occupational Listing**

OCCUPATION CODE - TITLE FOOTNOTE RATE

01000 - Administrative Support And Clerical Occupations 01011 - Accounting Clerk I 12.27 01012 - Accounting Clerk II 13.83 01013 - Accounting Clerk III 15.09 01020 - Administrative Assistant 17.16 01040 - Court Reporter 22.66 01051 - Data Entry Operator I 11.51 01052 - Data Entry Operator II 12.57 01060 - Dispatcher, Motor Vehicle 17.87 01070 - Document Preparation Clerk 14.34 01090 - Duplicating Machine Operator 14.34 01111 - General Clerk I 11.17 01112 - General Clerk II 12.19 01113 - General Clerk III 13.68 01120 - Housing Referral Assistant 17.37 01141 - Messenger Courier 10.69 01191 - Order Clerk I 14.76 01192 - Order Clerk II 16.11 01261 - Personnel Assistant (Employment) I 13.55 01262 - Personnel Assistant (Employment) II 15.15 01263 - Personnel Assistant (Employment) III 16.89 01270 - Production Control Clerk 18.51 01280 - Receptionist 11.51 01290 - Rental Clerk 12.35 01300 - Scheduler, Maintenance 13.93 01311 - Secretary I 13.93 01312 - Secretary II 15.58 01313 - Secretary III 17.37 01320 - Service Order Dispatcher 16.49 01410 - Supply Technician 17.16 01420 - Survey Worker 11.40 01531 - Travel Clerk I 12.07 01532 - Travel Clerk II 12.66 01533 - Travel Clerk III 13.73 01611 - Word Processor I 13.03 01612 - Word Processor II 13.92 01613 - Word Processor III 15.58 05000 - Automotive Service Occupations 05005 - Automobile Body Repairer, Fiberglass 17.65 05010 - Automotive Electrician 14.43 05040 - Automotive Glass Installer 14.24 05070 - Automotive Worker 14.07 05110 - Mobile Equipment Servicer 11.50 05130 - Motor Equipment Metal Mechanic 15.83 05160 - Motor Equipment Metal Worker 14.07 05190 - Motor Vehicle Mechanic 15.83

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05220 - Motor Vehicle Mechanic Helper 11.50 05250 - Motor Vehicle Upholstery Worker 13.30 05280 - Motor Vehicle Wrecker 14.07 05310 - Painter, Automotive 15.03 05340 - Radiator Repair Specialist 15.27 05370 - Tire Repairer 10.02 05400 - Transmission Repair Specialist 15.83 07000 - Food Preparation And Service Occupations 07010 - Baker 11.89 07041 - Cook I 9.80 07042 - Cook II 11.37 07070 - Dishwasher 7.90 07130 - Food Service Worker 9.41 07210 - Meat Cutter 14.58 07260 - Waiter/Waitress 8.62 09000 - Furniture Maintenance And Repair Occupations 09010 - Electrostatic Spray Painter 13.60 09040 - Furniture Handler 10.99 09080 - Furniture Refinisher 13.05 09090 - Furniture Refinisher Helper 11.51 09110 - Furniture Repairer, Minor 11.54 09130 - Upholsterer 12.83 11000 - General Services And Support Occupations 11030 - Cleaner, Vehicles 8.95 11060 - Elevator Operator 8.95 11090 - Gardener 14.27 11122 - Housekeeping Aide 10.75 11150 - Janitor 11.06 11210 - Laborer, Grounds Maintenance 11.56 11240 - Maid or Houseman 8.80 11260 - Pruner 10.14 11270 - Tractor Operator 14.11 11330 - Trail Maintenance Worker 11.56 11360 - Window Cleaner 12.19 12000 - Health Occupations 12010 - Ambulance Driver 16.49 12011 - Breath Alcohol Technician 16.25 12012 - Certified Occupational Therapist Assistant 24.40 12015 - Certified Physical Therapist Assistant 21.99 12020 - Dental Assistant 14.94 12025 - Dental Hygienist 33.20 12030 - EKG Technician 24.91 12035 - Electroneurodiagnostic Technologist 24.91 12040 - Emergency Medical Technician 16.49 12071 - Licensed Practical Nurse I 14.53 12072 - Licensed Practical Nurse II 16.25 12073 - Licensed Practical Nurse III 18.12 12100 - Medical Assistant 14.79 12130 - Medical Laboratory Technician 17.53 12160 - Medical Record Clerk 13.47 12190 - Medical Record Technician 15.07 12195 - Medical Transcriptionist 15.16 12210 - Nuclear Medicine Technologist 32.30 12221 - Nursing Assistant I 10.66 12222 - Nursing Assistant II 11.99 12223 - Nursing Assistant III 13.08 12224 - Nursing Assistant IV 14.66 12235 - Optical Dispenser 14.76 12236 - Optical Technician 13.18 12250 - Pharmacy Technician 14.80 12280 - Phlebotomist 14.66 12305 - Radiologic Technologist 22.77

