2024-R-15 - CDBG Labor StandardsRESOLUTION NO. 2024-R-15
A RESOLUTION OF THE CITY COUNCIL OF THE CITY
OF EDGEWATER, FLORIDA ADOPTING POLICIES AND
PROCEDURES RELATING TO COMPLIANCE WITH
LABOR STANDARDS REQUIREMENTS INCLUDING-
DAVIS-BACON ACT, CONTRACT WORK HOURS AND
SAFETY ACT, AND THE ANTI -KICKBACK ACT OF 1-986
FOR USE IN ADMINISTERING COMMUNITY
DEVELOPMENT BLOCK GRANTS AND OTHER
FEDERALLY FUNDED PROJECTS SUBJECT TO SUCH
LABOR STANDARDS REQUIREMENTS; PROVIDING
DEFINITIONS; DEFINING AN ACTION PLAN; AND
PROVIDING AN EFFECTIVE DATE.
WHEREAS, the City Council of the City of Edgewater recognizes the need to adopt
policies and procedures to ensure compliance with requirements set forth under the Davis -Bacon
Act, the Contract Work Hours and Safety Act, and the Anti -Kickback Act of 1986, under practices
and implementation of projects funded under the City's Community Development Block Grants
(CDBG); and
WHEREAS, the City Council of the City of Edgewater desires to adopt policies and
procedures to ensure compliance with requirements set forth under the Davis -Bacon Act, the
Contract Work Hours and Safety Act, and the Anti -Kickback Act of 1986, under practices and
implementation of Projects funded under the City's Community Development Block Grants
(CDBG);
NOW THEREFORE, BE IT RESOLVED by the City Council of the City of Edgewater,
Florida, to adopt these labor standards policies and procedures as detailed in the City of Edgewater
Community Development Block Grant Labor Standards Policy and Procedures. A copy of said
policies and procedures is attached and incorporated herein as Exhibit "A".
2024-R-15 1
PASSED AND DULY ADOPTED this1=day of '2024
4,)4w,11AA17/
Diezel DePew, Mayor
ATI ESTj,
D&tlfga Zdtnik, CMC, City Clerk
REVIEWED AND APPROVED:
Aaron R. Vol, Ci Attorney
2024-R-15
City of Edgewater, Florida
104 North Riverside, Edgewater, Florida 32132
City of Edgewater
Community Development Block Grant
Labor Standards Policy
and Procedures
January 16, 2024
2024-R-15 3
[pGLN,'ATF�
City of Edgewater, Florida
iUT' ivURT H RIVERSIDL, EDGEWAT tR, FLORIDA 3213_
EDGEWATER
DAVIS BACON PROCEDURES
CDBG PROGRAM
The following CDBG Procedures are utilized in the governance of
Davis -Bacon and Labor Standards Compliance the City's CDBG Projects:
1. The City will set up and maintain a Labor Standards Compliance file for each of its Federally
funded grants.
2. The City and its Grant Administrator will utilize its Labor Standards Compliance Checklist to
ensure compliance with Davis -Bacon (regarding payment of the prevailing wage rate),
Contract Work Hours and Safety Act (regarding payment of time and a half), and Anti -Kickback
Act of 1986 (regarding deductions of employee payroll).
3. Following the receipt of FloridaCommerce's approval of the full environmental review, and
subsequent issuance of the Authority to Use Grant Funds, AND the Project Engineer's
completion of the bid documents (plans and specifications) and approval of these bid
documents by FloridaCommerce, the City and or it Grant Administrator access and download
the proper wage decision(s) from the SAM.gov website.
4. The Grant Administrator provides the wage decisions to the Project Engineer and to the City s
Project Coordinator.
5. The Project Engineer inserts the wage decisions into the Invitation to Bid (ITB) document's
specifications and finalizes the ITB package. The City then forwards the ITB to
FloridaCommerce and once approves utilizes the ITB with the included wage decision to solicit
bids for selecting the Prime Construction Contractor.
6. The City holds a Pre -Bid Conference where requirements and responsibilities for compliance
with Davis -Bacon (regarding payment of the prevailing wage rate), Contract Work Hours and
Safety Act (regarding payment of time and a half), and Anti -Kickback Act of 1986 (regarding
deductions of employee payroll) are discussed with the attending contractors. Section 3
requirements are discussed during this meeting as well. Ten days prior to bid opening, the
2024-R-15 4
City of Edgewater, Florida
104 NUR FH RIVERSIDE, EDGEWATER, FLORIDA 32
Grant Administrator checks the wages decision(s) in SAM.GOV to ensure that there have been
no updates to the decision(s). If there have, the City with execute a change order with the
contractor as a part of the award and construction contracting.
7. Following the City's solicitation for the Construction Prime Contractor, receipt of and opening
of bids, confirmation that the selected contractor is not on the Excluded Parties List (review
of company in SAM.gov, and approval of the City Commission contingent on
FloridaCommerce approval of the procurement, and Notice of Award, a Pre -Construction
meeting is held with the selected Prime Construction Contractor. The City and or its Grant
Administrator will inform the awarded Prime Construction Contractor of the requirements
and its responsibilities of compliance with Davis -Bacon (payment of the prevailing wage rate),
Contract Work Hours and Safety Act (payment of time and a half), and Anti -Kickback Act of
1986 (deductions of employee payroll). Additionally, the City and or its Grant Administrator
reaffirms with the Prime Construction Contractor the requirements to:
a. submit Prime Contractor Notification of Participation and Certifications (Form PCN),
b. submit printout from SAM.GOV, showing the Prime Construction Contractor is not on
the Excluded Parties List,
c. submit weekly submit payrolls using Form WH -347 (AttachmentA of this Policy),
d. acquire and submit Sub -contractor Notification of Participation and Certifications
(Form SCN),
e. acquire and submit printout(s) from SAM.GOV, showing the Sub-Contractor(s) is/are
not on the Excluded Parties List,
f. require all sub -contractors working on the project to submit weekly payrolls using
Form WH -347 (Attachment A of this Policy),
g. post the established and confirmed Wage Decisions on a job board at the job site, and
h. post the WH -1321 Workers Rights Under Davis Bacon poster (Attachment G of this
Policy) on a job board at the job site.
8. The Grant Administrator checks to ensure that the contract award date is within 90 days of
the bid opening. In cases when the award date is more than 90 days, the Grant Administrator
checks to ensure that the Wage Decision(s) have not been amended or superseded. In
instance where the Wage Decision(s) have been amended or superseded, the Grant
Administrator provides the updated Wage Decision(s) to the City, the Project Engineer, and
the Prime Construction Contractor. The construction contract, if executed is amended by
change order to include the updated Wage Decision(s).
2024-R-15
City of Edgewater, Florida
_)4 NOR1H RIVERSIDE, EDGEWAIER, FLORIDA 32.13=
9. The Grant Administrator's Labor Standards Compliance staff person continues ongoing
communications with the Prime Construction Contractor to ensure weekly payrolls from the
Prime Construction Contractor and Sub -Contractors) are submitted from the point in time
outlined as the commencement date in the Notice to Proceed. (Note: in some instances, the
Construction Contractor does not immediately mobilize and begin work following the award
and contracting due to circumstances such as delays with materials).
