Attachment 7 - Bereavement Leave Certification.doc
DOC document 24 KB Posted
- Attached to
- McGuire AFB Shelf Stocking, Receiving/Storage/Holding Area (RSHA), Custodial, and CLICK2GO Services
- Solicitation number
- HDEC08-20-R-0013
- Issued by
-
Defense Commissary Agency
About this file
This document contains a bereavement leave certification template for a contractor providing shelf stocking, receiving/storage/holding area, custodial, and click-and-collect services at McGuire Air Force Base. The template is to be used by the contractor to request reimbursement from the Defense Commissary Agency for bereavement leave paid to employees in accordance with the collective bargaining agreement. It requires the contractor to provide the name of the employee who took leave, the name and relationship of the deceased, the dates of bereavement leave, and certification from the contractor that the leave and payment were in compliance with the agreement terms before reimbursement will be provided.
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Other files
| File | Type | Posted |
|---|---|---|
| HDEC08-20-R-0013 AMEND 0001.pdf | ||
| Attachment 5 - TDWS DLS - McGuire AFB.XLS | XLS spreadsheet | |
| Attachment 1 - McGuire AFB PWS Dated 12.16.2020 Addendum - CLICK2GO.DOCX | DOCX document | |
| Attachment 3 - Volume I - Cost Breakout - CBA.XLS | XLS spreadsheet | |
| Attachment 2 - WD 2020-0244 Revison 2 dated 12.3.2020 (CBA).pdf | ||
| Attachment 4 - Volume II Technical Capability and Personnel.doc | DOC document | |
| Attachment 6 - Volume III Past Performance Information.doc | DOC document | |
| HDEC08.20.R.0013.pdf | ||
| Attachment 1 - McGuire AFB PWS Dated 12.16.2020.doc | DOC document |
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Text version
Attachment 7 Commissary: McGuire AFB
BEREAVEMENT LEAVE CERTIFICATION
REQUEST FOR PAYMENT
Contract:____________________________________
Name of Employee:____________________________
Area of Operation (circle one) Shelf Stocking, RSHA, Residual Grocery, 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 .