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12311 - Registered Nurse I 22.72 12312 - Registered Nurse II 27.78 12313 - Registered Nurse II, Specialist 27.78 12314 - Registered Nurse III 33.61 12315 - Registered Nurse III, Anesthetist 33.61 12316 - Registered Nurse IV 40.02 12317 - Scheduler (Drug and Alcohol Testing) 20.13 13000 - Information And Arts Occupations 13011 - Exhibits Specialist I 16.36 13012 - Exhibits Specialist II 20.27 13013 - Exhibits Specialist III 24.80 13041 - Illustrator I 16.36 13042 - Illustrator II 20.27 13043 - Illustrator III 24.80 13047 - Librarian 22.59 13050 - Library Aide/Clerk 13.53 13054 - Library Information Technology Systems 20.57 Administrator 13058 - Library Technician 13.31 13061 - Media Specialist I 14.72 13062 - Media Specialist II 16.48 13063 - Media Specialist III 18.36 13071 - Photographer I 13.38 13072 - Photographer II 16.76 13073 - Photographer III 18.78 13074 - Photographer IV 23.09 13075 - Photographer V 28.39 13110 - Video Teleconference Technician 18.11 14000 - Information Technology Occupations 14041 - Computer Operator I 14.69 14042 - Computer Operator II 16.43 14043 - Computer Operator III 18.32 14044 - Computer Operator IV 20.50 14045 - Computer Operator V 22.54 14071 - Computer Programmer I 17.62 14072 - Computer Programmer II 22.88 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 14.69 14160 - Personal Computer Support Technician 20.50 15000 - Instructional Occupations 15010 - Aircrew Training Devices Instructor (Non-Rated) 27.58 15020 - Aircrew Training Devices Instructor (Rated) 33.36 15030 - Air Crew Training Devices Instructor (Pilot) 36.70 15050 - Computer Based Training Specialist / Instructor 27.58 15060 - Educational Technologist 20.74 15070 - Flight Instructor (Pilot) 36.70 15080 - Graphic Artist 18.46 15090 - Technical Instructor 18.36 15095 - Technical Instructor/Course Developer 22.46 15110 - Test Proctor 14.79 15120 - Tutor 14.79 16000 - Laundry, Dry-Cleaning, Pressing And Related Occupations 16010 - Assembler 8.97 16030 - Counter Attendant 8.97 16040 - Dry Cleaner 10.70 16070 - Finisher, Flatwork, Machine 8.97 16090 - Presser, Hand 8.97 16110 - Presser, Machine, Drycleaning 8.97

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16130 - Presser, Machine, Shirts 8.97 16160 - Presser, Machine, Wearing Apparel, Laundry 8.97 16190 - Sewing Machine Operator 11.28 16220 - Tailor 11.90 16250 - Washer, Machine 9.39 19000 - Machine Tool Operation And Repair Occupations 19010 - Machine-Tool Operator (Tool Room) 14.91 19040 - Tool And Die Maker 22.33 21000 - Materials Handling And Packing Occupations 21020 - Forklift Operator 12.95 21030 - Material Coordinator 18.51 21040 - Material Expediter 18.51 21050 - Material Handling Laborer 10.85 21071 - Order Filler 11.95 21080 - Production Line Worker (Food Processing) 12.95 21110 - Shipping Packer 12.87 21130 - Shipping/Receiving Clerk 12.87 21140 - Store Worker I 10.50 21150 - Stock Clerk 15.07 21210 - Tools And Parts Attendant 12.95 21410 - Warehouse Specialist 12.95 23000 - Mechanics And Maintenance And Repair Occupations 23010 - Aerospace Structural Welder 21.20 23021 - Aircraft Mechanic I 20.19 23022 - Aircraft Mechanic II 21.20 23023 - Aircraft Mechanic III 22.26 23040 - Aircraft Mechanic Helper 13.63 23050 - Aircraft, Painter 19.01 23060 - Aircraft Servicer 16.63 23080 - Aircraft Worker 17.60 23110 - Appliance Mechanic 17.03 23120 - Bicycle Repairer 10.23 23125 - Cable Splicer 29.76 23130 - Carpenter, Maintenance 17.46 23140 - Carpet Layer 19.20 23160 - Electrician, Maintenance 20.50 23181 - Electronics Technician Maintenance I 21.33 23182 - Electronics Technician Maintenance II 22.66 23183 - Electronics Technician Maintenance III 26.15 23260 - Fabric Worker 16.56 23290 - Fire Alarm System Mechanic 18.62 23310 - Fire Extinguisher Repairer 15.33 23311 - Fuel Distribution System Mechanic 21.65 23312 - Fuel Distribution System Operator 17.67 23370 - General Maintenance Worker 16.45 23380 - Ground Support Equipment Mechanic 20.19 23381 - Ground Support Equipment Servicer 16.63 23382 - Ground Support Equipment Worker 17.60 23391 - Gunsmith I 15.33 23392 - Gunsmith II 17.65 23393 - Gunsmith III 21.89 23410 - Heating, Ventilation And Air-Conditioning 18.62 Mechanic 23411 - Heating, Ventilation And Air Conditioning 19.43 Mechanic (Research Facility) 23430 - Heavy Equipment Mechanic 18.62 23440 - Heavy Equipment Operator 18.62 23460 - Instrument Mechanic 20.48 23465 - Laboratory/Shelter Mechanic 18.74 23470 - Laborer 10.85 23510 - Locksmith 17.48 23530 - Machinery Maintenance Mechanic 21.22

