D.3 Statement of FAR 52.212-2 - Statement of DoL WD Compliance.docx
FAR Clause DOCX document 15 KB Posted
- Solicitation number
- 36C25026Q5521
About this file
This document is a Statement of Department of Labor Wage Determination Compliance for Solicitation 36C25026Q5521, a VA medical center ambulance service contract. The solicitation is a Service-Disabled Veteran-Owned Small Business (SDVOSB) set-aside for ambulance services under NAICS code 621910, with a small business size standard of $22.5 million.
The document requires the contractor to certify that all employees performing services under the contract will be paid hourly rates equal to or greater than the current Department of Labor Wage Determination for the specific county where services will be provided. The contract is for a base period starting 3/1/26, with the Network Contracting Office (NCO-10) of the Veterans Health Administration Veterans Integrated Service Network 10 seeking to purchase ambulance services. The solicitation follows Federal Acquisition Regulation (FAR) subpart 12.202 and is being issued as a Request for Quote (RFQ).
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Other files
| File | Type | Posted |
|---|---|---|
| D.8 Statement of Start Date Confirmation.docx | DOCX document | |
| D.7 36C25026Q5521 0002.docx | DOCX document | |
| 36C25026Q5521_2.docx | DOCX document | |
| 36C25026Q5521_1.docx | DOCX document | |
| D.6 36C25026Q5521 0001.pdf | ||
| 36C25026Q5521.docx | DOCX document | |
| D.1 36C25026Q5521 RFQ.docx | DOCX document | |
| D.2 WD 2015-4731 Rev 27 Dayton 08 Jul 2025.docx | DOCX document | |
| D.5 Past Performance Questionnaire.docx | DOCX document | |
| D.4 Statement of FAR 52.219-14 Limitations on Subcontracting Compliance.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
9/##/2025
REFERENCE: 36C25026Q5521
TO: Robert Bolcavage (Contracting Specialist), NCO-10 FROM: Contractor Name Address City, State Zipcode
UEI / 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:
• Occupational Code (Occupational Title)
· Occupational Code (Occupational 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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