§ 5B-16.901-98, is prescribed for use in accordance with § 1-12.905-3.

§ 5B-16.856 Department of Labor notice. Department of Labor WH Publication 1313, Notice to Employees Working on Government Contracts, illustrated at § 5B-16.954-1313, is prescribed for use in accordance with §§ 5B-12.604 and 1-12.905-1.

§ 5B-16.857 Equal opportunity in employment.

GSA Form 1714, Equal Opportunity Clause, illustrated at § 5B-16.950-1714 is prescribed for use in accordance with § 5B-12.803-2.

§ 5B-16.871 Construction forms.

(a) GSA Form 1137, Request, Proposal, and Acceptance Covering Construction Contract Modification, illustrated at § 5B-16.950-1137, is prescribed for use.

(b) GSA Form 1139, Section 0010, General Conditions, illustrated at § 5B-16.950-1139, is prescribed for use.

(c) GSA Form 1142, Release of Claims, illustrated at § 5B-16.950-1142, is prescribed for use.

(d) GSA Form 2402, Form letter for notifying contractor of action taken on shop drawing submittals, illustrated at § 5B-16.950-2402, is prescribed for use.

(e) GSA Form 2417, Notice to Proceed, illustrated at § 5B-16.950-2417, is prescribed for use in approving bonds and issuing notice to proceed.

(f) GSA Form 2419, Certification of Payment to Subcontractors and Suppliers, illustrated at § 5B-16.950-2419, is prescribed for use.

(g) GSA Form 2465, Notice of Appeal, illustrated at § 5B-16.9502465, is prescribed for use in accordance with § 5B-1.318-1.

NOTE: The following paragraph (j) was revised to § 5B-16.871 at 46 FR 51748, Oct. 22, 1981. Section 5B-16.871 was removed in its entirety at 47 FR 28649, July 1, 1982, effective July 30, 1982

(j) Department of Labor Form WLSA (WD)-1, Decision of the Secretary, is prescribed for use in lieu of WLSA-1.

§ 5B-16.872 Labor forms.

(a) GSA Form 618A(FL), Form letter for informing contractor of labor standards provisions, illustrated at

§ 5B-16.950-618A(FL), is prescribed for

use.

(b) GSA Form 618D, Statement to be Submitted When Work is Performed Personally, illustrated at § 5B16.950-618D, is prescribed for use in accordance with § 5B-12.18705-6.

(c) GSA Form 1995, Return of Payroll Document for Correction, illustrated at § 5B-16.950-1995, is prescribed for use in accordance with § 5B-12.18705-6.

(d) GSA Form 2428, Request for Authorization of Additional Classification(s), Rate(s), and Fringe Benefit(s), illustrated at § 5B-16.9502428, is prescribed for use in accordance with § 5B-12.18705-3.

(e) Department of Labor Form WH347, Payroll (For Contractor's Optional Use), illustrated at § 5B-16.954-347, for use in accordance with §§ 1-18.7056 and 5B-12.18705-6.

(f) Department of Labor Form WH347 Inst., Instruction for Completing Payroll Form WH-347, illustrated at § 5B-16.954-347 Inst., for use in accordance with §§ 1-18.705-6 and 5B12.18705-6.

(g) Department of Labor Form WH348, Statement of Compliance, illustrated at § 5B-16.954-348, is prescribed for use in accordance with §§ 1-18.7056 and 5B-12.18702-2 and 5B-12.187056.

(h) Department of Labor Form WHPC Publication 1240, Notice to Employees Working on Federal or Federally Financed Construction Projects, is prescribed for use in accordance with § 5B-12.18705-7.

(i) Standard Form 308, Request for Determination and Response to Request, is prescribed for use. (See § 118.704-3.)

(j) Department of Labor Form WLSA (WD)-1, Decision of the Secretary, is prescribed for use in lieu of WLSA-1.

[40 FR 47133, Oct. 8, 1975]

85B-16.875 Forms for building service contracts.

(a) GSA Form 527, Contractor's Qualifications and Financial Information, illustrated at 5B-16.950-527, shall be used for all contracts of $50,000, or more. The form is optional for contracts under $50,000.

(b) The following GSA forms are prescribed for use in procuring building services without limitation as to amount of the procurement. (See § 5B-2.201-70.)

(1) GSA Form 1467, Solicitation, Offer and Award (Contract for Building Services), illustrated at § 5B16.950-1467. Pending publication of a new edition of GSA Form 1467, the certifications prescribed below shall be added to the representations and certifications prescribed on the form: (1) Women-Owned Business (prescribed by 1-1.340 of the Federal Procurement Regulations (FPR); (ii) Identification of DUNS Contractor Establishment Number and Principal Place of Performance prescribed by § 1-16.101 (a) and (d) of the FPR); (iii) Certification Regarding Crimes, Debarments, Suspensions and Defaults (prescribed by § 5-1.1205-2(a) of the General Services Procurement Regulations).

(2) GSA Form 1467-A, Solicitation, Instructions, and Conditions (Contract for Building Services), illustrated at § 5B-16.950-1467-A.

(3) GSA Form 1468, General Provisions (Contract for Building Services), November 1976 edition, illustrated at § 5B-16.950-1468. Pending publication of a new edition of the form, the following modifications are authorized: (i) The Utilization of Women-Owned Business Concerns clause prescribed by § 1-1.340 of the FPR shall be added; (ii) The Disputes clause prescribed by FPR Temporary Regulation 55 shall be substituted for the Disputes clause, Provision 9; (iii) The Utilization of Small Business Concerns and Small Business Concerns Owned and Controlled by Socially and Eco

nomically Disadvantaged Individuals clause prescribed by FPR Temporary Regulation 50, Supplement 2, shall be substituted for the Utilization of Small Business Concerns and Utilization of Minority Business Enterprises clause, Provision 14; and (iv) The Payment of Interest on Contractors' Claims clause, prescribed in Provision 24, shall be deleted in its entirety.

(c) GSA Form 1714, Equal Opportunity Clause, illustrated at § 5B-16.9501714, shall be used for contracts in excess of $10,000 when forms containing general provisions that do not include the clause are employed.

(d) GSA Form 2166, Service Contract Act of 1965 (as amended), illustrated at 5B-16.950-2166 shall be used for contracts in excess of $2,500. [46 FR 51748, Oct. 22, 1981]

Subpart 5B-16.9—Illustrations of Forms

§ 5B-16.901 Standard forms.

Illustrated in this section are GSA overprints of certain standard forms illustrated in § 1-16.901 and certain standard forms that are not illustrated in the FPR. The subsection numbers correspond with the standard form numbers in the manner described in § 1-16.901.

NOTE: Copies of the forms are filed with the original documents and are available from the Business Service Center in any regional office of the General Services Administration. For changes to this listing of forms, see List of CFR Sections Affected in this volume.