7. Wage Certification Form.docx

DOCX document 32 KB Posted

Attached to
Hartford Applied AI Center - Website & Event Scheduling
Solicitation number
145387
Issued by
Hartford County, Connecticut

About this file

This is a Wage Certification Form issued by the City of Hartford, Connecticut, requiring contractors and their subcontractors to certify compliance with prevailing wage requirements for specified projects. The form mandates that all workers employed on the designated project will be paid according to applicable wage standards, with the certifying officer, owner, or authorized representative required to acknowledge adherence to State of Connecticut prevailing wage rates, Federal prevailing wage rates, and City of Hartford living wage rates. The certification must be completed with the company name, project name and number, street address, and city, and subsequently notarized before submission.

The form serves as a contractual compliance document ensuring that wage obligations are met prior to project commencement. Signatories must provide their title and authorization level within the company and affix their signature before a notary public, establishing legal accountability for wage payment commitments. A copy of the applicable wage rates must be attached to the certification form at the time of submission, creating a documented record of the wage standards applicable to the specific project.

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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
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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

File details come from the government source that posted it. Updated .