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HomeMy WebLinkAbout13U-S. OCPARTMItNT OF LAI—ii, STATEMEMT OF COMPLIAM(� F— A- ­ *^at — "*'" , Data '�,afltL) 1.987 L — Susan- Payroll A�min. ,.& RW7;� ( TIII.) — do he ,b . ..... T'h-t I pay or -P-s' the "Y'""t of the P-115 IMPIVed by L�Eg��E INDUSTRIES the BRIDGE REPAM & GUARD RAILS T."' — ----------- ;� on ,— of (hot d--a the p,y,,Il Period ommen­g on Ih: iY do, of Iqo.87 I'd ending I do of-:, v \h 1987 If I per ... 3 einp I,yed ,, said p­,­ hall be" Paid the I, I It weekly wages earned. that no vba— ho— b", — will be ­d, either d­,11y or i,d—tly t� 11 11 behalf of sold LAKESIDE INDUSTRIES I — . --- from 'he full -e.klv --S-- earned by -rY Person ..d 'hot I d,,d--- h—e be— —d. either d,--ly .1 iridi—1, from he full -IR's earned by — p,rn,,. other than P—i—bLe ded.,t,.,, -1 def—d in R.911611*— Part 3 (29 CFR Subtitle A), I ... ed by he Se—I.ry of Labor under 'he Colel—d A— (4s St,t q.g 63 St -I 1 08. 72 St., 967; 76 St.' 357; 40 U S C 2760. ..d de—ribed bel— FEDERAL WITHHOLDINGp FLCA, WORKMAN'S COMPENSATION UNIUN VACATION & DUES (2) Th., any P'Ymll* Otherwi" under this Contra- required to be Ilb—led for he III— e th . t the wage rates for I.b—r— rrelhanics colla—d lher— or. no, 1193 than the appi ... bPrII-d — —11ect and — ,I,te; w. the, "' —191 roll- —lo—ed �i any fri.ge d.Ie—in­i.. I—P—t.d in,. Ili. ­­—; that he �l .... f­­_ 3er forth e'. _ with the work he Pelf—ed for e.rh I. b.— , or —h—. �on —0) That any aPPronli—ii —Pl.y.d In the abo— Period Ire duly registered ., A It St.,. p,,. __hF A bona fide ppre--h.p p­,,­ r"-.11—d _�nre_gni I ny re"It"'I'd by he B.—. of App—­—h and T-i—g. United states Depart'— If L bei. —X I . dg:._, in . S. at. D partment of Labor 11, registered with the 13,r,.0 of Arp--le1h,p —0. Tr,,,,,R. Unit,, (4) That: (a) WHERE FRINGE BENEFITS ARE PAID TO APPk0%'FD PLANS. FUNDS. OR PROGRAMS In addition to the ba— h,,,I, ­,,e 1-1e. Paid 1. 1.rh I.bo— - listed I. the b—, ­fe­­.d p_ roll. psym e Its If f—st, benefits -3 listed In th, --- h—, b—, — -111 be —d' to &pp­pr­e p-V.—, f— , be benefit If S-1h Imployees. I—ept ., r­d In S-111i. 41, ) belo- (b) WHERE FRINGE BENEFITS ARE PAID IN CASH �ach Lab. rer 11 me,h.r­ listed in he aboll ,I,ren,,d pa%r,,Il h— been paid 0— not I'll than the s— If the ppli,abj, I-d—led In he p­­11. b-1 hour[, —e Pl— 111, -1-1 If 0— —1--d fr­-, benefits I- listed In 'he e—PI -1 noted In —1—, 4(,) b,II- (0 EXCEPTIONS ION(CRAIT) EXPLANATION OWNER: CITY OF RENTON 037008 Susan — M. Kelly. Payroll Admin. 11-Al T"' ""'L C.I.—Al I, IT— T 'M Ts I, T7 III T.T— Fana W"'3a D-INCTLI