Attachment_13_-_SF1444-13c.pdf
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- Attached to
- TSOMIS II RFP
- Solicitation number
- W900KK-19-R-0015
About this file
This is a draft solicitation for the Threat Systems Operations Maintenance and Integrated Support II (TSOMIS II) contract from the Department of the Army Materiel Command Contracting Command Orlando Contracting Center. The solicitation seeks proposals to provide operations, maintenance, sustainment, and event support for Army testing and training of threat systems. Services include engineering, configuration management, maintenance, operations, transportation, storage, logistics, and training support. The single-award IDIQ contract will have a five-year ordering period and two one-year option periods, with FFP and CPFF CLIN structures. The main places of performance are government facilities at Redstone Arsenal, AL, Fort Irwin, CA, Fort Polk, LA, and White Sands Missile Range, NM. The final solicitation release date is estimated for January 15, 2019, with proposals due March 4, 2019 and target award by November 19, 2019. Questions about the draft solicitation are due by December 21, 2018.
DOL Form 1444 Request for Authorization Additional Classification and Rate
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Text version
REQUEST FOR AUTHORIZATION OF
ADDITIONAL CLASSIFICATION AND RATE
INSTRUCTIONS: THE CONTRACTOR SHALL COMPLETE ITEMS 3 THROUGH 16, KEEP A PENDING COPY, AND SUBMIT THE REQUEST, IN
QUADRUPLICATE, TO THE CONTRACTING OFFICER.
1. TO:
ADMINISTRATOR,
WAGE AND HOUR DIVISION
U.S. DEPARTMENT OF LABOR
WASHINGTON, DC 20210
2. FROM: (REPORTING OFFICE)
3. CONTRACTOR 4. DATE OF REQUEST
5. CONTRACT NUMBER 6. DATE BID OPENED (SEALED
BIDDING)
7. DATE OF AWARD 8. DATE CONTRACT WORK
STARTED
9. DATE OPTION EXERCISED (If
APPLICABLE) (SERVICE
CONTRACT ONLY)
10. SUBCONTRACTOR (IF ANY)
11. PROJECT AND DESCRIPTION OF WORK (ATTACH ADDITIONAL SHEET IF NEEDED)
12. LOCATION (CITY, COUNTY AND STATE)
13. IN ORDER TO COMPLETE THE WORK PROVIDED FOR UNDER THE ABOVE CONTRACT, IT IS NECESSARY TO ESTABLISH THE FOLLOWING RATE(S) FOR THE INDICATED CLASSIFICATION(S) NOT INCLUDED IN THE DEPARTMENT OF LABOR DETERMINATION
NUMBER: DATED:
a. LIST IN ORDER: PROPOSED CLASSIFICATION TITLE(S); JOB DESCRIPTION(S); DUTIES;
AND RATIONALE FOR PROPOSED CLASSIFICATIONS (Service contracts only) b. WAGE RATE(S)
c. FRINGE BENEFITS
PAYMENTS
(Use reverse or attach additional sheets, if necessary)
14. SIGNATURE AND TITLE OF SUBCONTRACTOR REPRESENTATIVE
(IF ANY)
15. SIGNATURE AND TITLE OF PRIME CONTRACTOR REPRESENTATIVE
16. SIGNATURE OF EMPLOYEE OR REPRESENTATIVE TITLE CHECK APPROPRIATE BOX-REFERENCING BLOCK 13.
AGREE DISAGREE
TO BE COMPLETED BY CONTRACTING OFFICER (CHECK AS APPROPRIATE - SEE FAR 22.1019 (SERVICE CONTRACT LABOR
STANDARDS) OR FAR 22.406-3 (CONSTRUCTION WAGE RATE REQUIREMENTS))
THE INTERESTED PARTIES AGREE AND THE CONTRACTING OFFICER RECOMMENDS APPROVAL BY THE WAGE AND HOUR DIVISION. AVAILABLE
INFORMATION AND RECOMMENDATIONS ARE ATTACHED.
THE INTERESTED PARTIES CANNOT AGREE ON THE PROPOSED CLASSIFICATION AND WAGE RATE. A DETERMINATION OF THE QUESTION BY THE WAGE AND HOUR DIVISION IS THEREFORE REQUESTED. AVAILABLE INFORMATION AND RECOMMENDATIONS ARE ATTACHED.