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23550 - Machinist, Maintenance 17.44 23580 - Maintenance Trades Helper 13.09 23591 - Metrology Technician I 20.48 23592 - Metrology Technician II 21.51 23593 - Metrology Technician III 22.53 23640 - Millwright 22.43 23710 - Office Appliance Repairer 17.48 23760 - Painter, Maintenance 16.06 23790 - Pipefitter, Maintenance 21.74 23810 - Plumber, Maintenance 19.55 23820 - Pneudraulic Systems Mechanic 21.89 23850 - Rigger 21.88 23870 - Scale Mechanic 17.65 23890 - Sheet-Metal Worker, Maintenance 19.69 23910 - Small Engine Mechanic 14.51 23931 - Telecommunications Mechanic I 23.06 23932 - Telecommunications Mechanic II 24.50 23950 - Telephone Lineman 20.45 23960 - Welder, Combination, Maintenance 16.65 23965 - Well Driller 18.62 23970 - Woodcraft Worker 21.89 23980 - Woodworker 14.28 24000 - Personal Needs Occupations 24570 - Child Care Attendant 8.80 24580 - Child Care Center Clerk 12.47 24610 - Chore Aide 9.06 24620 - Family Readiness And Support Services 12.08 Coordinator 24630 - Homemaker 10.19 25000 - Plant And System Operations Occupations 25010 - Boiler Tender 19.84 25040 - Sewage Plant Operator 15.28 25070 - Stationary Engineer 19.84 25190 - Ventilation Equipment Tender 13.95 25210 - Water Treatment Plant Operator 15.28 27000 - Protective Service Occupations 27004 - Alarm Monitor 16.88 27007 - Baggage Inspector 13.20 27008 - Corrections Officer 18.72 27010 - Court Security Officer 19.91 27030 - Detection Dog Handler 15.80 27040 - Detention Officer 18.72 27070 - Firefighter 18.98 27101 - Guard I 13.20 27102 - Guard II 15.80 27131 - Police Officer I 22.26 27132 - Police Officer II 24.73 28000 - Recreation Occupations 28041 - Carnival Equipment Operator 11.94 28042 - Carnival Equipment Repairer 14.41 28043 - Carnival Equpment Worker 10.11 28210 - Gate Attendant/Gate Tender 14.60 28310 - Lifeguard 11.34 28350 - Park Attendant (Aide) 15.36 28510 - Recreation Aide/Health Facility Attendant 11.92 28515 - Recreation Specialist 15.92 28630 - Sports Official 13.01 28690 - Swimming Pool Operator 17.28 29000 - Stevedoring/Longshoremen Occupational Services 29010 - Blocker And Bracer 19.42 29020 - Hatch Tender 19.42 29030 - Line Handler 19.42

