D.1 Statement of FAR 52.212-2 - Statement of DoL WD Compliance.docx
FAR Clause DOCX document 14 KB Posted
- Solicitation number
- 36C25025Q5411
About this file
This document is a Memorandum for Record certifying that the company's offer for the subject solicitation is fully compliant with the Department of Labor Wage Determination (WD) requirements specified in the Performance Work Statement (PWS) for all labor categories. The company affirms that it will pay employees at an hourly rate equal to or greater than the current WD for the county where the VA medical center is located. The document is signed by the company's owner, CEO, and COO.
The related federal contract opportunity is for Ambulance Service for the Wade Park, Cleveland VAMC, with a solicitation number of 36C25025Q5411. The contract will be awarded by the Department of Veterans Affairs, Veterans Health Administration, Veterans Integrated Service Network 10.
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Who attaches FAR 52.212-2
Other files
| File | Type | Posted |
|---|---|---|
| D.4 Statement of FAR 52.219-14 Limitations on Subcontracting.pdf | ||
| 36C25025Q5411.docx | DOCX document | |
| D.3 Past Performance Questionnaire.docx | DOCX document | |
| D.2 WD 2015-4727 Rev 24 Cleveland 22 July 2024.pdf |
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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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