(Send 3 copies to the Department of Labor)
SIGNATURE OF CONTRACTING OFFICER OR
REPRESENTATIVE
STANDARD FORM 1444 (REV. 4/2013)
Prescribed by GSA-FAR (48 CFR) 53.222(f)
TITLE AND COMMERCIAL TELEPHONE NUMBER DATE SUBMITTED
CHECK APPROPRIATE BOX
SERVICE CONTRACT
CONSTRUCTION CONTRACT
AUTHORIZED FOR LOCAL REPRODUCTION
PREVIOUS EDITION IS USABLE
PAPERWORK REDUCTION ACT STATEMENT: Public reporting burden for this collection of information is estimated to average .5 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspects of this collection of information, including suggestions for reducing this burden, to U.S. General Services Administration, Regulatory Secretariat (MVCB)/IC 9000-0089, Office of Governmentwide Acquisition Policy, 1800 F Street, NW, Washington, DC 20405.
OMB Control Number: 9000-0089 Expiration Date: 10/31/2019
REQUEST FOR AUTHORIZATION OF
ADDITIONAL CLASSIFICATION AND RATE
INSTRUCTIONS: THE CONTRACTOR SHALL COMPLETE ITEMS 3 THROUGH 16, KEEP A PENDING COPY, AND SUBMIT THE REQUEST, IN
QUADRUPLICATE, TO THE CONTRACTING OFFICER.
1. TO:
ADMINISTRATOR,
WAGE AND HOUR DIVISION
U.S. DEPARTMENT OF LABOR
WASHINGTON, DC 20210
2. FROM: (REPORTING OFFICE)
3. CONTRACTOR
4. DATE OF REQUEST
5. CONTRACT NUMBER
6. DATE BID OPENED (SEALED
BIDDING)
7. DATE OF AWARD
8. DATE CONTRACT WORK
STARTED
9. DATE OPTION EXERCISED (If
APPLICABLE) (SERVICE CONTRACT ONLY)
10. SUBCONTRACTOR (IF ANY)
11. PROJECT AND DESCRIPTION OF WORK (ATTACH ADDITIONAL SHEET IF NEEDED)
12. LOCATION (CITY, COUNTY AND STATE)
13. IN ORDER TO COMPLETE THE WORK PROVIDED FOR UNDER THE ABOVE CONTRACT, IT IS NECESSARY TO ESTABLISH THE FOLLOWING RATE(S) FOR THE INDICATED CLASSIFICATION(S) NOT INCLUDED IN THE DEPARTMENT OF LABOR DETERMINATION
NUMBER:
DATED:
a. LIST IN ORDER: PROPOSED CLASSIFICATION TITLE(S); JOB DESCRIPTION(S); DUTIES;
AND RATIONALE FOR PROPOSED CLASSIFICATIONS (Service contracts only)
b. WAGE RATE(S)
c. FRINGE BENEFITS
PAYMENTS
(Use reverse or attach additional sheets, if necessary)
14. SIGNATURE AND TITLE OF SUBCONTRACTOR REPRESENTATIVE
(IF ANY)
15. SIGNATURE AND TITLE OF PRIME CONTRACTOR REPRESENTATIVE
16. SIGNATURE OF EMPLOYEE OR REPRESENTATIVE
TITLE
CHECK APPROPRIATE BOX-REFERENCING BLOCK 13.
AGREE
DISAGREE
TO BE COMPLETED BY CONTRACTING OFFICER (CHECK AS APPROPRIATE - SEE FAR 22.1019 (SERVICE CONTRACT LABOR STANDARDS) OR FAR 22.406-3 (CONSTRUCTION WAGE RATE REQUIREMENTS)) THE INTERESTED PARTIES AGREE AND THE CONTRACTING OFFICER RECOMMENDS APPROVAL BY THE WAGE AND HOUR DIVISION. AVAILABLE
INFORMATION AND RECOMMENDATIONS ARE ATTACHED.
