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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.
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