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29041 - Stevedore I 16.97 29042 - Stevedore II 19.50 30000 - Technical Occupations 30010 - Air Traffic Control Specialist, Center (HFO) (see 2) 35.77 30011 - Air Traffic Control Specialist, Station (HFO) (see 2) 24.67 30012 - Air Traffic Control Specialist, Terminal (HFO) (see 2) 27.16 30021 - Archeological Technician I 17.79 30022 - Archeological Technician II 20.00 30023 - Archeological Technician III 24.38 30030 - Cartographic Technician 24.39 30040 - Civil Engineering Technician 22.41 30061 - Drafter/CAD Operator I 17.59 30062 - Drafter/CAD Operator II 20.76 30063 - Drafter/CAD Operator III 21.94 30064 - Drafter/CAD Operator IV 25.54 30081 - Engineering Technician I 13.93 30082 - Engineering Technician II 15.62 30083 - Engineering Technician III 18.43 30084 - Engineering Technician IV 21.66 30085 - Engineering Technician V 26.49 30086 - Engineering Technician VI 30.94 30090 - Environmental Technician 22.32 30210 - Laboratory Technician 20.26 30240 - Mathematical Technician 24.45 30361 - Paralegal/Legal Assistant I 16.96 30362 - Paralegal/Legal Assistant II 21.01 30363 - Paralegal/Legal Assistant III 25.70 30364 - Paralegal/Legal Assistant IV 31.10 30390 - Photo-Optics Technician 24.45 30461 - Technical Writer I 20.81 30462 - Technical Writer II 25.45 30463 - Technical Writer III 27.75 30491 - Unexploded Ordnance (UXO) Technician I 22.74 30492 - Unexploded Ordnance (UXO) Technician II 27.51 30493 - Unexploded Ordnance (UXO) Technician III 32.97 30494 - Unexploded (UXO) Safety Escort 22.74 30495 - Unexploded (UXO) Sweep Personnel 22.74 30620 - Weather Observer, Combined Upper Air Or (see 2) 19.61 Surface Programs 30621 - Weather Observer, Senior (see 2) 23.97 31000 - Transportation/Mobile Equipment Operation Occupations 31020 - Bus Aide 10.06 31030 - Bus Driver 12.58 31043 - Driver Courier 12.40 31260 - Parking and Lot Attendant 8.69 31290 - Shuttle Bus Driver 13.52 31310 - Taxi Driver 9.78 31361 - Truckdriver, Light 13.52 31362 - Truckdriver, Medium 14.62 31363 - Truckdriver, Heavy 16.12 31364 - Truckdriver, Tractor-Trailer 16.12 99000 - Miscellaneous Occupations 99030 - Cashier 9.03 99050 - Desk Clerk 8.36 99095 - Embalmer 25.86 99251 - Laboratory Animal Caretaker I 9.90 99252 - Laboratory Animal Caretaker II 10.80 99310 - Mortician 25.86 99410 - Pest Controller 16.64 99510 - Photofinishing Worker 13.32 99710 - Recycling Laborer 15.96 99711 - Recycling Specialist 18.07

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99730 - Refuse Collector 13.99 99810 - Sales Clerk 11.95 99820 - School Crossing Guard 11.85 99830 - Survey Party Chief 20.27 99831 - Surveying Aide 13.74 99832 - Surveying Technician 18.43 99840 - Vending Machine Attendant 11.52 99841 - Vending Machine Repairer 14.81 99842 - Vending Machine Repairer Helper 11.13

ALL OCCUPATIONS LISTED ABOVE RECEIVE THE FOLLOWING BENEFITS:

HEALTH & WELFARE: $4.02 per hour or $160.80 per week or $696.79 per month

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 or 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 ten paid holidays per year, New Year's Day, Martin Luther King Jr's Birthday, Washington's Birthday, Memorial 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 4174)

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 computer professional exemption. Therefore, the exemption applies only to computer employees 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 computer 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

AG-0261-S-15-0013 LOWMAN JANITORIAL, ATTACHMENTS Page 8 of 23 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 ordinance, 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 regrading 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.

The duties of employees under job titles listed are those described in the "Service Contract Act Directory of Occupations", Fifth Edition, April 2006, unless otherwise indicated. Copies of the Directory are available on the Internet. A links to the Directory may be found on the WHD home page at http://www.dol. gov/esa/whd/ or through the Wage Determinations On-Line (WDOL) Web site at http://wdol.gov/.

REQUEST FOR AUTHORIZATION OF ADDITIONAL CLASSIFICATION AND WAGE RATE {Standard Form

1444 (SF 1444)}

Conformance Process:

AG-0261-S-15-0013 LOWMAN JANITORIAL, ATTACHMENTS Page 9 of 23 http://www.dol/

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. Such conformed classes of employees shall be paid the monetary wages and furnished the fringe benefits as are determined.

