Form PW-51 "Subcontractor's Certification of Receiving Schedule(S) of Wages and Supplements in Compliance With the New York State Labor Law, Section 220-a" - New York

What Is Form PW-51?

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

Form Details:

  • Released on March 1, 2004;
  • The latest edition provided by the New York State Department of Labor;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form PW-51 by clicking the link below or browse more documents and templates provided by the New York State Department of Labor.

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Download Form PW-51 "Subcontractor's Certification of Receiving Schedule(S) of Wages and Supplements in Compliance With the New York State Labor Law, Section 220-a" - New York

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Subcontractor's Certification of Receiving Schedule(s) of Wages and supplements
in Compliance with the New York State Labor Law, Section 220-a.
of
, as
I,
(Title or Position)
(Subcontractor), a subcontractor of
(Company Name)
, am duly authorized to make this affidavit on behalf of this sub-
(Prime) on PRC No.
contractor, and being duly sworn, depose and say that:
In compliance with the provisions of Section 220-a of the Labor Law, do hereby state verify receipt from
Prime of the original schedule(s) of wages and supplements for this project applicable for the period from
July 1, 20
through June 30, 20
for the county(ies) of
Furthermore, by these present, I do hereby verify that I have reviewed said schedule(s), and agree for and on
behalf of Subcontractor to pay the applicable prevailing wage and to pay or provide the supplements
specified therein.
Signature
VERIFICATION:
STATE OF NEW YORK
)
)
SS.:
COUNTY OF
On the
day of
,20
, before me personally came
,
to me known and who, being by me duly sworn, did depose and say that he/she is authorized to execute
the foregoing instrument on behalf of the Prime, has read the foregoing, knows the contents thereof,
knows same is true, and he/she has signed his/her name hereto.
Notary Public
PW-51 (03-04)
Subcontractor's Certification of Receiving Schedule(s) of Wages and supplements
in Compliance with the New York State Labor Law, Section 220-a.
of
, as
I,
(Title or Position)
(Subcontractor), a subcontractor of
(Company Name)
, am duly authorized to make this affidavit on behalf of this sub-
(Prime) on PRC No.
contractor, and being duly sworn, depose and say that:
In compliance with the provisions of Section 220-a of the Labor Law, do hereby state verify receipt from
Prime of the original schedule(s) of wages and supplements for this project applicable for the period from
July 1, 20
through June 30, 20
for the county(ies) of
Furthermore, by these present, I do hereby verify that I have reviewed said schedule(s), and agree for and on
behalf of Subcontractor to pay the applicable prevailing wage and to pay or provide the supplements
specified therein.
Signature
VERIFICATION:
STATE OF NEW YORK
)
)
SS.:
COUNTY OF
On the
day of
,20
, before me personally came
,
to me known and who, being by me duly sworn, did depose and say that he/she is authorized to execute
the foregoing instrument on behalf of the Prime, has read the foregoing, knows the contents thereof,
knows same is true, and he/she has signed his/her name hereto.
Notary Public
PW-51 (03-04)