10-Attachment J.pdf
PDF 71 KB Posted
- Solicitation number
- 60-35000-26-08799
- Issued by
- Bernalillo County, Albuquerque City, New Mexico
About this file
This is an Affidavit of Non-violation of Labor Codes for the New Mexico Department of Public Safety Metropolitan Complex construction project in Albuquerque, administered by the Facilities Management Division of the General Services Department. The affidavit document serves as Attachment J to Request for Proposal No. 60-35000-25-08799 and requires the firm's authorized officer to certify compliance with prevailing wage and apprenticeship employment laws on public works projects.
The affidavit form requires the bidding firm to attest under oath that it has not received any determinations of repeated or willful violations of labor codes pertaining to prevailing wage payments or apprentice employment on public works projects during the preceding five years. The document must be notarized and signed by an authorized company officer, with the notary seal and commission expiration date affixed to the completed form prior to submission with the proposal.
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Text version
Attachment J
REFERENCE: 9.ii Affidavit of non-violation of Labor codes
Name of Firm:
Address:
Request for Proposal No: 60-35000-25-08799
Affidavit of Non-violation of Labor Codes
TO: Facilities Management Division, GSD State of New Mexico
The undersigned officer of hereby states that has, during the past five years, been free of any determinations by a court or an administrative agency, of repeated or willful violations of laws and/or regulations pertaining to the payment of prevailing wages or employment of apprentices of public works projects.
Name
Title
Signature
NOTARY
State of ) County of )
Signed or attested before me on by
SEAL
My Commission Expires:
File details come from the government source that posted it. Updated .