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]