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If a worker performed work in more than one labor classification during the week, the worker must be paid at least the rate <br />specified for the appropriate labor classification for the time actually worked in that labor classification. In such <br />circumstances, an accurate breakdown of hours worked in each labor classification must be shown on the submitted <br />payroll by using a separate row for each labor classification in which the worker performed work. If the contractor did not <br />maintain an accurate breakdown of hours worked by a worker in each labor classification, the worker must be paid for all <br />hours worked using the highest applicable prevailing wage rate (basic hourly rate and fringe benefits). <br />Column 4 – Hours Worked Each Day: In column 4 in the table above row 1, please enter the first letter for each day of the <br />contractor’s workweek in each box on the top row and its corresponding date in each box on the second row below it. For <br />example, if a contractor’s workweek starts on Tuesday and ends on Monday, enter “T” for Tuesday in the first box of the <br />first row and continue with the appropriate letter identifying the day of the week for each box ending with “M” on the last <br />box of the first row. In the second row, enter the corresponding date for each day of the week. Please see example below: <br /> For worker-specific entries, please enter hours worked on this project as straight time (“ST”) and overtime (“OT”) in the <br />applicable boxes. On all contracts subject to the Contract Work Hours and Safety Standards Act (CWHSSA), enter hours <br />worked on this project in excess of 40 hours total in the week as overtime (“OT”) (including hours worked on and off the <br />site of the work of the covered contract). Note: For more information about compliance with overtime requirements on <br />Federal and federally assisted contracts, please visit Overtime Pay on Government Contracts. <br />Column 5 – Total Hours Worked for the Week: Enter the total number of the hours worked entered in column four. <br />Column 6A – Hourly Wage Rate Paid for ST and OT: For each worker, list the actual hourly rate paid for straight time (top <br />row) and overtime (bottom row) worked for work in the classification indicated in column 3. If the worker was paid at a <br />higher rate than the wage rate required on the wage determination, indicate the wage rate the worker was actually <br />paid. Note: do not include cash payments in lieu of fringe benefits in this column. <br />T W T F S S M <br />6/16 6/17 6/18 6/19 6/20 6/21 6/22 <br />Docusign Envelope ID: CF064D56-F89A-8651-8229-D168AFF8B909