Prevailing Wage Statement of Compliance~87.pdf

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Attached to
DRM 2024-57 #11 Emergency Notification System at OCCC
Solicitation number
BD-26-1025-DOCFS-9818-121397
Issued by
Plymouth County, Boston City, Massachusetts

About this file

This document is a Massachusetts Department of Labor Standards (DLS) Weekly Payroll Records Report & Statement of Compliance form issued in May 2014, designed to comply with Massachusetts General Law c. 149, §27B. The form requires contractors and subcontractors working on public works projects to maintain accurate weekly payroll records for all employees, including mechanics, apprentices, teamsters, chauffeurs, and laborers.

The document outlines specific record-keeping and submission requirements, mandating that contractors and subcontractors submit certified payroll records to the awarding authority within 15 days of completing their work portion. These records must be preserved for three years from the contract's completion date. The form includes a Statement of Compliance section where an authorized representative must certify that all workers have been paid in accordance with predetermined wage determinations under specified legal provisions. The payroll form can be obtained from the DLS website at www.mass.gov/dols/pw and must be submitted either by regular mail or email.

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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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