5-Wage Rate Affidavit.pdf
PDF 77 KB Posted
- Attached to
- Construction of Woodland West Aquatic Center
- Solicitation number
- 26-0071 & PJPKPL24005
- Issued by
- Tarrant County, Arlington City, Texas
About this file
This is a Wage Rate Affidavit form issued by Tarrant County, Texas, for use by contractors on City of Arlington construction projects. The affidavit serves as a sworn statement in which a contractor representative certifies compliance with prevailing wage rates established in the contract documents for the Woodland West Aquatic Center construction project. The contractor must affirm that all wages for labor on the project meet or exceed the prevailing wage rates specified and will continue to comply as rates may be adjusted throughout the project duration. The affidavit must be notarized and signed by an authorized company representative before a Notary Public in Texas.
The affidavit includes provisions granting the City of Arlington the right to conduct comprehensive financial audits at any time, including examination of cancelled checks, invoices, and statements related to project wages. The contractor also consents to employee interviews conducted by the City for compliance verification purposes. The contractor accepts full accountability for any penalties and fines that may be assessed under the contract documents and applicable law for wage rate violations. The form requires completion of blanks for the affiant's name, title, company name, project identification, and notarization details with an expiration date for the notary commission. All submissions must be made through the City of Arlington's designated procurement portal, Euna Procurement, to ensure receipt of complete specifications and addendums.
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Text version
THE STATE OF TEXAS §
WAGE RATE AFFIDAVIT
COUNTY OF TARRANT §
BEFORE ME, the undersigned authority, a Notary Public in and for the State of Texas, on this day personally appeared , known to me (or proved to me on the oath of or through (description of identity card or other document) to be the person whose name is subscribed to this affidavit; and being by me first duly sworn, upon oath stated as follows:
“My name is .
(typed or printed name)
I am of , (title or position) (name of company) a Contractor with the City of Arlington for the project identified as , in the City of Arlington, Texas. Being duly authorized as a representative of this company, I do hereby swear and affirm that all wages for labor on the above-referenced project are in strict compliance with the established prevailing wage rates as described in the Contract Documents for the referenced project, and all wages have been and will be paid and satisfied as the prevailing rates may change from time to time. Upon request by the City of Arlington, I shall at any time allow a complete examination of the financial records relative to this project, including, but not limited to, cancelled checks, invoices and statements; and allow the City of Arlington to interview any and all employees of this company, and any and all employees of any subcontractor for this project. Also, I hereby agree on behalf of this company to be accountable for any and all penalties and fines provide in accordance with the Contract Documents and relevant law.”
Signature
SUBSCRIBED AND SWORN TO BEFORE ME, a Notary Public in and for the State of Texas, this day of , 2025.
Notary Public Signature
Notary’s Printed Name
My Commission Expires:
END OF SECTION
File details come from the government source that posted it. Updated .