7. Wage Certification Form.docx
DOCX document 32 KB Posted
- Solicitation number
- 145995
- Issued by
- Hartford County, Connecticut
About this file
This is a Wage Certification Form issued by the City of Hartford, Connecticut, for use on municipal construction and service projects. The form requires the contractor and all subcontractors to certify in writing that they will pay workers on the specified project according to applicable prevailing wage requirements. The certifying officer, owner, or authorized representative must complete the form by inserting the company name, project name and number, and project location details. The form allows the certifying party to indicate which wage standards will be applied: State of Connecticut prevailing wage rates, Federal prevailing wage rates, or City of Hartford living wage rates, with a copy of the applicable rates to be attached to the certification.
The completed form must be executed under oath before a notary public and submitted as a binding certification that all workers, including those employed by subcontractors, will receive the mandated wage compensation for the project. This certification requirement ensures compliance with applicable prevailing wage and living wage laws applicable to public works and service contracts in Hartford.
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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 .