10. The Grant Administrator's Labor Standards Compliance staff person reviews the weekly
payrolls to ensure:
a. Proper wages (including fringe benefits) are being paid to the workers based on their
work classifications.
b. Overtime is being paid at a rate of 1.5 times the wage rate for time over 40 hours per
weeks on the project,
c. Payroll deductions are bona fide and are not kickbacks to the Construction Contractor
from the worker (e.g. Wage Decision requires that a worker be paid $20.00 per hour,
and the Contractor pays the worker the $20.00 per hour, which for a 40 -hour week
would total $800.00, but makes a non -bona fide deduction of $150.00 for that week
that brings the worker's hourly rate down to $16.25);
d. Payrolls are certified by an officer or person authorized by an officer of the firm;
e. No Helper classifications are included in the payrolls,
f. That instances where there are workers classified in the payroll as Trainees or
Apprentices, there is documentation that each such worker is participating in a formal
program approved by the Agency for Workforce Innovation or the U.S. Department
of Labor and is being paid according to the requirements of that program.
g. Classifications presented by the Construction Contractor in the submitted payrolls
align with those in the Wage Decisions.
11. In instances where classifications presented in the payrolls are not listed in the Wage
Decision(s), the Grant Administrator's Labor Standards Compliance staff person will make a
request for Additional Classification from the U.S. Department of Labor (DOL) Additional
Classifications (dol.aov) through the City's FloridaCommerce grant manager, utilizing a
completed Form SF1444-23 (Attachment 8 to this Policy).
12. In instances where the City/FloridaCommerce is unable to obtain a wage rate through their
request for an additional classification, the contractor/subcontractor Employee/Employer
Wage -Scale Agreement (Attachment C to this Policy).
2024-R-15
City of Edgewater, Florida
iU4 iJUKI n KivEn_�ID'E, LUGrvv TER, FLORIDA 32132
13. In instances where the City or the Grant Administrator's Labor Standards Compliance staff
find underpayments, non-compliance with overtime pay, or unsupported deductions,
communications will be held with the Construction Contractor to remediate the areas of non-
compliance and to ensure that wage restitutions are made, are documented with copies of
cancelled checks and an Employee Confirmation of Restitution Payment Received
(Attachment D to this Polity — Example). In instances where the worker was not paid time
and a half for overtime, calculate Liquidated Damages at $27 for each calendar day on which
an individual did not receive the required overtime compensation. In instances when the
cumulative wage restitutions are $50.00 or more, a Wage Restitution and Liquidated
Damages Form (Attachment E to this Policy) is to be submitted to the Department of Labor,
through the FloridaCommerce Grant Manager. Labor Standards non-compliance incidences,
including infractions, restitutions, liquidated damages, reporting and compliance will be
tracked in the City's Labor Standards Non -Compliance Tracking Sheet.
14. Contractors found to be in non-compliance with Labor Standards requirements that have not
brought the issues into compliance shall not be paid until such issues have been brought into
compliance.
15. The City's Grant Administrator's Labor Standards Compliance staff person will provide
FloridaCommerce with any requested information for their reporting to DOL and for
monitoring of Labor Standards.
16. The City shall maintain Labor Standards documentation per the CDBG Subgrant Agreement's
Records Retention requirements, which is six years following the closeout of the CDBG
subgrant agreement.
Onsite Field Work
17. The Grant Administrator's Labor Standards Compliance staff will:
a. At points in time during the construction period when the maximum number of
construction workers of the prime and subs are on site, will conduct field interviews
with workers which cover a representative sample of the classifications used to
perform the work.
b. Review the information in the interviews with the payroll records to ensure
consistency with the payroll records.
2024-R-15 7
City of Edgewater, Florida
104 NURIH RIVERSIDE, EDGEWATER, FLORIDA 3-
c. In cases where there are any apparent inconsistencies, particularly in the areas of
hourly rate and classification compared to work performed/tools used, take action
and communications with the contractor(s) in question to resolve the inconsistency
and will document the resolution in the City's CDBG Labor Standards files.
d. Inspect construction boards or other posting options to ensure the correct wage
decision(s) and appropriate labor documentation posted, including a WH -1321
Workers Rights Under Davis Bacon poster (Attachment G of this Policy), are posted
at the work site.
e. Take photographs of the wage decision posting from positions showing all postings as
well as close up shots legibly showing the wage decision(s).
2024-R-15
City of Edgewater, Florida
104 North Riverside, Edgewater, Florida 32132
City of Edgewater
Community Development Block Grant
Compliance Review Checklist
Labor Standards Policies and
Procedures
January 16, 2024
2024-R-15 9
E
City of Edgewater, Florida
104 North Riverside, Edgewater, Florida 32132
Labor Standards Compliance Checklist
PROJECT:
CDBG CONTRACT NUMBER:
PRIME CONTRACTOR:
1
5
SUB -CONTRACTORS:
Section I provides review items that ensure the correct wage decision is in place for the project
and that the contractor understands their labor standards responsibilities. This section is to be
completed prior to the implementation of the construction activities.
Section II provides review items that ensure that ongoing proper reviews of payrolls are
conducted weekly and that actions are taken to bring non-compliance issues into compliance.
This section is to be completed on a weekly basis.
Section III provides review items for field inspections and worker interviews that further ensure
compliance with worker classifications and hourly pay rates. This section is to be completed at a
time when the maximum cross section of workers will be on site. This may require more than one
visit.
Labor Standards Compliance Checklist
2024-R-15 10
City of Edgewater, Florida
104 North Riverside, Edgewater, Florida 32132
I. Wage Decision and Construction Contract Award
Community:
Prime Contractor:
Total Contract Amount:
Period Covered:
Reviewer/Monitor: Melissa Fox
Contract Number:
Pay Request Number:
Pay Request Amount: $
Date Reviewed:
Labor Standards Compliance Checklist
2024-R-15
Assessment Questions
Yes No
1.
Original wage decision(s) numbers Obtained from SAM.gov?
2.
Date of original Wage Decision(s) Obtained from Sam.gov?
3.
Date of Bid Opening?
4.
Date of Award?
5.
Is the Award Date within 90 days of Bid Opening?
6.
If the Award Date is 90 days or more, was there a check in
SAM.gov made to see if an updated Wage Decision(s)
was/were required?
7.
Was there a need for updated Wage Decision(s)?
8.
If updated Wage Decision(s) was necessary, was it obtained
from SAM.gov and provided to the contractor?
9.
If Updated Wage Decision(s) was needed, what are the
updated Wage Decision Numbers?
10.
Was a check in SAM.gov completed to ensure the contractor
was not on the Excluded Parties List?
11.
Was the contractor on the Excluded Parties List? (should be
NO)
12.
