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EXHIBIT 1/111-11\1, ConI. If worker changed his residential address while working on the project, his new address is stated on next applicable payroll. NO. OF WITHHOLDING EXEMPTIONS is for employer's convenience - not required to be completed. THE WORK CLASSIFICATION Uob title) for the worker is included in the Wage Decision and denotes the work tllat worker actually performed.. NOTE: If the applicable classification is not included in the Wagl1 Decision, th'l contractor should call the recipient immediately, and reque,st classification by Adclitional Classification. APPRENTICE. If worker is an apprentice, his State BAT re9istration number and year of apprenticeship is included in this column the first time the apprentice's name appears on the payroll. SPLIT CLASSIFICATION. If worker has performed more thcln one class of work during the work week, such as carpenter and laborer, the division of work will be shown on separate lines of the payroll. Accurate daily time records show the exact hours of work performecl daily in each class of work, and are signed by the, affeclEl,j workman. Each class of work he performed is stated in separate "blocks." The breakdown of hours worked daily under each work classification is stated. The applicable wage rate for each classification of work is stated. The payroll is signed by the workman in the related "blocks" or a signed copy of the daily time records are attached to the payroll. If the above is not done, the worker is paid at least the highest minimum wage rate of all the classes of work performed "or all hours worke"j. NOTES: AVERAGE PAY OF TWO CLASSES OF WORK NOT ACCEPTED. The employer shall not pay a "semi-journeyman" or semi-skilled laborer the average of journeyman's and laborer's rates. The actual hours each worker uses tools oftrade Uourneyman) and ea,:h hour he does not use tools ofthe trade (laborer) must be recorded separately on the payroll. HOURS WORKED, EACH DAY AND DATE, for work week are stated. TOTAL HOURS worked during the work week are stated. Straight and overtime hours recorded separately. RATE OF PAY, not less than the minimum wage rate for the work classification (see Wage Decision) is stated. THE OVERTIME RATE OF" PAY is not less than 1-112 times the worker's basic (straight) hourly rate of pay (Contract Work Hours Safety Standards Act). VIII-W-4 (Revised 5199)