18_PW_AFFIDAVIT_OF_COMPLIANCE_-_OHIO_(2024.12.27).pdf
PDF 65 KB Posted
- Attached to
- Payne Avenue Improvements
- Solicitation number
- AR2612
- Issued by
- Cuyahoga County, Ohio
About this file
This is an Affidavit of Compliance form established by the State of Ohio for use in prevailing wage compliance verification on public works projects governed by Chapter 4115 of the Ohio Revised Code. The document is designed to be executed by officers or agents of contractors and subcontractors responsible for employee payment supervision on projects such as the Payne Avenue Improvements project managed by the City of Cleveland's Mayor's Office of Capital Projects. The affidavit certifies that all wages paid to employees for hours worked on the designated project during a specified period comply with prevailing wage requirements, and that no unauthorized rebates or deductions have been made from wages paid in connection with the project work.
The affidavit must be notarized and submitted to the public authority owner before final payment is released or the surety is released under the contract terms. The form requires completion of standard fields including the signatory's name and title, the contractor or subcontractor company name, the project name and location, project dates, and the date of notarization. This compliance documentation is a standard requirement for public works projects in Ohio and serves as verification that contractors and subcontractors have adhered to prevailing wage statutes throughout the project execution period.
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Text version
Affidavit Of Compliance
PREVAILING WAGES
I, ______________________________________________________________________________ (Name of person signing affidavit) (Title) do hereby certify that the wages paid to all employees of
(Company Name) for all hours worked on the
(Project name and location) project, during the period from ___________________ to ___________________ are in (Project Dates) compliance with prevailing wage requirements of Chapter 4115 of the Ohio Revised Code. I further certify that no rebates or deductions have been or will be made, directly or indirectly, from any wages paid in connection with this project, other than those provided by law.
(Signature of Officer or Agent)
Sworn to and subscribed in my presence this ___________________ day of ___________________, 20_______.
___________________________________________________ (Notary Public)
The above affidavit must be executed and sworn to by the officer or agent of the contractor or subcontractor who supervises the payment of employees. This affidavit must be submitted to the owner (public authority) before the surety is released or final payment due under the terms of the contract is made.
LAW1003
File details come from the government source that posted it. Updated .