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
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