Cal. Code Regs. Tit. 8, div. 1, ch. 8, subch. 4, art. 5 app C

Current through Register 2024 Notice Reg. No. 24, June 14, 2024

Appendix C - Suggested Single Project Labor Compliance Review and Enforcement Report Form

___________________________

Awarding Body:

___________________________

Project Name:

___________________________

Name of Approved Labor Compliance Program:

___________________________

Bid Advertisement Date:

___________________________

Acceptance Date:

___________________________

Notice of Completion Recordation Date: Summary of Labor Compliance Activities

1. Contract Documents Containing Prevailing Wage Requirements (Identify)

___________________________

2. Prejob Conference(s) -- Attach list(s) of attendees and dates

3. Notification to Project Workers of Labor Compliance Program's Contact Person. (Explain Manner of Notification for each project work site.)

___________________________

4. Certified Payroll Record Review

a. CPRs Received From:

	Contractor/Subcontractor	For weeks ending ("w/e") through w/e
	___________________________	___________________________
	___________________________	___________________________
	___________________________	___________________________

b. Classifications identified in CPRs and applicable Prevailing Wage Determinations

5. Further investigation or audit due to CPR review, information or complaint from worker or other interested person, or other reason:

a. Independent Confirmation of CPR Data

Contractor/Subcontractor	Worker Interviews (Yes/No)	Reconciled CPRs with Paychecks or Stubs (Yes/No)
___________________________	___________________________	___________________________
___________________________	___________________________	___________________________
___________________________	___________________________	___________________________

b. Employer Payments (Health & Welfare, Pension, Vacation/Holiday) Confirmation

Contractor/Subcontractor	Recipients of Employer Payments	Written confirmation Obtained (Yes/No)

___________________________	___________________________	___________________________
___________________________	___________________________	___________________________
___________________________	___________________________	___________________________

c. Contributions to California Apprenticeship Council or Other Approved Apprenticeship Program

Contractor/Subcontractor	Recipients of Contributions	Written confirmation Obtained (Yes/No)

___________________________	___________________________	___________________________
___________________________	___________________________	___________________________
___________________________	___________________________	___________________________

d. Additional Wage Payments or Training Fund Contributions Resulting from Review of CPRs

Contractor/ Subcontractor	Additional amounts Paid to Workers	Additional Training Fund	Explanation
___________________________	___________________________	___________________________	*
___________________________	___________________________	___________________________	*
___________________________	___________________________	___________________________	*

* Use separate page(s) for explanation

6. Complaints Received Alleging Noncompliance with Prevailing Wage Requirements.

Name of Complainant	Date Received	Resolution or Current Status

___________________________	___________________________	*
___________________________	___________________________	*
___________________________	___________________________	*

*Use separate page(s) to explain resolution or current status

7. Requests for Approval of Forfeiture to Labor Commissioner

8. Litigation Pending Under Labor Code Section 1742

9. (Check one): ___ Final report this project ___ Annual report this project

___________________________

Authorized Representative for Labor Compliance Program

Cal. Code Regs. Tit. 8, div. 1, ch. 8, subch. 4, art. 5 app C