Prevailing_Wage_-_Contractor's_Wage_Certification_Form.pdf
PDF 149 KB Posted
- Solicitation number
- 25/26-62
- Issued by
- Hartford County, Connecticut
About this file
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's Parking Lot Reconstruction project at Salters Pool Parking Lot (Bid No. 25/26-62). The form requires the general contractor or construction manager at risk, along with all subcontractors, to certify compliance with Connecticut prevailing wage requirements for all workers assigned to the project. Sealed bids for this project are due by 2:00 pm on Thursday, July 23, 2026, through the Town's eProcurement Portal, at which time bids will be publicly opened and read aloud.
All contractors and subcontractors must commit to paying workers the prevailing wage rates specified in the official schedule of prevailing rates for the project, which must be attached to the certification form. The certification must be sworn and notarized before submission to the Connecticut Department of Labor Wage & Workplace Standards Division at 200 Folly Brook Boulevard, Wethersfield, Connecticut 06109. This prevailing wage requirement applies to all workers on the project and is a mandatory compliance condition for bid submission.
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Text version
CONNECTICUT DEPARTMENT OF LABOR
WAGE AND WORKPLACE STANDARDS DIVISION
CONTRACTORS WAGE CERTIFICATION FORM
Construction Manager at Risk/General Contractor/Prime Contractor
I, of
Officer, Owner, Authorized Rep. Company Name do hereby certify that the
Company Name
Street
City and all of its subcontractors will pay all workers on the
Project Name and Number
Street and City the wages as listed in the schedule of prevailing rates required for such project (a copy of which is attached hereto).
Signed
Subscribed and sworn to before me this day of , .
Notary Public
Return to:
Connecticut Department of Labor
Wage & Workplace Standards Division
200 Folly Brook Blvd.
Wethersfield, CT 06109
Rate Schedule Issued (Date):
| Owner/Officer: |
| Company Name: |
| Company Name2: |
| Company Street Address: |
| Company City: |
| Project Name & Number: |
| Project Street & City: |
| Day Numbered: |
| Month: |
| Year: |
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