Welcome to IBEW Local Union 363! We look forward to working with you. The enclosed forms and information is all you will need to get started.

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1 Welcome to IBEW Local Union 363! We look forward to working with you. The enclosed forms and information is all you will need to get started. The following people in our office can help you in regard to these subjects: Funds Administrator - Pamela Brown Contractor Payments - Yuliyana Hadzhiev Dues Questions - Lisa Uleano The following Business Agents cover the following counties: Gil Heim, John Maraia Jr....Rockland County Frank Sylvester..Orange County John Dickson..Sullivan County, Ulster County, Greene, Delaware Steve Neugebauer..Dutchess County, Putnam County PLEASE FILL OUT AND RETURN THE FOLLOWING INFORMATION AND FORMS AND SEND THEM TO IBEW LOCAL 363 PRIOR TO ASKING FOR MANPOWER (1) Contractor Information Form.. Complete and return to Local 363. (2) Disability Insurance Notice For information and reference. (3) Five Letters of Assent A..Sign and return all five copies (4) Surety Bond Form Send to your bond company to process 1-5 WORKERS. 30K K K 6-10 WORKERS 65K K K (5) Construction wage rates.contact the agent for the county you are in or call the union office at (845) for all JW and/or Apprentice Benefit Schedule. (6) Wage Computing Guide. Sample of how to prepare paychecks. For further assistance or information contact Yuliyana at (845) (7) Payroll Reports.To be completed weekly and sent to Local 363 with individual fund payments. (8) Termination Slips.To be completed upon employee termination. Give one to the employee with their final check, and mail or fax the union copy to Local 363 at (845)

2 COMPANY NAME: ADDRESS: TELEPHONE # FAX# ADDRESS: CONTRACTOR INFORMATION SHEET I.B.E.W. LOCAL UNION 363 NAME OF CONTACT: NAME OF CONTACT FOR PAYROLL: DAY YOU END YOUR WEEK FEDERAL I.D. # YOU WILL NOT BE ISSUED ANY MANPOWER IF WE DO NOT RECEIVE THE FOLLOWING DOCUMENTS CHECK OFF LIST For Union official verification Init. LETTER OF ASSENT A YES NO BOND/ BENEFIT SECURITY YES NO NYS DISABILITY INS. CERT YES NO NYS WORKERS COMPENSATION YES NO JOB LOCATION- Please fill in the following Information Union Contact Person:

3 Dear Contractor: You must provide IBEW Local 363 with proof of your worker s compensation and disability insurance. Thank you.

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5 SURETY BOND FOR PAYMENT OF WELFARE, PENSION, ANNUITY, JOINT APPRENTICESHIP TRAINING, VACATION AND PAID HOLIDAY, LMCC, SUPPLEMENTAL UNEMPLOYMENT BENEFIT, $ SCHOLARSHIP FUND AND THE NATIONAL ELECTRICAL BENEFIT FUND. KNOW ALL MEN BY THESE PRESENT: That we as Principal Name and Address of Employer and as Surety Name of Surety Company are held and firmly bound directly unto the International Brotherhood of Electrical Workers Local Union 363, the Trustees of the IBEW Local Union 363 Welfare Fund, the Trustees of the IBEW Local Union 363 Pension Fund, the Trustees of the IBEW Local Union 363 Annuity Fund, the Trustees of the IBEW Local Union 363 Joint Apprenticeship Training Fund, the Trustees of the IBEW Local Union 363 Vacation and Paid Holiday Fund, the Trustees of the IBEW Local Union 363 Labor Management Cooperative Committee, the Local Union 363 Supplemental Unemployment Benefit Fund, the National Electrical Benefit Fund and the IBEW Local Union 363 Scholarship Fund as Obligees in the sum of $30, for the payment of which we bind ourselves, our successors and assigns jointly and severally by these presents. WHEREAS, the Principal (Employer) and said Local Union 363 IBEW have heretofore entered into a Collective Bargaining Agreement under the terms of which the principal is required to make periodic contributions for fringe benefits consisting of contributions for the Pension Fund, Welfare Fund, Annuity Fund, Vacation and Paid Holiday Fund, Joint Apprenticeship Training Fund, LMCC, Supplemental Unemployment Benefit Fund, Local 363 IBEW Scholarship Fund, and the National Electrical Benefit Fund for the term of said Agreement beginning AND ENDING, and the said Principal has been required to furnish a Surety Bond guaranteeing the payment of such contributions. NOW THEREFORE, the Surety hereby agrees as follows: 1. The liability of the Surety shall continue until all payments are made by the Principal to the Obligees under the terms and provisions of the Collective Bargaining Agreement referred to herein. 2. The whole of this Surety Bond is set forth herein, and there is no verbal or other written agreement, and no understanding or custom effecting the terms hereof. This Surety Bond can be modified only in writing. 3. This Surety Bond is made and delivered and shall be construed pursuant to the laws of the State of New York. 4. It is a condition of this obligation that if the Principal shall pay, or cause to be paid each and every contribution or payment to said Obligees in accordance with the terms and provisions of said Collective Bargaining Agreement, then this obligation shall be null and void, otherwise to remain in full force and effect. SUBJECT TO THE FOLLOWING CONDITIONS: 1. That the Surety may cancel its liability as to future obligations under this bond by furnishing 60 days written notice by registered or certified mail to the Obligees of its intention to cancel the bond at the expiration of such 60 day period in which event the liability of the Surety shall at the expiration of the 60 day period cease and terminate except as to such liability of the Principal as may have accrued prior to the termination date. 2. That the liability of the Surety under this bond to the Obligees for one or more defaults of the Principal shall not exceed in the aggregate the sum of this bond. Signed, sealed and dated this day of,. Employer Principal Surety Company BY: TITLE BY: TITLE IBEW Local 363 / 2005

