Prevailing_Wage_Job_Acknowledgment_Form.pdf

The document is a Prevailing Wage Job Acknowledgment Form issued by the City of Santa Monica, California, with two versions: one for Prime Contractors/Consultants/Vendors and another for Sub-Contractors/Sub-Consultants/Vendors. The form is designed to ensure that contractors and subcontractors working on city projects are using the correct labor classifications and complying with prevailing wage requirements. Contractors must submit this form with each bid or proposal, listing all craft classifications, group numbers, determination numbers, issue dates, number of staff, and whether apprenticeships are applicable.

The form requires detailed information about the contractor, including company name, address, email, phone number, contractor state license board number, PWC registration number, and apprenticeship program affiliation. By signing the document, contractors attest that they have read and understand the public work and prevailing wage requirements as outlined in the California Labor Code, specifically Sections 1720 et seq. The form mandates that employers be insured against workers' compensation liability and comply with labor code provisions before commencing work on the contract. The document is dated May 2019 and is the last page (page 18 or 19) of what appears to be a larger bid or contract document.