Print a copy of the SAM.gov page showing the company is
registered and not on the excluded parties list? Placed in File?
13.
Did Prime Contractor provide a notification(s) as a Prime
Contracting and contracting with Sub -Contractors)
(See Notifications Forms PCN and SCN?)
Labor Standards Compliance Checklist
2024-R-15
City of Edgewater, Florida
104 North Riverside, Edgewater, Florida 32132
II. Construction Payroll Review
Community:
Prime Contractor:
Total Contract Amount:
Period Covered:
Contract Number:
Pay Request Number:
Pay Request Amount: $
Reviewer/Monitor: Melissa Fox Date Reviewed:
Labor Standards Compliance Checklist
2024-R.-15 12
Assessment Questions
Yes
No
Notes/Explanations
1.
Have weekly payrolls been provided by
the prime and all sub -contractors on
Form WH -347 (Attachment A)?
2.
Were each of the weekly payrolls
certified by an officer or person having
authority to make such certifications?
3.
Were the job classifications outlined in
the weekly payroll reports included in
the wage decision?
4.
If there were job classifications) not
included in the Wage Decision (s), was a
request made to the Department of
Labor (DOL) for additional classification?
If not, prepare a Request for Additional
Classification (Standard Form 1444) and
send to Department of Labor through
FloridaCommerce. (Attachment B)
5.
If a wage amount was not provided by
DOL, did the contractor and employee
needed the additional classification sign
a Davis Bacon Employee Employer Wage
Scale Agreement?
(Attachment Q
Labor Standards Compliance Checklist
2024-R.-15 12
�_4if =��'
City of Edgewater, Florida
104 North Riverside, Edgewater, Florida 32132
Labor Standards Compliance Checklist
2024-R-15 13
Assessment Questions
Yes
No
Notes/Explanations
6.
Were all workers paid the amounts
outlined in the Wage Decision(s) for the
classification of work they were doing?
7.
For workers working overtime on the
project, were the workers paid time and
a half for these overtime hours?
if not calculate liquidated damages
amount at $32.00 per calendar day and
place amount(s) in Notes/Explanations
section.
8.
If a payroll includes workers classified as
"apprentice" or "trainee," is there
documentation that each such worker is
participating in a formal program
approved by the Agency for Workforce
Innovation or the U.S. Department of
Labor and is being paid according to the
requirements of that program?
9.
Are there workers in a "helper"
classification, which cannot be used? (If
not qualified as "apprentice" or
"trainee," they are either a laborer or
full trade classification, depending on
tools used.)
10.
If fringe benefits are claimed, are they
bona fide fringe benefits, has the hourly
value of each fringe been documented,
and does the calculation appear
correct? Note: Generally, a fringe
benefit is bona fide if it is paid by the
employer to a third party for the benefit
of the employee.
11.
Was a review completed of the payroll
deductions and was proper
documentation provided to ensure that
the deduction was not a kick -back?
Labor Standards Compliance Checklist
2024-R-15 13
EDGE WATER
City of Edgewater, Florida
104 North Riverside, Edgewater, Florida 32132
Review and Certification:
I, Melissa Fox certify that I have reviewed the above referenced CDBG project on
Date
for Labor Standards Compliance and I further certify the files reviewed are:
In Compliance
Not in Compliance - For areas found to be in non-compliance, the following actions
have been taken:
Melissa Fox, Labor Standards Compliance Officer
Date
Labor Standards Compliance Checklist
2024-R-15 14
Assessment Questions
Yes
No
Notes/Explanations
12.
Was a need for wage restitution
identified?
13.
If the need for wage restitution was
identified, do the files document that
restitution was paid by including a
copy(ies) of the front of the check(s) and
a statement(s) from the affected
worker(s) that the restitution was
received - Employee Confirmation of
Restitution Payment Received (Example
Attachment D)?
14.
If cumulative restitution exceeding $50
was paid by any contractor or
subcontractor, has an enforcement
report been esnt to FloridaCommerce
using the Wage Restitution and
Liquidated Damages Form (Attachment
E)?
Review and Certification:
I, Melissa Fox certify that I have reviewed the above referenced CDBG project on
Date
for Labor Standards Compliance and I further certify the files reviewed are:
In Compliance
Not in Compliance - For areas found to be in non-compliance, the following actions
have been taken:
Melissa Fox, Labor Standards Compliance Officer
Date
Labor Standards Compliance Checklist
2024-R-15 14
1-1
EDGEWATF:;,
City of Edgewater, Florida
104 North Riverside, Edgewater, Florida 32132
III. Field Reviews
Community:
Prime Contractor:
Total Contract Amount:
Period Covered:
Contract Number:
Pay Request Number:
Pay Request Amount: $
Reviewer/Monitor: Melissa Fox Date Reviewed:
Labor Standards Compliance Checklist
2024-R-15 15
Assessment Questions
Yes
No
Notes/Explanations
1.
Were interviews conducted using
HUD Form 11 (Attachment F) with
workers which cover a
representative sample of the
classifications used to perform the
work?
2.
Is the information in the
interviews consistent with the
payroll records or is there
documentation resolving any
apparent inconsistencies,
particularly in the areas of hourly
rate and classification compared
to work performed/tools used?
3.
If the hourly rates in the certified
payrolls and the hourly rates
stated by the workers during the
interviews do not agree, request
timecards and printouts from the
contractor's payroll accounting
system. If it is determined that a
wage restitution is needed, follow
numbers 12, 13 and 14 of Section
II of this checklist.
Labor Standards Compliance Checklist
2024-R-15 15
EDGFWATI
City of Edgewater, Florida
104 North Riverside, Edgewater, Florida 32132
Review and Certification:
I, Melissa Fox certify that I have reviewed the above referenced CDBG project on
Date
for Labor Standards Compliance and I further certify the files reviewed are:
In Compliance
Not in Compliance - For areas found to be in non-compliance, the following actions
have been taken:
Melissa Fox, Labor Standards Compliance Officer
Date
Labor Standards Compliance Checklist
2024-R-15 16
Assessment Questions
Yes
No
Notes/Explanations
4.
Is the wage decision and
appropriate labor documentation
posted at the work site?
5.
Is the WH -1321 Workers Rights
Under Davis Bacon poster posted
at the work site? (Attachment G)
6.
Were photographs taken
confirming the posting of the
wage decision(s) and WH -1321
poster? Photographs should be
taken up close showing the wage
decisions poster and from far
enough back to show that they are
posted at the job site.
Review and Certification:
I, Melissa Fox certify that I have reviewed the above referenced CDBG project on
Date
for Labor Standards Compliance and I further certify the files reviewed are:
In Compliance
Not in Compliance - For areas found to be in non-compliance, the following actions
have been taken:
Melissa Fox, Labor Standards Compliance Officer
Date
Labor Standards Compliance Checklist
2024-R-15 16
The Contract
Subrecipient Name:
Project Name:
Contract No. and
Name:
Ten Day Call Information
Person Verifying the
Wage Determination:
Verification Method
(Call, Check DOL
Website, etc.):
Date of Verification:
Bid Opening Date:
Wage Determination Verification
Type of work to be done
Type of work to be done
Wage Determination that was made part of Wage Determination that was made part of the original
the original bid documents bid documents
Current Determination based on DOL Current Determination based on DOL
Action Action
Taken: None Addendum Taken: None
Comments:
2024-R-15 17
Addendum
LED) EWATFI?
