Affidavit_of_Wages_Paid.pdf
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- Solicitation number
- ITB-2611
- Issued by
- San Juan County, New Mexico
About this file
Summary
This is an Affidavit of Wages Paid form required by the State of New Mexico for the City of Gallup's G-80 Point of Diversions #8 & #13 Well Contract No. 1 - Station and Yard Piping project, funded by the U.S. Department of Commerce Economic Development Administration. The form must be completed after construction is finished and submitted to the contracting agency. The project involves installation of new well houses and yard piping at two well points of diversion in McKinley County, with comprehensive work including earthwork, well buildings, gas chlorination systems, yard and station piping, drainage infrastructure, headwalls, manholes, electrical work, and SCADA control systems, along with gravel surfacing, fencing, and erosion control. Electronic bids are due January 28, 2026, at 2:00 p.m. local time through the City's OpenGov portal, with a question deadline of January 16, 2026. The project duration is approximately 220 calendar days, with an estimated total cost of $3,522,232.35.
The form requires documentation of prevailing wage compliance for all contractors and subcontractors working on this public works project, with wages determined by the New Mexico Department of Workforce Solutions Labor Relations Division. All workers must be paid no less than the prevailing wage rates identified by the State Wage Decision Number, with wages assessed under two construction types: Highway/Utilities (Type A) at $2,402,232.35 and General Building (Type B) at $1,120,000.00, effective January 1, 2025. Contractors bidding amounts exceeding $60,000 must comply with prevailing wage requirements under the New Mexico Public Works Minimum Wage Act and Davis-Bacon wage rates. A five percent bid bond is required, along with performance and payment bonds equal to 100 percent of the contract amount. Certified payroll documentation must be submitted biweekly, and liquidated damages of $500 per calendar day apply for failure to meet the completion deadline.
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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 .