Attachment_6_SF_1444.pdf

PDF 511 KB Posted

Attached to
Repair/Replace Evaporative Cooling Tower Federal contract opportunity
Solicitation number
FA3010-15-R-0007
Issued by
Department of the Air Force Air Education and Training Command

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SF44

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Other files for this federal contract opportunity

Other files attached to Repair/Replace Evaporative Cooling Tower, newest first.
File Type Posted
Cooling_Towers_Q_ _A.pdf PDF
Amendment_1_Cooling_Towers.pdf PDF
MAHG141107_Repair_4_Evaporative_Cooling_Towers_Triangle_CEP_(7405)_SOW.pdf PDF
Questions_and_Answers_Cooling_Tower_Paint_blasting.pdf PDF
Contractor_Environmental_Packet_-_March_2015_-_Form.pdf PDF
MAHG_141107_Repair_Triangle_Cooling_TowersQ A.pdf PDF
Site_Visit_sign_in_Cooling_towers.pdf PDF
MAHG141107_Repair_4_Evaporative_Cooling_Towers_Triangle_Bldg_7405_DRAWINGS.pdf PDF
Attachment_7_Notice_of_Compliance.pdf PDF
Attachment_6_Instructions.pdf PDF
FA3010-15-R-0007_Traingle_Cooling_Towers_Solicitation.pdf PDF
Wage_Determination_General_Decision_Number_MS150119.pdf PDF
Attachment_5_Past_Performance_Reference_List.pdf PDF
Attachment_4_Performance_Questionnaire.pdf PDF
MAHG141107_Repair_4_Evaporative_Cooling_Towers_Triangle_CEP_(7405)_Specifications.pdf PDF
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REQUEST FOR AUTHORIZATION OF

ADDITIONAL CLASSIFICATION AND RATE

INSTRUCTIONS: THE CONTRACTOR SHALL COMPLETE ITEMS 3 THROUGH 16, KEEP A PENDING COPY, AND SUBMIT THE REQUEST, IN

QUADRUPLICATE, TO THE CONTRACTING OFFICER.

1. TO:

ADMINISTRATOR, Employment Standards Administration

WAGE AND HOUR DIVISION

U.S. DEPARTMENT OF LABOR

WASHINGTON, D.C. 20210

2. FROM: (REPORTING OFFICE)

3. CONTRACTOR 4. DATE OF REQUEST

5. CONTRACT NUMBER 6. DATE BID OPENED (SEALED

BIDDING)

7. DATE OF AWARD 8. DATE CONTRACT WORK

STARTED

9. DATE OPTION EXERCISED (If

APPLICABLE) (SCA ONLY)

10. SUBCONTRACTOR (IF ANY)

11. PROJECT AND DESCRIPTION OF WORK (ATTACH ADDITIONAL SHEET IF NEEDED)

12. LOCATION (CITY, COUNTY AND STATE)

13. IN ORDER TO COMPLETE THE WORK PROVIDED FOR UNDER THE ABOVE CONTRACT, IT IS NECESSARY TO ESTABLISH THE FOLLOWING RATE(S) FOR THE INDICATED CLASSIFICATION(S) NOT INCLUDED IN THE DEPARTMENT OF LABOR DETERMINATION

NUMBER: DATED:

a. LIST IN ORDER: PROPOSED CLASSIFICATION TITLE(S); JOB DESCRIPTION(S); DUTIES;

AND RATIONALE FOR PROPOSED CLASSIFICATIONS (SCA ONLY) b. WAGE RATE(S) c. FRINGE BENEFITS

PAYMENTS

(Use reverse or attach additional sheets, if necessary)

14. SIGNATURE AND TITLE OF SUBCONTRACTOR REPRESENTATIVE

(IF ANY)

15. SIGNATURE AND TITLE OF PRIME CONTRACTOR REPRESENTATIVE

16. SIGNATURE OF EMPLOYEE OR REPRESENTATIVE TITLE CHECK APPROPRIATE BOX-REFERENCING BLOCK 13.

AGREE DISAGREE

TO BE COMPLETED BY CONTRACTING OFFICER (CHECK AS APPROPRIATE - SEE FAR 22.1019 (SCA) OR FAR 22.406-3 (DBA)) THE INTERESTED PARTIES AGREE AND THE CONTRACTING OFFICER RECOMMENDS APPROVAL BY THE WAGE AND HOUR DIVISION. AVAILABLE

INFORMATION AND RECOMMENDATIONS ARE ATTACHED.