City of Edgewater, Florida
104 North Riverside, Edgewater, Florida 32132
City of Edgewater
Notification of Participation
and Certifications
For
Prime Contractor and
Sub-Contractor(s)
March 28, 2024
2024-R-15 18
CITY OF EDGEWATER COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM
NOTIFICATION AND CERTIFICATIONS OF PROJECT PRIME CONTRACTOR
CITY CDBG PROJECT NAME: _
CDBG CONTRACT NUMBER: _
CITY'S PROJECT CONTACT:
CITY PROJECT CONTACT PHONE #:
PRIME CONTRACTOR INFORMATION
Company Name
Company's Unique Entity ID:
Address of Sub -Contractor:
Phone Number of Sub -Contractor:
Email Address of Sub -Contractor:
Primary Project Contact for Sub -Contractor:
EMAIL:
PRIME CONTRACTOR NOTIFICATION AND CERTIFICATIONS
I, , with
do hereby confirm and attest that our company has been selected as the prime contractor by the
City of Edgewater, for the above -referenced project.
Additionally, as a representative of I do hereby certify
that:
1) Our company is registered on SAM.GOV,
2) Our company nor its principals are presently debarred, suspended, proposed for
debarment, declared ineligible, or voluntarily excluded from participation in this
transaction by any Federal department or agency,
3) Our company is aware that the project is funded with Federal funds requiring compliance
with:
a. Davis -Bacon (regarding payment of the prevailing wage rate),
b. Contract Work Hours and Safety Act (regarding payment of time and a half),
c. Anti -Kickback Act of 1986 (regarding deductions of employee payroll), and
d. Section 3 requirements.
4) Our company agrees to comply with, provide the City or its agents required
documentation for, and maintain and retain all required records and documentation for
this project for six years following the closeout of the City's CDBG agreement with the
State of Florida.
5) Specifically, our company understands that it must:
a. Pay workers on the project the prevailing wage rates as determined by the wage
decision(s) in place for the project,
b. Pay time and half to all workers exceeding 40 hours per week on the project,
c. Submit weekly certified payrolls to the City or its agent using Form WH -347,
Notification of Contracting and Certifications - Form PCN
2024-R-15 19
CITY OF EDGEWATER COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM
NOTIFICATION AND CERTIFICATIONS OF PROJECT PRIME CONTRACTOR
d. Make reasonable efforts to hire Section 3 employees when our company needs to
hire additional positions is needed for the project by contacting and or placing
notices of employment opportunities with:
i. local workforce boards,
ii. public housing facilities,
iii. One -Stop Career Centers,
iv. Other appropriate centers serving low-income Section 3 persons, and
v. City Hall.
e. Provide documentation to the City of our company's outreach efforts, when we
are hiring new positions, to hire Section 3 workers.
f. Provide documentation to the City of our company's accomplishments of hiring
Section 3 workers OR of being a Section 3 business.
g. Provide explanation for not meeting targeted Section 3 goals.
Certified by: Signature Here Date:
Name of Signer and Title for Prime Contractor
Confirmed by: Signature Here Date:
Name of Signer and Title for City
Notification of Contracting and Certifications - Form PCN
2024-R-15 20
CITY OF EDGEWATER COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM
NOTIFICATION AND CERTIFICATIONS OF PROJECT SUB -CONTRACTOR
CITY CDBG PROJECT NAME:
CDBG CONTRACT NUMBER:
CITY'S PROJECT CONTACT:
CITY PROJECT CONTACT PHONE #:
PRIME CONTRACTOR:
SUB -CONTRACTOR INFORMATION
Company Name
Company's Unique Entity ID:
Address of Sub -Contractor:
Phone Number of Sub -Contractor:
Email Address of Sub -Contractor:
Primary Project Contact for Sub -Contractor:
Prime Contractor:
EMAIL:
EMAIL:
SUB -CONTRACTOR NOTIFICATION AND CERTIFICATIONS
I, with
do hereby notify the City of Edgewater that our company has been selected as a sub -contractor
by
the prime contractor, for the above -referenced project.
Additionally, as a representative of I do hereby certify
that:
1) Our company is registered on SAM.GOV,
2) Our company nor its principals are presently debarred, suspended, proposed for
debarment, declared ineligible, or voluntarily excluded from participation in this
transaction by any Federal department or agency,
3) Our company is aware that the project is funded with Federal funds requiring compliance
with:
a. Davis -Bacon (regarding payment of the prevailing wage rate),
b. Contract Work Hours and Safety Act (regarding payment of time and a half),
c. Anti -Kickback Act of 1986 (regarding deductions of employee payroll), and
d. Section 3 requirements.
4) Our company agrees to comply with, provide the City or its agents required
documentation for, and maintain and retain all required records and documentation for
this project for six years following the closeout of the City's CDBG agreement with the
State of Florida.
5) Specifically, our company understands that it must:
a. Pay workers on the project the prevailing wage rates as determined by the wage
decision(s) in place for the project,
b. Pay time and half to all workers exceeding 40 hours per week on the project.
Notification of Contracting and Certifications - Form SCN
2024-R-15 21
CITY OF EDGEWATER COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM
NOTIFICATION AND CERTIFICATIONS OF PROJECT SUB -CONTRACTOR
c. Submit weekly certified payrolls to the prime contractor,
. using Form WH -347,
d. Make reasonable efforts to hire Section 3 employees when our company needs to
hire additional positions is needed for the project by contacting and or placing
notices of employment opportunities with:
I. local workforce boards,
ii. public housing facilities,
iii. One -Stop Career Centers,
iv. Other appropriate centers serving low-income Section 3 persons, and
v. City Hall.
e. Provide documentation to the City of our company's outreach efforts, when we
are hiring new positions, to hire Section 3 workers.
f. Provide documentation to the City of our company's accomplishments of hiring
Section 3 workers OR of being a Section 3 business.
g. Provide explanation for not meeting targeted Section 3 goals.
Certified by: Sianature Here Date:
Name of Signer and Title for Sub -Contractor
Confirmed by: Signature Here Date:
Name of Signer and Title for Prime Contractor
Notification of Contracting and Certifications - Form SCN
2024-R-15 22
City of Edgewater, Florida
104 North Riverside, Edgewater, Florida 32132
City of Edgewater
Attachments A -G
E'I
Non -Compliance
Tracking Sheet
To
Labor Standards Policies and
Procedures
February 5, 2024
2024-R-15 23
City of Edgewater, Florida
104 North Riverside, Edgewater, Florida 32132
City of Edgewater
Attachment
WH -347 - Certified Payroll
Form
Labor Standards Policies and
Procedures
March 28, 2024
2024-R-15 24
U.S. Department of Labor PAYROLL
Wage and Hour Division For contractor's optional use; see instructions at dol.goviagencies/whdlformstwh347
Persons are not required to respond to the collection of information unless it displays a currently valid OMB control number.
