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U_S_D�P^RTSIENT OF LA IF— A--d
11 AID '" AID aLal. STATEMENT or COMPLIANCE 01-9.1 D.I.. N.. 44-RIO93
ta .1
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Dw. 17
6. hereby rate:
(1) That I pay ..p.-i.. the p.y.— of the p ...... employed by on
the rm4iLqP'P'&i /Arp"11' that during the payroll period commencing on
11.12. and ndl."a"th'.i_2a/_d.y of .7o,91",o oe Y . 19-IL2. .11 p ...... . mpl�y.d .. aid p—J." h.— been paid the full
weekly wage. earned. that — bste. h.T. be.. or will be made eitA directly or indirectly to 0, — behalf of said
rx"g� da from the full kly -age. --ad by ..y person and that . dducUcIrr. II.T.
been -ad. either directly or indirectly from the full -age. ..n,.d t., Soy p—ori pe—i—ibl. d.d.cti... .. defined
in Regulation., Part 3 (29 CFR Subtitle A). issued by the Sec—ta,. of Labor under he .,.I..d Act, as .—Irridd (48 Star.
94&63 St— 108. 72 Slat, 40 U.S. C. 2761,). and d-1hed !.I.-:
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(2) T'hat any payrolls rith —I.. under this ont—t required! to be Submitted for the ob,,e period am co,te" and complete;
—1 th. re.- val— -1 1.11:- — re—h-1c. —.1.1tred therein am —1 1... applicable wage rells contained I. ..y
age dt.—i—tion Lc.rp ... led into the ct� that the .1 ... Lfj_ti... at I.fth .._. 'or ch I.b.— or mechanic
to— with the ..,& he performed
(3) T'hat any, apprentices employed I, the ab,,e period am duty registered 1, . bna fide apprenticeship program registered
with . Iltt. apprenticeship agency recoant—d by the B.— of Apprenticeship and Training, United States Department of
L.Iibor, or If no such re—L—d agency exists in a State, am registemd with the Bureau of Apprenticeship and resining, United
8tetes Department of L�
(4) That:
(a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS. FUNDS, OR PROGRAMS
In addition to the basic hourly wage telex paid to each I.boter or waichanic listed in the ab,,e refereri—d pay -
Full, payments of fringe benefits — listed In the contract beve been or will be road. to appropriate programs
X.,,Jth. benefit of such employ..., except a. noted in Section 4(�) below
(b) �WHERE FRINGE BENEFITS ARE PAID IN CASH
Each L-Aborer or inecheril, listed 1. the b.— mt.—.cd payroll h.. been paid as Indic on Jhe payroll,
. as the the I the
Is applicable basic hourly wag, rate plus the amount of the —q.i—d fringe
:nt
as listed in the contract. except as noted in section 4(,) below.
ONS
EXCEPTION (CRAFT)
ffXPLAHATIOM
72
T.. .11, 11 11 1"1 .—T.—T—T 111.101— T.. —1—T.. on TO
C. c ..... I 'o 01 01 TITLE 1. AID 0 It_ I.. I T. TLE VIITED ST. TES
