Wage Rate Submittals

Provide the base hourly rates & the total fringe benefit rate for the respective crafts & classifications, please list if Building and/or Heavy or Highway.

 

Classification

Effective Date Increases

Base Hourly Rate

Hourly Benefit Total

_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________

 

Please list the geograhical areas covered (counties):
_________________________________________________________________________________
_________________________________________________________________________________

 

Parties to Collective Bargaining Agreement:  Yes ( ) No ( )

Submitted By: Contractor (  ) Representative (  )  Date: _______________________

 

Print Name: ________________________  Signature: ______________________________

 

TItle: ________________________________________________________________________

 

Print Address: ________________________________________________________________

 

_____________________________________________________________________________

 

Telephone: ______________________  Fax: _______________________________

 

E-mail Address: __________________________

 

Return Completed Form To:

 

Commonwealth of Pennsylvania
Department of Labor and Industry
Room 1301
651 Boas Street
Harrisburg, PA 17121
Phone: 717-705-5969
Fax: 717-787-0517