Prevailing Wage Statement of Compliance~92.pdf
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- Solicitation number
- BD-26-1025-DOCFS-9848-122529
- Issued by
- Worcester County, Massachusetts
About this file
This is a Weekly Payroll Records Report and Statement of Compliance form issued by the Massachusetts Department of Labor Standards (DLS) for public works projects governed by Massachusetts General Law Chapter 149, Section 27B. The document establishes mandatory payroll record-keeping and reporting requirements for all contractors and subcontractors working on public works projects. Contractors and subcontractors must maintain true and accurate records of all persons employed on the project and submit certified weekly payroll records to the awarding authority either by regular mail or email. These records must be submitted weekly and within 15 days after completion of the contractor's or subcontractor's portion of work. The payroll forms are available from the DLS at www.mass.gov/dols/pw and must include all information required by law. All records must be preserved for three years from the date of project completion, with the awarding authority responsible for maintaining collected records for the same period.
The Statement of Compliance form requires an authorized officer or supervisor of wage payments to certify that all mechanics, apprentices, teamsters, chauffeurs, and laborers employed on the project have been paid in accordance with wages determined under Massachusetts General Law Chapters 149, Sections 26 and 27. The signatory must identify themselves by name and title, specify the contractor or subcontractor entity, and identify the building or project. This compliance certification must accompany all submitted weekly payroll documentation. The form ensures wage and hour law compliance across public works projects and provides the awarding authority with documentation necessary for oversight and enforcement of prevailing wage requirements.
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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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