CONSTRUCTION REPORT SAMPLES - The #1 Payroll Service Just .

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The #1 Payroll Service for ContractorsCONSTRUCTIONREPORT SAMPLESIncludingState-Specific Certified Payroll EEO Minority Compliance Workers’ Compensation Certified Payroll New Hire Union

a payroll service just for construction 800-949-9620A different kind of payroll service.Let’s face it processing construction payroll isn’t easy. And manually preparing all of the reportsthat go along with it is even more difficult. That’s why we created a different kind of payroll service.Payroll4Construction.com is a payroll service just for construction known for its FREE certifiedpayroll and construction reporting.Payroll4Construction.com offers contractors the following benefits: FREE Construction Reporting – see samples in this book Tracks multiple states, jobs, localities, unions, and pay rates Offers typical payroll processing – paychecks, direct deposit, taxes, and W2s Plus an integration feature for QuickBooks and other accounting software packagesThe reports contained in this “Report Book”are a small sampling of the reports provided byPayroll4Construction.com; for more information,feel free to contact us at 800-949-9620.foundation**************

a payroll service just for construction 800-949-9620Table of ContentsPayroll4Construction.com Report Samples (more reports avaliable upon request)Certified Payroll1State-Specific Certified Payroll3Union5Proofing7New Hire9EEO Minority Compliance10Workers’ Compensation11Variance13Job Labor14Job Costing15

Certified Payroll Reporta payroll service just for construction 800-949-9620Certified Payroll(For Contractor's Optional Use; See Instructions, Form WH-347 Inst.)U.S. Department of LaborEmployment Standards AdministrationWage and Hour DivisionPayroll No.291(5)(4) DAY AND DATE(3)Name, Address, andSocial Security Numberof Employee# ofW/HExmpWorkClassificationStevens, Rick L7451 East 56th AvenueCleveland, OH 44132xxx-xx-9549S1Cashman, Arthur A306 Cavanaugh HallCleveland, OH 44132xxx-xx-1269S0OperatorsForemanOT1REGBrandon, Michael A123 AbbotBerea, OH 44123xxx-xx-9856M0LaborerOT1REGElectricianProject or Contract No.Project and Location97021 - Lake County Truss RebuildFor Week Ending07/31/11(2)(1)OMB No.:Expires:Addressor SubcontractorName of Contractor XFoundation ContractingEarnCodeOT1REGMON TUE WED THU FRISAT SUN07/25 07/26 07/27 07/28 07/29 07/30 07/31HOURS WORKED EACH DAY4.008.00 8.00 8.00 8.00 8.004.008.00 8.00 8.00 8.00 8.003.0010.00 10.00 10.00 10.00(6)(8) DEDUCTIONS(7)GrossTotal Rate AmountHours of Pay 5 1,000.5021.75 1,000.503.0040.0019.0019.00845.50845.50State & UnionLocal DeducW/H Tax tions OtherFICAFedW/HTax61.5894.2440.6976.54 156.7073.0364.68TotalDeductions(9)NetWagesPaidfor Week406.66398.34Race: WHTGender: Male56.05289.29711.21Race: WHTGender: Male44.95182.66662.84Race: WHTGender: Male210.15We estimate that it will take an average of 56 minutes to complete this collection of information, including time for reviewing instructions, searching existing data sources, gathering andmaintaining the data needed, and completing and reviewing the collection of information. If you have any comments regarding these estimates or any other aspect of this collection ofinformation, including suggestions for reducing this burden, send them to the Administrator, Wage and Hour Division, ESA, U.S. Department of Labor, Room S3502, 200 ConstitutionAvenue, N. W. , Washington, D.C. 20210.the ,fooneal, state csiThis feder -specifiyyman agenc vailableand rms afo1

