Prevailing Wage Job Acknowledgment Form printable pdf download

City of Santa Monica

Prevailing Wage Job Acknowledgment Form

Page 1 of 5

(Revised 12/2015)

Contracts are considered “Public Works” when they include services for construction, alteration,

demolition, installation or repair work, and maintenance services.

PROJECT NAME:

LOCATION OF WORK:

TYPE OF WORK:

New Construction (> than $25,000)

Alteration, Installation, Demolition, Repair, or Maintenance (> than $15,000)

ESTIMATED WORK

START DATE:

Prevailing Wage - Contractors must comply with the prevailing wage requirements.

(California Labor Code Section 1782)

Contractor Registration with the California Department of Industrial Relations (DIR) - Contractors wishing

to bid on or engage in the performance of Public Works projects requiring the payment of prevailing wage as

noted above must register with the California DIR (https://efiling.dir.ca.gov/PWCR/).

(California Labor Code Section 1725.5)

This is notice that contractor/s and subcontractor/s must register with the California DIR and that:



This project is subject to compliance monitoring and enforcement by the DIR.



No contractor or subcontractor may be listed on a bid proposal for a public works project (submitted on or

after March 1, 2015) unless registered with the DIR pursuant to Labor Code section 1725.5.



No contractor or subcontractor may be awarded a contract for public work on a public works project

(awarded on or after April 1, 2015) unless registered with the DIR pursuant to Labor Code section 1725.5.



All contractors and subcontractors must furnish electronic certified payroll records (e-CPR) directly to the

Labor Commissioner (aka Division of Labor Standards Enforcement)

(

Works/eCPR_System-iForm.html).



Contractor agrees to maintain and provide certified payroll records for all of its workers on the project

within ten (10) days of any written request made by the DIR, City staff and/or the City’s designated

wage monitoring contractor.



If Contractor employs journeymen or apprentices in any apprenticeable craft or trade, Contractor agrees to

contribute the amount stated as “Training Fund” in the job determination to the California Apprenticeship

Council ( ).



Contractors must meet the apprentice requirement (if applicable) before hiring tenders.



Contractor agrees to include provisions in all of its subcontracts to ensure subcontractor compliance with

the above referenced prevailing wage and registration requirements for all subcontract workers on the

project.



Contractor may be subject to withholding of contract payments for underpayment of prevailing wages

and/or penalties for failure to comply with prevailing wage and registration requirements.

The project listed above requires payments of not less than the general prevailing rates for per diem wages,

overtime work, legal holidays, other employee payments, and travel & subsistence if applicable, in the locality in

which the work is to be performed for each craft, classification, or type of worker needed as required in the

California Labor Code.

Such rates of wages are on file with the

Department of Industrial Relations

( ).

Contractors shall promptly notify the City in writing, about any classifications of labor not listed in the prevailing

wage determination but necessary for the performance of the work. Contractors will post a copy of the

determination of prevailing rates at the job site/s. The Contractor is also required to furnish certificate/s of liability

and/or workers’ compensation insurances.

Prevailing Wage Job Acknowledgment Form

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