SERVICE CONTRACT LABOR EXEMPTION FORM.doc

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Attached to
(EN7097) (EN7098) - LIGHTS, SIREN & STRIPING
Solicitation number
1240LS26Q0021
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This is a Service Contract Labor Standards Exemption Form used to document that limited services exceeding $2,500 are exempt from Service Contract Labor Standards compliance and wage determination requirements. The form was signed by buyer Shane Webster on March 31, 2026, and applies to the procurement of lights, siren, and striping package installation services for two 2026 vehicles (a Ford F250 Crew Cab and Chevrolet 2500 Crew Cab) by the Department of Agriculture Forest Service. The vendor must certify that specific exemption conditions are met, including that the services are regularly offered to non-governmental customers at established catalog or market prices, that service employees will spend less than 20 percent of their time on this transaction on a monthly average, and that the vendor applies the same compensation plan to all service employees performing equivalent work.

The exemption documentation affirms that the vendor was selected based on factors beyond price, such as service availability and past performance, as required under FAR 22.1003-4. The form requires both the buyer and vendor signatures to validate that exemption conditions exist, allowing the procurement to proceed without compliance with prevailing wage requirements. The USFS will deliver the vehicles within 250 road miles of the delivery address located in Jerome, Idaho.

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* Revised November 20, 2018

Service Contract Labor Standards Exemption Documentation Conditions exist to procure limited services exceeding $2,500, that are exempt from the Service Contract Labor Standards and compliance with a Wage Determination is not required. Consistent with FAR 22.1003-4 , the Buyer affirms the vendor was selected based on other factors in addition to price (i.e., service availability, past performance, etc.) or sole source; and, the Vendor certifies that exemption "Conditions" exist by signing and dating this form and returning one (1) copy to the Buyer. Convenience checks are not authorized.

Conditions. The exemption for the services applies if all the following conditions are met:

· The services are offered and sold regularly to non-Governmental customers and are provided by the vendor to the general public in substantial quantities in the course of normal business operations.

· The services are furnished at prices that are, or are based on, established catalog or market prices. As defined at 29 CFR 4.123(e)(2)(ii)(C)-

(A) An established catalog price is a price included in a catalog, price list, schedule, or other form that is regularly maintained by the vendor, is either published or otherwise available for inspection by customers, and states prices at which sales are currently, or were last, made to a significant number of buyers constituting the general public; and

(B) An established market price is a current price, established in the usual course of trade between buyers and sellers free to bargain, which can be substantiated from sources independent of the vendor.

· Each service employee who will perform the services will spend only a small portion of his or her time (a monthly average of less than 20 percent of the available hours on an annualized basis, or less than 20 percent of available hours during the contract period if the contract period is less than a month) on this transaction.

· The vendor will use the same compensation (wage and fringe benefits) plan for all service employees performing work under this order as the vendor uses for these employees and equivalent employees servicing commercial customers.

By signing below, the buyer affirms vendor was selected as described in FAR 22.1003-4:

Buyer Print Name
Buyer Signature
Date

Shane Webster

31 Mar 2026

By signing below, the vendor certifies that conditions will be met:

Vendor Print Name
Vendor Signature
Date

DD/MMM/2026

� For the full text of FAR 22.1003-4 Administrative limitations, variations, tolerances, and exemptions may be accessed electronically at the following web link: Federal Acquisition Regulations � HYPERLINK "https://www.acquisition.gov/browsefar" �https://www.acquisition.gov/browsefar�

File details come from the government source that posted it. Updated .