Last Updated: Mar 27, 2020,2: pm Mar 27, 2020,2: pm

Division Of Occupational Safety, 19 Staniford Street, 2nd Floor, Boston, Ma 02114

In accordance with Massachusetts General Law c. 149, §27B, a true and accurate record
must be kept of all persons employed on the public works project for which the enclosed rates
have been provided. A Payroll Form has been printed on the reverse of this page and includes
all the information required to be kept by law. Every contractor or subcontractor is required to
keep these records and preserve them for a period of three years from the date of completion of
the contract.

In addition, every contractor and subcontractor is required to submit a copy of their
weekly payroll records to the awarding authority. For every week in which an apprentice is
employed, a photocopy of the apprentice’s identification card must be attached to the payroll
report. Once collected, the awarding authority is also required to preserve those records for three
years.

In addition, each such contractor, subcontractor, or public body shall furnish to the
awarding authority directly, within fifteen days after completion of its portion of the work a
statement, executed by the contractor, subcontractor or public body who supervises the payment
of wages, in the following form:

Form Link Pending
(Brockton version)  
http://www.brockton.ma.us/docs/default-source/procurement-postings/payroll-compliance-statement.pdf?sfvrsn=0

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