PAGE 1 | POST-CONSTRUCTION WORKFORCE AFFIDAVIT V. 11.2024 DWES
1. Project Sponsor’s Information
Name:
Department of Workplace and
Employment Standards (DWES)
250 Frank H. Ogawa Plaza, Suite 3341
Oakland, CA 94612
Email:
Address:
Telephone:
2. Property Information and Related Applications
Project Address:
Block/Lot(s):
Building Permit Application No(s):
Number of Residential Units: Number of SQ FT Commercial Space:
Height / Number of Floors: Total Construction Cost:
Construction Completion Date:
3. Construction Workforce Information
YES NO
A. Were employee wages consistent with area Prevailing Wage? B. Did the awarded contractor(s) participate in an apprenticeship program approved by the State of California’s Department of Industrial Relations? C. Were workers provided employer-sponsored health care benefits? D. Did workers need to provide their own tools to work on the project? E. How many City of Oakland residents were hired?
POST-CONSTRUCTION
Affidavit for
Construction Workforce
Submit Within Six Months of Construction Completion (OMC 15.80.030 C.D.) Required for all newly constructed buildings having at least one hundred (100) residential dwelling units or one hundred thousand (100,000) square feet of new non-residential floor area.
DRAFT
Attachment C
PAGE 2 | POST-CONSTRUCTION WORKFORCE AFFIDAVIT V. 11.2024 DWES
4. Construction Workforce Projections
Please provide the number of employees from each construction trade that were used on the project, and indicate how many were entry and/or apprentice level as well as the journeyman wages paid for these positions.
5. Construction Contractors
Please provide the name, scope of work, address, and contract value for all the construction contractors that were used on this project:
NAME OF CONTRACTOR SCOPE OF WORK ADDRESS FINAL
CONTRACT
VALUE
TRADE/CRAFT JOURNEYMAN
WAGE
# APPRENTICE
POSITIONS
# TOTAL
POSITIONS
Abatement
Laborer
Boilermaker
Bricklayer
Carpenter
Cement
Mason
Drywaller/
Latherer
Electrician
Elevator
Constructor
Floor Coverer
Glazier
Heat & Frost
Insulator
Ironworker
TOTAL:
TRADE/CRAFT JOURNEYMAN
WAGE
# APPRENTICE
POSITIONS
# TOTAL
POSITIONS
Painter
Pile Driver
Plasterer
Plumber and
Pipefitter
Roofer/
Waterproofer
Sheet Metal
Worker
Sprinkler
Fitter
Taper
Tile Layer/
Finisher
Other:
TOTAL:
Other:
Other:
Laborer
Operating
Engineer
DRAFT
PAGE 3 | POST-CONSTRUCTION WORKFORCE AFFIDAVIT V. 11.2024 DWES
DECLARATION OF SPONSOR OF PRINCIPAL PROJECT
PRINT NAMEAND TITLE OF AUTHORIZED REPRESENTATIVE EMAIL PHONE NUMBER
I HEREBY DECLARE UNDER PENALTY OF PERJURY THAT THE INFORMATION PROVIDED HEREIN IS
ACCURATE TO
THE BEST OF MY KNOWLEDGE.
(SIGNATURE OF AUTHORIZED REPRESENTATIVE) (DATE)
FOR PLANNING DEPARTMENT STAFFONLY: PLEASE EMAIL AN ELECTRONIC COPY OF THE COMPLETED
CONSTRUCTION WORKFORCE AFFIDAVIT TO THE DEPARTMENT OF WORKPLACE AND EMPLOYMENT STANDARDS (DWES) –
PLEASE EMAIL AN ELECTRONIC COPY OF THIS COMPLETED POST-CONSTRUCTION WORKFORCE AFFIDAVIT WITHIN SIX
MONTHS OF CONSTRUCTION COMPLETION TO THE DEPARTMENT OF WORKPLACE AND EMPLOYMENT STANDARDS (DWES) AT [email protected].
oaklandca.gov/departments/workplace-employment-standards
NAME OF CONTRACTOR SCOPE OF WORK ADDRESS FINAL
CONTRACT
VALUE
5. Construction Contractors (continued)
Please provide the name, scope of work, address, and contract value for all the construction contractors that were used on this project:
NAME
DRAFT