Certified payroll statement and contractor certification required on public works projects subject to the Davis-Bacon Act (40 U.S.C. §§ 3141–3148) and applicable state prevailing wage laws. Documents worker classifications, hours, wages, deductions, and fringe benefits for a single payroll week. Requires signature by the contractor or an authorized officer.
The Prevailing Wage / Certified Payroll Certification is a ready-to-use government & public template you can send for signature in minutes. It is written for 1 signer (contractor) and, by default, expires 14 days after it is sent if left unsigned. It covers prevailing wage, certified payroll, davis bacon, public works, labor, government contract. Like every Abundera Sign template it is a convenience draft structured for ESIGN Act and UETA compliance, not a substitute for legal advice. Each signed copy is sealed with PAdES-LTA digital signatures, dual RFC 3161 timestamps, and a tamper-evident evidence package in WORM storage.
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# Prevailing Wage / Certified Payroll Certification --- ## Legal Framework This certification is required on contracts subject to the **Davis-Bacon Act**, 40 U.S.C. §§ 3141–3148, and the **Contract Work Hours and Safety Standards Act**, 40 U.S.C. §§ 3701–3708, as well as any applicable **state prevailing wage or "little Davis-Bacon" laws**. Federal regulations implementing these requirements appear at 29 C.F.R. Parts 1, 3, and 5. Contractors and subcontractors must pay each laborer and mechanic employed on a covered project no less than the wage rates and fringe benefits specified in the applicable wage determination. Falsification of certified payroll records is a federal crime punishable under 18 U.S.C. § 1001 and may result in debarment from future federal contracts. --- ## Part 1 — Project Information **Project Name** ___________ **Project Number / Contract Number** ___________ **Contracting Agency** ___________ **Project Location / Address** ___________ **Payroll Week Ending Date** ___________ **Payroll Number** — sequential number for this payroll submission ___________ --- ## Part 2 — Contractor / Subcontractor Information **Contractor or Subcontractor Legal Name** ___________ **Business Address**