6 TO ALL CONTRACTORS EMPLOYING MEMBERS OF I.B.E.W. LOCAL UNION # 363 Please use the following as a guide in computing 2018 wages for all I.B.E.W. members. Please note that the example listed below is based on wages for a Journeymen from Zone 1. Each member's payroll will change according to: 1) The member's work zone and benefit schedule. 2) The member's classification 3) The number of dependents and marital status of member Journeymen for zone 1 - Married with (1) dependent: Gross Wages 40 hours) * * $1, Plus Vacation 40 hours) * * Total Compensation * * * * * * * * * $1, F.W.T. * * * * * * * * * * * * * * SOCIAL SECURITY * * * * * * MEDICARE * * * * * * * * * * NYS W.T. * * * * * * * * * * * * NYS DBL * * * * * * * * * * * *.60 VACATION * * * * * * * * * * * NY Family Leave * * * * * * * * 1.65 Work Dues (4% of $1960 ) * * * TOTAL DEDUCTIONS $ TOTAL COMPENSATION $1, TOTAL DEDUCTIONS ($ ) NET WAGES $ 1, IF YOU HAVE ANY QUESTIONS, PLEASE FEEL FREE TO CALL THE BENEFIT FUND OFFICE.

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9 Name: Address: MONTHLY PAYROLL REPORT FOR ELECTRICAL CONTRACTORS NATIONAL ELECTRICAL BENEFIT FUND [ ] TRAVELING CONTRACTOR [ ] PERMANENT CONTRACTOR Address: LOCAL UNION 363 FEDERAL ID#: TOTAL EMPLOYED: PLEASE SUBMIT 2 COPIES PAYROLL PERIOD: SS# EMPLOYEE CLASS HOURS GROSS TOTAL HOURS WORKED: IF YOU HAVE MORE THAN ONE PAGE YOU MUST FULL IN THE NEXT LINE TOTAL PAGES FOR THIS REPORT: MAKE CHECK PAYABLE TO NATIONAL ELECTRICAL BENEFIT FUND FOR 3% OF THE GROSS EARNINGS MAKE CHECK PAYABLE TO NLMCC FOR.01 PER HOUR WORKED MAKE CHECK PAYABLE TO AMF FOR.05 PER HOUR WORKED IF A MEMBER OF NECA SERVICE CHARGE OF.75% OF GROSS MAIL CHECKS TO: HUDSON VALLEY EBB #94 PO BOX ROUTE 32 CENTRAL VALLEY, NY The employer reporting herein recognizes that it is bound by the Restated Employees Benefit Agreement and Trust for the NEBF and agrees to make the required contributions to the Fund as Provided for therein. The employer acknowledges having received a copy of the above Agreement. The employer certifies that the information contained in this report is a full and accurate statement of hours worked and wages earned of all employees subject to employer contributions (pursuant to Article 6 of the Agreement). The employer further certifies that if contributions are made on behalf of non-bargaining unit employees, it is making such contributions in accordance with Article 6 of the Agreement and it is either covering all such non-bargaining unit employees or alumni employees only, except those who may be excluded pursuant to Section 6.3 of the Agreement. The employer further certifies that if it is reporting on behalf of a related organization as defined in Article 6 of the Agreement, either all employees of the organization or alumni employees only are covered, except those who may be excluded pursuant to Section 6.3 of the NEBF Agreement. Signature and Title: Date: [ ] first report in area [ ] final report in area

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