D.3 Statement of Compliance Wage Dertermination.pdf

PDF 212 KB Posted

Attached to
M1LZ--Valet service contract | New | Start Date: 11/1/23
Solicitation number
36C25023Q0889
Issued by

About this file

This document is a statement of compliance with Department of Labor wage determinations for a valet service contract solicitation issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 10. The solicitation requires that all employees performing valet services under the resultant contract must be paid hourly wages equal to or greater than the current DOL wage determination for the labor category of Driver Courier in the county where the VA medical center being supported is located. The statement must be signed by the company owner, CEO, and COO certifying compliance with this requirement. The solicitation number is 36C25023Q0889 and it is for a valet service contract with a start date of November 1, 2023.

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Other files

File Type Posted
36C25023Q0889 0001.docx DOCX document
D.2 - WD 2015-4731 R21 Dayton, 30 June 2023.pdf PDF
D.1 - Statement of FAR 52.219-14 Limitations on Subcontracting.pdf PDF
36C25023Q0889.docx DOCX document

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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:

31043 (Driver Courier)

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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