B08_SOL_-_Att_3_-_SCA_Verification.pdf
PDF 260 KB Posted
- Attached to
- Security Cameras - IACB
- Solicitation number
- 140D0426Q0473
About this file
This is a Service Contract Labor Standards Verification Form template for the Museum of the Plains Indian Security Monitoring Camera Installation contract.
The form requires contractors to verify compliance with 41 U.S.C. chapter 67 (Service Contract Labor Standards) and 29 CFR Part 4 by selecting one of three options: that the standards do not apply to any proposed labor categories, that they apply to some labor categories which must be annotated in the proposal with corresponding wage determination titles, or that additional classification is needed. If additional classification is required, contractors must submit Standard Form 1444 (Request for Authorization of Additional Classification and Rate) to the Contracting Officer no later than 30 days after an unlisted employee class performs contract work. The completed and signed form must be submitted with the contractor's quotation and shall include the authorized representative's signature and date, along with company name, DUNS number, full name, position title, phone number, and email address. This is a template form only and does not specify products, services, pricing, or award information.
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Other files
| File | Type | Posted |
|---|---|---|
| Sol_140D0426Q0473_Amd_0001.pdf | ||
| B08_SOL_-_Att_1_-_MPI_Camera_SOW.pdf | ||
| Sol_140D0426Q0473.pdf |
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Text version
Attachment 3 – Museum of the Plains Indian - Security Monitoring Camera Installation
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: |
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