Certified Payroll Report (continued)a payroll service just for construction 800-949-9620Date07/31/11I, Dan Wilson(Name of signatory party)(b) WHERE FRINGE BENEFITS ARE PAID IN CASHProject Manager(Title)Each laborer or mechanic listed in the above referenced payroll has been paid,as indicated on the payroll, an amount not less than the sum of the applicablebasic hourly wage rate plus the amount of the required fringe benefits as listedin the contract, except as noted in Section 4 (c) below.do hereby state:(1) That I pay or supervise payment of the persons employed by(c) EXCEPTIONSFoundation Contractingon the(Contractor or Subcontractor)Cuyahoga County Historical; that during the payroll period commencing on the(Building or Work)25th day ofJuly, 2011 , and ending the 31st day of July2011 ,all persons employed on said project have been paid the full weekly wages earned, that no rebates havebeen or will be made either directly or indirectly to or on behalf of saidEXCEPTION (CRAFT)EXPLANATIONFoundation Contractingfrom the full(Contractor or Subcontractor)weekly wages earned by any person and that no deductions have been made either directly or indirectlyfrom the full wages earned by any person, other than permissible deductions as defined in Regulations,Part 3 (29 CFR Subtitle A), issued by the Secretary of Labor under the Copeland Act, as amended (48Stat. 948, 63 Stat. 108, 72 Stat. 967; 76 Stat. 357; 40 U.S.C. 276c), and described below:FICA, Medicare, Federal/State/Local Withholding Taxes, Child Support, BTF Package, Charity DuesSpecial Association, Union Dues, Vacation Dues(2) That any payrolls otherwise under this contract required to be submitted for the above periodare correct and complete; that the wage rates for laborers or mechanics contained therein are not lessthan the applicable wage rates contained in any wage determination incorporated into the contract; thatthe classifications set forth therein for each laborer or mechanic conform with the work he performed.REMARKS:(3) That any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with a State apprenticeship agency recognized by the Bureau of Apprenticeship and Training, United States Department of Labor, or if no such recognized agency exists in aState, are registered with the Bureau of Apprenticeship and Training, United States Department of Labor.rollyaIn addition tohourly wage rates paid to each laborer or mechanic listed inethe basicpayroll,ed ptheagreferencedfiabovepayments of fringe benefits as listed in the contractiptryrhave been orwill be made to appropriate programs for the benefit of suchdexceptCe nato employees,edas noted in Section 4(c) below.sig o inclusal(4) That:(a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS, OR PROGRAMSNAME AND TITLEDan WilsonProject ManagerSIGNATUREDan WilsonTHE W ILLFUL FALSIFICATION OF ANY OF THE ABOVE STATEMENTS MAY SUBJECT THE CONTRACTOR ORSUBCONTRACTOR TO CIVIL OR CRIMINAL PROSECUTION. SEE SECTION 1001 OF TITLE 18 AND SECTION 231 OFTITLE 31 OF THE UNITED STATES CODE.2

