5-Wage Rate Affidavit.pdf
PDF 77 KB Posted
- Solicitation number
- Construction SB 26-0151 and CMFD25001
- Issued by
- Tarrant County, Arlington City, Texas
About this file
This is a Wage Rate Affidavit for the City of Arlington, Texas, related to driveway and paving improvements at Arlington Fire Department Station 15 located at 906 Eden Rd, Arlington, TX 76001. The affidavit serves as a sworn compliance document requiring a contractor's authorized representative to certify that all wages paid for labor on the project comply with established prevailing wage rates as specified in the Contract Documents. The contractor must affirm that all wages have been paid and will continue to be paid at prevailing rates, which may be subject to change throughout the project duration. The project involves removal and disposal of existing concrete pavement, sidewalks, and curbs, followed by replacement with new concrete pavement, sidewalks, and curbs, including preparation and installation of required base and subgrade materials. Work shall be performed in accordance with construction documents, specifications, and drawings prepared by Simon Engineering & Consulting, dated February 11, 2026.
The affidavit requires the contractor to submit to examination of all financial records related to the project, including cancelled checks, invoices, and statements, and permits the City of Arlington to conduct interviews with company employees and any subcontractor employees. The contractor assumes accountability for all penalties and fines provided in accordance with the Contract Documents and relevant law. The affidavit must be notarized before a Notary Public in the State of Texas and submitted as part of project compliance documentation. The City of Arlington exclusively uses Euna Procurement for solicitation notification and dissemination, and requires that bids be submitted electronically when possible, with paper bids submitted in sealed envelopes labeled with the company name, solicitation number, and title.
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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
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