THE INTERESTED PARTIES CANNOT AGREE ON THE PROPOSED CLASSIFICATION AND WAGE RATE. A DETERMINATION OF THE QUESTION BY THE WAGE AND HOUR DIVISION IS THEREFORE REQUESTED. AVAILABLE INFORMATION AND RECOMMENDATIONS ARE ATTACHED.
(Send 3 copies to the Department of Labor)
SIGNATURE OF CONTRACTING OFFICER OR REPRESENTATIVE
STANDARD FORM 1444 (REV. 4/2013)
Prescribed by GSA-FAR (48 CFR) 53.222(f)
TITLE AND COMMERCIAL TELEPHONE NUMBER
DATE SUBMITTED
CHECK APPROPRIATE BOX
SERVICE CONTRACT
CONSTRUCTION CONTRACT
AUTHORIZED FOR LOCAL REPRODUCTION
PREVIOUS EDITION IS USABLE
PAPERWORK REDUCTION ACT STATEMENT: Public reporting burden for this collection of information is estimated to average .5 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspects of this collection of information, including suggestions for reducing this burden, to U.S. General Services Administration, Regulatory Secretariat (MVCB)/IC 9000-0089, Office of Governmentwide Acquisition Policy, 1800 F Street, NW, Washington, DC 20405.
OMB Control Number: 9000-0089 Expiration Date: 10/31/2019 8.2.1.4029.1.523496.503679
| CHECK APPROPRIATE BOX. SERVICE CONTRACT: 0 |
| CHECK APPROPRIATE BOX. CONSTRUCTION CONTRACT: 0 |
| 2. FROM: (REPORTING OFFICE): |
| 3. CONTRACTOR: |
| 4. DATE OF REQUEST. Enter 2 digit month, 2 digit day and 4 digit year.: |
| 9. DATE OPTION EXERCISED (If APPLICABLE) (SCA ONLY) Enter 2 digit month, 2 digit day and 4 digit year.: |
| 8. DATE CONTRACT WORK STARTED. Enter 2 digit month, 2 digit day and 4 digit year.: |
| 7. DATE OF AWARD. Enter 2 digit month, 2 digit day and 4 digit year.: |
| 6. DATE BID OPENED (SEALED BIDDING) Enter 2 digit month, 2 digit day and 4 digit year.: |
| 5. CONTRACT NUMBER: |
| 10. SUBCONTRACTOR (IF ANY): |
| 11. PROJECT AND DESCRIPTION OF WORK (ATTACH ADDITIONAL SHEET IF NEEDED): |
| 12. LOCATION (CITY, COUNTY AND STATE): |
| 13. IN ORDER TO COMPLETE THE WORK PROVIDED FOR UNDER THE ABOVE CONTRACT, IT IS NECESSARY TO ESTABLISH THE FOLLOWING RATE(S) FOR THE INDICATED CLASSIFICATION(S) NOT INCLUDED IN THE DEPARTMENT OF LABOR DETERMINATION. NUMBER: |
| 13. IN ORDER TO COMPLETE THE WORK PROVIDED FOR UNDER THE ABOVE CONTRACT, IT IS NECESSARY TO ESTABLISH THE FOLLOWING RATE(S) FOR THE INDICATED CLASSIFICATION(S) NOT INCLUDED IN THE DEPARTMENT OF LABOR DETERMINATION. Enter 2 digit month, 2 digit day and 4 digit year.: |
| 13a. LIST IN ORDER: PROPOSED CLASSIFICATION TITLE(S); JOB DESCRIPTION(S); DUTIES; AND RATIONALE FOR PROPOSED CLASSIFICATIONS 1 of 10.: |
| 13c. FRINGE BENEFITS PAYMENTS: |
| 13b. WAGE RATE(S): |
| 13a. LIST IN ORDER: PROPOSED CLASSIFICATION TITLE(S); JOB DESCRIPTION(S); DUTIES; AND RATIONALE FOR PROPOSED CLASSIFICATIONS 9 of 10.: |