�WND
WAGE AND HOUR DIVISION
Revised December 2008
NAME OF CONTRACTOR OR SUBCONTRACTOR
ADDRESS
OMB No. 1235-0008
Expires 09/3012026
PAYROLL NO.
FOR WEEK ENDING
PROJECT AND LOCATION
PROJECT OR CONTRACT NO.
(1)
NAME AND INDIVIDUAL IDENTIFYING NUMBER
(e.g.. LAST FOUR DIGITS OF SOCIAL SECURITY
NUMBER) OF WORKER
(2)
5
o
,�
°
(3)
WORK
CLASSIFICATION
(4) DAY AND DATE
(5)
TOTAL
HOURS
(6)
1
I RATE
OF PAY
(7)
GROSS
AMOUNT
EARNED
(6)
DEDUCTIONS
(9)
NET
WAGES
PAID
FOR WEEK
°
o
FICA
WITH-
HOLDING
TAX
OTHER
TOTAL
DEDUCTIONSI
HOURS
WORKED EACH
DAY
0
s
0
s
0
s
0
s
0
s
0
S
0
s
0
s
, — —L —
ULWIn ev%mrdatinn nt Rnrm urrLAe7 is nntinnal It Is mandatewv inr eynawad mntracfam and subcontractors oerramfine wndr on Faderalh financed or assisted construction contracts to resoond to the
information collection contained
in 29 C.F.R. 44 3.3. 5.5(a). The Cooeland Act
(40 U.S.C.§ 3145) contractors and subcontractors performing work on Federally financed or assisted construction contracts to "furnish weekly a statement with respect to the wages paid each employee during the preceding week" U.S. Department of labor (DOL) regulations at
29 C.F.R. § 5.5(a)(3)(ii) require contractors to submit weekly a copy of all payrolls to the Federal agency oomtraGing for or financing the construction project, accompanied by a signed "Statement of Compliance indicating that the payrolls are correct and complete and that each taborer
or mechanic has been paid not less than the proper Davis -Bacon prevailing wage rate for the work pertained DOL and federal contracting agencies receiving this information review the Wormation to determine that employees have received legally required wages and fringe benefits.
Public Burden Statement
We estimate that is will take an average of 55 minutes to complete this collection, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. If you have
any comments rega ir�q,�h¢sq �estij tes or any other aspect of this collection, including suggestions for reducing this burden, send them to a dministrator, Wage and Hour Division, U.S. Department of Labor, Room S3502, 200 Constitution Avenue, N.W.
Washington. D.C. 21 1dL4-K-1 J�
(over)
Date
(Name of Signatory Party) (Title)
do hereby state:
(1) That I pay or supervise the payment of the persons employed by
on the
(Contractor or Subcontractor)
; that during the payroll period commencing on the
(Building or Work)
day of and ending the day of
all persons employed on said project have been paid the full weekly wages earned, that no rebates have
been or will be made either directly or indirectly to or on behalf of said
from the full
(Contractor or Subcontractor)
weekly wages earned by any person and that no deductions have been made either directly or indirectly
from the full wages earned by any person, other than permissible deductions as defined in Regulations, Part
3 (29 C.F.R. Subtitle A), issued by the Secretary of Labor under the Copeland Act, as amended (48 Stat 948,
63 Stat 108, 72 Stat 967; 76 Stat. 357; 40 U.S.C. § 3145), and described below.
(2) That any payrolls otherwise under this contract required to be submitted for the above period are
correct and complete; that the wage rates for laborers or mechanics contained therein are not less than the
applicable wage rates contained in any wage determination incorporated into the contract; that the classifications
set forth therein for each laborer or mechanic conform with the work he performed.
(3) That any apprentices employed in the above period are duly registered in a bona fide apprenticeship
program registered with a State apprenticeship agency recognized by the Bureau of Apprenticeship and
Training, United States Department of Labor, or if no such recognized agency exists in a State, are registered
with the Bureau of Apprenticeship and Training, United States Department of Labor.
(4) That:
(a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS, OR PROGRAMS
— in addition to the basic hourly wage rates paid to each laborer or mechanic listed in
the above referenced payroll, payments of fringe benefits as listed in the contract
have been or will be made to appropriate programs for the benefit of such employees,
except as noted in section 4(c) below.
2024-R-15 26
(b) WHERE FRINGE BENEFITS ARE PAID IN CASH
❑ — Each laborer or mechanic listed in the above referenced payroll has been paid,
as indicated on the payroll, an amount not less than the sum of the applicable
basic hourly wage rate plus the amount of the required fringe benefits as listed
in the contract, except as noted in section 4(c) below.
(c) EXCEPTIONS
EXCEPTION (CRAFT) EXPLANATION
REMARKS:
NAME AND TITLE SIGNATURE
THE WILLFUL FALSIFICATION OF ANY OF THE ABOVE STATEMENTS MAY SUBJECT THE CONTRACTOR OR
SUBCONTRACTOR TO CIVIL OR CRIMINAL PROSECUTION. SEE SECTION 1001 OF TITLE 18 AND SECTION 3729 OF
TITLE 31 OF THE UNITED STATES CODE.
-DGEWATFIt
City of Edgewater, Florida
104 North Riverside, Edgewater, Florida 32132
City of Edgewater
Attachment 6
Request for Additional
Classifications
Standard Form 1444
To
Labor Standards Policies and
Procedures
March 28, 2024
2024 -R -I5 27
Request For Authorization Of Check Appropriate Box OMB Control Number: 9000-0066
Additional Classification And Rate ❑ Service Contract Expiration Date: 6/31/2025
❑ Construction Contract
Instructions: The Contractor shall complete items 3 through 16, keep a pending copy, and submit
the request, in quadruplicate, to the Contracting Officer.
1. To:
Administrator,
Wage And Hour Division
U.S. Department Of Labor
Washington, DC 20210
2. From: (Reporting Office)
u
5. Contract Number 6. Date Bid 7. Date Of 8. Date Contract 9. Date Option Exercised
Opened (Sealed Award Work Started (If Applicable) (Service
Bidding) Contract Only)
10. Subcontractor (If Any)
11. Project And Description Of Work (Attach Additional Sheet If Needed)
12. Location (City, County, And State)
13. In Order To Complete The Work Provided For Under The Above Contract, It Is Necessary To
Establish The Following Rate(s) For The Indicated Classifications) Not Included In The Department
Of Labor Determination
Number: Dated:
a. List In Order: Proposed Classification Title(s); Job b. Wage Rate(s) c. Fringe Benefits
Description(s); Duties; And Rationale For Proposed Payments
Classifications (Service contracts only)
(Use reverse or attach additional sheets, if necessary)
14. Signature And Title Of Subcontractor 15. Signature And Title Of Prime Contractor
Representative (If Any) I Representative
Authorized For Local Reproduction STANDARD FORM 1444 (REV. 1012023)
Previous21101%d1s Not Usable 28 Prescribed by GSA -FAR (48 CFR) 53.222(f)
16. Signature Of Employee Or Representative Title Check Appropriate Box -
Referencing Block 13.
