The Prevailing Wage Rates that accompany this Official Wage Rate Determination would only apply (be valid) when the contract award date is the same date as the Determination Date (the date this application is filed). If the contract award date precedes the Determination Date, you must go to the archive rates for the applicable rates to use for the project (the correct date to use would be the date just prior to the date the contract was awarded).
Date of Determination
NAME AND ADDRESS OF PUBLIC BODY AWARDING THE CONTRACT
* Name * FEIN
  Street
* City
State Project No.
Zip    
 
NAME AND ADDRESS OF REQUESTING OFFICER
* First Name * Last Name MI
Title Phone No. -   Ext.
*IMPORTANT: Confirmation Details will be emailed to entered address.
*Company Name * Email
Street * City
State    
Zip    
 
NAME AND ADDRESS OF CONTRACTOR WHO IS BEING AWARDED THE CONTRACT
*Company Name FEIN
Contact First Name Contact Last Name MI
Street City
State Contract Amount  $
Zip    
 
LOCATION WHERE WORK WILL BE PERFORMED
 
Street * City
 
DESCRIPTION OF WORK
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New Jersey Department of Labor and Workforce Development - Division of Wage and Hour Compliance