251-26 Certified Payroll-PVW (Wk1) June 29, 30-2026_Redacted.pdf

U.S. Department of Labor PAYROLL *k Wage and Hour Division (For Contractor's Optional Use; See Instructions at www.dol.gov/whd/forms/wh347instr.htm) U.S. Wage and Hour Divi U.S. Wage and Hour Division Persons are not required to respond to the collection of information unless it displays a currently valid OMB control number. ys Rev. Dec 2008 NAME OF CONTRACTOR oO OR SUBCONTRACTOR im ADDRESS OMB No.: 1235-0008 Reggio Construction Ine 416 F. Central Blvd. Palisades Park, NJ 07650 Expires: 09/30/2026 PAYROLL NO. FOR WEEK ENDING PROJECT AND LOCATION PROJECT OR CONTRACT NO, \ 12026 WO Pleasant Valley Way Emergency Retaining Wall - q) 2) 3) (4) DAY AND DATE 6) (6) (7) (8) (8) 2s o [ars] e26] 7] ans]ers ao] mn] 822 2 [202s] an26} 026 2026}2026]2026| 026 NET NAME AND INDIVIDUAL IDENTIFYING — [289 2) shu} cei | Sat Mon| a WITH — NUMBER (e.g., LAST FOUR DIGITS OF Bz WORK a HOURS RATE AMOUNT HOLDING TAL, PAID SOCIAL SECURITY NUMBER) OF WORKER |°© CLASSIFICATION HOURS WORKED EACH DAY. on OF PAY EARNED FICA TAX _| STATETAX|OTHERTAX| OTHER |DEDUCTIONS| FOR WEEK Foreman 6 one 1,443.98 3 276,17 454.58 164.04 15.17 0.00 909.96 s 5,00} 5.00) 10.00 144.3980 3,609.96 Truck Driver 6 wath 1,483.98 3 276.17 454.58 164.04 16.17 0.00 900.06 | 2,700.00 s . .00}5.00) 10.00 | 144.3980 cae Laborer 4 Ai 942.80 1 173.09 346.25 112.43 19.11 0.00 650.88 1,611.84 s 5,00}5.00) 10.00 | 94.2800 2260.72 Operator a nas 1,005.30 3 164.57 205.68 20,39 0.00 495.64 | 1,917.08 .00/§.09} 19.00 | 100.5300 patore Laborer ° 0.00 942.80 1 173.10 346.25 112.43 19.12 0.00 650.90 1,611.82 s 5.00} 5.00) 10.00 94.2800 2,262.72 Laborer * wine 94280 1 173.10 346.25 112.43 49.12 0.00 sso90 | 1,611.82 s 5.00|5.00) 10.00 | 94.2800 masa Laborer is 26 942,80 1 173.09 346.25 112.43 19.11 0,00 650.88 1,611.84 s 5.00|5.00 10.00 | 94.2800 supers Laborer ° 0.00 942.80 % 144,24 (263.22 86.03 15.93 0.00 509.42 1,376.18 8 5.00|5.00 10.00 | 94.2800 iBieke ‘While completion of Form WH-347 is optional, itis mandatory for covered contractors and subcontractors performing work on Federally financed or assisted construction contracts to respond to the information collection contained in 29 C.F.R. §§ 3.3, 5.5(a). The Copeland Act (40 U.S.C, § 3145) contractors and subcontractors performing work on Federally financed or assisted construction contracts to “furnish weekly a statement with respect to the wages paid each employee

t (40 U.S.C, § 3145) contractors and subcontractors performing work on Federally financed or assisted construction contracts to “furnish weekly a statement with respect to the wages paid each employee during the preceding week.” U.S. Depariment of Labor (DOL) regulations at 29 CIR. § 5.5(a)(3)i) require contractors to submit weekly 2 copy of all payrolls to the Federal agency contracting for or financing the construction project, accompanied by a signed "Statement of Compliance” indicating that the payrolls are correct and complete and that each laborer ‘or machanic has been paid not lass than the proper Davis-Bacon prevailing wage rate for the work performed. DOL and federal contracting agencies receiving this information review the information to determine that employees have received legally required wages and fringe benefits. Public Burden Statement We estimate that i will take an average of 85 minutes fo complete this collection, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. If you have any commanis regarding these estimates or any other aspect ofthis collection, including suggestions for reducing this burden, send them to the Administrator, Wage and Hour Division, U.S, Department of Labor, Room $3502, 200 Constitiion Avenue, N.W. Washington, 0.0. 20 wren]

