Prevailing_Wage_-_Contractor's_Wage_Certification_Form_(1)_(1).pdf

This is a Prevailing Wage Contractor's Wage Certification Form issued by the Connecticut Department of Labor Wage and Workplace Standards Division in connection with the Town of Manchester Water and Sewer Department's sludge tank rehabilitation project at the Hockanum River Water Pollution Control Facility. The form serves as a sworn certification document that must be completed by the Construction Manager at Risk, General Contractor, or Prime Contractor prior to project commencement. The certifying officer attests that the contractor and all subcontractors will pay all workers assigned to the project wages in accordance with the prevailing wage rates established and required for the specific project, with a copy of the prevailing wage rate schedule to be attached to the certification.

The completed form must be notarized and returned to the Connecticut Department of Labor Wage & Workplace Standards Division at 200 Folly Brook Boulevard, Wethersfield, Connecticut 06109. The form requires the contractor to provide detailed information including the contractor's legal name, authorized representative, company address, project name and number, project location, and the date the prevailing wage rate schedule was issued. Compliance with prevailing wage requirements is mandatory for all construction projects subject to Connecticut labor standards, and the contractor's certification binds both the prime contractor and all subcontractors to wage obligations throughout the project term.