Updated March 2024
[Letterhead of Firm]
COMPLIANCE WITH DAVIS BACON LABOR STANDARDS
The financing package Minnesota Housing selected the referenced project for has triggered federal Davis-Bacon and Related Acts (DBRA) labor requirements as the federal funds require 12 or more HOME assisted units. The owner was required to certify compliance with the provisions of DBRA throughout project construction. After substantial completion, the owner is required to certify overall compliance with the provisions of DBRA.
Instructions: Fill in the information in red. Change all text to black, remove instructions, remove updated date, remove Minnesota Housing logo and print on your letterhead. Upload a completed and signed copy to the Post-Construction Due Diligence checklist in the Multifamily Customer Portal.

[Month 00, 20XX]

Mr. James Lehnhoff
Assistant Commissioner, Multifamily
Minnesota Housing Finance Agency
400 Wabasha St. N
Suite 400
St. Paul, MN 55102

RE:	HOME Program
Compliance with Davis Bacon Labor Standards
[Project Address]
[General Contractor]
Date of Substantial Completion: [insert date]
Dear Mr. Lehnhoff,
I hereby certify that, to the best of my knowledge and belief, all Davis Bacon Labor Standards Requirements have been met on the referenced project. In addition, I hereby certify that:
1.	A complete list of all subcontractors and lower-tiered subcontractors who at any time worked on this project, along with the starting and completion dates for each subcontractor (not including subcontractors who supplied materials only), has been submitted to Minnesota Housing.
2.	Payroll reports for all weeks that each of these subcontractors worked on this project have been submitted to Minnesota Housing.
3.	Payroll reports for each week the general contractor worked on this project have been submitted to Minnesota Housing.
4.	All payroll reports have been reviewed for compliance with the Labor Standards Requirements, and wages paid comply with the prevailing wage decision.
Table 1: Davis Bacon Labor Standards Requirements
Requirement	Yes	No	N/A	
HUD 4010 (Labor Standards Provisions) included in specifications/contracts?				
Wage Decision Number and modifications included in specifications/contracts?
List decision number and modification number and date:      				
Contractor/subcontractor certifications received?				
Payrolls reviewed and approved?				
Employee interviews compared to payroll submissions?				
Labor Standards non-compliance resolved?				
Restitution recovered for affected employee(s)?				
All known restitutions reported?				

Sincerely,
[Owner/Borrower signature]
[Owner/Borrower name]
[Owner/Borrower Title]