THE INTERESTED PARTIES CANNOT AGREE ON THE PROPOSED CLASSIFICATION AND WAGE RATE. A DETERMINATION OF THE QUESTION BY THE WAGE AND HOUR DIVISION IS THEREFORE REQUESTED. AVAILABLE INFORMATION AND RECOMMENDATIONS ARE ATTACHED.

(Send copies 1, 2, and 3 to Department of Labor)

SIGNATURE OF CONTRACTING OFFICER OR

REPRESENTATIVE

STANDARD FORM 1444 (REV. 12-2001)

Prescribed by GSA-FAR (48 CFR) 53.222(f)

TITLE AND COMMERCIAL TELEPHONE NO. DATE SUBMITTED

CHECK APPROPRIATE BOX

SERVICE CONTRACT

CONSTRUCTION CONTRACT

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS USABLE

Public reporting burden for this collection of information is estimated to average 15 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the FAR Secretariat (MVP), Office of Acquisition Policy, GSA, Washington, DC 20405; and to the Office of Management and Budget, Paperwork Reduction Project (9000-0089), Washington, DC 20503.

OMB No.: 9000-0089 Expires: 04/30/2005

REQUEST FOR AUTHORIZATION OF

ADDITIONAL CLASSIFICATION AND RATE

INSTRUCTIONS: THE CONTRACTOR SHALL COMPLETE ITEMS 3 THROUGH 16, KEEP A PENDING COPY, AND SUBMIT THE REQUEST, IN

QUADRUPLICATE, TO THE CONTRACTING OFFICER.

1. TO:

ADMINISTRATOR, Employment Standards Administration

WAGE AND HOUR DIVISION

U.S. DEPARTMENT OF LABOR

WASHINGTON, D.C. 20210

2. FROM: (REPORTING OFFICE)

3. CONTRACTOR

4. DATE OF REQUEST

5. CONTRACT NUMBER

6. DATE BID OPENED (SEALED

BIDDING)

7. DATE OF AWARD

8. DATE CONTRACT WORK

STARTED

9. DATE OPTION EXERCISED (If

APPLICABLE) (SCA ONLY)

10. SUBCONTRACTOR (IF ANY)

11. PROJECT AND DESCRIPTION OF WORK (ATTACH ADDITIONAL SHEET IF NEEDED)

12. LOCATION (CITY, COUNTY AND STATE)

13. IN ORDER TO COMPLETE THE WORK PROVIDED FOR UNDER THE ABOVE CONTRACT, IT IS NECESSARY TO ESTABLISH THE FOLLOWING RATE(S) FOR THE INDICATED CLASSIFICATION(S) NOT INCLUDED IN THE DEPARTMENT OF LABOR DETERMINATION

NUMBER:

DATED:

a. LIST IN ORDER: PROPOSED CLASSIFICATION TITLE(S); JOB DESCRIPTION(S); DUTIES;

AND RATIONALE FOR PROPOSED CLASSIFICATIONS (SCA ONLY)

b. WAGE RATE(S)

c. FRINGE BENEFITS

PAYMENTS

(Use reverse or attach additional sheets, if necessary)

14. SIGNATURE AND TITLE OF SUBCONTRACTOR REPRESENTATIVE

(IF ANY)

15. SIGNATURE AND TITLE OF PRIME CONTRACTOR REPRESENTATIVE

16. SIGNATURE OF EMPLOYEE OR REPRESENTATIVE

TITLE

CHECK APPROPRIATE BOX-REFERENCING BLOCK 13.

AGREE

DISAGREE

TO BE COMPLETED BY CONTRACTING OFFICER (CHECK AS APPROPRIATE - SEE FAR 22.1019 (SCA) OR FAR 22.406-3 (DBA)) THE INTERESTED PARTIES AGREE AND THE CONTRACTING OFFICER RECOMMENDS APPROVAL BY THE WAGE AND HOUR DIVISION. AVAILABLE

INFORMATION AND RECOMMENDATIONS ARE ATTACHED.

