Service Contract Act Requirment Form.doc

Service Contract Act Labor Classification Requirement

The Service Contract Act, FAR 22.1003-5, applies to the maintenance and repair of all types of equipment. Information regarding the labor classifications of employees performing the work and all known possible places of performance, county and state, is required. This information will be used in the procurement process to have the material listed below returned to serviceable condition.

Of the following occupations, please indicate the NUMBER of employees that will be utilized when returning this component to a serviceable condition. Ensure compliance with 29 CFR Part 4 as it applies to your organizations demographics. Also, indicate any other occupations that may be utilized:

The following part(s) needs to be returned to a serviceable condition:

P/N: A5029190 Company Name: _______________________________

Cage Code: ___________________________________ State where your company is located: _____________________

County where your company is located: _______________________

(Signature): _________________________ Approved By: ________________________ (Authorized Company Rep.)

DO NOT CHECK. FILL IN THE NUMBER OF EACH THAT WILL BE UTILIZED ON THIS REPAIR.

___ 23021 AIRCRAFT MECHANIC I (formerly known as Aircraft Worker)

___ 23022 AIRCRAFT MECHANIC II

___ 23023 AIRCRAFT MECHANIC III (formerly known as Aircraft Inspector)

___ 23160 ELECTRICIAN, MAINTENANCE

___ 23181 ELECTRONICS TECHNICIAN, MAINTENANCE I

___ 23182 ELECTRONICS TECHNICIAN, MAINTENANCE II

___ 23183 ELECTRONICS TECHNICIAN, MAINTENANCE III

Other Occupations (INCLUDE ANY OTHER OCUPATION CLASSES YOUR COMPANY WILL UTILIZE ON THIS REPAIR):

We appreciate your help in obtaining this information. I will be available to answer any question you might have regarding this manner.