PREVAILING WAGE WEEKLY STATEMENT OF COMPLIANCE MA 26~12.pdf
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- Solicitation number
- BD-27-1022-DMH05-5410A-135027
- Issued by
- Massachusetts
About this file
This document is a Prevailing Wage Weekly Statement of Compliance form issued by the Massachusetts Department of Labor Standards in accordance with Massachusetts General Law c. 149, 27B. The form applies to all contractors and subcontractors working on public works projects in Massachusetts, including the 3-Year Elevator Preventative Maintenance project at John C. Corrigan Mental Health Center. Contractors and subcontractors are required to maintain accurate records of all persons employed on the project and submit certified weekly payroll records to the awarding authority within 15 days after completion of their portion of work. Records must be preserved for three years from the date of project completion.
The document requires that a duly authorized contractor or subcontractor representative execute and submit the Weekly Statement of Compliance form along with certified payroll records, certifying that all mechanics, apprentices, teamsters, chauffeurs, and laborers employed on the project have been paid in accordance with prevailing wage rates determined under Massachusetts General Law c. 149, sections 26 and 27. Submissions may be made by regular mail or email to the awarding authority. The awarding authority is responsible for collecting and preserving all certified payroll records for three years following project completion. Failure to comply with these prevailing wage documentation and payment requirements is a material obligation for all contractors performing work on this public works project.
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Text version
07/23
WEEKLY 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 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 email, 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:
WEEKLY 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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