THE INTERESTED PARTIES CANNOT AGREE ON THE PROPOSED CLASSIFICATION AND WAGE RATE. A DETERMINATION OF THE QUESTION BY THE WAGE AND HOUR DIVISION IS THEREFORE REQUESTED. AVAILABLE INFORMATION AND RECOMMENDATIONS ARE ATTACHED.

(Send copies 1, 2, and 3 to Department of Labor)

SIGNATURE OF CONTRACTING OFFICER OR REPRESENTATIVE

STANDARD FORM 1444 (REV. 12-2001)

Prescribed by GSA-FAR (48 CFR) 53.222(f)

TITLE AND COMMERCIAL TELEPHONE NO.

DATE SUBMITTED

CHECK APPROPRIATE BOX

SERVICE CONTRACT

CONSTRUCTION CONTRACT

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS USABLE

Public reporting burden for this collection of information is estimated to average 15 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the FAR Secretariat (MVP), Office of Acquisition Policy, GSA, Washington, DC 20405; and to the Office of Management and Budget, Paperwork Reduction Project (9000-0089), Washington, DC 20503.

OMB No.: 9000-0089 Expires: 04/30/2005 8.2.1.4029.1.523496.503679

CHECK APPROPRIATE BOX. SERVICE CONTRACT: 0
CHECK APPROPRIATE BOX. CONSTRUCTION CONTRACT: 0
2. FROM: (REPORTING OFFICE):
3. CONTRACTOR:
4. DATE OF REQUEST. Enter 2 digit month, 2 digit day and 4 digit year.:
9. DATE OPTION EXERCISED (If APPLICABLE) (SCA ONLY) Enter 2 digit month, 2 digit day and 4 digit year.:
8. DATE CONTRACT WORK STARTED. Enter 2 digit month, 2 digit day and 4 digit year.:
7. DATE OF AWARD. Enter 2 digit month, 2 digit day and 4 digit year.:
6. DATE BID OPENED (SEALED BIDDING) Enter 2 digit month, 2 digit day and 4 digit year.:
5. CONTRACT NUMBER:
10. SUBCONTRACTOR (IF ANY):
11. PROJECT AND DESCRIPTION OF WORK (ATTACH ADDITIONAL SHEET IF NEEDED):
12. LOCATION (CITY, COUNTY AND STATE):
13. IN ORDER TO COMPLETE THE WORK PROVIDED FOR UNDER THE ABOVE CONTRACT, IT IS NECESSARY TO ESTABLISH THE FOLLOWING RATE(S) FOR THE INDICATED CLASSIFICATION(S) NOT INCLUDED IN THE DEPARTMENT OF LABOR DETERMINATION. NUMBER:
13. IN ORDER TO COMPLETE THE WORK PROVIDED FOR UNDER THE ABOVE CONTRACT, IT IS NECESSARY TO ESTABLISH THE FOLLOWING RATE(S) FOR THE INDICATED CLASSIFICATION(S) NOT INCLUDED IN THE DEPARTMENT OF LABOR DETERMINATION. Enter 2 digit month, 2 digit day and 4 digit year.:
13a. LIST IN ORDER: PROPOSED CLASSIFICATION TITLE(S); JOB DESCRIPTION(S); DUTIES; AND RATIONALE FOR PROPOSED CLASSIFICATIONS (SCA ONLY) 1 of 10.:
13c. FRINGE BENEFITS PAYMENTS:
13b. WAGE RATE(S):
13a. LIST IN ORDER: PROPOSED CLASSIFICATION TITLE(S); JOB DESCRIPTION(S); DUTIES; AND RATIONALE FOR PROPOSED CLASSIFICATIONS (SCA ONLY) 9 of 10.:
13c. FRINGE BENEFITS PAYMENTS:
