WRA3342pw-payroll.pdf

PDF 128 KB Posted Aug 4, 2011

Attached to: PROVIDE SERVICES TO PATCH PLUG MILL CHUTES AT THE DEER ISLAND TREATMENT PLANT
Solicitation number: S125793-vCurrent
Issued by: Suffolk County, Woburn City, Massachusetts

About this file

Written by GovTribe AI · Aug 26, 2024

This document is a Massachusetts Weekly Certified Payroll Report Form for a public works construction project. The form is to be completed by the general/prime contractor or subcontractor and submitted to the awarding authority. It includes information such as the contractor's name, address, and tax ID number, the public works project name and location, the minimum wage rate sheet number, and the work classifications and hours worked by each employee. The form also requires the reporting of fringe benefit contributions, total gross wages, and check numbers for each employee.

The form is used to ensure compliance with Massachusetts General Laws Chapter 149 Section 27B, which requires contractors and subcontractors to submit accurate weekly payroll records for public works projects. Failure to comply may result in criminal action or civil citations. The information provided on this form is critical for the awarding authority to verify that workers are being paid the prevailing wage rates required for the project.

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Other files

File	Type	Posted
S125793-vCurrent_OD.xlsx	XLSX spreadsheet	Aug 4, 2011
WRA3342PrevailingWageLawNOTICETOAUTH.pdf	PDF	Aug 4, 2011
WRA3342pwcompliance.pdf	PDF	Aug 4, 2011
3342PUGMILLCHUTES.pdf	PDF	Aug 4, 2011
pwbid3342.pdf	PDF	Aug 4, 2011

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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.