LOCAL #387 ROBERT A. DUFFIELD Business Manager I F.S.-T.

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1 International Association of Bridge, Structural, Ornamental and Reinforcing Iron Workers 109 SELIG DRIVE, S.W. ATLANTA, GEORGIA PHONE (404) FAX (404) TOLL FREE (888) Affiliated with AFL-C1O LOCAL #387 ROBERT A. DUFFIELD Business Manager I F.S.-T. EFFECTIVE October 1st, 2014 JOURNEYMAN IRON WORKERS DEDUCTIONS BASE WAGE HEALTH & WELFARE PENSION CONTRIBUTION FUNDING SURCHARGE 387 WELFARE APPRENTICE FUND IMPACT $25.04 $ $ 3.53 $ 1.16 $ 1.00 $ $ $ WORK ASSESSMENT $/hour flat rate all hoars worked DISTRICT COUNCIL INTL. IPAL $ $ $ $ APPRENTICE IRON WORKER WAGES AND BENEFITS ARE SET BY THE APPRENTICE COMMITTEE. APPRENTICE WAGES ARE NOT AN EXACT PERCENTAGE OF NEGOTIATED HOURLY JOURNEYMAN WAGE. THESE WAGES ARE SUBJECT TO CHANGE. *38% OF APPRENTICE PENSION CONTRIBUTIONS ARE SEPARATED INTO A FUNDING SURCHARGE ALLOCATION. Contributions Base Wage H&W Pension* Appr. Fund Impact Deductions Building Trades Dist. Council Intl. Organizing Work Assess Page 1 of4 10/01/

2 ORGANIZED IRON WORKER LOCAL #387 Local 387 has adopted the following procedure to bring in to membership; unrepresented ironworkers in an effort to recapture all phases of our work through a comprehensive and fair procedure will benefit all members by increasing market share and result in higher compensation and benefits for those who belong to this association. Contributions Newly organized ironworkers will first undergo a skill assessment. Based on this assessment, organized ironworkers will be referred at the following rates: o First six months - $12.00 up to $18.00 per hour, Deduction: work assessment, Intl. Org. Fund, Bldg. Trades, District Council, IPAL Fund. o First six months - Contributions of IMPACT.. All first six month ironworkers will be given the opportunity to upgrade their skills in an order to increase their wage. Base Wage Impact Deductions Building Trade Dist. Council Intl. Organizing Work Assess. SECTION 2 Foreman Ironworkers - $ 2.00 over Journeyman scale. General Foreman Ironworkers - $ 3.00 over Journeyman scale. Page 2 of4 10/01/2014

3 SECTION 3 APPRENTICE IRON WORKERS A. Wages expressed as percentages of Journeyman rates for Apprentices indentured after January 1, First six months - 55% Deductions: Building Trades, District Council, IPAL, Intl. Organizing and 55% Standard Work Assessment. Contributions: Apprentice Fund and IMPACT Second six months - 60% 60% Standard Work Assessment. Contributions: Apprentice Fund and IMPACT Third six months - 63% 63% Standard Work Assessment. Contributions: Apprentice Fund.IMPACT, Fourth six months - 65% 65% Standard Work Assessment. Contributions: Apprentice Fund.IMPACT, Fifth six months - 70% 70% Standard Work Assessment. Contributions: Apprentice Fund.IMPACT, Sixth six months - 73% 73% Standard Work Assessment. Contributions: Apprentice Fund.IMPACT, Seventh six months - 75% 75% Standard Work Assessment. Contributions: Apprentice Fund.IMPACT, Eighth six months - 80% 80% Standard Work Assessment. Contributions: Apprentice Fund.IMPACT, Page 3 of4 10/01/2014

