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

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)