Affidavit_of_Wages_Paid.pdf
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- Attached to
- New Sunshine Substation Construction
- Solicitation number
- 2025/2026/02
- Issued by
- Quay County, New Mexico
About this file
The document is an Affidavit of Wages Paid form from the Department of Workforce Solutions, Labor Relations Division, designed to be completed after construction is finished. The form requires detailed documentation from general contractors, subcontractors, and additional tier subcontractors, mandating they certify that all workers on a public works project were paid at least the Prevailing Wage Rate as determined by the state agency. The form must be sent to the Contracting Agency and includes sections for entering company information, project details, and completion dates.
The primary purpose of this document is to ensure compliance with the Public Works Minimum Wage Act (13-4-11 through 13-4-18, NMSA 78), with contractors explicitly acknowledging that violations of prevailing wage laws can result in debarment procedures and requirements to pay back wages. The form, revised on 08/23/13, provides a standardized mechanism for contractors to verify wage payments, with specific instructions for general contractors, subcontractors, and subsequent tier subcontractors to complete and sign their respective sections, emphasizing transparency and accountability in public works project wage reporting.
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Text version
AFFIDAVIT OF WAGES PAID
To Be Completed After Construction Is Complete
All FIELDS ARE REQUIRED
FORM MUST BE SENT TO THE CONTRACTING AGENCY
General Contractor Information Company Name:
Address:
City: State: Zip:
Phone: Fax: E-Mail:
Estimated Completion Date: State Wage Decision Number:
Project Title:
Project Physical Address:
Print Name:
General Contractor Signature:
Sub Contractor Information
Date you completed work on this project:
Company Name:
Address:
City: State: Zip:
Phone: Fax: E-Mail:
Sub Contractor Signature:
2nd, 3rd, etc. Tier Sub Contractor Information
Date you completed work on this project:
Company Name:
Address:
City: State: Zip:
Phone: Fax: E-Mail:
Tier Signature:
I hereby certify that the above information is correct and that all workers I employ on this public works project were paid no less than the Prevailing Wage Rate(s) as determined by the Department of Workforce Solutions, Labor Relations Division for this project as identified by the State Wage Decision Number. I understand that contractors who violate Prevailing Wage Laws (i.e., incorrect job classification, improper payment of prevailing wages, and/or overtime, etc.), are subject to debarment procedures and shall be required to pay any back wages due to workers. (Ref. Labor Relations Division Public Works Minimum Wage Act Policy Manual (11.1.2 NMAC) & Public Works Minimum Wage Act (13-4-11 through 13-4-18, NMSA 78)).
Contractor’s Signature Date
(Revised 08/23/13)
INSTRUCTIONS FOR COMPLETING AFFIDAVIT OF WAGES PAID
GENERAL CONTRACTOR
1. Enter general contractor information and provide signature.
2. Enter State Wage Decision Number as listed in bid documents. (Example: BE 13-0123 B)
3. Enter project title - listed in bid documents.
4. Enter project physical address - exact location of project (job site).
5. Enter completion date of project.
6. All Affidavits’ must be sent to the Contracting Agency.
SUB CONTRACTOR
1. Enter general contractor information, but general contractor signature is not needed.
2. Enter sub contractor information as indicated and provide signature.
3. Enter sub contractor completion date.
NOTE: A separate signed form is needed for each contractor.
2ND, 3rd, etc TIER SUB CONTRACTOR
1. Enter sub contractor information, subcontractor signature is not needed.
2. Enter 2nd tier sub contractor information and provide signature.
3. Enter 2nd tier contract completion date.
(Revised 8/23/13)
File details come from the government source that posted it. Updated .