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CITY OF EVERETT PUBLIC WORKS <br /> SPECIAL PROVISIONS <br /> 2. FHWA 1022 (revised 11/11) — NOTICE Federal-Aid Project published by Federal <br /> Highway Administration(FHWA). Post for projects with federal-aid funding. <br /> 3. WH 1321 (revised 04/09)—Employee Rights Under the Davis-Bacon Act published by <br /> US Department of Labor. Post for projects with federal-aid funding. <br /> 4. WHD 1088 (revised 07/09) — Employee Rights Under the Fair Labor Standards Act <br /> published by US Department of Labor. Post on all projects. <br /> 5. WHD 1420 (revised 01/09)—Employee Rights and Responsibilities Under The Family <br /> And Medical Leave Act published by US Department of Labor. Post on all projects. <br /> 6. WHD 1462 (revised 01/12) — Employee Polygraph Protection Act published by US <br /> Department of Labor. Post on all projects. <br /> 7. F416-081-909 (revised 12/12)—Job Safety and Health Law published by Washington <br /> State Department of Labor and Industries. Post on all projects. <br /> 8. F242-191-909 (revised 12/12)—Notice To Employees published by Washington State <br /> Department of Labor and Industries. Post on all projects. <br /> 9. F700-074-909 (revised 12/12 ) — Your Rights as a Worker in Washington State by <br /> Washington State Department of Labor and Industries (L&I). Post on all projects. <br /> 10. EMS 9874 (revised 04/12) —Unemployment Benefits published by Washington State <br /> Employee Security Department. Post on all projects. <br /> 11. Post one copy of the approved "Statement of Intent to Pay Prevailing Wages" for the <br /> Contractor, each Subcontractor, each lower tier subcontractor, and any other firm (Supplier, <br /> Manufacturer, or Fabricator) that falls under the provisions of RCW 39.12 because of the definition of <br /> "Contractor" in WAC 296-127-010. <br /> 12. Post one copy of the prevailing wage rates for the project. <br /> Disputes <br /> If labor and management cannot agree in a dispute over the proper prevailing wage rates, the <br /> Contractor shall refer the matter to the Director of State L&I (or to the U.S. Secretary of Labor when that <br /> agency sets the rates). The Director's (or Secretary's) decision shall be final, conclusive, and binding on <br /> all parties. <br /> Required Forms <br /> On forms provided by the Industrial Statistician of State L&I, the Contractor shall submit to the <br /> City the following for itself and for each firm covered under RCW 39.12 that provided Work and <br /> materials for the Contract: <br /> 1. A copy of an approved "Statement of Intent to Pay Prevailing Wages" State L&I's <br /> form number F700-029-000. The City will make no payment under this Contract for the Work <br /> performed until this statement has been approved by State L&I and a copy of the approved form <br /> has been submitted to the Engineer. <br /> 2. A copy of an approved "Affidavit of Prevailing Wages Paid", State L&I's form <br /> number F700-007-000. The City will not grant Completion until all approved Affidavit City <br /> Engineer. The City will not release to the contractor any funds retained under RCW 60.28.011 <br /> WFP Operations Building Seismic Retrofit-Rebid January 6,2017 <br /> WO#UP3600 006013 - 10 <br />