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Contractor's Wage SurveyMSD-WS Form THE METROPOLITAN SAINT LOUIS SEWER DISTRICT CONTRACTOR’S WAGE SURVEY CONTRACTOR INFORMATION Contractor’s Name, Address and Telephone Number Please Select One: Collectively Bargained Rate Non-Collectively Bargained Rate Type of Construction: Building Heavy and Highway •A separate form must be submitted for each type of construction •Only submit information for work performed in the City of St. Louis or St. Louis County •Do not include apprentice and entry-level worker hours Dates of Work Reported Below Beginning: Ending: / / / / Please attach a list of the projects with a project description for which the hours are being reported. E-mail: Website: Occupational Title No. of Employees Total Hours Basic Hourly Rate Hourly Fringe Benefits Payments H & W Pension Vacation App. Tr. Suppl. Holiday Other Certification To the best of my knowledge and belief, I hereby certify that the number of hours, basic hourly rate and fringe benefit payments listed above are true and correct and that the type of work performed by the number of employees identified above, relative to the Occupational Title(s) reported, is consistent with RSMo 290.257.6 and 8 CSR 30-3.060. I further certify that none of the information reported herein has been submitted, or will be submitted to the Missouri Department of Labor & Industrial Relations. MSD-WS Form The Metropolitan St. Louis Sewer District requests your participation in our Prevailing Wage Survey. Surveys are conducted throughout the year to determine the prevailing wages paid to construction workers in the City of St. Louis and St. Louis County. Your responses to this survey are your opportunity to participate in establishing the District’s prevailing wages. Please complete the survey form on the other side according to the instructions given below. Complete all spaces on the form or indicate “N/A” for not available where appropriate. You must complete the Project Information entirely for your survey to be accepted. 1. Indicate the dates when the work was performed. 2. Indicate whether the work performed was paid at a Collectively Bargained Rate or a Non-Collectively Bargained Rate. 3. Indicate the type of construction (See 8 CSR 30-3.040) • BUILDING – sheltered enclosure with walk-in access for the purpose of housing persons, machinery, equipment or supplies. • HEAVY AND HIGHWAY – antenna towers, channels, levees, pipe lines, sewers, etc. Hours worked on residential construction (single family homes or apartment buildings of less than four stories) and general maintenance should not be reported on this survey. Accordingly, wage data for ALL commercial construction SHOULD be reported. 4. If reporting hours and wages for multiple projects, please provide a list and description of these projects as an attachment to this form. If you require additional forms, visit https://www.stlmsd.com/msd-work/msd-prevailing-wage-program 5. Please report only wages and fringe benefits paid for actual hours worked. We cannot accept wage information this is estimated or averaged. 6. Indicate the total number of employees and their hours worked in each occupational title. This must be consistent with the occupational titles identified in 8 CSR 30-3.060 (i.e., carpenter, plumber, electrician, (inside wireman), operating engineer Group I, etc.). Multiple hourly rates paid to workers require a separate line for each occupational title and rate. 7. Wage rates should be reported only for journeyman workers. Do not include wages paid to apprentice workers. Supervisors that are working foremen (those working the tools) may be reported at the journeyman rate for the hours that they are working with the tools, but only if they are receiving wages higher than the journeyman rate. 8. In the space provided, include the printed name, title, and signature of the person preparing this report. Thank you for participating in this wage survey. We encourage you to continue to participate by periodically submitting additional reports. If you have any questions or suggestions, please contact us at PrevailingWageMSD@stlmsd.com .