State-Specific Certified Payroll Reportsa payroll service just for construction 800-949-9620New York City, NYPayroll4Construction.com handles your complex prevailingwage calculations and mandatory certified payroll reporting.With a simple mouse click, your state-specificcertified payroll reports are completed.Kansas City, MOPAYROLL REPORTThe City of New YorkOffice of the ComptrollerBureau of LABOR LAWContract Reg No.AddressJob Code96010Name, Address, andSocial Security Numberof Employee150 Pearl Rd.San Clemente, CA 92672DAILY HOURS WORKEDTrade and1BaseRate/HourTotalBasePay96010Stevens, ProjectRick L NumberOT110.0010.00 25.28 379.20JAH240 AvenidaVistaTitleMontanaCuyahoga County HistoricalProjectElectricianSan Clemente, CA ANT AGENCYPROJECT NO:Kenney, EmilL ENDING: 01/07/01OT16.00 9.0015.00 13.50 303.75JAHSUBCONTRACTOR:DEPARTMENTCONTRACT7251 Hyde ParkDriveREG8.00 2.00 PROJECT OR10.0013.50NO:135.00LOCATION: 123 Trent Blvd.ADDRESS:Laborer Apprentice CMadison, CA 44321Buffalo, NY 14210561-56-1485 CITY, STATE ZIP:textFEDERALI.D. NUMBER:DESCRIPTION: 96010-Cuyahoga County HistoricalSommerville, DrewAOT11.001.00 19.60 29.40TOTALMON TUE WEDJ THUA FRIH SAT SUN5678 KleinDATE:REG 8.00 HRS.8.00 8.00BASE8.00RATE8.00784.00O.T. RATE40.00 19.60FRINGERATEEarnCode01/01 01/02 01/0301/04 01/05 01/06 01/07Ironworker-Foreman45812Gates Mills,OHOT110.0010.00 37.920123-45-7895CONTRACTOR: Foundation ContractingADDRESS:150 Pearl Rd.CITY, STATE ZIP:San Clemente, CA 92672FEDERAL I.D. NUMBER: 34-1548751PennsylvaniaPayroll No.Week Ending Date: Project and Location Cuyahoga County Historical123 Trent Blvd.01/07/01Buffalo, NY 14210ClassificationTUE WED THU FRI SAT SUN TotalEarn MONCERTIFIED PAYROLLREPORTCode 01/01 01/02 01/03 01/04 01/05 01/06 01/07 HoursLimited samples shown here; many other federal,state, local, and agency formats available.Agency(To be submitted with requisition for payment)Name of Contractor/SubcontractorFoundation ContractingRate/HourPhone No.(800)246-0800Supplemental BenefitsTotalPaid ToPaid7.31UGrossPayTax I.D. No34-1548751Total Tax& DedNetPayNONE73.07379.20 203.14176.06NONE195.00438.75 184.66254.09NONE400.30813.40 220.71592.69EO7.80UEO9.76UTOTALEEMPLOYEE NAME: Stevens, Rick LO 379.20ADDRESS:240 Avenida Vista MontanaCITY,STATE ZIP: San Clemente, CA 92672SOCIAL SECURITY NO: ***-**-9549TOTAL FRINGE HOURS10.00 7.307 73.07X Contractor orSubcontractor (Please check one)ALL INFORMATION MUST BE COMPLETEDOCCUPATIONAL TITLE/CLASSIFICATION:FRINGE PAID TO: X APPROVED PLAN ElectricianGROUP:SKILL GROUP:EMPLOYEE SUBCONTRACTORCONTRACTOR Foundation ContractingWEEK ALL JOBS:HOURS:GROSS EARNINGS:FEDERAL:FICA:STATE:Local E-tax: MISC:NET PAY:EARNINGS FORTHISJOB:379.20 FALSIFICATIONOF THIS STATEMENTIS APUNISHABLEOFFENSE150 Pearl Rd. certified85.91 ADDRESS:176.06onKANSAS50.00 1,390.4029.01prepared17.215.6965.33 containedCITYEARNINGSTAXADDRESSThispayroll has beenin accordancewith the instructionsthe reversesideof this form. I THIScertifyJOB:that the above 0.00information represents wages and supplementalSan Clemente, CA 92672benefits paid to all persons employed by my firm for construction work on the above project during the period shown .TOTALDATE:MON TUE WED THU FRI SAT SUNI understand that falsification of this statement is a punishableHRS.offense.BASE RATEO.T. RATEFRINGE RATETOTALEarn Code 01/01 01/02 01/03 01/04 01/05 01/06 BUREAU01/07 OF LABOR LAW COMPLIANCEEMPLOYEE NAME: Kenney, Emil LWEEKENDINGPROJECT AND LOCATION96010-Cuyahoga County HistoricalPAYROLL NUMBERPREVAILINGWAGE DIVISIONADDRESS:OT16.00 9.0015.00 20.250303.757251 Hyde Park DriveDATE7TH & FORSTER STREETS123 TrentBlvd. Buffalo, NY 14210 REGCITY,STATE ZIP: Madison,8.00 