Suffolk County Department Of Labor Prevailing Wage Acknowledgement printable pdf download

Suffolk County Department Of Labor Prevailing Wage Acknowledgement

Suffolk County Department of Labor

Prevailing Wage Acknowledgement

Project Number:__________________________

Project Name/Location:

_______________________________________

I, hereby, acknowledge that I have been fully informed by my employer that I have the right

to receive and will be receiving the prevailing wages and supplements for the occupation of

_______________________________ for which I have been hired at the job site listed above.

The

current rate of pay is _________________ per hour including all fringe benefits.

I further acknowledge that I have received and, under no duress, signed this written notice

prior to my beginning work at the job site listed above.

For the purposes of this acknowledgement, an employee includes, in addition to those

immediately under the hire and/or suspension of the prime contractor, employees of

subcontractors engaged in work at the job site listed above.

_________________________________

________________________________

Contractor/Subcontractor Signature

Employee Signature

_________________________________

________________________________

Contractor/Subcontractor Name

Employee Name

(PRINT CLEARLY)

DOL-L2 (2/12)

Suffolk County Department Of Labor Prevailing Wage Acknowledgement