7. Wage Certification Form.docx
DOCX document 32 KB Posted
- 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 |
| 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 |
File details come from the government source that posted it. Updated .