D.2 Statement of FAR 52.212-2 - Statement of DoL WD Compliance.docx
DOCX document 15 KB Posted
- Solicitation number
- 36C25026Q0338
About this file
This file is a Statement of Department of Labor Wage Determination Compliance, which serves as a certification form that contractors must complete and submit with their offers. The memorandum, dated December 4, 2025, references solicitation 36C25026Q0338 for Furniture Movers and Repairs services at VA medical facilities under the Department of Veterans Affairs Veterans Health Administration, Veterans Integrated Service Network 10. The form requires the company owner, CEO, and COO to certify under signature that all employees performing services under the resulting contract will be paid at hourly rates equal to or greater than the current Department of Labor Wage Determination rates specified in the Performance Requirements Summary section of the Performance Work Statement for all applicable labor categories, based on the county in which the supported VA medical center is located.
This certification document is a mandatory compliance requirement for the solicitation and must be completed, signed by authorized company officers, and submitted with the proposal. The form ensures adherence to federal prevailing wage standards applicable to service contracts for the furniture moving, repair, and relocation work described in the underlying solicitation.
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Other files
| File | Type | Posted |
|---|---|---|
| D.1 WD 2015-4839 Rev 29 Wayne 03 Dec 2025.docx | DOCX document | |
| 36C25026Q0338_1.docx | DOCX document | |
| D.5 Furniture Repair Experience Questionnaire.docx | DOCX document | |
| D.3 Previous Questions and Responses.docx | DOCX document | |
| D.4 Past Performance Questionnaire.docx | DOCX document | |
| D.6 36C25026Q0338.docx | DOCX document |
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Text version
D.2 52.212-2 (Addendum B) – Statement of Department of Labor Wage Determination Compliance
MEMORANDUM FOR RECORD
12/04/2025
REFERENCE: 36C25026Q0338
TO: Elizabeth Koses (Contracting Officer), NCO-10
FROM: ________
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:
• (WD, Labor Occupation #, Title)
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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