Wage Determination Information - BCVAMC and WCBOC Reference Lab.pdf

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Attached to
Q301--Reference Lab Services - BCVAMC & WCBOC PoP 08/01/2026-07/31 Implementing EO 14398 DEI Discrimination.
Solicitation number
36C25026Q0305
Issued by

About this file

This is a Statement of Department of Labor Wage Determination Compliance form required for solicitation 36C25026Q0305. The document is a certification template that bidding companies must complete and submit with their offers to Morgan Stein, Contracting Specialist at NCO-10, for a contract supporting a VA medical center. The form certifies that all employees performing services under the resultant contract shall be paid at hourly rates equal to or greater than the current Department of Labor Wage Determination (WD) rates specified in the Performance Standards Matrix and performance standards summary contained in the Quality Assurance Surveillance Plan (QASP) section of the Performance Work Statement (PWS). Wage rates must be applied appropriately for all labor categories based on the county in which the VA medical center being supported resides.

The certification requires signatures and printed names from three company officials: the Owner, Chief Executive Officer (CEO), and Chief Operating Officer (COO), each with corresponding dates. The submitting company must provide its legal name, street address, city, state, zip code, DUNS number, and CAGE Code on the form. This is a template document that companies must complete as part of their proposal submission to demonstrate wage compliance prior to contract award.

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Text version

Statement of Department of Labor Wage Determination Compliance

MEMORANDUM FOR RECORD

REFERENCE: 36C25026Q0305

TO: Morgan Stein (Contracting Specialist), NCO-10

FROM: ___________________________________(Company Name)

___________________________________(Company Street Address)

___________________________________(City, State and Zip Code)

___________________________________(DUNS Number and CAGE Code)

SUBJECT: Statement of Department of Labor Wage Determination Compliance

I do hereby certify that the offer submitted by our company in response to the subject solicitation is fully compliant with the requirement that all employees performing services under the resultant contract (if awarded) shall be paid at an hourly rate that is equal to or greater than current Department of Labor

Wage Determination (WD) as specified in the Performance Standards Matrix and performance standards summary included in the QASP section of the Performance Work Statement (PWS) for all labor categories as appropriate for the county in which the VA medical center being support for this requirement resides.

Company OWNER Full Legal Name (PRINT): ________________________________

Company OWNER Signature: _______________________________ Date: ______________

Company CEO Full Legal Name (PRINT): ________________________________

Company CEO Signature: __________________________________ Date: ______________

Company COO Full Legal Name (PRINT): ________________________________

Company COO Signature: __________________________________ Date: ______________

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