❑ Agree ❑ Disagree
To Be Completed By Contracting Officer (Check As Appropriate - See FAR 22.1019 (Service
Contract Labor Standards) Or FAR 22.406-3 (Construction Wage Rate Requirements))
❑ The Interested Parties Agree And The Contracting Officer Recommends Approval By The Wage
And Hour Division. Available Information And Recommendations Are Attached.
❑ The Interested Parties Cannot Agree On The Proposed Classification And Wage Rate. A
Determination Of The Question By The Wage And Hour Division Is Therefore Requested. Available
Information And Recommendations Are Attached.
(Send 3 copies to the Department of Labor)
signature ur c:i
Representative
Paperwork Reduction Act Statement
Title And Commercial Date Submitted
Telephone Number
This information collection meets the requirements of 44 U.S.C. § 3507, as amended by section 2 of the
Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a
valid Office of Management and Budget (OMB) control number. The OMB control number for this
collection is 9000-0066. We estimate that it will take .5 hours to read the instructions, gather the facts,
and answer the questions. Send only comments relating to our time estimate, including suggestions for
reducing this burden, or any other aspects of this collection of information to: U.S. General Services
Administration, Regulatory Secretariat Division (M1 V1 CB), 1800 F Street, NW, Washington, DC 20405.
STANDARD FORM 1444 (REV. 10/2023) BACK
2024-R-15 29
City of Edgewater, Florida
104 North Riverside, Edgewater, Florida 32132
City of Edgewater
Attachment C
Employee/Employer
Wage -Scale Agreement
To
Labor Standards Policies and
Procedures
March 28, 2024
2024-R-15 30
Edgewater Employee/Employer Wage -Scale Agreement
City of Edgewater, Florida CDBG Contract Number:
Construction Contract Execution Date: Wage Decision Number:
Project Description:
Whereas, the City of Edgewater has been unable to obtain a specific wage rate from the
Department of Labor (DOL)/Florida Department of Commerce (FloridaCommerce), in the wage
decision for this project for the classification of (Type in the classification), and because it also
appears that there are no readily available similar positions that could be reclassified under the initial
wage decision, and whereas 29 CFR Part 5.5(a)(1)(ii) allows the rate for a classification under these
circumstances to be set by mutual agreement among the employee(s), the employer, and the
jurisdiction, subject to approval by HUD/DOL;
Therefore, by mutual consent, the parties and persons signed below agree to an hourly rate of
$ and fringe benefit rate of $ (benefits may be included in hourly rate), for the above
classification, while acknowledging full compliance with all other federal labor standards
requirements.
Employee Signature
Date
Employer Signature
(If a corporation, an officer must sign.)
Date
List the name and mailing address of the City of Edgewater's representative to whom the DOL
approval of the wage -scale agreement should be mailed in the form fields below.
City of Edgewater
Attention: Sandy Camp, Grant Administrator
104 North Riverside
, Edgewater, Florida 32132
Request submitted by:
Date:
Note: Use one form for each affected employee. Use the Tab key to move between fields to
complete the form. Sign and date by hand.
Attachment C
2024-R-15 31
City of Edgewater, Florida
104 North Riverside, Edgewater, Florida 32132
City of Edgewater
Attachment D
Employee Certification of
Payment of Restitution and or
Liquidated Damaged
To
Labor Standards Policies and
Procedures
March 28, 2024
2024-R-15 32
Contractor's Letterhead
Date
City of Edgewater
Attention Sandy Camp, Grant Administrator
104 North Riverside,
Edgewater, Florida 32132
scamp@cityofedgewatecorg
RE: Wage Restitution for Employee Name
City of Edgewater— CDBG Project Number xxxxx
Description of Project
Dear Ms. Camp:
Please accept the this letter as my confirmation that I have received check number xxxxx (copy of
cleared check attached) in the amount of $xxx.xx from my employer, name of the contractor or
subcontractor. This payment covers the restitution for wages owed to me for my work at the above
referenced project on the week(s) ending xx/xx/xxxx.
Sincerely,
Name of the Employee Receiving Restitution
Employee's Address
Employee's City, State and Zip Code
Employee's last four numbers ofsocial security number
Attachment D
2024-R-15 33
City of Edgewater, Florida
104 North Riverside, Edgewater, Flodda 32132
City of Edgewater
Attachment E
Wage Restitution
And
Liquidated Damages Form
To
Labor Standards Policies and
Procedures
March 28, 2024
2024-R-15 34
City of Edgewater - Wage Restitution Enforcement Report
TO: FloridaCommerce CDBG Program
FROM:
W.VV-4
Recipient:
Contract Number:
Contractor's Name: ❑ Prime ❑ Subcontractor
Wage Decision Number(s):
Wage restitution in the total amount of $ has been paid to employees of the
above contractor. A schedule reflecting the computation of wages due, including overtime, is attached.
The following information is being provided to the Department:
1.
The need for wage restitution was discovered through:
2.
Types of violations: ❑ Did not pay the minimum for the classification.
❑ Used the incorrect classification.
❑ Did not pay overtime premium.
❑ Other
3.
Were any of the violations willful? (If yes, attach supporting information)
❑ Yes ❑ No
4.
Are administrative sanctions recommended? (If yes, attach supporting
information.)
El Yes ❑ No
5.
If the contractor failed to pay the overtime premium, what is the total liquidated
damages assessed ($32.00/day/em loyee):
$
6.
Are you recommending waiver of liquidated damages? (If yes, explain why
below. If a waiver is recommended, the collection of liquidated damages can be
delayed until a decision is made.)
❑ Yes ❑ No
Signature
(A report is repiredfor any eminutor accumulating $50 or more of mage underpaynrena throughout the life of theprojea, The C'DBG Program
must report mage restitution data to the U.S. Department of Housing and Urban Development !mice eachyear. If a oninutor ower restitution of
$1,000 ormon, a ropy of this report is sent to the U.S. Department o, (Labor in mo pfiam with 29CFR3.7(2), which states, 'When
underpayments by a mntractor or sabcontrador total $1,000 or more, or where there is reason to believe that the violations are aggravated or ailful (or,
in the care of the Davis -Bacon Act, that the contractor bas disregarded its obbgationr to employees and subcontration), the Federal agenry sballfurmsh
within 60 days after rompletion of its investigation, a detailed enforcement report to the Administrator.')
Attachment E
2024-R-15 35
City of Edgewater - Wage Restitution Enforcement Report
Instructions for Completing the Wage Restitution Enforcement Report Form
This form is created as a Word form. You can complete it on a computer, using the "Tab" key to move
between form fields to complete the report. You can also print out the form and complete it by hand.
