Va Form 40-0895-2 - Certification Of Compliance With Provisions Of The Davis-Bacon Act

Download a blank fillable Va Form 40-0895-2 - Certification Of Compliance With Provisions Of The Davis-Bacon Act in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Va Form 40-0895-2 - Certification Of Compliance With Provisions Of The Davis-Bacon Act with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

OMB NUMBER: 2900-0559
Respondent Burden: 15 minutes
CERTIFICATION OF COMPLIANCE
WITH PROVISIONS OF THE DAVIS-BACON ACT
(40 U.S.C. 3141 - 3148)
Respondent Burden: Public reporting burden for this collection of information is estimated to average 15 minutes. Statutory authority for a State
Cemetery Grant is 38 U.S.C. 2408. The information requested is necessary to ensure that State or Tribal government pays the prevailing wage rates
for this Federally funded project. VA may not conduct or sponsor and you are not required to respond to this collection of information unless it
displays a valid OMB number. Respond to this collection is voluntary. Send comments regarding the burden estimate or any other aspects of this
collection of information, including suggestions for reducing the burden to VA Clearance Officer (005R1B), 810 Vermont Avenue NW, Washington,
DC 20420. SEND COMMENTS ONLY. Please do not send applications for a grant to this address.
CERTIFICATION STATEMENT: I certify that I have obtained the latest prevailing wage rates from the U.S. Department of
Labor for the State or Tribal Government Cemetery project and have incorporated them into the construction contract in compliance
with the Davis-Bacon Act.
STATE OR TRIBAL GOVERNMENT CEMETERY PROJECT LOCATED AT
PROJECT FAI (Federal Application Identifier) NO.
NAME OF AUTHORIZED STATE OR TRIBAL GOVERNMENT OFFICIAL
TITLE OF AUTHORIZED STATE OR TRIBAL GOVERNMENT OFFICIAL
SIGNATURE OF AUTHORIZED STATE OR TRIBAL GOVERNMENT OFFICIAL
DATE SIGNED (mm/dd/yyyy)
40-0895-2
VA FORM
OCT 2010

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Legal
Go