D. 1 Statement of FAR 52.212-2 - Statement of DoL WD Compliance.docx
DOCX document 14 KB Posted
- Solicitation number
- 36C25024Q5411
About this file
This document is a Statement of Department of Labor Wage Determination Compliance, which certifies that the offeror's proposal for the subject solicitation complies with the requirement that all employees performing services under the resultant contract must be paid at an hourly rate equal to or greater than the current Department of Labor Wage Determination (WD) for the labor categories and county specified in the Performance Work Statement (PWS). The solicitation number referenced is 36C25024Q5411 for Ambulance Service for CBOCs supporting the Cleveland VAMC, issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 10. The offeror must provide the applicable WD codes and labor categories to demonstrate compliance.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C25024Q5411 0003.docx | DOCX document | |
| D.3 Past Performance Questionnaire update 7.2.2024.docx | DOCX document | |
| 36C25024Q5411 0002.docx | DOCX document | |
| 36C25024Q5411 0001.docx | DOCX document | |
| D.4 Statement of FAR 52.219-14 Limitations on Subcontracting Compliance.docx | DOCX document | |
| D.3 Past Performance Questionnaire.docx | DOCX document | |
| D.2 WD 2015-4727 Rev 23 Cleveland 14 April 2024.pdf | ||
| 36C25024Q5411.docx | DOCX document |
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Text version
D.1 52.212-2 – Statement of Department of Labor Wage Determination Compliance
MEMORANDUM FOR RECORD
____________(Date) REFERENCE: _______________________(Solicitation Number)
TO: Robert Bolcavage (Contracting Specialist), NCO-10 FROM: ___________________________________(Company Name) ___________________________________(Company Street Address) ___________________________________(City, State and Zip Code) ___________________________________(DUNS Number and CAGE Code)
SUBJECT: Statement of Department of Labor Wage Determination Compliance I do hereby certify that the offer submitted by our company in response to the subject solicitation is fully compliant with the requirement that all employees performing services under the resultant contract (if awarded) shall be paid at an hourly rate that is equal to or greater than current Department of Labor Wage Determination (WD) as specified in the Performance Requirements Summary (PRS) section of the Performance Work Statement (PWS) for all labor categories as appropriate for the county in which the VA medical center being support for this requirement resides to include but not limited to the following:
• (insert WD code and Labor Category)
· (insert WD code and Labor Category)
Company OWNER Full Legal Name (PRINT): ________________________________ Company OWNER Signature: _______________________________ Date: ______________
Company CEO Full Legal Name (PRINT): ________________________________ Company CEO Signature: __________________________________ Date: ______________
Company COO Full Legal Name (PRINT): ________________________________ Company COO Signature: __________________________________ Date: ______________
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