including fringe benefits, is required to be paid for overtime hours pursuant to ORS 279C.540). Generally, <br />use the appropriate prevailing wage rates in effect at the time the contract was first advertised for bid by the <br />public agency. If this date is not known, or if the project was not advertised for bid, contact the public agency <br />(owner) associated with the project for assistance with applicable rates. <br />Column 6 - HOURLY FRINGE BENEFIT AMOUNT PAID AS WAGES TO THE EMPLOYEE: Enter hourly <br />fringe benefit amounts paid directly to the employee as wages. (For overtime hours worked, it is not <br />necessary to pay time and one half for the fringe benefit portion of the prevailing wage rate.) <br />Column 7 - GROSS AMOUNT EARNED- Enter the gross amount earned for work on the PWR project <br />during the week. If part of the employee's wages for the pay period were earned on projects other than the <br />project described on the WH-38, or if the employee is paid less often than on a weekly basis, enter in column <br />7 first the gross amount earned on the PWR project for the week, then the total gross amount earned for the <br />pay period. For example: $567.84 / $1,267.27. <br />Column 8 - ITEMIZED DEDUCTIONS FICA FED STATE ETC.: Enter deductions withheld from wages for <br />the pay period 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). For projects subject to the Davis-Bacon Act, itemize the deductions. <br />Column 9 - NET WAGES PAID: Enter the total amount of net wages actually paid to the employee for the <br />pay period. This figure can be calculated by subtracting the total deductions reported in Column 8 from the <br />gross amount of wages for the pay period reported in the bottom portion of 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, <br />for each employee. List these amounts separately on the lines provided. Any contractor who is making <br />payments to approved parties, plans, funds or programs in amounts less than the required 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. For information on how to calculate hourly fringe benefit credits, <br />see Appendix A in the Bureau of Labor and Industries' publication "Prevailing Wage Rate Laws" handbook. <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 classification listed in column 2, compute the sum of: <br />a) the hourly base rate of pay shown in Column 5, <br />b) the hourly fringe benefit amount paid as wages to employee shown in Column 6, and <br />c) the hourly fringe benefits paid to benefit party, plan, fund or program shown in Column 10. <br />2. This sum must equal or exceed the total of the hourly base rate (including zone pay) and the <br />hourly fringe benefit rate for that classification as listed in the appropriate issue of the Bureau of <br />Labor and Industries publications Prevailing Wage Rates for Public Works Contracts in Oregon, <br />or in the Prevailing Wage Rates for Public Works Contracts Subiect to BOTH the State PWR and <br />Federal Davis-Bacon Act, if applicable. <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) 673-0838. <br />NOTE: PAYROLL/CERTIFIED STATEMENTS ARE ONLY REQUIRED TO BE SUBMITTED TO THE <br />PUBLIC AGENCY ASSOCIATED WITH THE PROJECT. <br />CERTIFIED PAYROLL AND OTHER FORMS ARE AVAILABLE ON OUR WEBSITE: <br />WWW.OREGON.GOV/BOLT <br />WH-38A (Rev. 11/09) <br />