New York City
School Construction Authority
DAILY SIGN-OUT LOG MAIL CERTIFICATION
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TO: |
SCA Project Officer |
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___________________ |
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FROM: |
_____________________________________________________________ |
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(Contractor name & Address) |
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_____________________________________________________________ |
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_____________________________________________________________ |
RE: |
SCA Contract # |
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Solicitation # _________________ |
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Description/School: _____________________________________________ |
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Location: _____________________________________________________ |
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Corresponding to Request For Payment # __________ Dated: ________ |
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RFP Time Period: From |
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to ____________________ |
I ___________________________________ hereby certify that the complete and correct
original SCA Daily Sign-Out Logs for the Contractor and its subcontractor(s) for the
above referenced job and time period have been mailed to the following address:
NYC School Construction Authority Labor Law Compliance Post Office Box 1897
Long Island City, NY 11101-0897
The Logs were separated by each Contractor and/or subcontractor and placed in date order. Photocopies of all Daily Sign-Out Logs that were mailed are being maintained and are available for inspection.
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Officer’s Signature |
Date |
Subscribed and sworn to before me |
(Only an OFFICER of the firm may sign) |
this ______ day of ___________, 20____. |
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Notary Public |
Commission Expires

A copy of this completed form must be included with the ORIGINAL Daily Sign-Out Logs sent to the P.O. Box.