Attachment 8 Bereavement Leave Certification.doc
DOC document 27 KB Posted
- Attached to
- Utilities and Housekeeping Services Federal contract opportunity
- Solicitation number
- HDEC08-11-R-0007
- Issued by
- Defense Commissary Agency
About this file
Attachment 8 Bereavement Leave Certification
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Ft Meade award LEAP Posting | — | |
| Attachment 6 - Vol II TDWS DLS.xls | XLS spreadsheet | |
| Attachment 2 Performance Work Statement.doc | DOC document | |
| Attachment 4 Vol I - Cost Breakout.xls | XLS spreadsheet | |
| Attachment 7 Volume III Past Performance Information.doc | DOC document | |
| Attachment 1 DD1707 Information to Offerors.doc | DOC document | |
| Attachment 5 Volume II.doc | DOC document | |
| Attachment 3 Collective Bargaining Agreement.pdf | ||
| HDEC08-11-R-0007.doc | DOC document |
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Text version
Attachment 8
Solicitation Number: HDEC08-11-R-0007 Commissary: Fort Meade, MD
BEREAVEMENT LEAVE CERTIFICATION
REQUEST FOR PAYMENT
Contract: ____________________________________
Name of Employee: ____________________________
Area of Operation (circle one) Shelf Stocking Custodial RSHA
Name of Deceased: __________________________
Relationship to Employee: _____________________
Dates of Bereavement Leave: ___________________
I certify that the above named individual took Bereavement Leave in accordance with the provision of the Collective Bargaining Agreement (CBA) applicable to abovementioned contract and that the individual was paid according to its provisions. Pursuant to said agreement, the contractor is entitled to reimbursement.
(Signature)
(Name, Position, and Date)
File details come from the government source that posted it. Updated .