D.2 Statement of Compliance Wage Dertermination.pdf
PDF 270 KB Posted
- Solicitation number
- 36C25024Q5382
About this file
This document is a memorandum certifying compliance with Department of Labor wage determinations for a federal contract solicitation from the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 10. The solicitation is for wheelchair transport services to be provided at a VA medical center for a one year base period plus four option years. Signatories on the memorandum must be the company owner, CEO, and COO, certifying the offer submitted in response will pay hourly wages equal to or greater than the current DOL wage determination for all labor categories involved as specified in the performance work statement for the county where the VA medical center is located.
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Other files
| File | Type | Posted |
|---|---|---|
| D.5 36C25024Q5382 Re-Issue 17 Nov 2023.pdf | ||
| 36C25024Q5382 0001.docx | DOCX document | |
| D.3 WD 2015-4771 (R24), Chillicothe, 30 June 2023.pdf | ||
| 36C25024Q5382.docx | DOCX document | |
| D.1 Statement of FAR 52.219-14 Limitations on Subcontracting.pdf | ||
| D.4 EPA Fuel Surcharge Calculator.xlsx | XLSX spreadsheet |
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Text version
D.3 52.212-2 – Statement of Department of Labor Wage Determination Compliance
MEMORANDUM FOR RECORD
____________(Date)
MEMORANDUM FOR RECORD
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 occupation title and code(s) and below.
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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