Prevailing_Wage_-_Contractor's_Wage_Certification_Form.pdf
PDF 149 KB Posted
- Solicitation number
- 26/27-17
- Issued by
- Hartford County, Connecticut
About this file
This is a Prevailing Wage - Contractor's Wage Certification Form related to the Town of Manchester Water and Sewer Department's project to furnish and install inserts for Siphons 1 and 3 at the Globe Hollow Water Treatment Facility in Connecticut. The form serves as the official documentation through which contractors certify their compliance with prevailing wage requirements for this public works project. Contractors bidding on this project must complete and submit this certification form as part of their bid package, confirming that they understand and will adhere to the prevailing wage rates established for the jurisdiction and trade classifications applicable to the work.
The prevailing wage certification requirement indicates that this project is subject to prevailing wage laws, typically applicable to publicly funded construction and repair work in Connecticut. Contractors must certify the wages they will pay workers for each applicable trade classification involved in the siphon replacement and discharge valve repair work. Failure to comply with prevailing wage requirements can result in bid rejection or contract termination. Submission of the completed and signed wage certification form is a mandatory condition of bid eligibility and contract award for this water treatment facility project.
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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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