PrevailingWagePayrollForm.pdf

PDF 128 KB Posted Jan 18, 2011

Attached to: Janitorial Services for the Deer Island Treatment Plant
Solicitation number: S123414-vCurrent
Issued by: Suffolk County, Winthrop Town City, Massachusetts

About this file

Written by GovTribe AI · Aug 26, 2024

This document is a Massachusetts Weekly Certified Payroll Report Form used for public works projects. It is required to be submitted by all contractors and subcontractors to the awarding authority for the project. The form captures key information such as the company name, address, and tax ID number, the contract number, the work week ending date, the public works project name and location, the general/prime contractor and subcontractor names, and details on each employee including their name, work classification, hours worked, hourly base wage, fringe benefit contributions, total prevailing wage, and gross wages. The form is used to ensure compliance with Massachusetts prevailing wage laws and must be submitted on a weekly basis.

The form provides a standardized format for contractors to report on labor costs and compliance with prevailing wage requirements for public works projects in Massachusetts. It requires detailed reporting on each employee's work hours, wages, and benefits to verify that the proper prevailing wage rates are being paid as mandated by state law. Failure to submit this form accurately and on time can result in penalties and legal action against the contractor.

View the file

Other files

File	Type	Posted
EXHIBITASQFootage.pdf	PDF	Jan 18, 2011
EXHIBITBDirections.pdf	PDF	Jan 18, 2011
PART6GENERALCONDITIONS.pdf	PDF	Jan 18, 2011
PrevailingWageNotice.pdf	PDF	Jan 18, 2011
WRA-3233QandA.pdf	PDF	Jan 18, 2011
PrevailingWageRates.pdf	PDF	Jan 18, 2011
EXHIBITCSafety.pdf	PDF	Jan 18, 2011
RFBPart1.pdf	PDF	Jan 18, 2011
PrevailingWageCompliance.pdf	PDF	Jan 18, 2011
S123414-vCurrent_OD.xlsx	XLSX spreadsheet	Jan 18, 2011

On GovTribe

Work with this file

Download the original file
Contacts named in this file
Similar government files
Ask GovTribe AI about this file

Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

MASSACHUSETTS WEEKLY CERTIFIED PAYROLL REPORT FORM

Company's Name: Address: Phone No.: Payroll No.:

Employer's Signature: Title: Contract No: Tax Payer ID No. Work Week Ending:

Awarding Authority's Name: Public Works Project Name: Public Works Project Location: Min. Wage Rate Sheet No.

General / Prime Contractor's Name: Subcontractor's Name: "Employer" Hourly Fringe Benefit Contributions

(B+C+D+E) (A x F)

Employee Name & Complete Address

Employee is

OSHA 10

Certified (?) Work Classification:

Appr.

Rate (%) Su. Mo. Tu. We. Th. Fr. Sa.

All Other Hours

Hourly Base Wage

(B)

Health & Welfare

Insurance (C')

ERISA

Pension Plan

(D)

Supp.

Unemp.

(E)

Total Hourly Prev. Wage

(F) Total Gross

Wages Check No.

(H)

Pursuant to MGL Ch. 149 s.27B, every contractor and subcontractor is required to submit a "true and accurate" copy of their weekly payroll records directly NOTE:

to the awarding authority. Failure to comply may result in the commencement of a criminal action or the issuance of a civil citation.

Date recieved by awarding authority

Page of / /

Hours Worked

Project Gross Wages

(G)

Project Hours

(A)

Draft 2

Companys Name:, Row 1:

Address:, Row 1:

Phone No:, Row 1:

Payroll No:, Row 1:

Employers Signature:, Row 1:

Title:, Row 1:

Contract No:, Row 1:

Tax Payer ID No, Row 1:

Work Week Ending:, Row 1:

Awarding Authoritys Name:, Row 1:

Public Works Project Name:, Row 1:

Public Works Project Location:, Row 1:

Min Wage Rate Sheet No, Row 1:

General Prime Contractors Name:, Row 1:

Subcontractors Name:, Row 1:

Su, Row 2:

Mo, Row 2:

Tu, Row 2:

We, Row 2:

Th, Row 2:

Fr, Row 2:

Sa, Row 2:

Work Classification:, Row 1:

Su, Row 1:

Mo, Row 1:

Tu, Row 1:

We, Row 1:

Th, Row 1:

Fr, Row 1:

Sa, Row 1:

Work Classification:, Row 2:

Su, Row 3:

Mo, Row 3:

