Contracting_Agency_Certification_Form_(1).pdf

This is a Contracting Agency Certification Form issued by the Connecticut Department of Labor, Wage and Workplace Standards Division, Contract Compliance Unit, in connection with the Long Wharf Waterfront Play Structure project. The form serves as a required certification under Connecticut General Statutes Section 31-53, mandating that contracting agencies certify the total dollar amount of work to be performed on public works projects to the Department of Labor, regardless of whether the project consists of one or more contracts. The form requires the contracting agency's authorized representative to document the project name, location, total project dollar amount, contractor information, and approximate start and completion dates. The certification must be returned to the Connecticut Department of Labor Wage & Workplace Standards Division Contract Compliance Unit at 200 Folly Brook Boulevard, Wethersfield, Connecticut 06109, with inquiries directed to (860) 263-6790.

The certification form itself contains no pricing information, set-asides, or funding details, as it functions as an administrative compliance document rather than a contract specification or bid solicitation. The form is a template designed to ensure transparency and compliance with Connecticut prevailing wage requirements for public works projects. Completion of this certification is a mandatory prerequisite for project execution and ensures that all associated work, regardless of contract structure, is properly documented and subject to applicable labor standards and wage requirements.