GJN4524 Babb Const Contract 2010-00002

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O F p N. .z j •859 BUREAU OF LABOR AND INDUSTRIES PREVAILING WAGE RATE UNIT INSTRUCTIONS FOR COMPLETING THE PREVAILING WAGE RATE 4 PAYROLL/CERTIFIED STATEMENT FORM This form ma be used b contractors for re ortin their a roll as re uired b ORS 279C.845 on ublic Y Y p 9 pY q Y p j works projects subject to the Prevailing Wage Rate Law. Although this form has not been officially approved by the USDOL, it is designed to meet the requirements of the federal Davis-Bacon Act as well. The form ~ contains a certified statement that is required to be signed by the contractor, certifying the accuracy of the information reported on the payroll, including representations pertaining to the provision of fringe benefits to 'I employees by third parties. Contractors are not required to use this form in reporting their payroll; however, the contractor .must provide all of the information contained in the form, and the certified statement must be signed and submitted with the contractor's payroll. Detailed instructions concerning the preparation of the ' form follow` Complete the box at the top of the form. Check either the prime contractor or subcontractor box. Be sure to enter the date ,the contract was first advertised for bid. If you are not sure of this date, contact the Public j Contracting Agency. Column 1 -NAME. ADDRESS AND SOCIAL SECURITY NUMBER OF EMPLOYEE: The employee's full name must be shown on each payroll submitted. The employee's address (and the social security number. on Davis-Bacon projects only) must also be shown on the first payroll submitted. The address need not be shown on subsequent payrolls submitted unless the address changes. Column 2 -TRADE CLASSIFICATIONS: List the classification found in the Bureau of Labor and Industries' publication "Prevailing Wage Rates for Public Works Contracts in Oregon," that is most descriptive of the work actually performed by the employee. Give the group number for those worker classifications that include such information. Consult the worker classifications and minimum prevailing wage rate schedule set forth in the contract specifications. Use the appropriate prevailing wage rates in effect at the time the contract was first advertised for bid for information regarding trade classifications, base hourly rates, and .hourly fringe benefits. Indicate which workers are apprentices, if an ,and ive their current ercenta e, Y 9 p g trade classification, and group number when applicable. If an employee works in more than one worker classification, use the highest rate for all hours worked, or use separate line entries to show hours worked, rate of pay, and fringe benefit for each classification. Column 3 -DAY AND DATE: Enter the day of the week (M, T, W, Th, F, S, and Sn) in the top- row of boxes, . and the corresponding date below. HOURS WORKED EACH DAY: Enter the total number of "straight time" hours worked in the row marked "S". Hours worked over 8 in a day or work performed on Saturdays, Sundays, and. legal holidays should be entered as overtime ("OT") hours worked. Contractors who have adopted a written work schedule of four consecutive ten-hour days, Monday through Thursday or Tuesday through Friday may enter hours worked over 10 in a day as overtime hours. Column 4 -.TOTAL HOURS: Enter separately the total number of straight time and overtime hours worked by each listed employee and classification during this pay period. The total number of straight time hours worked should be entered in the lower box ("S"); the total number of overtime hours worked should be entered in the top box ("OT"). Column 5 -BASE HOURLY RATE OF PAY: Enter the base hourly rate and the overtime hourly rate (if any) paid the employee in the appropriate straight time and overtime boxes. (Payment of not less than one and one half times the base or regular rate of pay, not including fringe benefits, is required to be paid in overtime pursuant to ORS 279C.540). _ _ _