D.3 Statement of FAR 52.222-41 - Statement of DoL WD Compliance.docx

This is a Statement of Department of Labor Wage Determination Compliance memorandum required as part of a federal contracting submission. The document serves as a certification form that contractors must complete and submit in response to solicitation 36C25027Q5393 for Courier Services at the Cincinnati VA Medical Center. The contractor certifies through signatures from the company owner, CEO, and COO 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 applicable to the county where the VA medical center is located. The form requires the contractor to identify relevant occupational codes and titles for positions that will be filled under the contract.

This compliance statement is a mandatory submission component for the RFQ issued by the Department of Veterans Affairs Veterans Health Administration, Network Contracting Office 10. The solicitation is set aside for Service-Disabled Veteran-Owned Small Businesses (SDVOSB) and covers courier services under NAICS code 492110 with a small business size standard of 1,500 employees or fewer. The contract is scheduled to commence on December 1, 2026, and includes a base period plus four option years. Contractors must complete this form and return it as part of their proposal to demonstrate compliance with prevailing wage requirements before contract award.