Such conforming process shall be initiated by the contractor prior to the performance of contract work by such unlisted class(es) of employees. The conformed classification, wage rate, and/or fringe benefits shall be retroactive to the commencement date of the contract. {See Section 4.6 (C)(vi)} When multiple wage determinations are included in a contract, a separate SF 1444 should be prepared for each wage 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 proposed classification title(s), a Federal grade equivalency (FGE) for each proposed classification(s), job description(s), and rationale for proposed wage rate(s), including information regarding the agreement or disagreement of the 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 Wage and Hour Division, Employment Standards Administration, U.S. Department of Labor, for review.

(See section 4.6(b)(2) of Regulations 29 CFR Part 4).

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

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

6) The contractor informs the affected employees.

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" (the Directory) should be used to compare job definitions to insure that duties requested are not performed by a classification already listed in the wage 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.

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Floor plan

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ATTACHMENT 03

Workman’s Compensation Information

NOTICE OF OFFERORS

STATE OF IDAHO CERTIFICATE OF VERIFICATION

OF WORKER’S COMPENSATION INSURANCE

Read thoroughly before completing form

WHAT ARE THE WORKERS’ COMPENSATION REQUIREMENTS?

The Idaho Workers’ Compensation Law requires that employers who hire one or more, either full or part-time employees, to perform work in the State of Idaho, carry workers compensation insurance unless specifically exempted. Failure to comply could result in monetary penalties as well as an injunction to prohibit the employer from operating the business. Failure to carry workers’ compensation insurance for employees is a misdemeanor under Idaho Law.

WHO MUST COMPLETE THIS FORM?

Any person, partnership, limited liability company, corporation or firm who is bidding on a contract for the United States Department of Agriculture/Forest Service (USFS) for work that is within the State of Idaho and who has been notified by the USFS that he/she/it has been selected for a USFS contract.

WHEN MUST THE FORM BE COMPLETED?

The form must be completed and forwarded to one of the Industrial Commission offices when you are notified by the USFS that you have been selected for a USFS contract. The approval of the Industrial Commission is required prior to the final award.

ADDITIONAL COMMENTS:

Failure to complete any part of the form that is applicable to your operations could result in a delay in processing.

If any of the work is to be performed by sub-contractors, each sub-contractor must obtain and complete a Certificate of Verification of Worker’s Compensation Insurance.

If your business is a partnership, limited liability company or corporation, each partner/member/corporate officer must sign the form where designated.

You must submit a separate verification form for each contract awarded.

ONCE THE BIDDER HAS COMPLETED AND SIGNED THE FORM, FAX, MAIL, OR DELIVER IT

TO THE APPROPRIATE INDUSTRIAL COMMISSION OFFICE. IF YOU HAVE ANY QUESTIONS,

CONTACT A COMPLIANCE REPRESENTATIVE AT ANY OF THE FOLLOWING OFFICES:

AG-0261-S-15-0013 LOWMAN JANITORIAL, ATTACHMENTS Page 12 of 23

ATTACHMENT 04

Worker’s Compensation Forms

STATE OF IDAHO

CERTIFICATE OF VERIFICATION

OF WORKERS' COMPENSATION INSURANCE

Date:

1. Contractor’s Name: ____________________________________________________________________

2. Business Name: _________________________________________________________________________

3. Contractor’s Federal Identification Number: ___________________________________________________

4. Contactor’s Business Address: ______________________________________________________________ Street, Box # City, State Zip

5. Contractor’s Business Telephone Number: ____________________________________________________

6. Contractor’s Home Address: _______________________________________________________________

Street, Box # City, State Zip

7. Name of Supervisor in charge of project: _____________________________________________________

8. Supervisor’s Business Address: _____________________________________________________________

Street, Box # City, State Zip

9. Supervisor’s Business Telephone: ___________________________________________________________

10. Supervisor’s Home Address: ______________________________________________________________

Street, Box # City, State Zip

11. Classification of Business

(a) Corporation (List names, addresses & telephone numbers of corporate officers and directors, and percent of ownership.)

(b) Partnership/Limited Liability Company (List partner/member names, addresses & telephone numbers, and percent of ownership.)

(c) Sole Proprietorship

(d) Other – Please explain

Description of Project

12. Contract #: AG- Estimated Start Date:

FOR I.C. USE ONLY

IC#

Received

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13. Location of Work:

14. Description of Work:

15. Forest Service District Office Overseeing Contract: Contracting Officer

16. DO YOU HAVE WORKERS’ COMPENSATION INSURANCE? Yes No

17. Workers’ Compensation Insurance Company

Name of Carrier: _____________________________________________________________________

Policy # Effective Date

Name of Agent Tel. # ______________________________________

Address ____________________________________________________________________________

Street, Box City, State Zip

Extraterritorial Coverage # _____________________________________________________________

State Date Approved Expiration Date

18. If Contractor is a sole proprietorship/partnership/limited liability company, will workers other than the proprietor or partners/members be performing any of the work to be done under this contract?

