s090030_attachments.pdf

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Temporary Help Services
Solicitation number
AG-03R6-S-09-0030
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02 - Attachments

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AG-03R6-S-09-0030

Temporary Help Services Attachments, Page 1 of 11

ATTACHMENTS

The following attachments are a part of this solicitation and any resulting contract.

Wage Determination No. 2005-2317, Rev. 6, dated 7/25/2008, 9 pages

Job Order Form

Attachments, Page 2 of 11

Wage Determination No. 2005-2317, Rev. 6, dated 07/25/2008

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Attachments, Page 11 of 11

Job Order Form

TEMPORARY WORKER SERVICES

CONTRACT NO. ________________________

Task Order No. ____________________________ Order Date: ___________________ IAS Requisition No. ________________________

Title of Position: _______________________________________________________________

Specialized Skills Required: ______________________________________________________

Number of Workers Needed: _______ Approximate Duration: ______________________ (Include dates, # of workdays, # of holidays)

Worker’s Pay Rate/Fringes Bill Rate Overtime Rate Holiday Rate

Total Hours x Bill Rate = Total Obligation of $______________ to Job Code __________ Budget Object Code: 2540; PSC R699 Override __________

Location of Point of Hire: _______________________________________________

Reporting Date & Time: _______________________________________________

Work Schedule: _______________________________________________

Forest Service Work Director: _______________________________________________ Work Director Phone Number: ________________________

Driver of Government Vehicle: Yes [ ] No [ ]

Collection Activities: Yes [ ] No [ ]

ID Issued: Yes [ ] No [ ]

Name(s) of Worker(s) Furnished: _______________________________________________

Date Order Placed to LC Staffing Contracting Officer’s Representative

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