S140016Attachments.pdf

AG-03R6-S-14-0016

Temporary Help Services Amendment No. 1, Dated 02/14/2014 Attachments, Page 1 of 14

Attachments

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

J- 1 Wage Determinations Wage Determination No. 2005-2317 (Rev. 13), dated 06/19/2013, 9 pages Wage Determination No. 1976-1342 (Rev. 47), dated 08/30/2013, 3 pages

J- 2 Job Order Form, 1 page

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Wage Determination No. 2005-2317 (Rev. 13), dated 06/19/2013

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Wage Determination No. 1976-1342 (Rev. 47), dated 08/30/2013

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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 Contractor Contracting Officer’s Representative