Form 42 "Certificate of Contractor to the Comptroller or Financial Officer of the City of New York" - New York City

What Is Form 42?

This is a legal form that was released by the New York City Department of Parks and Recreation - a government authority operating within New York City. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • The latest edition provided by the New York City Department of Parks and Recreation;
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  • Quick to customize;
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  • Fill out the form in our online filing application.

Download a printable version of Form 42 by clicking the link below or browse more documents and templates provided by the New York City Department of Parks and Recreation.

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Download Form 42 "Certificate of Contractor to the Comptroller or Financial Officer of the City of New York" - New York City

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Certificate of Contractor to the Comptroller or
Form 42
Financial Officer of the City of New York
Under the provisions of Section 220-a of the Labor Law of the State of New York, and the terms and conditions
of Contract
with the Department of Parks and Recreation of The City of New York, the
undersigned CONTRACTOR hereby certifies to the Comptroller and the Director of Finance of The City of New
York that the following is a true and correct statement of the amounts now due from the said CONTRACTOR
to laborers for daily or weekly wages on account of labor performed upon the work under the aforementioned
Contract, and for material and/or supplies delivered for use on the work, and for which payment is due, to wit:
AMOUNTS DUE FOR:
NAMES
LABOR
MATERIALS & SUPPLIES
____________________________________________________________
_________________________________________________
__________________________________________
(Note: If no money is due to any laborers, state above “None due to Laborers.” If no money is due to other
persons for material and/or supplies delivered for use on the work, state above “None due to materialmen
and supplymen.”)
That the following is a true and correct list of all subcontractors who have employed laborers and/or used
materials and/or supplies for work performed under said contract:
NAMES OF SUBCONTRACTORS
WORK SUBCONTRACTED
____________________________________________________________
________________________________________________________________________________________________
(I) or (we) have complied with all provisions of Section 220 of the New York State Labor Law.
(Note: If no subcontractors are employed, state above “NONE.”)
by
_______________________________
Company Name
Signature / Title
STATE OF NEW YORK,
ss:
COUNTY OF
____________________________, being duly sworn, deposes and says that he is the
of
the _________________________ the CONTRACTOR named in and who executed the foregoing; that he has
read the foregoing statement subscribed by him and knows the contents thereof, and that the same is true of
his own knowledge and is executed under the provisions of Section 220-a of the Labor Law of the State of
New York, and the terms and conditions of Contract Number ___________________ with the Department
of Parks and Recreation of The City of New York.
____________________________________________________
Signature
Sworn to be before me this __________ day of ______________________ , 20____
Signature of Notary Public, County of _________________________
Note: A County Clerk's notarial certificate must accompany this document if it is executed outside the State of New York.
Submit Form To: Resident Engineer
Revised: 7/15
Certificate of Contractor to the Comptroller or
Form 42
Financial Officer of the City of New York
Under the provisions of Section 220-a of the Labor Law of the State of New York, and the terms and conditions
of Contract
with the Department of Parks and Recreation of The City of New York, the
undersigned CONTRACTOR hereby certifies to the Comptroller and the Director of Finance of The City of New
York that the following is a true and correct statement of the amounts now due from the said CONTRACTOR
to laborers for daily or weekly wages on account of labor performed upon the work under the aforementioned
Contract, and for material and/or supplies delivered for use on the work, and for which payment is due, to wit:
AMOUNTS DUE FOR:
NAMES
LABOR
MATERIALS & SUPPLIES
____________________________________________________________
_________________________________________________
__________________________________________
(Note: If no money is due to any laborers, state above “None due to Laborers.” If no money is due to other
persons for material and/or supplies delivered for use on the work, state above “None due to materialmen
and supplymen.”)
That the following is a true and correct list of all subcontractors who have employed laborers and/or used
materials and/or supplies for work performed under said contract:
NAMES OF SUBCONTRACTORS
WORK SUBCONTRACTED
____________________________________________________________
________________________________________________________________________________________________
(I) or (we) have complied with all provisions of Section 220 of the New York State Labor Law.
(Note: If no subcontractors are employed, state above “NONE.”)
by
_______________________________
Company Name
Signature / Title
STATE OF NEW YORK,
ss:
COUNTY OF
____________________________, being duly sworn, deposes and says that he is the
of
the _________________________ the CONTRACTOR named in and who executed the foregoing; that he has
read the foregoing statement subscribed by him and knows the contents thereof, and that the same is true of
his own knowledge and is executed under the provisions of Section 220-a of the Labor Law of the State of
New York, and the terms and conditions of Contract Number ___________________ with the Department
of Parks and Recreation of The City of New York.
____________________________________________________
Signature
Sworn to be before me this __________ day of ______________________ , 20____
Signature of Notary Public, County of _________________________
Note: A County Clerk's notarial certificate must accompany this document if it is executed outside the State of New York.
Submit Form To: Resident Engineer
Revised: 7/15