VA Form 10-0388-2 Certification of Compliance With Provisions of the Davis-Bacon Act

VA Form 10-0388-2 or the "Certification Of Compliance With Provisions Of The Davis-bacon Act" is a form issued by the U.S. Department of Veterans Affairs.

The form was last revised in July 1, 2013 and is available for digital filing. Download an up-to-date VA Form 10-0388-2 in PDF-format down below or look it up on the U.S. Department of Veterans Affairs Forms website.

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OMB Number: 2900-0661
Estimated Burden: 1 hour
CERTIFICATION OF COMPLIANCE
WITH PROVISIONS OF THE DAVIS-BACON ACT
(40 U.S.C. Sections 276a to 276a-7)
PROJECT DESCRIPTION
PROJECT LOCATION
FAI NUMBER
I certify that I have obtained the latest prevailing wage rates from the U.S. Department of Labor for the State Home
project located in
and that these rates have been
incorporated into the construction contract for the proposed State Veterans Home project in compliance with the
Davis-Bacon Act.
TITLE 38 U.S.C. 8135(A) 8
CERTIFICATION - THE LAW PR0VIDES SEVERE PENALTIES FOR WILLFUL SUBMISSION OF FALSE INFORMATION.
I certify that the above information submitted to VA is true and correct to the best of my knowledge and ability.
NAME OF AUTHORIZED STATE OFFICIAL
TITLE OF AUTHORIZED STATE OFFICIAL
DATE (mm/dd/yyyy)
SIGNATURE (Sign in ink)
The Paperwork Reduction Act of 1995 requires us to notify you that this information collection is in accordance with the clearance requirements of section 3507 of
this Act. The public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions,
searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. We may not collect or sponsor
and you are not required to respond to, a collection unless it has a valid OMB Control Number. This collection of information is collected under the authority of 38 U.S.
Code Sections 8133(a) and 8135(a). VA will use this information, along with other documents submitted by the States to determine the feasibility of the projects for
VA participation, to meet VA requirements for a grant award and to rank the projects in establishing the annual fiscal year priority list. Although response is voluntary,
VA will be unable to authorize a grant without a complete package. Your failure to furnish this information will have no effect on any of other benefits to which you
are entitled.
VA FORM
10-0388-2
PAGE 1 OF 1
JUL 2013
OMB Number: 2900-0661
Estimated Burden: 1 hour
CERTIFICATION OF COMPLIANCE
WITH PROVISIONS OF THE DAVIS-BACON ACT
(40 U.S.C. Sections 276a to 276a-7)
PROJECT DESCRIPTION
PROJECT LOCATION
FAI NUMBER
I certify that I have obtained the latest prevailing wage rates from the U.S. Department of Labor for the State Home
project located in
and that these rates have been
incorporated into the construction contract for the proposed State Veterans Home project in compliance with the
Davis-Bacon Act.
TITLE 38 U.S.C. 8135(A) 8
CERTIFICATION - THE LAW PR0VIDES SEVERE PENALTIES FOR WILLFUL SUBMISSION OF FALSE INFORMATION.
I certify that the above information submitted to VA is true and correct to the best of my knowledge and ability.
NAME OF AUTHORIZED STATE OFFICIAL
TITLE OF AUTHORIZED STATE OFFICIAL
DATE (mm/dd/yyyy)
SIGNATURE (Sign in ink)
The Paperwork Reduction Act of 1995 requires us to notify you that this information collection is in accordance with the clearance requirements of section 3507 of
this Act. The public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions,
searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. We may not collect or sponsor
and you are not required to respond to, a collection unless it has a valid OMB Control Number. This collection of information is collected under the authority of 38 U.S.
Code Sections 8133(a) and 8135(a). VA will use this information, along with other documents submitted by the States to determine the feasibility of the projects for
VA participation, to meet VA requirements for a grant award and to rank the projects in establishing the annual fiscal year priority list. Although response is voluntary,
VA will be unable to authorize a grant without a complete package. Your failure to furnish this information will have no effect on any of other benefits to which you
are entitled.
VA FORM
10-0388-2
PAGE 1 OF 1
JUL 2013
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