703.33 - 04/12
PROJECT NAME PROJECT NO.
CONTRACTOR CONTRACT NO.
Rate Prevailing Wage Rate
Per $100 Regular Time Overtime Double Time
Base Labor Rate 37.40$ 56.10$ 74.80$
X 5.65 5.65 5.65
X 10.40 10.40 10.40
X 0.70 0.70 0.70
X - - -
Other X 0.41 0.41 0.41
Fringe Benefits Subtotal 17.16$ 17.16$ 17.16$
54.56$ 73.26$ 91.96$
11.10$ 11.10$ 11.10$
Burden: Taxes & Insurance
FICA 0.0620 3.01 4.17 5.33
Medicare 0.0145 0.70 0.97 1.25
Federal Unemployment 0.0080 0.39 0.54 0.69
California Unemployment - - -
- - -
Burden Subtotal 4.10$ 5.68$ 7.26$
Contractor Liability Insurance N/A N/A N/A
Small Tools N/A N/A N/A
Other (warranty, record drawings,
N/A N/A N/A
payment bonds, performance bonds, etc.)
Costs for Overtime and Double Time are same as for Regular Time.
Taxes & Insurance apply to Total Paid Hourly Rate which includes Base Labor Rate plus benefits paid in cash.
By signing below, the submitter certifies and declares under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Rates certified by: Company Name:
= Base Labor Rate + Benefits Paid
= Amount Contractor paid to employee
Usually less than 11%; can request policy.
HOURLY LABOR RATE WORKSHEET
TOTAL HOURLY RATE (Total Hourly Rate + Burden)
(put X in appropriate box)
= Base Labor Rate + Benefits Paid + Benefits
(Reference 'Change Orders' in Contract General Conditions. Certified payrolls required for all workers on Project. Contractor shall enter
data into all fields highlighted in yellow; for fields highlighted in blue, data will automatically populate.)
Note: For change order work, mark-ups for overhead and profit shall be applied to the above rates (these rates are subject to audit) in accordance with the provisions of CGCs, under 'Change Orders'. Mark-up rates for
utility repair work shall be adjusted in accordance with the CGCs, under 'Contractor's Responsibility for the Work', subsection 'e-Utilities'.
Use certified payroll to verify.