Agent or Subcontractor Affidavit of Compliance with Prevailing Wage Rate Determination

Document Number:  ERD-10584-E

Description:  This affidavit should be used by an agent or a subcontractor to certify compliance with a Prevailing Wage Rate Determination.

Comments:  This form must ONLY be filed with the Awarding Contractor indicated. The use of this form is mandatory and the statutory authority is prescribed in ss. 66.0903(9)(b) & 103.49(4r)(b), Stats. The penalty for failing to complete this form is prescribed in s. 103.005(12), Stats.

Content Contact:  Equal Rights Information

Document Attachments:

ERD-10584-E (Electronic Version - Word/105 KB)

ERD-10584 (Print Version - pdf/76 KB)

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