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A completed WH-347 example, walked through

Scenario: Reyes Electric, a subcontractor on a county library renovation, week ending August 1. One electrician, prevailing wage for the county: $41.20 base + $9.55 fringe, fringe paid in cash. This is payroll #4 on the contract.

Name / IDMorales, J. — xxx-xx-1234
ClassificationElectrician (Inside Wireman)
Hours (M–F)S: 8 / 8 / 8 / 8 / 8 · O: 0 / 2 / 0 / 0 / 0
Total hours40 straight + 2 OT
Rate of pay$41.20 base + $9.55 cash fringe; OT at $61.80 + $9.55
Gross (this project / all)$2,172.70 / $2,172.70
DeductionsFICA $166.21, Fed W/H $261.00, State $87.00
Net wages paid$1,658.49

The two details reviewers check first: overtime is 1.5× the basic rate only ($41.20 × 1.5 = $61.80) — cash fringe stays at the straight $9.55 for every hour including overtime — and the rate column shows base and fringe separately so the agency can verify both against the wage determination.

On page 2, the Statement of Compliance gets box 4(b) checked (fringe paid in cash), the payroll number and week-ending date repeated, and an owner or officer's signature.

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Related: column-by-column instructions · Statement of Compliance · free generator