20_PW_AFFIDAVIT_OF_COMPLIANCE_-_OHIO_(2024.12.27).pdf
PDF 65 KB Posted
- Solicitation number
- AR2608
- Issued by
- Cuyahoga County, Ohio
About this file
This is an Affidavit of Compliance form for prevailing wage requirements issued by the State of Ohio, specifically for use in the City of Cleveland's Michael J. Zone Neighborhood Resource & Recreation Center Locker Room, Entrance Lobby, & Restroom Improvements project. The affidavit certifies that all wages paid to employees working on the project comply with prevailing wage requirements under Chapter 4115 of the Ohio Revised Code. The form requires completion by an officer or agent of the contractor or subcontractor who supervises employee payment, and must include the employee's name and title, company name, project name and location, and project dates. The affidavit must be notarized and sworn before submission.
The affidavit must be submitted to the public authority (City of Cleveland) before the surety is released or final payment is issued under the contract terms. The form certifies that no rebates or deductions have been or will be made from wages paid on the project, except those authorized by law. This document is a mandatory compliance requirement for all contractors and subcontractors involved in the project and serves as verification that prevailing wage obligations have been fulfilled throughout the duration of work.
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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 .