Prevailing_Wage_-_Contractor's_Wage_Certification_Form.pdf

PDF 149 KB Posted

Attached to
2026 ON-CALL SIDEWALK SPOT REPAIR PROGRAM
Solicitation number
25/26-48
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, applicable to the Town of Manchester's 2026 On-Call Sidewalk Spot Repair Program (Bid No. 25/26-48). The form serves as a certification requirement for construction managers at risk, general contractors, and prime contractors bidding on the project. Sealed bids for this on-call sidewalk spot repair program will be accepted through the Town's eProcurement Portal until 2:00 pm on Monday, April 27, 2026, at which time bids will be publicly opened and read aloud. Any bids received after the specified deadline will not be considered.

The prevailing wage certification requires that the successful contractor and all subcontractors commit to paying all workers on the project in accordance with the schedule of prevailing wage rates established for the project. The certifying officer, owner, or authorized representative must execute the form under oath before a notary public and return it to the Connecticut Department of Labor Wage & Workplace Standards Division at 200 Folly Brook Boulevard, Wethersfield, Connecticut 06109. The form requires documentation of the rate schedule issue date and project-specific information including the project name and number, location details, and the company's street address and city.

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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:

File details come from the government source that posted it. Updated .