ATTACHMENT 3 - Bereavement Leave Certification.doc
DOC document 24 KB Posted
- Solicitation number
- HDEC0821R0003
- Issued by
-
Defense Commissary Agency
About this file
This document includes a federal contract solicitation and related attachment. The solicitation is for shelf stocking, receiving, storage, holding area, and custodial services for the Peterson Air Force Base Commissary located in Colorado Springs, Colorado. Services are required from August 1, 2021 through July 31, 2025, including a base period and three one-year option periods. This is a 100% set-aside for Service-Disabled Veteran-Owned Small Businesses with a North American Industry Classification System code of 561990 and business size standard of $12 million. The solicitation and attachments will be available on FedBizOpps on March 1, 2021, with a closing date for proposals of April 19, 2021. A pre-proposal site visit is scheduled for March 22, 2021. The related attachment is a template for requesting payment of bereavement leave in accordance with the collective bargaining agreement applicable to the contract.
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Other files
| File | Type | Posted |
|---|---|---|
| Amendment 3.pdf | ||
| Amendment 0003 - ATTACHMENT 4 -Volume I Cost Breakout (Revised 4-19-21).xls | XLS spreadsheet | |
| Peterson AFB - Amendment 0002.pdf | ||
| Amendment 0002 - ATTACHMENT 4 - Volume I Cost Breakout (Revised 4-7-21).xls | XLS spreadsheet | |
| Amendment 0001 - ATTACHMENT 4 - Volume I Cost Breakout (Revised 4-1-21).xls | XLS spreadsheet | |
| Amendment 0001.pdf | ||
| ATTACHMENT 4 - Volume I Cost Breakout.xls | XLS spreadsheet | |
| ATTACHMENT 7 - Past Performance Information.doc | DOC document | |
| ATTACHMENT 2 - Collective Bargaining Agreement (CBA).pdf | ||
| ATTACHMENT 1 - Peterson AFB PWS - 12.9.2020.docx | DOCX document | |
| ATTACHMENT 5 - Technical Capability and Personnel.rtf | RTF text file | |
| HDEC0821R0003.pdf | ||
| ATTACHMENT 6 - TDWS and DLS - Peterson.xls | XLS spreadsheet |
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Text version
Attachment 3 Commissary: Peterson AFB, CO
BEREAVEMENT LEAVE CERTIFICATION
REQUEST FOR PAYMENT
Contract:____________________________________
Name of Employee:____________________________
Area of Operation (circle one) Shelf Stocking, RSHA, and Custodial
Name of Deceased: ____________________________
Relationship to Employee:______________________
Dates of Bereavement Leave:____________________
I certify that the above named individual took Bereavement Leave in accordance with the provision of the Collective Bargaining Agreement (CBA) applicable to abovementioned contract and that the individual was paid according to its provisions. Pursuant to said agreement, the contractor is entitled to reimbursement.
(Signature)
(Name, Position, and Date)
File details come from the government source that posted it. Updated .