Yes No

If yes, state the approximate number of such workers and, if known, their names, permanent addresses, telephone numbers, and date of hire. (Attach additional pages, if needed.)

19. If Contractor is a corporation, will workers who are not officers and 10% shareholders and directors of the corporation be performing any of the work to be done under this contract?

If yes, state the approximate number of such workers and, if known, their names, permanent addresses, Telephone numbers, and date of hire. (Attach additional pages, if needed.)

20. Do you intend to use any sub-contractors to assist you in the performance of this contract?

Note: All sub-contractors used on this contract must also submit a Certificate of Verification of Workers’ Compensation Insurance for approval prior to commencing work in this contract.

If yes, state their names, business names, permanent addresses and telephone numbers.

21. Based upon my knowledge of the work to be performed under the contract specified on page 1 and upon my knowledge of work practices, methods and technologies to be applied during this contract, I estimate that ________ workers are necessary to do the work in the time prescribed, assuming average production rates and conditions.

22. I certify that the above information is true and correct to the best of my knowledge and belief.

Further, I agree to inform the Industrial Commission Compliance Officer if there is any change in the above Information during the time this contract is in effect.

Type or Print Contractor’s Name

By: __________________________________ Signature

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Date: _________________________________

23. If the business is a partnership, limited liability company or corporation, this document requires the signature of all of the partners/members/corporate officers. (Attach additional pages if necessary.)

________________________ ______ _ ____________________ Date _________________ Partner/member/Corp. Off. Title % of Ownership ________________________________ ___________________ Date _________________ Partner/member/Corp. Off. Title % of Ownership _______________________________ ____________________ Date _________________ Partner/member/Corp. Off. Title % of Ownership ________________________________ ___________________ Date _________________ Partner/member/Corp. Off. Title % of Ownership

CONTRACTOR – DO NOT WRITE BELOW THIS LINE

Based solely upon the assertions above set forth, and without warranty of continued compliance, the Idaho Industrial Commission finds that Contractor:

Currently carries workers’ compensation insurance as required by state law.

Has a current extraterritorial on file from the State of which covers only based employees while working temporarily in the State of Idaho.

Extraterritorial coverage expires .

Is not required to provide workers’ compensation insurance because:

Is a partnership/limited liability company/sole proprietor which employs no workers other than the partners/members/sole proprietor and will not employ any other workers under this contract.

Is a corporation which employs no workers other than individuals who are corporate officers, directors and 10% shareholders and will not employ any other workers under this contract.

Other (Specify):

(By making the above finding, the Commission does not warrant continued compliance.)

Has not obtained the required workers’ compensation insurance.

Industrial Commission Compliance Officer

Date ______________________________

Contract/Solicitation # ________________

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ATTACHMENT 05

Notice of Non – Employee Identity System (NEIS) Requirement

In accordance with the Homeland Security Presidential Directive 12 (HSPD-12) contractors who meet one of three criteria may need a LincPass to access USDA systems and/or facilities. It has been determined performing services under this contract meets the terms of one of the criteria, which is:

“Applicant requires unescorted access in MC (Mission Critical) or NCR (National Capital Region) areas (or as determined by particular agency’s local risk assessment)”

More information on the HSPD-12 can be found at: http://hspd12.usda.gov/about.html

This following is standard protocol of the Homeland Security/USDA HSPD–12 Information specifications for all employees, Federal and Non-Federal, prior being authorized access and entrance of Federal buildings before and after business hours and access to Federal computers.

This contract requires the contractor to work unescorted in this agencies, U.S. Forest Service, buildings and/or other facilities. The normal work hours for this contract are designated in the Statement of Work.

Therefore the contractor and contractor personnel will have to comply with the following steps upon notification of award:

(a) The Contractor will contact the Contracting Officer (CO) or NEIS Sponsor, Gladys Hamilton at 208-373- 4289 to inform them of the city/address where the personnel who will perform on the contract are located to determine the closest PII station. This will give the contractor information for evaluation of costs involved obtaining access permission.

(b) The Contractor and all personnel shall be required to apply for and go through the NEIS LincPass interview and assignment of badge.

