Free VA Form VA40-0895-2 - Certification of Compliance with Provisions of the Davis-Bacon Act - Federal


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Pages: 1
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State: Federal
Category: Veterans Forms
Word Count: 110 Words, 728 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.va.gov/vaforms/va/pdf/VA40-0895-2.pdf

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CERTIFICATION OF COMPLIANCE WITH PROVISIONS OF THE DAVIS-BACON ACT (40 U.S.C. 3141 - 3148)
CERTIFICATION STATEMENT: I certify that I have obtained the latest prevailing wage rates from the U.S. Department of Labor for the State or Tribal Government Cemetery project and have incorporated them into the construction contract in compliance with the Davis-Bacon Act.
STATE OR TRIBAL GOVERNMENT CEMETERY PROJECT LOCATED AT PROJECT FAI (Federal Application Identifier) NO.

NAME OF AUTHORIZED STATE OR TRIBAL GOVERNMENT OFFICIAL

TITLE OF AUTHORIZED STATE OR TRIBAL GOVERNMENT OFFICIAL

SIGNATURE OF AUTHORIZED STATE OR TRIBAL GOVERNMENT OFFICIAL

DATE SIGNED (mm/dd/yyyy)

VA FORM JUL 2009

40-0895-2

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