Attachment_7_-_Bereavement_Leave_Certification.doc

DOC document 28 KB Posted

Attached to
Shelf Stocking, Receiving/Storage/Holding Area (RSHA), and Custodial Operations for the Fort Lewis Commissary
Solicitation number
HQC00822R0020
Issued by

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This document contains a bereavement leave certification form and details of a related federal contract solicitation. The solicitation is for shelf stocking, receiving, storage, and holding area operations as well as custodial services at the Fort Lewis Commissary in Tacoma, Washington. The contractor will be responsible for providing all necessary personnel, supervision, supplies, equipment, tools, materials and other items to perform the required tasks. Services include shelf stocking, receiving, storage and holding area functions, and custodial work in accordance with the contract. The solicitation was issued by the Defense Commissary Agency and interested parties can obtain more information by visiting the provided link.

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Other files

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HQC00822R0020_FORT_LEWIS_SOLICITATION_AMENDMENT_0004.pdf PDF
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Attachment_1_-_Performance_Work_Statement_Fort_Lewis_dated_3-8-22.docx DOCX document
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HQC00822R0020_FORT_LEWIS_SOLICITATION.pdf PDF
Attachment_2_-_Collective_Bargaining_Agreement.pdf PDF
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Attachment_6_-_Past_Performance_Information_(v1).docx DOCX document
HQC00822R0020_FORT_LEWIS_SOLICITATION_AMENDMENT_0002.pdf PDF
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Attachment 7 Commissary: Fort Lewis, WA

BEREAVEMENT LEAVE CERTIFICATION

REQUEST FOR PAYMENT

Contract:____________________________________

Name of Employee:____________________________

Area of Operation (circle one) Shelf Stocking RSHA 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 .