8-Part H - Exhibit F - Sample Posting-Compliance-Form COA 2026 2 12.pdf

This is a Certification of Posting Compliance Form issued by the City of Alexandria, Virginia, Department of Labor and Industry, applicable to the Durant Roof Replacement project at the Oswald Durant Center located at 1605 Cameron Street, Alexandria, Virginia. The form serves as documentation that contractors and subcontractors performing public works for the City have complied with Alexandria City Code Section 3-3-31.2, which mandates the posting of general prevailing wage rates for each craft and classification involved in the project. The form requires contractors to post prevailing wage rate information in a prominent and easily accessible location at the work site or at a location where workers receive their wages. Completed forms must be submitted to procurement@alexandriava.gov.

The form functions as a compliance certification document requiring contractors to provide project identification information, including the project name, City of Alexandria (COA) contract number, contractor supervisor name and contact information, and the date when prevailing wage rates were posted. The contractor must certify under oath that all information provided to the Department of Labor and Industry is true and accurate, with required signatures and dates from the responsible party. This document represents a sample form template used to ensure prevailing wage compliance on City public works projects and must be completed and submitted as part of project administration requirements.