Tu, Row 3:

We, Row 3:

Th, Row 3:

Fr, Row 3:

Sa, Row 3:

Su, Row 4:

Mo, Row 4:

Tu, Row 4:

We, Row 4:

Th, Row 4:

Fr, Row 4:

Sa, Row 4:

Work Classification:, Row 3:

Su, Row 5:

Mo, Row 5:

Tu, Row 5:

We, Row 5:

Th, Row 5:

Fr, Row 5:

Sa, Row 5:

Su, Row 6:

Mo, Row 6:

Tu, Row 6:

We, Row 6:

Th, Row 6:

Fr, Row 6:

Sa, Row 6:

Work Classification:, Row 4:

Su, Row 7:

Mo, Row 7:

Tu, Row 7:

We, Row 7:

Th, Row 7:

Fr, Row 7:

Sa, Row 7:

Su, Row 8:

Mo, Row 8:

Tu, Row 8:

We, Row 8:

Th, Row 8:

Fr, Row 8:

Sa, Row 8:

Work Classification:, Row 5:

Su, Row 9:

Mo, Row 9:

Tu, Row 9:

We, Row 9:

Th, Row 9:

Fr, Row 9:

Sa, Row 9:

Su, Row 10:

Mo, Row 10:

Tu, Row 10:

We, Row 10:

Th, Row 10:

Fr, Row 10:

Sa, Row 10:

Work Classification:, Row 6:

Su, Row 11:

Mo, Row 11:

Tu, Row 11:

We, Row 11:

Th, Row 11:

Fr, Row 11:

Sa, Row 11:

Su, Row 12:

Mo, Row 12:

Tu, Row 12:

We, Row 12:

Th, Row 12:

Fr, Row 12:

Sa, Row 12:

Work Classification:, Row 7:

Su, Row 13:

Mo, Row 13:

Tu, Row 13:

We, Row 13:

Th, Row 13:

Fr, Row 13:

Sa, Row 13:

Su, Row 14:

Mo, Row 14:

Tu, Row 14:

We, Row 14:

Th, Row 14:

Fr, Row 14:

Sa, Row 14:

Date recieved by awarding authority:

Apprentice Rate - Row 4:

Apprentice Rate - Row 5:

Apprentice Rate - Row 6:

Apprentice Rate - Row 7:

C3:

C2:

D7:

D6:

D5:

D4:

D3:

D2:

D1:

B2:

B3:

B4:

B5:

B6:

B7:

H7:

H6:

H5:

H4:

H3:

H2:

H1:

A1 - Project Hours, Row 1:

A2 - Project Hours, Row 2:

A3 - Project Hours, Row 3:

A4 - Project Hours, Row 4:

A5 - Project Hours, Row 5:

A6 - Project Hours, Row 6:

A7 - Project Hours, Row 7:

All Other Hours, Row 1:

All Other Hours, Row 2:

All Other Hours, Row 3:

All Other Hours, Row 4:

All Other Hours, Row 5:

All Other Hours, Row 6:

All Other Hours, Row 7:

G1 - Project Gross Wages, Row 1:

G2 - Project Gross Wages, Row 2:

G3 - Project Gross Wages, Row 3:

G4 - Project Gross Wages, Row 4:

G5 - Project Gross Wages, Row 5:

G6 - Project Gross Wages, Row 6:

G7 - Project Gross Wages, Row 7:

Total Gross Wages, Row 1:

Total Gross Wages, Row 2:

Total Gross Wages, Row 3:

Total Gross Wages, Row 4:

Total Gross Wages, Row 5:

Total Gross Wages, Row 6:

Total Gross Wages, Row 7:

Employee Name & Complete Address, Row 3:

Employee Name & Complete Address, Row 2:

Employee Name & Complete Address, Row 1:

Employee Name & Complete Address, Row 4:

Employee Name & Complete Address, Row 7:

Employee Name & Complete Address, Row 6:

Employee Name & Complete Address, Row 5:

Apprentice Rate - Row 1:

Apprentice Rate - Row 2:

Apprentice Rate - Row 3:

B1:

C1:

E1:

C4:

C6:

E2:

E4:

E5:

E6:

E7:

F1:

F2:

F3:

F4:

F5:

F6:

F7:

E3:

C7:

Check Box205: Off

Check Box206: Off

Check Box207: Off

Check Box208: Off

Check Box209: Off

Check Box210: Off

Check Box211: Off

C5:

File details come from the government source that posted it. Updated Aug 26, 2024.