Federal Requirements For Construction Contracts Page 35
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35REQUEST FOR APPROVAL OF WAGE RATE(S)
FOR
ADDITIONAL CLASSIFICATION(S)
PROJECT:
The company below will employ one or more workers to perform trades which are not listed in
the wage decision which was issued for this project. The trades and the wages and fringe
benefits which will be paid for the work on this project are listed below for approval by the U.S.
Department of Labor. The employees will receive no less than the wages plus the fringe benefits
or the wages plus the value of the fringe benefits in cash. The amounts are no less than the wage
rates for the lowest paid skill on the wage determination and are acceptable to the employees
involved.
TRADE
FRINGE BENEFIT
(ADDITIONAL CLASSIFICATION)
WAGE RATE
CASH VALUE
COMPANY:
SIGNATURE OF OFFICER OR OWNER:
PRINTED NAME OF SIGNATORY:
TITLE OF SIGNATORY:
DATE:
K:\Planning\EMS\Web Page\FINAL CONTENT\Contractor Opportunities\Federal Requirements Under $100,000.Revised.final.2007.doc
Page 33
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