ATTACHMENT 3 Bereavement Leave Certification.doc
DOC document 24 KB Posted
- Solicitation number
- HDEC0820R0010
- Issued by
-
Defense Commissary Agency
About this file
This document contains a federal contract opportunity notice and related attachment for a commissary contract at Fort Carson, Colorado. The opportunity is for shelf stocking, receiving/storage/holding area, custodial operations, and residual grocery services at the Defense Commissary Agency location at Fort Carson. The base period of performance is January 1, 2021 through December 31, 2021, with four one-year option periods. The NAICS code is 561990 and the size standard is $12 million. The solicitation and attachments will be available on April 7, 2020 on FedBizOpps, with a closing date of May 26, 2020 and a pre-solicitation site visit scheduled for April 28, 2020. The opportunity is a 100% set-aside for Service-Disabled Veteran-Owned Small Businesses. The related attachment provides a template for contractors to request reimbursement for bereavement leave paid to employees in accordance with the collective bargaining agreement.
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Other files
| File | Type | Posted |
|---|---|---|
| ATTACHMENT 4 Volume I Cost Breakout - 6.22.2020.xls | XLS spreadsheet | |
| Fort Carson Solicitation HDEC0820R0010 Amendment 2.pdf | ||
| Fort Carson Solicitation HDEC0820R0010 Amendment 1.pdf | ||
| ATTACHMENT 2 Collective Bargaining Agreement.pdf | ||
| ATTACHMENT 7 Past Performance Information.doc | DOC document | |
| ATTACHMENT 5 Volume II Technical Capability and Personnel.doc | DOC document | |
| HDEC0820R0010.pdf | ||
| ATTACHMENT 1 Performance Work Statement.docx | DOCX document | |
| ATTACHMENT 6 Typical Daily Work Schedule and Direct Labor Summary.xlsx | XLSX spreadsheet | |
| ATTACHMENT 4 Volume I Cost Breakout.xls | XLS spreadsheet |
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Text version
Attachment 3 Commissary: Fort Carson, CO
BEREAVEMENT LEAVE CERTIFICATION
REQUEST FOR PAYMENT
Contract:____________________________________
Name of Employee:____________________________
Area of Operation (circle one) Shelf Stocking, RSHA, Residual Grocery, Custodial
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 .