Prevailing_Wage_-_Contractor's_Wage_Certification_Form.pdf

This is a Prevailing Wage Contractor's Wage Certification Form issued by the Connecticut Department of Labor Wage and Workplace Standards Division for use on public construction projects. The form is designed for Construction Managers at Risk, General Contractors, and Prime Contractors to certify that they and all their subcontractors will comply with prevailing wage requirements for workers on specified projects. The certifying officer, owner, or authorized representative must sign and swear an oath before a Notary Public confirming wage compliance. The form requires identification of the contractor company, project name and number, project location, and includes fields for the rate schedule issue date, owner information, and submission details. Completed forms must be returned to the Connecticut Department of Labor Wage & Workplace Standards Division at 200 Folly Brook Boulevard, Wethersfield, Connecticut 06109.

This certification document is directly applicable to the Town of Manchester's Traffic Signal Maintenance project (Bid No. 26/27-13), for which sealed bids are due by 11:00 a.m. on Friday, November 6, 2026, via the Town's eProcurement Portal. All contractors submitting bids for this Connecticut municipal project must complete and submit this prevailing wage certification along with their bid to demonstrate compliance with Connecticut's prevailing wage standards. The form ensures that all workers employed on the traffic signal maintenance project will receive wages consistent with the prevailing wage rate schedule established for the project classification.