4 SECTION 4 Group E Non Upgraded Journeyman LOCAL #387 Effective August 1st, 2013 all Journeyman must have successfully completed the following listed upgrades: OSHA 30 SUBPART R Current Forklift, Current Snorkel lift, Current Scissor lift certifications Current Scaffold Erector / Dismantle certification Current First Aid CPR certification International Iron Workers Rigging and Flagging certification Current IMPACT Drug Test Failure to comply with adopted mandates will result in all GROUP E Non Upgraded Journeyman referred out at 80% of Journeyman wage. *Work Assessments will be deducted from all wages. This will be deducted and paid by each member (all classifications of workers) in accordance with Local #387 By- La ws Art. 2 Section 1. Paragraph (c). Apprentice Work Assessment will be set by the Apprentice Committee. **Health & Welfare contribution to be paid at current rate. Apprentice wages are set by the Apprentice Committee and are not an exact percentage of negotiated hourly Journeyman wage. These rates are controlled by the Apprentice Committee and are subject to change with minimal notice. ***Pension Contribution will be at $1.76 per hour from 3rd period apprentice through 6th period apprentices while pension contribution for 7th and 8th period apprentices is $3.46 and Journeyman Ironworkers at defined rate of per hour. *38% of Apprentice Pension Contributions are separated into a Funding Surcharge allocation. B. Deductions from Apprentice wages for the Work Assessment will be set by the Apprentice Committee for all six month periods and will be a percentage of the Standard Work Assessment. C. In accordance with the terms of an individual signed authorization from the Employee, deductions from gross wages of Employees may be made by the Employer and remitted to the Union Trusts as follows: 1. Work Assessment Check-Off 2. District Council 3. Intl. Organizing 4. Building Trades. 5. IPAL D. Reporting, collection and administration of Fringe Benefits and Work Assessments Check-Off shall be mandated in Article 16, 17, 18, 19, 20 and 21 of the Agreement. Page 4 of 4 10/01/2014

5 Code No. Contractor_ Ident. Number Address D PLEASE CHECK BOX IF THIS IS A NEW ADDRESS EMPLOYEE NAME (Type or Print) FIRST LAST JOURNEYMAN IRONWORKER ATLANTA IRON WORKERS JOINT APPRENTICEHIP COMMITTEE WORK $ PER HOUR D. C. CORRECT MUST BE SHOWN 1 Cincinnati, OH D Check Box to be sent more Benefit Forms - Number Needed Pension 4.69/HR Apprentice /HR /HR 387 Welfare 1.00/HR (1) WORK ASSESSMENT (2) /HR /HR Total Assessments /HR /hr /HR (3) D Please check here if you employed no men during this payroll period FUNDS REMITTED (1+2+3)

6 Code No. PROBATIONARY IRONWORKER Contractor ATLANTA IRON WORKERS JOINT APPRENTICEHIP COMMITTEE Ident. Number_ Address D PLEASE CHECK BOX IF THIS IS A NEW ADDRESS EMPLOYEE NAME (Type or Print) WORK D. C. FIRST LAST $ PER HOUR CORRECT MUST BE SHOWN I Cincinnati, OH D Check Box to be sent more Benefit Forms - Number Needed Pension 0.00/HR $ D Please check here if you employed no men during this payroll period /HR 387 Welfare 0.00/HR (1) WORK ASSESSMENT (2) Total I.P.A.L Assessments (3) /HR /HR /HR /hr /HR FUNDS REMITTED (1+2+3)

7 Code No. Contractor Ident. Number Address 1ST & 2ND PERIOD APPRENTICE IRONWORKER ATLANTA IRON WORKERS JOINT APPRENTICEHIP COMMITTEE D PLEASE CHECK BOX IF THIS IS A NEW ADDRESS EMPLOYEE NAME (Type or Print) FIRST LAST WORK PER CBA AGREEMENT D. C. CORRECT MUST BE SHOWN 1 Cincinnati, OH Q Check Box to be sent more Benefit Forms - Number Needed Pension 0.00/HR Apprentice /HR /HR 387 Welfare.00/HR (1) 1ST PERIOD ASSESMENT 0.63/HR 2ND PERIOD ASSESMENT 0.69/HR WORK ASSESSMENT (2) /HR Total Assessments /HR /hr /HR (3) S D Please check here if you employed no men during this payroll period FUNDS REMITTED (1+2*3)

