B08_SOL_-_Att_2_-_SCA_Verification.pdf

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Attached to
IACB MPI Admission Fee and Museum Monitor
Solicitation number
140D0426Q0341
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This is a Service Contract Labor Standards Verification Form template for the MPI Museum Fee and Monitor Service Contract. The form requires contractors to verify compliance with 41 U.S.C. chapter 67 and 29 CFR Part 4 labor standards regulations by checking one of three compliance options: that the standards do not apply to any proposed labor categories, that the standards apply to some labor categories which must be annotated in the proposal with corresponding wage determination titles, or that the standards apply but additional classification is needed.

Contractors must submit the completed form with their quotation and certify it with an authorized representative signature and date. The form requires submission of company information including company name, DUNS number, representative's full name, position title, phone number, and email address. If additional labor classifications are needed beyond those listed in the applicable wage determinations, contractors must submit Standard Form 1444 (Request for Authorization of Additional Classification and Rate) to the Contracting Officer within 30 days of when an unlisted employee class begins performing contract work. This is a template document with no specific products, services, response dates, or award information.

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Attachment 2 – MPI Museum Fee and Monitor

Service Contract Labor Standards Verification Form

In order to ensure compliance with FAR 52.222-41, “Service Contract Labor Standards,” the Contractor shall complete the following verification form. The form shall be submitted with the Contractor’s quotation, and shall be in the following format:

41 U.S.C. chapter 67, Service Contract Labor Standards and 29 CFR Part 4: (check one)

☐ Does Not Apply to any of the Labor Categories proposed, or Labor Categories used to support this effort.

☐ Applies to some Labor Categories proposed, which are annotated as such within the proposal1

☐ Applies to some of the Labor Categories proposed; but Additional Classification is needed2

Certified By:

Authorized Contractor Representative Signature / Date

Company Name:

DUNS #:

Full Name:

Position Title:

Phone:

Email:

1 All labor categories subject to wage determinations shall include the corresponding wage determination title in accordance with FAR 52.222-41(c)(2)(i).

2 The Contractor shall submit Standard Form (SF) 1444, Request For Authorization of Additional Classification and Rate, to the Contracting Officer no later than 30 days after the unlisted class of employee performs any contract work, in accordance with FAR 52.222- 41(c)(2)(ii).

Check Box1: Off
Check Box2: Off
Check Box3: Off
Text5:

File details come from the government source that posted it. Updated .