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TO (Appropriate Recipients): <br />CONTRACT NUMBER (if any) <br />243230-6590/43005 <br />PROJECT NAME <br />1. The undersigned, having executed a contract with mo for <br />(Nature of Work) <br />in the amount of $ in the <br />construction of the above -identified project, certifies that: <br />(a) The Labor Standards Provisions of The Contract For Construction are included in the aforesaid <br />contract. <br />(b) Neither he nor any firm, corporation, partnership or association in which he has a substantial interest <br />is designated as an ineligible Contractor by the Comptroller General of the United States pursuant to <br />Section 5.60(b) of the Regulations of the Secretary of Labor, Part 5 (29 CER, Part 5), or pursuant to <br />Section 3(a) of the Davis -Bacon Act, as amended (40 U.S.C. 276a-2(a)). <br />(e) No part of the aforementioned contract has been or will be subcontracted to any subcontractor if such <br />subcontractor or any firm, corporation, partnership or association in which such subcontractor has a <br />substantial interest is designated as an eligible Contractor pursuant to any of the aforementioned <br />regulatory or statutory provisions. <br />2. He agrees to obtain and forward to the Contractor, for transmittal to the recipient, within ten days after the <br />execution of any lower subcontract, a Subcontractor's Certification Concerning Labor ' Standards and <br />Prevailing Wage Requirements, executed by the lower tier subcontractor, in duplicate. <br />(a)The workmen will report for duty on or about <br />(Date) <br />He certifies that: <br />(a) The legal name and the business address of the undersigned are: <br />The undersiis: <br />(1) A SINGLE PROPRIETORSHIP (3) A CORPORATION ORGANIZED IN <br />I THE STATE OF <br />(2) A PARTNERSHIP 1(4) OTHER ORGANIZATION (Describe) <br />RM <br />