New York City
School Construction Authority
DAILY SIGN-OUT LOG MAIL CERTIFICATION
|  |  |  |  |  |  |  |  | 
| TO: | SCA Project Officer |   | ___________________ |   | 
| FROM: | _____________________________________________________________ | 
|   | (Contractor name & Address) |   |   |   | 
|   | _____________________________________________________________ | 
|   | _____________________________________________________________ | 
| RE: | SCA Contract # |   | Solicitation # _________________ | 
|   | Description/School: _____________________________________________ | 
|   | Location: _____________________________________________________ | 
|   | Corresponding to Request For Payment # __________ Dated: ________ | 
|   | RFP Time Period: From |   |   | 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.
| ____ |   |   | 
| Officer’s Signature | Date | Subscribed and sworn to before me | 
| (Only an OFFICER of the firm may sign) | this ______ day of ___________, 20____. | 
|   |   | 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.
 A copy of this completed form must be included with the ORIGINAL Daily Sign-Out Logs sent to the P.O. Box.