8 Code No._ Contractor_ Ident. Number_ Address_ D PLEASE CHECK BOX IF THIS IS A NEW ADDRESS EMPLOYEE NAME (Type or Print) FIRST LAST 3RD &4TH PERIOD APPRENTICE IRONWORKER ATLANTA IRON WORKERS JOINT APPRENTICEHIP COMMITTEE WORK PER CBA AGREEMENT D.C. I.P.A.L CORRECT MUST BE SHOWN 1 Cincinnati, OH D Check Box to be sent more Benefit Forms - Number Needed Pension (3RD & 4TH PERIOD) 1.76/HR Apprentice /HR /HR 387 Welfare.00/HR (1) 3RD PERIOD ASSESSMENT.72/HR 4TH PERIOD ASSESSMENT.75/HR WORK ASSESSMENT (2) /HR Total Assessments /HR /hr /HR (3) D Please check here if you employed no men during this payroll period FUNDS REMITTED (1+2+3)

9 Code No. Contractor Ident. Number Address D PLEASE CHECK BOX IF THIS IS A NEW ADDRESS EMPLdYEE NAME (Type or Print) FIRST LAST 5TH & 6TH PERIOD APPRENTICE IRONWORKER ATLANTA IRON WORKERS JOINT APPRENTICEHIP COMMITTEE WORK PER CBA AGREEMENT D.C. CORRECT MUST BE SHOWN ^^HJ-JEE Cincinnati, OH D Check Box to be sent more Benefit Forms - Number Needed Pension 1.76/HR Apprentice /HR /HR 387 Welfare. 00/HR (1) 5TH PERIOD ASSESSMENT.81/HR 6TH PERIOD ASSESSMENT.84/HR WORK ASSESSMENT (2) /HR Total Assessments /HR /hr /HR (3) FUNDS REMITTED (1+2+3) $ D Please check here if you employed no men during this payroll period

10 Code No. Contractor Ident. Number_ Address D PLEASE CHECK BOX IF THIS IS A NEW ADDRESS EMPLOYEE NAME (Type or Print) FIRST LAST 7TH & 8TH PERIOD APPRENTICE IRONWORKER ATLANTA IRON WORKERS JOINT APPRENTICED COMMITTEE WORK PER CBA AGREEMENT D. C. CORRECT MUST BE SHOWN ^^flse Cincinnati, OH D Check Box to be sent more Benefit Forms - Number Needed Pension 3.46/HR Apprentice /HR /HR 387 Welfare. 00/HR (1) 7TH PERIOD ASSESSMENT.86/HR 8TH PERIOD ASSESSMENT.92/HR WORK ASSESSMENT (2) /HR Total I.P.A.L Assessments /HR /hr /HR (3) FUNDS REMITTED (1+2+3) D Please check here if you employed no men during this payroll period

11 SOUTHEASTERN IRON WORKERS HEALTH CARE PLAN SEIW 387 IW Ironworkers Local 387 Atlanta, Georgia (Date Received for Fund use only) GEMGroup, Fund Administrator 3 Gateway Center 401 Liberty Avenue STE 1200 Report for Pittsburgh, PA to Document # Participant Name Social Security Number Total Worked FUND RATE per Hour Worked Effective Date: X Health Fund $ Total Worked: X $ = $ Total Document Amount $ Report and payment are due in the Fund Office by the last day of the month following the work month. Liquidated Damages will be assessed as outlined in the Collective Bargaining Agreement. Employer Name Address Fed. I.D. No. Phone No. Fax No. We certify this report to be true and correct and hereby accept and agree to abide by the terms and provisions as set forth in the Agreements and Declarations of Trust. Check # Please check if: No Longer Working in Area No Employees This Month Date Check here for more forms Check here if new address Make Check Payable to: Southeastern Iron Workers Health Care Plan, and mail White and Yellow copy of Report along with check to GEMGroup at the address listed above.

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