PROJECT NAME PROJECT NO.
CONTRACTOR CONTRACT NO.
SUBCONTRACTOR DATE
HOURLY LABOR RATE WORKSHEET
TRADE: CLASSIFICATION:
Rate Prevailing Wage Rate
Item Per $100 Regular Time Overtime Double Time Notes
Base Labor Rate
Benefit Benefit
Paid Provided
Fringe Benefits: (put X in appropriate box)
Pension 1
Health/Welfare 1
Training/Certification 1
Vacation/Holiday 1
Other
Fringe Benefits Subtotal
Total Hourly Rate
Benefits Paid
Total Paid Hourly Rate
Burden: Taxes & Insurance 2
Other 1
Other 1
Burden Subtotal
Contractor Liability Insurance
Small Tools
Other (warranty, record drawings,
payment bonds, performance bonds, etc.)
TOTAL HOURLY RATE (Total Hourly Rate + Burden) = Amount Contractor paid to employee
Rates certified by: Company Name:
(print name)
Signature:
Construction Mgmt.
703.33 - 04/12