I hereby certify that the above information is correct and that all workers I employ on this public works project were paid no less than the Prevailing Wage Rate(s) as determined by the Department of Workforce Solutions, Labor Relations Division for this project as identified by the State Wage Decision Number. I understand that contractors who violate Prevailing Wage Laws (i.e., incorrect job classification, improper payment of prevailing wages, or overtime, etc.), are subject to debarment procedures and shall be required to pay back any wages due to workers. (Ref. Labor Relations Division Public Works Minimum Wage Act Policy Manual (11.1.2 NMAC) & Public Works Minimum Wage Act (13-4-11 through 13-4-18, NMSA 78)). I, ______________, being first duly sworn on oath under penalty of perjury, swear that the foregoing information is true and correct.
Contractor's signature. Date
Notary: Subscribed and sworn to before me at _____ this _____ day of __________, 2___ _____________________ ___________ Notary Public
(Signature) (Date)
My commission expires: __________________
N.M. Admin. Code § 11.1.2.9