Attachment 2-Wage Certificate.pdf
PDF 259 KB Posted
- Attached to
- Audit Services of Pharmacy Billings
- Solicitation number
- B26001276
- Issued by
- Hawaii
About this file
This is a Wage Certificate form required by the State of Hawaii for the Audit Services of Pharmacy Billings contract opportunity (IFB-HSH-26-02) administered by the Hawaii Department of Health, Health Services Division. The certificate serves as a compliance attestation from applicants bidding on contracts exceeding $25,000 in value. Applicants must certify that services will be performed under specified wage and labor conditions, including payment of employees at rates no less than those paid to public officers and employees for similar work, and full compliance with applicable federal and state laws governing workers' compensation, unemployment compensation, wage payments, and workplace safety.
The certificate establishes enforcement mechanisms whereby contract cancellation may result from noncompliance with wage and labor requirements unless such noncompliance is corrected within a reasonable timeframe as determined by the procurement officer. Final payment settlement and release of bonds are contingent upon the procurement officer's determination that any identified noncompliance has been remedied. The form further clarifies that all payments mandated by federal and state law for employee benefits must be provided in addition to the base wage requirements established under Hawaii Revised Statutes Section 103-55, ensuring that successful contractors understand their full financial obligations beyond minimum wage thresholds.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment 1-Offeror Qualification Form.pdf | ||
| AG-008 103D General Conditions (1.10.23).pdf | ||
| Invitation for Bids-IFB HSH 26 02 Pharmacy Billing Audit.docx | DOCX document | |
| Attachment 3-IRS Form W9.pdf | ||
| Exhibit A-Sample Invoice Excel.xlsx | XLSX spreadsheet | |
| Exhibit B-Sample Invoice pdf.pdf |
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Text version
Organization:___________________________
WAGE CERTIFICATE
Subject: IFB No.:
Title of IFB: ______________________________
(To be completed by Applicant)
Pursuant to Section 103-55, Hawaii Revised Statutes (HRS), I hereby certify that if awarded the contract in excess of $25,000, the services to be performed will be performed under the following conditions:
1. The services to be rendered shall be performed by employees paid at wages or salaries not less than the wages paid to public officers and employees for similar work; and
2. All applicable laws of the federal and state governments relating to workers’ compensation, unemployment compensation, payment of wages, and safety will be fully complied with.
I understand that failure to comply with the above conditions during the period of the contract shall result in cancellation of the contract, unless such noncompliance is corrected within a reasonable period as determined by the procurement officer. Payment in the final settlement of the contract or the release of bonds, if applicable, or both shall not be made unless the procurement officer has determined that the noncompliance has been corrected; and
I further understand that all payments required by Federal and State laws to be made by employers for the benefit of their employees are to be paid in addition to the base wage required by section 103-55, HRS.
Applicant ________________________
Signature ________________________
Title _________________________
Date _________________________
(For Service Contracts)
IFB-HSH-26-02
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File details come from the government source that posted it. Updated .