Complete one report for each contractor that has to make wage restitution of $50 or more.
Enter the name and title of the person making the report and the date of the report.
Next, enter the Recipient government's name and the contract number of the subgrant agreement.
Enter the contractor's name and check whether the contractor was the prime contractor or a
subcontractor.
Enter the wage decision(s) involved in the restitution, the total amount of restitution paid, and the number
of employees receiving restitution.
Question 1. Explain how the need for restitution was discovered.
Question 2. Check the type of violation that occurred. If you check "Other," explain on the line
provided.
Question 3. Check whether the contractor willfully paid wages that were lower than the applicable wage
decision. If you have information that the contractor knowingly underpaid employees and
checked "yes," attach documentation with the report form.
Question 4. If you are recommending sanctions for the contractor, check "yes" and supply
documentation to support the recommendation.
Question 5. If the contractor failed to pay the required overtime premium, calculate the liquidated
damages at $32 per day per employee.
Question 6. If you recommend that the contractor have the liquidated damages waived, check "yes"
and explain in the box provided.
Sign and hand date the form at the bottom.
Attachment E
2024-R-15 36
EDGEWATER
City of Edgewater, Florida
104 North Riverside, Edgewater, Florida 32132
City of Edgewater
Attachment F
Record of Employee Interviews
To
Labor Standards Policies and
Procedures
March 28, 2024
2024-R-15 37
Record of Employee U.S. Department of Housing OMB Approval No. 2501-0009
Interview Instructions and Urban Development (exp. 12/31/2024)
Office of Davis -Bacon and Labor Standards
Instructions
General:
This form is to be used by HUD and local agency staff for recording information gathered during on-site interviews with laborers
and mechanics employed on projects subject to Federal prevailing wage requirements. Typically, the staff that will conduct on-site
interviews and use this form are HUD staff and fee construction inspectors, HUD Labor Standards staff, and local agency labor
standards contract monitors.
Information recorded on the form HUD -11 is evaluated for general compliance and compared to certified payroll reports submitted
by the respective employer. The comparison tests the veracity of the payroll reports and may be critical to the successful
conclusion of enforcement actions in the event of labor standards violations. The thoroughness and accuracy of the information
gathered during interviews is crucial.
Note that the interview itself and the information collected on the form HUD -11 are considered confidential. Interviews should be
conducted individually and privately. All laborers and mechanics employed on the job site must be made available for interview at
the interviewer's request. The employee's participation, however, is voluntary. Interviews shall be conducted in a manner and
place that are conducive to the purposes of the interview and that cause the least inconvenience to the employer(s) and the
employee(s).
Completing the form HUD -11:
Items 1 a -1 c: Self-explanatory
Items 2a — 2d: Enter the employee's full name, a telephone number where the employee can be reached, and the employee's
home address. Many construction workers use a temporary address in the locality of the project and have a more permanent
address elsewhere from which mail may be forwarded to them. Obtain a more permanent address, if available. Ask the employee
for a form of identification (e.g., driver's license) to verify their name.
Items 3a — 4c: Enter the employee's responses. Ask the employee whether they have a pay stub with them; if so, determine
whether the pay stub is consistent with the information provided by the employee.
Items 5 — 7: Be certain that the employee's responses are specific. For example, job classification (#5) must identify the trade
involved (e.g., Carpenter, Electrician, Plumber) — responses such as "journeyman" or "mechanic" are not helpful for our purposes.
Items 8 —12b: Self-explanatory
Items 13 —15c: These items represent some of the most important information that can be gathered while conducting on-site
interviews. Please be specific about the duties you observed the employee performing. It may be easiest to make these
observations before initiating the interview. Please record any comments or remarks that may be helpful. For example, if the
employee interviewed was working with a crew, how many workers were in the crew? Was the employee evasive?
The level of specificity that is warranted is directly related to the extent to which interview(s) or other observations indicate that
there may be violations present. If interviews indicate that there may be underpayments involving a particular trade(s), the
interviewer is encouraged to interview as many workers in that trade(s) that are available.
Items 16 —17b: The information on the form HUD -11 may be reviewed for general compliance, initially. For example, are the job
classification and wage rate stated by the employee compatible with the classifications and wage rates on the applicable wage
decision? Are the duties observed by the interviewer consistent with the job classification?
Item 18: Please place here any additional information you may want to document or continuing information from other
lines that do not fit in their block space.
Once the corresponding certified payroll reports are received, the information on the HUD -11 shall be compared to the payroll
reports. Any discrepancies noted between the HUD -11 information and that on the payroll report shall be noted in Item 16,
Remarks. If discrepancies are noted, follow-up actions to resolve the discrepancies must be taken.
Previous editions are obsolete orm D-11 051202
2024-R-15 38
Attachment F
Record of Employee U.S. Department of Housing and Urban Development OMB Approval No. 2501-0009
Interview Office of Davis -Bacon and Labor Standards (exp. 1213112024)
The public reporting burden estimate for this collection of information is 15 minutes per response on average. This includes reviewing instructions, searching existing data sources,
gathering, and maintaining the data, and completing the collection of Information. This information may not be collected, nor are you required to provide, the information requested unless it
displays a currently valid OMB control number. The information collected ensures compliance with the Federal labor standards through recording interviews with construction workers. The
information collected assists HUD in compliance monitoring of Federal labor standards. Any information collected is covered by the Privacy Act of 1974 and by 29 CFR 5.6(a)(5). Individuals
and agencies collecting this information must maintain these records In a manner that protects the individuals on whom the information is maintained. The information collected herein is
voluntary, and any information provided shall be kept confidential, but failure to provide the information collected may delay enforcement of any possible Federal labor standards violations if
the information would have identified any. Comments concerning this burden statement, or this collection should be sent to: National Director, Office of Davis -Bacon and Labor Standards,
451 7th Strout S1A/ D....m 71/►Q 1A/a�►.tn..4..n DC 20410When oroAdino comments olease referto OMB Approval 2501- 0009
Pursuant to 5 U.S.C. § 552a(e)(3), this Privacy Act Statement serves to inform you of the following concerning the collection of the Information on this form.
A. AUTHORITY: Collection of the information solicited on this form is authorized by the Davis -Bacon Act as promulgated through Department of Labor Regulations under 29 CFR Part 5.
B. PURPOSE: The primary purpose for soliciting this information is to determine if the wages paid by an employer on a project covered by the Davis -Bacon Act are in compliance with federal
labor standards.
C. ROUTINE USES: The information collected ensures compliance with the Federal labor standards through recording interviews with construction workers on topics related to wages paid
on the project. The information is reviewed by HUD authorized personnel to ensure compliance with Federal labor standards under the Davis -Bacon Act on covered projects. If violations are
found, the information collected is used to conduct enforcement actions to ensure restitution is paid to workers of covered projects are paid proper wages under the Davis -Bacon Act.
