Attachment 7 - Bereavement Leave Certification.doc

DOC document 28 KB Posted

Attached to
FORT CARSON COMMISSARY, COLORADO SHELF STOCKING, RECEIVING/STORAGE/HOLDING AREA (RSHA), RESIDUAL GROCERY, AND CUSTODIAL OPERATIONS Federal contract opportunity
Solicitation number
HQC00822R0027
Issued by
Defense Commissary Agency

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This document contains an attachment certifying bereavement leave for employees under a federal contract for commissary services at Fort Carson, Colorado, as well as information about the related contract opportunity. The attachment is a template for requesting reimbursement of bereavement leave pay provided to employees in accordance with the collective bargaining agreement governing the Fort Carson Commissary contract. The related federal contract opportunity is a pre-solicitation notice for shelf stocking, receiving, storage, holding area, custodial, and residual grocery operations at the Fort Carson Commissary near Colorado Springs. The Defense Commissary Agency is seeking these commissary services through an upcoming solicitation accessible via the provided link. The pre-solicitation includes the opportunity type and a brief description of requirements but no further salient details.

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Other files for this federal contract opportunity

Other files attached to FORT CARSON COMMISSARY, COLORADO SHELF STOCKING, RECEIVING/STORAGE/HOLDING AREA (RSHA), RESIDUAL GROCERY, AND CUSTODIAL OPERATIONS, newest first.
File Type Posted
Fort_Carson_Solicitation_HQC00822R0027_Amendment_0004.pdf PDF
AMENDMENT 0004 - Attachment 4 - Volume II - Technical Capability and Personnel.doc DOC document
Amendment 0003 Attachment 3 - Volume I - Price Schedule-Cost Breakout.xls XLS spreadsheet
Fort Carson_Solicitation_HQC00822R0027_Amendment 0003.pdf PDF
Attachment 3 - Volume I - Price Schedule-Cost Breakout r1 - Revised.xls XLS spreadsheet
Attachment 2 Collective Bargaining Agreement July 1 2022 through June 30 2025.pdf PDF
Fort Carson - Solicitation HQC00822R0027 - Amendment 0002.pdf PDF
HQC00822R0027_FORT_CARSON_SOLICITATION_Amendment_0001.pdf PDF
Attachment 2 - Collective Bargaing Agreement.pdf PDF
Attachment 4 - Volume II - Technical Capability and Personnel.doc DOC document
Attachment 6 - Past Performance Information.docx DOCX document
Attachment 1 - Fort Carson - PWS 3.10.2022.docx DOCX document
HQC00822R0027 (FORT CARSON) SOLICITATION.pdf PDF
Attachment 5 - Volume II - Direct and Indirect Labor Summary.xlsx XLSX spreadsheet
Attachment 3 - Volume I - Price Schedule-Cost Breakout.xls XLS spreadsheet
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Attachment 7 Commissary: Fort Carson

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 .