Board of Education of The City of New York
Division of School Facilities
CONTRACT # _______________________________
SPEC. # _____________________________________
SCHOOL & BORO # _________________________
TO: CHIEF EXECUTIVE
DIVISION OF SCHOOL FACILITIES
SUBJECT: Minimum Wage and Prevailing Wage Requirements of The N.Y. State Labor
Law, Administrative Code of The City of New York and The Applicable Rules
and Regulations Adopted Pursuant Thereof (Article 63 of Contract Forms
“BM-29", “RS-29", and Article 22 of “Contract No. 1".)
In accordance with the requirements of paragraph 5 of the above, I hereby certify that I am in
compliance with the prevailing wage and minimum wage provisions of the New York State
Labor Law, the Administrative Code of the City of New York, and all applicable rules and
regulations adopted pursuant thereto.
I understand that in the event of any breach or violation of the foregoing statutes, rules and
regulations, the parties responsible therefor shall be subject to the penalties and sanctions
provided by law.
NAME OF FIRM _______________________________________________________________
SIGNATURE OF OFFICER ______________________________________________________
TITLE OF OFFICER ____________________________________________________________
DATE ________________________________________________________________________
NOTE TO SENDER: YOUR APPLICATION FOR PAYMENT WILL NOT
BE APPROVED WITHOUT THIS CERTIFICATION.
Labor Law 5/97
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