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U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT <br />HUD FORM 4230A <br />REPORT OF ADDITIONAL CLASSIFICATION AND RATE <br />OMB Approval Numbar 2501-00I1 <br />(Exp, 09/3012006) <br />1. FROM (name and address of requesting agency) <br />Ct%y o P �/1, f�12�C <br />2. PROJECT NAME AND NUMBER <br />e��anni� l yat-k h/alkrvl y lmpm <br />an.4Tark II 9 hh ►► itr0WPUvti+— <br />-742--q -7 <br />$- 1 <br />3. LOCATION OF PROJECT (City, County and State) <br />G4-�'r o/ , krt �Jrcrn P C <br />4. BRIEF DESCRIPTION OF PROJECT <br />5. CHARACTER OF CONSTRUCTION <br />L2r <br />❑ Building ZROSIdential <br />❑ Heavy her(specify) <br />❑ Highway <br />6. WAGE DECISION NO. (include modification number, if any) <br />7. WAGE DECISION EFFECTIVE DATE <br />C142D190017 <br />I/2-Lq1a1' <br />COPY ATTACHED <br />a. WORK CLASSIFICATION(S) <br />HOURLY WAGE RATES <br />BASIC WAGE FRINGE BENEFIT(S) (if any) <br />muck, , -r-_ <br />9. PRIME CONTRACTOR (n me, address) <br />Lunt q %d-l:5,,1 //ZC <br />10. SUBCONTRACTOWEMPLOYER, IF APPLICABLE (name, address) <br />rS2/ c tJ'V Dak- sprin tag yort Rol. <br />r/ <br />CCe2r,, G`'fi/3d <br />Check All That Apply: <br />❑ The work to be performed by the additional classification(s) is not performed by a classification in the applicable wage decision. <br />❑ The proposed classification is utilized in the area by the construction industry. <br />❑ The proposed wage rale(s), including any bona fide fringe benefits, bears a reasonable relationship to the wage rates contained in <br />the wage decision. <br />[] The interested parties, including the employees or their authorized representatives, agree on the classification(s) and wage rate(s). <br />Supporting documentation attached, inCludi ig applicable wage decision. <br />Check One: <br />❑ Approved, meets all criteria. DOL confirmation requested. <br />❑ One or more classifications fail to meet all criteria as explained in agency referral. DOL decision requested. <br />FOR HUD USE ONLY <br />LR2000: <br />Agency Representative Dare <br />Log in: <br />(Typed name and signature) <br />Log out: <br />Phone Number <br />HUD-423M(e.04) PREVIe113 EOmON I6 O65OLETE <br />us <br />r <br />23A-60 <br />