Prevailing Wage Rates Determination Request
 

 
 Prevailing Wage Rates Determination Request
All fields are required
Project Information
County Location
of Project:
Estimated
Project Cost:		 (Must be greater than $25,000 -- Prevailing Wages are not provided for projects under $25,000 -- They are not needed for projects less than $25,000)
Funds to be
furnished?		 Will the Federal Government or any of its agencies furnish funds and require Federal Prevailing Wages to be used on your contract (such as loans or grants) or will a Federal Agency prescribe a schedule of Prevailing Wage Rates? If so, please go to Federal Davis-Bacon Funds.
Project Name: 
(Descriptive Name)
General Description:
Project Locality:
Administrator/
Awarding Agency:
Administrator/Awarding
Agency Contact:
Administrator/Awarding
Agency Telephone:
(XXX-XXX-XXXX)
General Directions
to Project:
Award Date: 
(mm/dd/yyyy)
Proposed Start Date: 
(mm/dd/yyyy)
Estimated Completion
Date:  (mm/dd/yyyy)
Contact Information
Name:        
Title:  
Telephone:
 (XXX-XXX-XXXX)
E-mail:  
Address 1:  
Address 2:
City:   State:   Zip: -
        
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