D. CONSEQUENCES OF FAILURE TO PROVIDE INFORMATION: The Information collection is voluntary. Refusing to give information will not impact your status with your employer or the
government. Failure to provide the information will limit the ability of HUD to determine If you were paid proper wages under the Davis -Bacon Act, and will limit the ability for HUD to seek
s�.:....:.... s.........:...ts a s-.., .:.,:.,.,....:� s,......t
1 a. Project Name
2a. Employee Name
1b. Project Number
2b. Employee Phone Number (including area code)
1c. Contractor or Subcontractor (Employer)
2c. Employee Home Address & Zip Code
2d. Verification of identification?
Yes No
3a. How long on this
job?
3b. Last date on this
job before today?
3c. No. of hours last
day on this job?
4a. Hourly rate of pay?
4b. Fringe Benefits?
Vacation Yes No
Medical Yes No
Pension Yes No
4c. Pay stub?
Yes No
. Your job classification(s) (list all) --- continue in block 18 if necessary
. Your duties -- continue in block 18 if necessary
7. Tools or equipment used — continue In block 18 if necessary
. Are you an apprentice or trainee? Yes No
10. Are you paid at least time and Y2 for all hours worked in excess of 40 in a week? Yes No
9. Are you paid for all hours worked? Yes No
11. Have you ever been threatened or coerced into giving up any part of your pay? Yes No
12a. Employee Signature
12b. Date
13. Duties observed by the Interviewer (Please be specific.)
14. Remarks -- continue in block 18 if necessary
15a. Interviewer Name (Please Print)
15b. Signature of Interviewer
15c. Date of Interview
Payroll Examination
16. Remarks — continue in block 18 if necessary
17a. Signature of Payroll Examiner
17b. Date
Previous editions are obsolete Form UD -11 202
2024-R-15 39 Attachment F
Record of Employee U.S. Department of Housing and Urban Development OMB Approval No. 2501-0009
Interview Office of Davis -Bacon and Labor Standards (exn_ 12131/20241
8. Additional Remarks
Previous editions are obsolete Form p212021)
2024-R-15 40 Attachment F
City of Edgewater, Florida
104 North Riverside, Edgewater, Florida 32132
City of Edgewater
Attachment G
Worker Rights - WH -1321
Poster
To
Labor Standards Policies and
Procedures To
Labor Standards Policies and
Procedures
March 28, 2024
2024-R-15 41
WORKER RIGHTS
UNDER THE DAVIS-BACON ACT
The law
PREVAILING You must be paid not less than the wage rate listed in the Davis -Bacon Wage Decision posted
WAGES with this Notice for the work you perform.
OVERTIME You must be paid not less than one and one-half times your basic rate of pay for all hours worked
over 40 in a work week. There are few exceptions.
ENFORCEMENT Contract payments can be withheld to ensure workers receive wages and overtime pay due, and
liquidated damages may apply if overtime pay requirements are not met. Davis -Bacon wntract
clauses allow contract termination and debarment of contractors from future federal contracts for
three years. A contractor who falsifies certified payroll records or induces wage kickbacks may be
subject to civil or criminal prosecution, fines and/or imprisonment.
APPRENTICES Apprentice rates appty only to apprentices properly registered under approved Federal or State
apprenticeship programs.
RETALIATION The law prohibits discharging or otherwise retaliating against workers for filing a complaint,
cooperating in an investigation, or testifying in a proceeding under the Davis -Bacon and Related
Acts.
PROPER PAY
If you do not receive proper pay, or require further Information on the applicable wages, contact
the contracting Officer listed below:
or contact the U.S. Department of Labor's Wage and Hour Division.
�'�"•fi .fid
City of Edgewater, Florida
104 North Riverside, Edgewater, Florida 32132
City of Edgewater
Labor Standards
Non -Compliance Tracking
Sheet
To
Labor Standards Policies and
Procedures
March 28, 2024
2024-R-15 43
Ift
PROJECT NAME:
M11GCONTRACNUMBER:
MEG CONTRACT START AND END DATES:
104 North Riverside, Edgewater, Florida 32132
LABOR STANDARDS NON-COMPLIANCE TRACKING SHEET
o.W eseradaf I - Nome
Su1oD0ntmdo12-Nume
Sub{an[mdor 3 -Name
5ub{untraRor <-Nome
Sub tmctor5-Nome
Sub otrstor 5 -Name
Incumct Underpayement Improper Amount ($$$)of Calculated ($$$) Liquidated Damages Restitution Enforcement Report DOUFLCOM Incident;
P IME CONTRA Classlfiation of Hourly Rate Overtime Restitution Owed Liquidated Damages Int osed/Weived Paid Date Submitted Response Closed
Incident 1
Incident 2
Incident 3
Incident 4
Incident 5
Incident 6
Interred Underpayement Improper Amount($$$)of Calculated ($$$) Liquidated Damages Restitution Enfercemem Report DOI/FLCOM Incident
SUB-CONTRACON-1 tlassifiotbn of Hourly Rate Oveimme Restitution owed Liquidated Damages Imposed/Welved Paid Date Submitted Response Closed
Intltlent 1
nddent 2
Incident 3
Incorrect UndeMayement Improper Amount ($$$)of Calculated ($$$) Liquidated Damages Restitution Enforcement Repo" DOUFWOM Incident
$UB{ONTMCOR-2 tlassiflatbn of Hourly Rate Overtime Restitution Owed Uqunoted Damages Imposed/Walved Paid Date Submitted Response Close!
nddent 1
nddent 2
Incident 3
Incemed Undelpaysment Improper Amount($$$)of Calculated ($$$) Liquidate! Demagas Restltullon Enforcement Report DOUFLCOM Incident
SUB{ONIAACOR-3 Classification of Hosed Rete Overtime Restitution Owed Liquidated Damages ImPosed/Wslved Paid Data Submitted Response Closed
IncMent 1
Inddent 2
Incident 3
Incorrect Underpayement Improper Amount ($$$)of Calculated($$$) Liquidated Damages Restitution Entomement Report DOUFLCOM Incident
SUB-CONTRACORd Classlcaftkn of Houdy Rate Overtime Restitution Owed Liquidated Damages Imposed/Waived Paid Date Submitted Response Closed
ncWent
Inckent 2
Incident 3
Incorrect Undespavement Improper Amount($$$)of Calculated ($$$) Liquidated Damages RestlMion Enforoement Repo" DOL/FLCOM Incident
I$VB2ONTEAUOR- tlassigation of Hourly Rate Overtime Restitution Owed Uquideted Damages Imposed/Walved Pald Date Submitted Response Closed
dent I
Incident 2
Incident 3
Inoerect Underpayement Improper Amount(M)of Calculated ($$$) Liquidated Damages Restitution Enforcement Repo" DOUfLCOM Incident
SUB-CONTRACTOR4 tlassir son of Hourly Rate Overtime ReseRution Owed Liquidated Damages Imposed/Welveal Paid Dale Submitted Response Closed
.dent 1
ndd nt 2
Incident 3
2024 R-15 44