Attachment_8 _Bereavement_Leave_Certification.doc
DOC document 23 KB Posted
- Solicitation number
- HDEC0815R0007
- Issued by
-
Defense Commissary Agency
About this file
Bereavement Leave Certification
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| Solicitation_HDEC08-15-R-0007_Amendment__0004.doc | DOC document | |
| Amendment_2_Fort_Leonard_Wood__Attachment_4 _Cost_Breakout_0002.xls | XLS spreadsheet | |
| Solicitation_HDEC08-15-R-0007_Amendment__0002.doc | DOC document | |
| Solicitation_HDEC08-15-R-0007_Amendment_0001.doc | DOC document | |
| Attachment_1 _Volume_1_Cost_Breakout_Amendment_0001.xls | XLS spreadsheet | |
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| Attachment_5 _Volume_II_Technical_Capability_ _Personnel_proposal.doc | DOC document | |
| Attachment_4 _Volume_I_Cost_Breakout...xls | XLS spreadsheet | |
| Attachment_6 _Typical_Daily_Work_Statement_ _Direct_Labor_Summary.xls | XLS spreadsheet | |
| Solicitation_HDEC08-15-R-0007.doc | DOC document | |
| Attachment_2 _Fort_Leonard_Wood_PWS_dated_11.24.14.doc | DOC document | |
| Attachment_3 _Collective_Bargaining_Agreement_..pdf |
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Text version
ATTACHMENT 8
BEREAVEMENT LEAVE CERTIFICATION
REQUEST FOR PAYMENT
FORT LEONARD WOOD COMMISSARY
Contract Number: ________________________________________________________
Store Locations: _________________________________________________________
Name of Employee: _______________________________________________________
Area of Operation (circle one): Store Worker I / Janitor / Material Handling Laborer / Warehouse Specialist / Forklift Operator 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 .