(c) The Contractor is required to fill out a PII Form (Personal Identification Information) for all employees’ assigned to this contract. See attached sample of the PII Form is attached for informational purposes only, unless notified of award. The Contractor should consider contingencies during this process, as alternates who normally would not work in the facility might need a pass in case of an illness or other absence

(d) After PII Forms are forwarded to the NEIS Sponsor each individual will be prompted via email, for an interview appointment with the LincPass station personnel. It will be the Contractors responsibility to travel to the closest PII station from their work location for an interview. This could be anywhere from five miles to two hundred miles of travel and time.

(e) Once the interview is complete the employee will return without the LincPass. Within four (4) to six (6) weeks the employee will be notified through e-mail that their LincPass has been approved and ready for pick up.

At that point the employee will have to return to the same PII Station.

(f) It is then the responsibility of the Contractor and all employees to keep this card safe.

AG-0261-S-15-0013 LOWMAN JANITORIAL, ATTACHMENTS Page 16 of 23 http://hspd12.usda.gov/about.html

(g) During the term of contract if any employee is suspended, laid off, or terminated it is the Contractor’s responsibility to inform the CO the same day actions is taken. Retrieval of LincPass card should also be the same day, but card shall be relinquished to the CO within two (2) weeks.

In the case of a suspension due to an illness which will last more than three (3) weeks, notify the CO, NEIS Sponsor, or CO Designee (COR, etc.) and retrieve the LincPass. When the employee returns to work, immediately notify the CO, NEIS Sponsor, or CO Designee (COR, etc.) for reinstatement in the system.

(h) Cards are not personal property, but are the property of the Federal Agency. At completion of the contract, through expiration or termination all cards issued will be relinquished to the CO, NEIS Sponsor, or CO Designee (COR, etc.).

(i) For return of LincPasses being relinquished they can be done in the following ways:

a. Through the mail, they are required to be accomplished through Certified Mail – Return Receipt Requested.

b. In person to the CO, NEIS Sponsor, or CO Designee (COR, etc.). When doing it in this manner, be sure to get a signed receipt.

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NEIS PII SHEET

The Contracting Officer Representative (COTR)/Program Manager for one of your organization's Federal government contracts/agreements has determined by agency Risk Assessment that a performing contractor on the contract requires a LincPass. The information collected on this Personal Identity Information (PII) sheet is required for LincPass sponsorship. This information is to be collected and transmitted in accordance with The Privacy Act of 1974. For details on the Privacy Act of 1974, visit this website:

http://www.usdoj.gov/oip/.

Instructions: Enter the information below for the applicant. Enter the applicant's complete name and address as it appears on their government-issued ID, such as a driver’s license or passport. If the information doesn’t match, the non-employee will encounter problems during the enrollment process and may have to reapply.

All fields are required to be completed

Name:

First, Middle (if any), Last, Suffix (if any).

Use what it looks like on your state ID or passport!

Social Security Number

Date of Birth (mm/dd/yyyy)

Gender

Existing Background Investigation?

Yes/No/Don’t Know. If yes, enter the agency that conducted the investigation (e.g. USDA, Treasury, etc).

Government Employee (which agency?)

Email Address (business email preferred) This is required for enrolment notification. If the applicant does not have a business email address, enter the address of the person who will manage enrolment activities, e.g.

Security Officer or Supervisor.

Country of Citizenship

Non-Employee Type:

Select one: Contractor, Volunteer, Intern, Fellow, or Affiliate

Work Phone

Federal Emergency Response Official:

Yes/No. If yes, explain the applicant’s designation, e.g., “Continuity Coordinator.”

Note: This only applies to an Agency-identified person serving in an Emergency Response Official capacity.

Contact your Security Officer for more information.

Place of Birth:

City/State. If outside U.S., enter City/Country.

Home Address:

Enter the address as it appears on your government-issued

ID.

Work Address:

Contractor or Cooperator Name

Contract/Task Order No., Agreement No.

or Other Authority

Expiration Date of Contract/Task Order, Agreement or Other Authority

COR, Agreements Program Manager, Volunteer Program Manager, or other Government Sponsor

AG-0261-S-15-0013 LOWMAN JANITORIAL, ATTACHMENTS Page 18 of 23 http://www.usdoj.gov/oip/

ATTACHMENT 06

Instructions: this form may be used to document your past performance. Forward this form to your reference(s).

Request they complete the form and return it to the Contracting Officer before the offer due date and time.

