Form SF1444 "Request for Authorization of Additional Classification and Rate" - Arizona

What Is Form SF1444?

This is a legal form that was released by the Arizona Department of Housing - a government authority operating within Arizona. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on April 1, 2013;
  • The latest edition provided by the Arizona Department of Housing;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form SF1444 by clicking the link below or browse more documents and templates provided by the Arizona Department of Housing.

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Download Form SF1444 "Request for Authorization of Additional Classification and Rate" - Arizona

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CHECK APPROPRIATE BOX
REQUEST FOR AUTHORIZATION OF
OMB Control Number: 9000-0066
SERVICE CONTRACT
ADDITIONAL CLASSIFICATION AND RATE
Expiration Date: 4/30/2022
CONSTRUCTION CONTRACT
Paperwork Reduction Act Statement - This information collection meets the requirements of 44 U.S.C. § 3507, as amended by section 2 of the Paperwork
Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget (OMB) control number.
The OMB control number for this collection is 9000-0066. We estimate that it will take .5 hours to read the instructions, gather the facts, and answer the
questions. Send only comments relating to our time estimate, including suggestions for reducing this burden, or any other aspects of this collection of
information to: U.S. General Services Administration, Regulatory Secretariat Division (M1V1CB), 1800 F Street, NW, Washington, DC 20405.
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:
2. FROM: (REPORTING OFFICE)
ADMINISTRATOR,
Arizona Department of Housing
WAGE AND HOUR DIVISION
1110 W. Washington Street, Suite 280
U.S. DEPARTMENT OF LABOR
Phoenix, AZ 85007
WASHINGTON, DC 20210
3. CONTRACTOR
4. DATE OF REQUEST
9. DATE OPTION EXERCISED (If
6. DATE BID OPENED (SEALED
7. DATE OF AWARD
8. DATE CONTRACT WORK
5. CONTRACT NUMBER
APPLICABLE) (SERVICE
BIDDING)
STARTED
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;
c. FRINGE BENEFITS
b. WAGE RATE(S)
AND RATIONALE FOR PROPOSED CLASSIFICATIONS (Service contracts only)
PAYMENTS
(Use reverse or attach additional sheets, if necessary)
14. SIGNATURE AND TITLE OF SUBCONTRACTOR REPRESENTATIVE
15. SIGNATURE AND TITLE OF PRIME CONTRACTOR REPRESENTATIVE
(IF ANY)
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)
TITLE AND COMMERCIAL TELEPHONE NUMBER
DATE SUBMITTED
SIGNATURE OF CONTRACTING OFFICER OR REPRESENTATIVE
(REV. 4/2013)
STANDARD FORM 1444
AUTHORIZED FOR LOCAL REPRODUCTION
PREVIOUS EDITION IS USABLE
Prescribed by GSA-FAR (48 CFR) 53.222(f)
CHECK APPROPRIATE BOX
REQUEST FOR AUTHORIZATION OF
OMB Control Number: 9000-0066
SERVICE CONTRACT
ADDITIONAL CLASSIFICATION AND RATE
Expiration Date: 4/30/2022
CONSTRUCTION CONTRACT
Paperwork Reduction Act Statement - This information collection meets the requirements of 44 U.S.C. § 3507, as amended by section 2 of the Paperwork
Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget (OMB) control number.
The OMB control number for this collection is 9000-0066. We estimate that it will take .5 hours to read the instructions, gather the facts, and answer the
questions. Send only comments relating to our time estimate, including suggestions for reducing this burden, or any other aspects of this collection of
information to: U.S. General Services Administration, Regulatory Secretariat Division (M1V1CB), 1800 F Street, NW, Washington, DC 20405.
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:
2. FROM: (REPORTING OFFICE)
ADMINISTRATOR,
Arizona Department of Housing
WAGE AND HOUR DIVISION
1110 W. Washington Street, Suite 280
U.S. DEPARTMENT OF LABOR
Phoenix, AZ 85007
WASHINGTON, DC 20210
3. CONTRACTOR
4. DATE OF REQUEST
9. DATE OPTION EXERCISED (If
6. DATE BID OPENED (SEALED
7. DATE OF AWARD
8. DATE CONTRACT WORK
5. CONTRACT NUMBER
APPLICABLE) (SERVICE
BIDDING)
STARTED
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;
c. FRINGE BENEFITS
b. WAGE RATE(S)
AND RATIONALE FOR PROPOSED CLASSIFICATIONS (Service contracts only)
PAYMENTS
(Use reverse or attach additional sheets, if necessary)
14. SIGNATURE AND TITLE OF SUBCONTRACTOR REPRESENTATIVE
15. SIGNATURE AND TITLE OF PRIME CONTRACTOR REPRESENTATIVE
(IF ANY)
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)
TITLE AND COMMERCIAL TELEPHONE NUMBER
DATE SUBMITTED
SIGNATURE OF CONTRACTING OFFICER OR REPRESENTATIVE
(REV. 4/2013)
STANDARD FORM 1444
AUTHORIZED FOR LOCAL REPRODUCTION
PREVIOUS EDITION IS USABLE
Prescribed by GSA-FAR (48 CFR) 53.222(f)