Attachment 7 - Bereavement Leave Certification.docx

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Attached to
Shelf Stocking, Receiving/Storage/Holding Area (RSHA), and Custodial Services - Edwards AFB Commissary
Solicitation number
HDEC08-20-R-0016
Issued by

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This document contains a solicitation for shelf stocking, receiving, storage, holding area, and custodial services at Edwards Air Force Base Commissary near Lancaster, California. The Defense Commissary Agency is seeking these services under solicitation number HDEC08-20-R-0016. A site visit and pre-proposal conference was tentatively scheduled for June 4, 2020 at 11:00 am, but may be cancelled or conducted virtually depending on base restrictions related to the COVID-19 pandemic. The solicitation describes screening questions and temperature checks required to access the base and commissary in accordance with COVID-19 safety protocols. An attachment provides a certification form for contractors to request reimbursement for bereavement leave paid to employees in accordance with the collective bargaining agreement.

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Other files

File Type Posted
Amendment 0001 - HDEC08-20-R-0016.pdf PDF
Attachment 2 - Edwards AFB CBA.PDF PDF
Solicitation HDEC08-20-R-0016.pdf PDF
Attachment 4 - Volume II - Technical Capability and Personnel Proposal (....docx DOCX document
Attachment 5 - Typical Daily Work Schedule (TDWS) and Direct Labor Summa....xls XLS spreadsheet
Attachment 1 - Performance Work Statement (PWS).pdf PDF
Attachment 6 - Volume III - Past Performance Information (Edwards AFB C....docx DOCX document
Attachment 3 - Cost Breakout Worksheet for Edwards AFB Commissary (HDEC0....xls XLS spreadsheet

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ATTACHMENT 7

BEREAVEMENT LEAVE CERTIFICATION

REQUEST FOR PAYMENT

EDWARDS AFB COMMISSARY

Contract Number: ________________________________________________________

Store Locations: _________________________________________________________

Name of Employee: _______________________________________________________

Area of Operation (circle one): Store Worker I / Warehouse Specialist / Janitor

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)

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