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Column 6 -HOURLY FRINGE BENEFIT AMOUNT. PAID AS WAGES TO THE EMPLOYEE: Enter any <br /> additional wages paid directly to the employee in lieu of fringe benefits. (It is not necessary to pay time and a <br /> half for overtime work on those wages that are paid in lieu of fringe benefits.) <br /> Column 7 -GROSS AMOUNT EARNED: Enter gross amount earned on this project. If part of the <br /> employees' weekly wages were earned on projects other than the project described on this payroll, enter in <br /> column 7 first the amount earned on the PWR project then the gross amount earned during the week on all <br /> projects, thus $63.00/$120.00. <br /> Column 8 -ITEMIZED DEDUCTIONS FICA FED STATE ETC.: Enter a list of itemized deductions <br /> withheld from the wages of each. employee for only those hours reported on this payroll/certified statement <br /> for this project. All deductions must be in accordance with the provisions of ORS 652.610 (and as defined in <br /> Regulations, Part 3 (29 CFR Subtitle A), issued by the Secretary of Labor under the Copeland Act, as <br /> amended (48 Stat. 948, 63 Stat. 108, 72 Stat. Stat. 967, 76 Stat. 357; 40 U.S.C 276c) on projects subject to <br /> Davis-Bacon Act.) <br /> i <br /> Column 9 -NET WAGES PAID FOR WEEK: Enter the total amount of net wages actually paid to the <br /> employee after subtracting the total deductions reported in Column 8 from the gross amount earned shown <br /> in Column 7. <br /> Column 10 -HOURLY FRINGE BENEFITS PAID TO BENEFITS PARTY PLAN FUND OR PROGRAM: <br /> Enter the hourly amount of fringe benefits paid to each individually approved party, plan, fund or program for <br /> each employee. List these amounts separately on the lines provided. Any contractor who is making <br /> <br /> _ payments to approved parties, plans, funds or programs on amounts less than the required hourly frincte <br /> benefit is obligated to pay the difference directly to the employee as wages in lieu of fringe benefits, and to <br /> show that amount in Column 6 of this form. <br /> Column 11 -NAME ~OF BENEFIT PARTY PLAN FUND OR PROGRAM: Enter the name of the party, <br /> plan, fund or program that corresponds to the amount paid as an hourly fringe benefit in Column 10. <br /> CALCULATION CHECK <br /> In order to determine whether the wages and fringe benefits paid are sufficient to meet prevailing wage rate <br /> requirements, the following check may be performed: <br /> 1. For each trade classification listed in column 2, compute the sum of: <br /> a) the Base HourlyRate of Pay (Column 5), <br /> b) the Hourly Fringe Benefit Amount Paid as Wages to Employee (Column 6) <br /> c) and the Hourly Fringe Benefits Paid to Benefit Party, Plan, Fund or Program (Column 10). <br /> 2. This sum must equal or exceed the total of the Base Hourly Rate (including zone pay and <br /> special wage differentials, if any) and the Fringe Benefit Amount as they are listed for the <br /> corresponding trade classifications in the appropriate issue of the Bureau of Labor and Industries <br /> publications Prevailing Wage Rates for Public Works Contracts in Oregon and Prevailing Wage <br /> Rates for Public Works Contracts Subiecfto BOTH the State PWR and Federal Davis-Bacon <br /> Act. <br /> IF YOU HAVE QUESTIONS REGARDING COMPLETION OF THIS FORM, CONTACT THE PREVAILING <br /> WAGE RATE UNIT OF THE BUREAU OF LABOR AND INDUSTRIES AT (971) 673-0852. <br /> NOTE: PAYROLL/CERTIFIED STATEMENTS ARE. REQUIRED TO BE SUBMITTED TO THE <br /> CONTRACTING AGENCY ONLY. <br /> CERTIFIED PAYROLL AND OTHER FORMS ARE AVAILABLE ON OUR WEBSITE: <br /> WWW.OREGON.GOV/BOLT <br /> WH-38A (Rev.12/06) <br /> _ _ <br /> <br />