"Certified Payroll Report for Contractors Engaged on Public Works Projects" - Nevada

Certified Payroll Report for Contractors Engaged on Public Works Projects is a legal document that was released by the Nevada Department of Business and Industry - a government authority operating within Nevada.

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Download "Certified Payroll Report for Contractors Engaged on Public Works Projects" - Nevada

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STATE OF NEVADA
OFFICE OF THE LABOR COMMISSIONER
www.labor.nv.gov
WEEKLY WAGE AND HOUR REPORT OF PUBLIC WORK CONTRACTORS FOR THE PAYROLL PERIOD ENDING
,
.
Month and Day
Year
Pursuant to Chapter 338 of NRS and NAC, respectively, the contractor and each subcontractor shall keep or cause to be kept an accurate record showing the name and the actual per diem, wages and
benefits paid to each workman employed by him in connection with the public work. The contractor or subcontractor shall ensure that a copy of the record for each calendar month is received by the public
body awarding the contract no later than 15 days after the end of the month.
Report #
Regular Weekly Report
Final Report for Project
Bid/Project #
PWP-
Project Title
Public Body Awarding Contract
Prime Contractor Name & Address
License #
Subcontractor Name & Address
License #
Report Hours For Above Referenced Public Works Project Only
Hours Worked By Day
Hourly Fringe Benefit Contribution
Employee Name &
Work
Total
Hourly
Gross
Net
State/Jurisdiction that issued
Classification
Hours
Rate
Amount
Wage
H & W
Pen.
Vac.
App.
Other
S
M
T
W
T
F
S
Identification
For Week
Of Pay
Earned For
Paid
Trg
Week
For Week
S
O
S
O
S
O
STATE OF NEVADA
OFFICE OF THE LABOR COMMISSIONER
www.labor.nv.gov
WEEKLY WAGE AND HOUR REPORT OF PUBLIC WORK CONTRACTORS FOR THE PAYROLL PERIOD ENDING
,
.
Month and Day
Year
Pursuant to Chapter 338 of NRS and NAC, respectively, the contractor and each subcontractor shall keep or cause to be kept an accurate record showing the name and the actual per diem, wages and
benefits paid to each workman employed by him in connection with the public work. The contractor or subcontractor shall ensure that a copy of the record for each calendar month is received by the public
body awarding the contract no later than 15 days after the end of the month.
Report #
Regular Weekly Report
Final Report for Project
Bid/Project #
PWP-
Project Title
Public Body Awarding Contract
Prime Contractor Name & Address
License #
Subcontractor Name & Address
License #
Report Hours For Above Referenced Public Works Project Only
Hours Worked By Day
Hourly Fringe Benefit Contribution
Employee Name &
Work
Total
Hourly
Gross
Net
State/Jurisdiction that issued
Classification
Hours
Rate
Amount
Wage
H & W
Pen.
Vac.
App.
Other
S
M
T
W
T
F
S
Identification
For Week
Of Pay
Earned For
Paid
Trg
Week
For Week
S
O
S
O
S
O
Hours Worked By Day
Hourly Fringe Benefit Contribution
Employee Name
Work
Total
Hourly
Gross
Net
Classification
Hours
Rate
Amount
Wage
S
M
T
W
T
F
S
H & W
Pen.
Vac.
App.
Other
For Week
Of Pay
Trg
Earned For
Paid
Week
For Week
S
O
S
O
S
O
S
O
S
O
S
O
S
O
S
O
STATE OF NEVADA
Office of the Labor Commissioner
STATEMENT OF COMPLIANCE
In compliance with the provisions of Chapters 338 of NRS and NAC, respectively, I, as an officer, owner or director of the undersigned contractor, hereby certify that this report is a true and accurate statement
of workers earnings employed on this Public Works contract by the undersigned contractor for the following payroll period:
,
to
,
.
Month and Day
Year
Month and Day
Year
I further certify:
1. That no deductions have been made from the wages earned by any person so listed other than those permissible or required by law.
2. That any apprentice listed herein is registered in a bona fide apprenticeship program.
3. Check all that apply:
The contractor is signatory to a collective bargaining agreement with some or all of its employees.
Each employee listed has been paid the required applicable wages plus the amount of fringe benefits listed in their contract.
Each employee listed has been paid the required applicable wages per hour with no fringe benefit contributions paid by the contractor.
Prime Contractor
Subcontractor
Contractor Name:
Address:
Telephone:
Fax:
__________________________________________
___________________________________
___________________
PRINTED NAME/TITLE
SIGNATURE
DATE
NRS 338.070:
4. The contractor and each subcontractor shall keep or cause to be kept an accurate record showing the name and the actual per diem, wages and benefits paid to each workman employed by him in
connection with the public work.
5. The record must be open at all reasonable hours to the inspection of the public body awarding the contract, and its officers and agents. The contractor or subcontractor shall ensure that a copy of
the record for each calendar month is received by the public body awarding the contract no later than 15 days after the end of the month. The copy must be open to public inspection as provided in
NRS 239.010. The record in the possession of the public body awarding the contract may be discarded by the public body 2 years after final payment is made by the public body for the public work.
6. Any contractor or subcontractor, or agent or representative thereof, performing work for a public work who neglects to comply with the provisions of this section is guilty of a misdemeanor.
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