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NEGOTIATED PREVAILING WAGE CERTIFICATION INSTRUCTIONS (Illinois)

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CMS
I L L I N O I S
DEPARTMENT OF CENTRAL MANAGEMENT SERVICES
NEGOTIATED PREVAILING WAGE CERTIFICATION
INSTRUCTIONS
The Department of Central Management Services (CMS) has created the Negotiated Prevailing Wage
Certification Form, on the following pages, to be completed by the representative organization having the
authority to notify and inform the effective prevailing wages for their members working in their designated
work jurisdiction(s). Please ensure all relevant information is provided and completed on the form. It is
imperative all necessary information is provided in order to assist with implementing prevailing wage
changes for affected State of Illinois trade employees entitled to such wage changes and covered under
the jurisdiction of the Personnel Code (20 ILCS 415/). Once all relevant information has been provided on
the form, please email the completed form and any other relevant documentation to the email address on
the second page of the form. Email submission is the preferred method of transmittal; however, a mailing
address is also provided.
Once the necessary information is received by CMS, efforts will be made to implement the wage changes
to all affected employees. CMS will ensure the additional add-on percentages are applied to those
employees entitled to those increases.
If you have any questions or concerns, you may contact the Department of Central Management Services’,
Compensation Section via the email address provided on the second page of the form or via telephone at
(217) 782-7964.
Form Date: March 1, 2016
NEGOTIATED PREVAILING WAGE CERTIFICATION FORM
In accordance with the memorandum of agreement between the State of Illinois’ Department of Central
Management Services and the Trades Coalition, this form constitutes the official certification by the below listed
organization of the wages and benefits paid to workers, laborers, and mechanics working on Public Works Jobs and
who are covered by collective bargaining agreements with the certifying organization. Rates or benefits paid on
private/Non-Public Works jobs as defined by statute should not be included. As a courtesy, please attach a copy of
any collective bargaining agreement covering the workers and if there is an employer association, please identify and
provide contact information and have the association confirm the information provided
by signing
the sheet. Please
indicate on the second page the counties or portion of counties ( e.g. N, S, E, W, NW, SE, NE, SW) where these wages
and benefits are to be paid and are applicable to this certification.
Please check all applicable to this submittal.
Title
Code
Title
Title
Code
Title
04100
Baker
32800
Plasterer
04250 Barber 32900 Plumber
04350 Beautician 38600 Roofer
04910 Boiler Safety Specialist 40500 Sewage Plant Operator
05200
Brickmason
40960
Sign Painter
06650
Carpenter
40970
Sign Painter Helper
06660
Carpenter Foreman
42600
Stationary Engineer
06860 Cement Finisher 42605 Stationary Engineer-Assistant Chief
13200 Electrician 42610 Stationary Engineer-Chief
18500
Highway Construction Equipment Operator
42650 Stationary Fireman
23050
Laborer
42800
Steamfitter
23060
Laborer (Building)
45000
Teacher of Barbering
23085
Laborer Foreman
45050
Teacher of Beauty Culture
24750 Machinist 45550 Tinsmith
25510 Maintenance Worker (Power Plant) 45700 Trades Tender
30800 Painter 49050 Water Plant Operator
30801
Painter Foreman
Certifying Organization: Local #:
Address:
Phone: Email:
Effective Date:
Journeyman Wage Rate: $ Foreman Wage Rate: $
Health/Welfare: $ Total Pension: $
Overtime (Show 1.5 or 2.0)
M – F (Over 8 hours): $
Saturday: $ Sunday: $
Form Date: March 1, 2016
Please check all applicable to this submittal.
Work County
001 Adams 035 Hardin 069 Morgan
002 Alexander 036 Henderson 070 Moultrie
003 Bond 037 Henry 071 Ogle
004 Boone 038 Iroquois 072 Peoria
005 Brown 039 Jackson 073 Perry
006 Bureau 040 Jasper 074 Piatt
007 Calhoun 041 Jefferson 075 Pike
008 Carroll 042 Jersey 076 Pope
009 Cass 043 Jo Daviess 077 Pulaski
010 Champaign 044 Johnson 078 Putnam
011 Christian 045 Kane 079 Randolph
012 Clark 046 Kankakee 080 Richland
013 Clay 047 Kendall 081 Rock Island
014 Clinton 048 Knox 082 St. Clair
015 Coles 049 Lake 083 Saline
016 Cook 050 LaSalle 084 Sangamon
017 Crawford 051 Lawrence 085 Schuyler
018 Cumberland 052 Lee 086 Scott
019 DeKalb 053 Livingston 087 Shelby
020 DeWitt 054 Logan 088 Stark
021 Douglas 055 Macon 089 Stephenson
022 DuPage 056 Macoupin 090 Tazewell
023 Edgar 057 Madison 091 Union
024 Edwards 058 Marion 092 Vermilion
025 Effingham 059 Marshall 093 Wabash
026 Fayette 060 Mason 094 Warren
027 Ford 061 Massac 095 Washington
028 Franklin 062 McDonough 096 Wayne
029 Fulton 063 McHenry 097 White
030 Gallatin 064 McLean 098 Whiteside
031 Greene 065 Menard 099 Will
032 Grundy 066 Mercer 100 Williamson
033 Hamilton 067 Monroe 101 Winnebago
034 Hancock 068 Montgomery 102 Woodford
Statewide (Applicable in all Illinois work counties)
I hereby certify that the foregoing information is correct.
Print Name: Title:
Signature: Date:
Please return to: Email (Preferred): CMS.NPRCertification@illinois.gov
Mail: Department of Central Management Services
Compensation Section
504 Stratton Bldg.
Springfield, IL 62704
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NEGOTIATED PREVAILING WAGE CERTIFICATION INSTRUCTIONS (Illinois)

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