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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-Bacori Act.) <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 />payments to approved parties, plans, funds or programs on amounts less than the reauired hourly fringe <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 />For each trade classification listed in column 2, compute the sum of: <br />a) the Base Hourly Rate 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 />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 Subject to 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.i2/06) <br />