PREVAILING WAGE WEEKLY STATEMENT OF COMPLIANCE MA~85.pdf

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Attached to
TRD02 Asphalt Paving Loading Dock Removal and Installation of Asphalt Driveway
Solicitation number
BD-27-1022-DMH05-5410A-132170
Issued by
Bristol County, Massachusetts

About this file

This is a Prevailing Wage Weekly Statement of Compliance form issued by the Massachusetts Department of Labor Standards (DLS) in accordance with Massachusetts General Law c. 149, 27B. The document establishes mandatory compliance requirements for all contractors and subcontractors working on public works projects in Massachusetts. Contractors and subcontractors are required to maintain accurate payroll records for all employees and submit certified weekly payroll documentation to the awarding authority, either by regular mail or email. These records must be preserved for three years from the date of project completion, and the awarding authority must similarly maintain submitted records for the same duration. Additionally, contractors and subcontractors must furnish a completed Weekly Statement of Compliance form within 15 days after completion of their portion of work, executed by an authorized officer who supervised wage payments.

The statement certifies that all mechanics, apprentices, teamsters, chauffeurs, and laborers employed on the project have been paid in accordance with the prevailing wage rates determined under sections 26 and 27 of chapter 149 of the Massachusetts General Laws. The form requires the signatory to identify the contractor or subcontractor entity, the building or project name, and include their signature and title. Compliance with prevailing wage requirements is a condition of all public works contracts in Massachusetts, and this documentation serves as the mechanism for the state to verify that contractors meet their wage obligations throughout project execution and following completion.

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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

WEEKLY STATEMENT OF COMPLIANCE:
20:
I:
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Contractor subcontractor or public body:
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Title:

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