U.S. Department of Labor PAYROLL * Wage and Hour Division (For Contractor's Optional Use; See Instructions at www.dol.gov/whd/forms/wh347instr.htm) US. Wage and Hour Division Persons are noi required to respond to the collection of information unless it displays a currently valid OMB control number, + * ia - Rev. Dec 2008 NAME OF CONTRACTOR Oo OR SUBCONTRACTOR [im] ADDRESS OMB No.: 1235-0008 Reggio Construction Inc 416 E. Central Blvd. Palisades Park, NJ 07650 Expires: 09/30/2026 PAYROLL NO. FOR WEEK ENDING PROJECT AND LOCATION PROJECT OR CONTRACT NO. 71112026 WO Pleasant Valley Way Emergency Retaining Wall - “) @) @ @) DAY AND DATE @ @ a) @ @ pg 9 [825] 526] 627] axa ]ane]aan]ina Bas +2026] 2026|2026|2026|2026| 2026] 026 NET Bey ° a Ss GROSS WAGES NAME AND INDIVIDUAL IDENTIFYING 32 Q ©) tual Fa | Sat |'Sun |Mon| Tuc | Wea| WiTH- NUMBER (e.g. LASTFOUR DIGITS OF _ [22 WORK 3 . Ate RATE aNQuNT HOLDING TOTAL PAID SOCIAL SECURITY NUMBER) OF WORKER [9° CLASSIFICATION HOURS WORKED EACH DAY |"OURS| oF pay EARNED FICA TAX | STATE TAX | OTHER TAX} OTHER |DEDUCTIONS| FOR WEEK Laborer ¥ os 942,80 1 144.24 162.27 55.19 15.93 0.00 area | 1,507.97 s 15.00] 5.00] 10.00 94.2800 1,885.60 oO 0.00 s , 0.00 oO 0.00 s 0.00 °o 0.00 s 0.00 ° 0.00 s 0.00 oO 0.00 s 0.00 ° 0.00 s 0.00 °o 0.00 s 0.00 While completion of Form WH-347 is optional, It is mandatory for covered contractors and subcontractors performing work on Federally financed or assisted construction contracts to respond to the information collection contained in 29 C.F.R. §§ 3.3, 5.5(a). The Copeland Act (40 U.S.C. § 3145) contractors and subcontractors performing work on Federally financed or assisted construction contracts to “furnish weekly a statement with respect to the wages paid each employee during the preceding week.” U.S. Department of Labor (OL) regulations at 29 C.F.R. § 5.5(2)(3)(l) require contractors to submit weekly a copy of all payrolls to the Federal agenoy contracting for or financing the construction project, accompanied by a signed "Statement of Compliance” indicating that the payralls are correct and complete and thal each laborer 6 mechianle has een paid not ess than the proper Devi-Bacon prevailing wage rae forthe work performed. DOL and federal contacting agencies receiving this information review the information fo determine that employees have received legally required wages and

on prevailing wage rae forthe work performed. DOL and federal contacting agencies receiving this information review the information fo determine that employees have received legally required wages and fringe benefits. Public Burden Statement We estimate that it will take an average of 85 minutes to complete this collection, including time for reviewing instructions, searching existing data sources, gathering and mainiaining the data needed, and completing and reviewing the collection of information. if you have any comments regarding these estimates o any other aspect of this collection, including suggestions for reducing this burden, send them to the Administrator, Wage ana Hour Division, U.S. Department of Labor, Room $3502, 200 Constitution Avenue, N.WV. Washington, 0.C. 20 (over)

71812026 (Title) do hereby state: (1) That | pay or supervise the payment of the persons employed by Reggio Construction Inc onthe (Contractor or Subcontractor) WO Pleasant Valley Way Emergency Retaining Wall - _; that during the payroll period commencing on the ‘Building or Work) 25 dayof June , 2026 ,andendingthe 1 __dayof July . 2026 all persons employed on said project have been paid the full weekly wages eared, that no rebates have been or will be made either directly or indirecily to or on behalf of said Reggio Construction Ine from the full (Contractor or Subcontractor) weekly wages eamed by any person ahd that no deductions have been made either directly or indirectly from the full wages eared by any person, other than permissible deductions as defined in Regulations, Part 3 (29 C.F.R. Subiitle A), issued by the Secretary of Labor under the Copeland Act, as amended (48 Stat. 948, 63 Start. 108, 72 Stat. 967; 76 Stat. 357; 40 U.S.C. § 3145), and described below: (b) WHERE FRINGE BENEFITS ARE PAID IN CASH 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 applicable basic hourly wage rate plus the amount of the required fringe benefits as listed in the contract, except as noted in section 4(c) below. (c) EXCEPTIONS EXCEPTION (CRAFT) EXPLANATION (2) That any payrolls otherwise under this contract required to be submitted for the above period are correct and complete; that the wage rates for laborers or mechanics contained therein are not less than the applicable wage rates contained in any wage determination incorporated into the contract; that the classifications set forth therein for each laborer or mechanic conform with the work he performed. (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 a State, are registered with the Bureau of Apprenticeship and Training, United States Department of Labor. (4) That: (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS, OR PROGRAMS 1. in addition to the basic hourly wage rates paid to each laborer or mechanic listed in the above referenced payroll,

) That: (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS, OR PROGRAMS 1. in addition to the basic hourly wage rates paid to each laborer or mechanic listed in the above referenced payroll, payments of fringe benefits as listed in the contract have been or will be made to appropriate programs for the benefit of such employees, except as noted in section 4(c) below. REMARKS NAME AND TITLE lesen Brvane te -Se ‘SIGNATURE wo aa THE WILLFUB FALSIFICATION/OF ANY OF THE ABOVE STATEMENTS MAY SUBJECT THE CONTRACTOR OR SUBCONTRACTOR TO GHIIL OR CRIMINAL PROSECUTION. SEF SECTION 1001 OF TITLE 18 AND SECTION 3729 OF TITLE 31 OF THE UNITED STATES CODE.