7. Wage Certification Form.docx
DOCX document 32 KB Posted
- Attached to
- On Call Architectural Services
- Solicitation number
- 144080
- Issued by
- Hartford County, Connecticut
About this file
This is a Wage Certification Form issued by the City of Hartford that establishes prevailing wage requirements for contractors and subcontractors performing work on City projects. The form requires the principal contractor and all subcontractors to certify in writing that they will pay workers on the specified project in accordance with applicable wage rates. The form provides three wage rate options that may apply to the project: State of Connecticut prevailing wage rates, Federal prevailing wage rates, or City of Hartford living wage rates. The contractor, identified by officer, owner, or authorized representative, must complete the form with company name, address, project name and number, project location, and attest that all workers will receive the required wages.
The certification must be notarized before submission, requiring the contractor's signature, date, and notary public authorization. This form serves as a compliance document ensuring that all compensation paid to workers meets or exceeds the applicable prevailing or living wage standards established by the relevant jurisdiction. A copy of the wage rates that apply to the specific project must be attached to the certification form at the time of submission.
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Text version
CITY OF HARTFORD
WAGE CERTIFICATION FORM
| I, | |
| Click or tap here to enter text. | of |
| Click or tap here to enter text. |
Officer, Owner, Authorized Rep
Company Name do hereby certify that the
Company Name
Street
City and all of its subcontractors will pay all workers on the
| Click or tap here to enter text. |
| Project Name and Number |
| Click or tap here to enter text. |
| Street and City |
the following wages as required for such project (a copy of the rates which is attached hereto):
☐ State of Connecticut Prevailing wage rates
☐ Federal Prevailing wage rates
☐ City of Hartford Living wage rates
| ____________________ | |
| Signature |
Subscribed and sworn to before me this day of___________, 20______
| ______________ | |
| Notary Public |
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