Prevailing Wage Statement of Compliance~84.pdf
PDF 15 KB Posted
- Solicitation number
- BD-26-1025-DOCFS-9816-119033
- Issued by
- Norfolk County, Massachusetts
About this file
This document is a Weekly Payroll Records Report and Statement of Compliance form issued by the Massachusetts Department of Labor Standards (DLS), in accordance with Massachusetts General Law c. 149, §27B. The form requires contractors and subcontractors working on public works projects to maintain and submit accurate weekly payroll records to the awarding authority, with specific documentation requirements for tracking employee wages and compliance.
The document outlines critical administrative obligations for contractors, including: keeping true and accurate records of all persons employed on public works projects, preserving these records for three years after contract completion, and submitting certified payroll records within 15 days of work completion. Contractors must use the official payroll form available at www.mass.gov/dols/pw and submit a Statement of Compliance form certifying that all workers have been paid in accordance with prevailing wage determinations under Massachusetts General Laws. The form must be signed by an authorized officer who supervised wage payments and submitted either by regular mail or email to the awarding authority.
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Text version
05/14
WEEKLY PAYROLL RECORDS REPORT
& STATEMENT OF COMPLIANCE
In accordance with Massachusetts General Law c. 149, §27B, a true and accurate record must be kept of all persons employed on the public works project for which the enclosed rates have been provided. A Payroll Form is available from the Department of Labor Standards (DLS) at www.mass.gov/dols/pw and includes all the information required to be kept by law. Every contractor or subcontractor is required to keep these records and preserve them for a period of three years from the date of completion of the contract.
On a weekly basis, every contractor and subcontractor is required to submit a certified copy of their weekly payroll records to the awarding authority; this includes the payroll forms and the Statement of Compliance form. The certified payroll records must be submitted either by regular mail or by e-mail to the awarding authority. Once collected, the awarding authority is required to preserve those records for three years from the date of completion of the project.
Each such contractor and subcontractor shall furnish weekly and within 15 days after completion of its portion of the work, to the awarding authority directly by first-class mail or e-mail, a statement, executed by the contractor, subcontractor or by any authorized officer thereof who supervised the payment of wages, this form, accompanied by their payroll:
STATEMENT OF COMPLIANCE
_______________, 20_______
I,___________________________________,___________________________________ (Name of signatory party) (Title) do hereby state:
That I pay or supervise the payment of the persons employed by ___________________________________ on the ______________________________ (Contractor, subcontractor or public body) (Building or project) and that all mechanics and apprentices, teamsters, chauffeurs and laborers employed on said project have been paid in accordance with wages determined under the provisions of sections twenty-six and twenty-seven of chapter one hundred and forty nine of the General Laws.
Signature _________________________ Title _____________________________ http://www.mass.gov/dols/pw
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