13b. WAGE RATE(S):
13a. LIST IN ORDER: PROPOSED CLASSIFICATION TITLE(S); JOB DESCRIPTION(S); DUTIES; AND RATIONALE FOR PROPOSED CLASSIFICATIONS (SCA ONLY) 10 of 10.:
13c. FRINGE BENEFITS PAYMENTS:
13b. WAGE RATE(S):
13a. LIST IN ORDER: PROPOSED CLASSIFICATION TITLE(S); JOB DESCRIPTION(S); DUTIES; AND RATIONALE FOR PROPOSED CLASSIFICATIONS (SCA ONLY) 8 of 10.:
13c. FRINGE BENEFITS PAYMENTS:
13b. WAGE RATE(S):
13a. LIST IN ORDER: PROPOSED CLASSIFICATION TITLE(S); JOB DESCRIPTION(S); DUTIES; AND RATIONALE FOR PROPOSED CLASSIFICATIONS (SCA ONLY) 7 of 10.:
13c. FRINGE BENEFITS PAYMENTS:
13b. WAGE RATE(S):
13a. LIST IN ORDER: PROPOSED CLASSIFICATION TITLE(S); JOB DESCRIPTION(S); DUTIES; AND RATIONALE FOR PROPOSED CLASSIFICATIONS (SCA ONLY) 6 of 10.:
13c. FRINGE BENEFITS PAYMENTS:
13b. WAGE RATE(S):
13a. LIST IN ORDER: PROPOSED CLASSIFICATION TITLE(S); JOB DESCRIPTION(S); DUTIES; AND RATIONALE FOR PROPOSED CLASSIFICATIONS (SCA ONLY) 5 of 10.:
13c. FRINGE BENEFITS PAYMENTS:
13b. WAGE RATE(S):
13a. LIST IN ORDER: PROPOSED CLASSIFICATION TITLE(S); JOB DESCRIPTION(S); DUTIES; AND RATIONALE FOR PROPOSED CLASSIFICATIONS (SCA ONLY) 4 of 10.:
13c. FRINGE BENEFITS PAYMENTS:
13b. WAGE RATE(S):
13a. LIST IN ORDER: PROPOSED CLASSIFICATION TITLE(S); JOB DESCRIPTION(S); DUTIES; AND RATIONALE FOR PROPOSED CLASSIFICATIONS (SCA ONLY) 3 of 10.:
13c. FRINGE BENEFITS PAYMENTS:
13b. WAGE RATE(S):
13a. LIST IN ORDER: PROPOSED CLASSIFICATION TITLE(S); JOB DESCRIPTION(S); DUTIES; AND RATIONALE FOR PROPOSED CLASSIFICATIONS (SCA ONLY) 2 of 10.:
13b. WAGE RATE(S):
13c. FRINGE BENEFITS PAYMENTS:
14. TITLE OF SUBCONTRACTOR REPRESENTATIVE (IF ANY):
SIGNATURE OF CONTRACTING OFFICER OR REPRESENTATIVE:
14. SIGNATURE OF SUBCONTRACTOR REPRESENTATIVE (IF ANY):
TITLE:
14. SIGNATURE OF PRIME CONTRACTOR REPRESENTATIVE (IF ANY):
SIGNATURE OF CONTRACTING OFFICER OR REPRESENTATIVE:
CHECK APPROPRIATE BOX-REFERENCING BLOCK 13. AGREE: 0
CHECK APPROPRIATE BOX-REFERENCING BLOCK 13. DISAGREE: 0
THE INTERESTED PARTIES AGREE AND THE CONTRACTING OFFICER RECOMMENDS APPROVAL BY THE WAGE AND HOUR DIVISION. AVAILABLE INFORMATION AND RECOMMENDATIONS ARE ATTACHED.: 0
THE INTERESTED PARTIES CANNOT AGREE ON THE PROPOSED CLASSIFICATION AND WAGE RATE. A DETERMINATION OF THE QUESTION BY THE WAGE AND HOUR DIVISION IS THEREFORE REQUESTED. AVAILABLE INFORMATION AND RECOMMENDATIONS ARE ATTACHED.: 0
TITLE :
COMMERCIAL TELEPHONE NUMBER:
DATE SUBMITTED. Enter 2 digit month, 2 digit day and 4 digit year.:

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