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CITY OF EVERETT PUBLIC WORKS 00 72 13 <br /> ' SPECIAL PROVISIONS GENERAL CONDITIONS <br /> 7.2 Payment Certificates <br /> ' A. The Contractor and each Subcontractor on or before the date of commencement of the Work shall <br /> file a statement of "Intent to Pay" prevailing wages under oath with the Owner and with the <br /> Washington State Department of Labor and Industries certifying the rate of hourly wage <br /> including the usual benefits paid and to be paid each classification of laborers, workmen, or <br /> mechanics employed upon the Work by the Contractor or its Subcontractor that shall not be less <br /> than the prevailing rate of wage. No payment will be made to the Contractor prior to the <br /> submission of such statements and the issuance by the Industrial Statistician of said Department <br /> of an acknowledgment of approval. Such statement and any supplemental statements that may be <br /> necessary shall be filed in accordance with the practices and procedures required by the <br /> ' Department of Labor and Industries. Upon the completion of the Work, the Contractor and all of <br /> its Subcontractors shall submit affidavits of wages paid to the Department of Labor and Industries <br /> in such form as may be required by said Department. Payment of the retained percentage will not <br /> ' be made until certification is received from the Department of Labor and Industries that the <br /> prevailing wage requirements of state law have been satisfied. <br /> B. Any fees charged by the Department of Labor and Industries for filing such statements or <br /> submitting such affidavits shall be the responsibility of the Contractor, and each Subcontractor;if, <br /> for any reason, the Owner pays such fees, then the Contractor shall be charged the amounts <br /> thereof <br /> ' C. The Owner will require payroll reports for the Contractor and every Subcontractor be submitted <br /> weekly to the Construction Division, Public Works Annex, 3101 Cedar Street, Everett, <br /> Washington 98201. The payroll reports shall contain the following information: <br /> ' 1. Name and residence address of each worker. <br /> 2. Social Security number of each worker. <br /> 3. Classification of work performed by each worker. The classification shall be specific and <br /> match the classification categories listed in the Contract Documents. <br /> ' 4. Total number of hours employed each day. <br /> 5. Total number of hours employed during the payroll period. <br /> 6. Straight time and overtime hourly rate of wages paid to each worker. <br /> t7. Total or gross amount earned by each worker. <br /> 8. Deductions for Medical Aid,FICA,Federal withholding tax, and any other deductions taken. <br /> ' 9. Net amount paid each worker. <br /> 10. Contractor's, or Subcontractor's, name and address. <br /> ' 11. Days and dates worked. <br /> 12. Date of final day of pay period. <br /> 13. Whether fringe benefits were paid to each worker as part of the hourly wage rate or whether <br /> fringe benefits were paid into an approved plan, fund,or program. <br /> D. Payrolls may be submitted on Federal payroll form WH-347, or equivalent. The reverse side of <br /> ' the form contains an affidavit that shall be filled out and signed. If the Contractor's payroll <br /> reports are computerized, the computerized reports may be submitted along with a Statement of <br /> Compliance affidavit photo copied from the back of form WH-347, or equivalent. <br /> Legion Golf Course Stormwater Detention Project November 28, 2017 <br /> ' WO#UP3620 00 72 13 -31 <br />