LPA-880MISSISSIPPI DEPARTMENT OF TRANSPORTATION

Project No. ______

County ______

WEEKLY SUMMARY OF WAGE RATES

INSTRUCTIONS –

  1. In the spaces provided opposite the classifications listed on this form, fill in the rates paid and number employed at the rate for each classification shown on the weekly payroll being reported.
  2. If you had employees on your weekly payroll at more than one rate in the same classification, use the spaces opposite the classifications listed on this form for reporting the rate received by the largest number of workers. Use the blank spaces provided below for showing rates paid to others in the same classification with the number receiving each rate. DO NOT REPORT SALARIED EMPLOYEES, SUPERVISORS, FOREMEN OR CLERK. DO NOT REPORT OVERTIME RATES, REPORT ONLY STRAIGHT TIME RATES.

MDOT Auth. Pay Code / Classification / Hourly
Rate
Paid / Number
Employed / MDOT Auth.
Pay Code / Classification / Hourly
Rate
Paid / Number
Employed
100–Air Tool Oper. (Jack Ham./Air Comp.) / 270 – Loader (All Types)
105 – Asphalt Raker / 275 – Milling Mach. Oper.
108–Mason Tender(Cement Mason Helper) / 280 – Mixer Oper (All Types)
110 - Carpenter / 285 – Motor Patrol (Grader) Oper
120 – Cement Mason (Finisher) / 290 – Mulcher Mach. Oper
130 - Electrician / 295 – Earth Auger Oper.
131 – Mechanic (Heavy Equipment) / 300 – Piledriver Mach. Oper
135 – Oiler-Greaser / 305 – Roller Oper (Self-Propelled)
140 – Form Setter / 310 – Scraper Oper (All Types)
145 – Grade Checker –(Asphalt Crew) / 315 – Striping Machine Oper
150 – Ironworker, reinforcing (Tie Steel) / 320 – Tractor (Track Type) Oper
155 – Ironworker, Structural / 325 – Tractor (Wheel Type) Oper
160 – Laborer, Unskilled / 330 – Trenching Machine Oper
165 - Pipelayer / 350 – Crusher/Feeder Machine Oper
175 – Painter (Structural Steel) / 360 – Crane (Dragline) Oper
180 - Piledriverman / 365 – Guardrail Post Driver
185 – Truck Driver (All Types)
190 – Joint Filler / OTHER:
195 – Joint Setter
197 - Welder
Power Equipment Operators
205 – Aggregate Spreader Oper.
212 – Asphalt Broom Oper. (Sweeper)
214 – Asphalt Paving Mach/Spreader Oper.
215 – Asphalt Distributor Oper.
216 – Asphalt Plant Oper.
220 – Backhoe/Shovel Oper.
225 – Bulldozer Oper.
235 – Concrete Finish/Curing Mach. Oper.
240–Concrete Paving/Spreader Mach Oper
250 – Concrete Saw Oper
255–Concrete Breaker/HydroHammer Oper

STATEMENT

Payroll Period commencing on the ___ day of ______, 20___ and ending on the ___ day of ______, 20___

I, ______

(Name of Signatory Party) (Title of Signatory)

pay or supervise the payment of the persons employed by ______

Contractor or Subcontractor’s name

Checked by ______Signature ______

Resident/Project Engineer or approvedContractor

Designated Representative

(Submit Original & 1 Copy to Project Engineer) Checked by ______

Contract Compliance Officer