| 13c. FRINGE BENEFITS PAYMENTS: |
| 13b. WAGE RATE(S): |
| 13a. LIST IN ORDER: PROPOSED CLASSIFICATION TITLE(S); JOB DESCRIPTION(S); DUTIES; AND RATIONALE FOR PROPOSED CLASSIFICATIONS 10 of 10.: |
| 13c. FRINGE BENEFITS PAYMENTS: |
| 13b. WAGE RATE(S): |
| 13a. LIST IN ORDER: PROPOSED CLASSIFICATION TITLE(S); JOB DESCRIPTION(S); DUTIES; AND RATIONALE FOR PROPOSED CLASSIFICATIONS 8 of 10.: |
| 13c. FRINGE BENEFITS PAYMENTS: |
| 13b. WAGE RATE(S): |
| 13a. LIST IN ORDER: PROPOSED CLASSIFICATION TITLE(S); JOB DESCRIPTION(S); DUTIES; AND RATIONALE FOR PROPOSED CLASSIFICATIONS 7 of 10.: |
| 13c. FRINGE BENEFITS PAYMENTS: |
| 13b. WAGE RATE(S): |
| 13a. LIST IN ORDER: PROPOSED CLASSIFICATION TITLE(S); JOB DESCRIPTION(S); DUTIES; AND RATIONALE FOR PROPOSED CLASSIFICATIONS 6 of 10.: |
| 13c. FRINGE BENEFITS PAYMENTS: |
| 13b. WAGE RATE(S): |
| 13a. LIST IN ORDER: PROPOSED CLASSIFICATION TITLE(S); JOB DESCRIPTION(S); DUTIES; AND RATIONALE FOR PROPOSED CLASSIFICATIONS 5 of 10.: |
| 13c. FRINGE BENEFITS PAYMENTS: |
| 13b. WAGE RATE(S): |
| 13a. LIST IN ORDER: PROPOSED CLASSIFICATION TITLE(S); JOB DESCRIPTION(S); DUTIES; AND RATIONALE FOR PROPOSED CLASSIFICATIONS 4 of 10.: |
| 13c. FRINGE BENEFITS PAYMENTS: |
| 13b. WAGE RATE(S): |
| 13a. LIST IN ORDER: PROPOSED CLASSIFICATION TITLE(S); JOB DESCRIPTION(S); DUTIES; AND RATIONALE FOR PROPOSED CLASSIFICATIONS 3 of 10.: |
| 13c. FRINGE BENEFITS PAYMENTS: |
| 13b. WAGE RATE(S): |
| 13a. LIST IN ORDER: PROPOSED CLASSIFICATION TITLE(S); JOB DESCRIPTION(S); DUTIES; AND RATIONALE FOR PROPOSED CLASSIFICATIONS 2 of 10.: |
| 13b. WAGE RATE(S): |
| 13c. FRINGE BENEFITS PAYMENTS: |
| 14. TITLE OF SUBCONTRACTOR REPRESENTATIVE (IF ANY): |
| SIGNATURE OF CONTRACTING OFFICER OR REPRESENTATIVE: |
| 14. SIGNATURE OF SUBCONTRACTOR REPRESENTATIVE (IF ANY): |
| TITLE: |
| 14. SIGNATURE OF PRIME CONTRACTOR REPRESENTATIVE (IF ANY): |
| SIGNATURE OF CONTRACTING OFFICER OR REPRESENTATIVE: |
| CHECK APPROPRIATE BOX-REFERENCING BLOCK 13. AGREE: 0 |
| CHECK APPROPRIATE BOX-REFERENCING BLOCK 13. DISAGREE: 0 |
| THE INTERESTED PARTIES AGREE AND THE CONTRACTING OFFICER RECOMMENDS APPROVAL BY THE WAGE AND HOUR DIVISION. AVAILABLE INFORMATION AND RECOMMENDATIONS ARE ATTACHED.: 0 |
| THE INTERESTED PARTIES CANNOT AGREE ON THE PROPOSED CLASSIFICATION AND WAGE RATE. A DETERMINATION OF THE QUESTION BY THE WAGE AND HOUR DIVISION IS THEREFORE REQUESTED. AVAILABLE INFORMATION AND RECOMMENDATIONS ARE ATTACHED.: 0 |
| TITLE : |
| COMMERCIAL TELEPHONE NUMBER: |
| DATE SUBMITTED. Enter 2 digit month, 2 digit day and 4 digit year.: |
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