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

A. GENERAL INFORMATION: Please correct any information below known to be inaccurate:

Contractor’s Name:_______________________ Telephone Number: __________________ Address: _______________________________ Fax Number: ________________________ _______________________________ Point of Contact: _____________________

Project Title and Brief Description of Work: _____________________________________

Contract Number Provided by Offeror: ___________________ Dollar Amount: _________

Contract Period or Dates of Performance Provided by Offeror: _______________________

Contractor performed as the Prime Contractor Sub-Contractor Key Personnel.

Authorization is hereby granted to provide the information requested on this questionnaire:

Signature of Authorized Offeror Representative Date

Printed Name and title of Authorized Offeror Representative

B. RESPONDENT INFORMATION:

Name of Respondent: _____________________ Title: ____________________________

Address: _____________________________ Telephone Number: ___________________ _____________________________ Fax Number: ________________________

_____________________________ Email Address: _______________________

C. FAX or E-mail COMPLETED SURVEY FORM TO: DIANA EARLY Fax: 208-373-4168 E-mail: dearly@fs.fed.us

D. PERFORMANCE INFORMATION: Choose the appropriate letter on the scale (E, G, S, M, U, and N) that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF M or U.

AG-0261-S-15-0013 LOWMAN JANITORIAL, ATTACHMENTS Page 19 of 23

E G S M U N Exceptional Good Satisfactory Marginal Unsatisfactory Neutral

Performance meets contractual requirements with many exceeded to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with no more than a few minor problems for which corrective actions taken by the contractor were highly effective.

Performance meets contractual requirements with some exceeded to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with no more than some minor problems for which corrective actions taken by the contractor were effective.

Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor were satisfactory.

Performance does not meet some contractual requirements.

The contractual performance of the element or sub-element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions or the contractor’s proposed actions appear only marginally effective or were not fully implemented.

Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

Performance was not observed or not applicable to the current effort being reported against.

CONTRACTOR’S NAME: ______________ _

CONTRACT NUMBER: __ _____________

Note: Include this information on each page of the questionnaire form to ensure there is no mix up in information among contracts surveyed for respective primes/subs, etc.

AG-0261-S-15-0013 LOWMAN JANITORIAL, ATTACHMENTS Page 20 of 23

Place an “X” in the appropriate column using the definitions matrix above.

The contractor: E G S M U N

1 Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements.

2 Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period.

3 Delegated authority to project managers and supervisors commensurate with contract requirements.

4 Home office participated in solving significant local problems.

5 Followed approved quality control plan.

6 Provided effective quality control and/or inspection procedures to meet contract requirements.

7 Corrected deficiencies in timely manner and pursuant to their quality control procedures.

8 Provided timely resolution of contract discrepancies.

9 Identified problems as they occurred.

10 Suggested alternative approaches to problems.

11 Displayed initiative to solve problems.

12 Was responsive to contract changes.

13 Provided adequate project supervision.

14 Cooperated with Government/company personnel after award.

15 Timely in correcting deficiencies after they were identified?

16 How would you rate the contractor's overall performance?

17 Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain outcome in “remarks.” YES NO

18 Would you award another contract to this contractor? If not, explain in “remarks.” YES NO

19 Is the contractor rated in CPARS? YES NO

AG-0261-S-15-0013 LOWMAN JANITORIAL, ATTACHMENTS Page 21 of 23

Remarks:_______________________________________________________________________________

AG-0261-S-15-0013 LOWMAN JANITORIAL, ATTACHMENTS Page 22 of 23

ATTACHMENT 07

452.209–71 ASSURANCE REGARDING FELONY CONVICTION OR TAX DELINQUENT

STATUS FOR CORPORATE APPLICANTS, Alternate 1 (Feb 2012).

(a) This award is subject to the provisions contained in the Consolidated Appropriations Act, 2012 (P.L.

No. 112-74), Division E, Sections 433 and 434 regarding corporate felony convictions and corporate federal tax delinquencies. Accordingly, by accepting this award the contractor acknowledges that it –

(1) does not have a tax delinquency, meaning that it is not subject to any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability, and

(2) has not been convicted (or had an officer or agent acting on its behalf convicted) of a felony criminal violation under any Federal law within 24 months preceding the award, unless a suspending and debarring official of the United States Department of Agriculture has considered suspension or debarment of the awardee, or such officer or agent, based on these convictions and/or tax delinquencies and determined that suspension or debarment is not necessary to protect the interests of the Government.

(b) If the awardee fails to comply with these provisions, the Forest Service may terminate this contract for default and may recover any funds the awardee has received in violation of sections 433 or 434.

(End of Clause)

Contractor’s Signature Date

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