2.0010.00 (Print) 1712013.500135.00CA -800-932-0665SOCIAL SECURITY NO: ***-**-1485TOTAL FRINGE HOURS25.00 7.800 195.00PROJECT SERIAL #PROJECT #OCCUPATIONAL TITLE/CLASSIFICATION:FRINGE PAID TO: X APPROVED PLAN TOTAL FRINGEGROSS PAYDAY AND DATELaborer Apprentice C - ApprenticeGROUP:SKILL GROUP:EMPLOYEE WORKAPPR.BASETOTALBENEFITSFOREMPLOYEE NAMEMON TUE GROSSWED EARNINGS:THU FRI SATSUN EARNWEEK ALL JOBS:HOURS:FEDERAL:FICA:STATE:Local E-tax: MISC:NET PAY:EARNINGS FOR THIS JOB:438.75 CLASSIFICATIONRATECODE HOURLYDEDUCTIONS PREVAILING CHECK #(C Cash) 55.00843.7567.98 33.57 16.73 6.58 59.80 0.00254.09 KANSAS CITY EARNINGS TAX THIS JOB: 01/0101/02 01/03 01/0401/05 01/0601/07WEEKLY PAYROLL CERTIFICATION FOR PUBLIC WORKS PROJECTSWashington(%)Department of Labor and IndustriesPrevailing Wage ProgramPO Box 44540Olympia, WA 98504-4540(360) 902-5335For the week ending:Month Day Year01 / 07 / 2001Work ClassificationandSoc Sec# of Employee1. Electrician***-**-95492. Laborer Apprentice C***-**-14853. lle,Drew A5678 KleinPhoneGates Mills, OH 45812AddressCityNameandAddressStateZIP 4OT1Sommerville, Drew A5678 KleinGates Mills, OH 08.008.00RATE JOB(S)8.008.008.00Buffalo8.008.00NY .763Phone(800) 246-0800State ZIP 4CA 92672CitySan ClementeDeductionsEarn MON TUE WED THU FRI SAT SUN TotalCodeHours01/01 01/02 01/03 01/04 01/05 01/06 01/07HOURS WORKED EACH DAYStevens, Rick LOT1240 Avenida Vista MontanaSan Clemente, CA 92672F700-065-000 certified payroll report 05-09123 Trent Blvd.Company NameFoundation ContractingAddress150 Pearl Rd.DAY AND DATEKenney, Emil L7251 Hyde Park DriveMadison, CA 44321(FB Contributions)CERTIFIED PAYROLL REPORTKenney, Emil LPrimeX7251 HydeParkContractorDriveMadison, CA 44321Awarding Agency NameRATEHOURS WORKED EACH DAYTOTALDATE:MON TUE WED THU FRI SAT SUNHRS.FRINGE RATE379.20 O.T. RATE203.14BASE RATE1710.00OT101/02 01/0325.280Earn Code 01/0101/04 C:01/05 01/06 01/07Sommerville, Drew AADDRESS:OT11.001.00 29.4005678 KleinFB:7.307CITY,STATE ZIP: Gates Mills, OH 45812REG8.00 8.00 8.00 8.00 8.0040.00 19.600SOCIAL SECURITYNO: ***-**-7895TOTAL FRINGE HOURS41.00 9.763 Laborer ApprenticeC184.66438.7596.00 9.00OT113.500 C:OCCUPATIONAL TITLE/CLASSIFICATION:FRINGE PAID TO: X APPROVED PLAN Project NameIronworker-ForemanCountyProject or Contract#8.002.00 GROUP:REG13.5007.800SKILL GROUP: FB:EMPLOYEE 96010-CuyahogaHistoricalWEEK CountyALL JOBS:HOURS:GROSS EARNINGS:FEDERAL:FICA:STATE:Local E-tax: MISC:NET PAY:EARNINGS FOR THIS JOB: 41.00 813.4063.7462.2330.45 12.20 52.09KANSAS CITY592.69Ironworker-ForemanProjectAddressC:220.71 813.4016EARNINGS TAX THIS JOB: 1.00OT1 19.600State ZIP 4CityElectricianEMPLOYEE NAME:Stevens, Rick L240 Avenida Vista MontanaSan Clemente, CA 9267210.00RateofPay25.280Gross AmountEarnedTotalHourly"UsualBenefits"PAGE NUMBER 1 OF 1FICAWithholding 9.4040.0019.600784.00Page 1 OF 1loca Many othel, acerti nd agen r state,fieds cy-saval pecifiiable c3

State-Specific Certified Payroll Reportsa payroll service just for construction 800-949-9620CaliforniaCaliforniaDepartment ofIndustrial RelationsPUBLIC WORKS PAYROLL REPORTING FORMName of Contractor: Foundation Contractingor Subcontractor:Payroll No:1For Week Ending:(4)(1)Name, Address andSocial Security Numberof Employee(2)No ofW/HExemptStevens, Rick L240 Avenida Vista MontanaSa

a payroll service just for construction 800-949-9620 State-Specific Certified Payroll Reports 3 96010 123 Trent Blvd. Buffalo, NY 14210 Cuyahoga County Historical PAYROLL REPORT (To be submitted with requisition for payment) Name of Contractor/Subcontractor Foundation Contracting Name, Address, and Social Security Number of Employee Net Pay The City of New York Office of the Comptroller .