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STATEMENT OF COMPLIANCk— V — AM, d
01 LA80- N. 44-MI093
a.. A.. A.. 's",
Do I a 17 do hereby St*t*t
d' AA K�,
persons employed by
(1) T%.t I Pay or ..p.i.e the .Y..., of the
......... I �
that during the Payroll period l, M..c,.. on —d:. y of __aZ!�-_-M--
the on said project hsv* been paid the full 14.
"o, L, �.ev 1, all p .... no a,mptoyed
19-D and ending the y
be made either directly It indirectly to or .. behalf of old
__kly ..go. ..—ad. that no .holes he,- be-- -1 'aill
—on and that no deduction. h
,r7Xi�
,&_f_m the full .ekly _.&.. ed by any P-
from the full s.g.. earned by any person, other the. p.—I..ible deduction. as defined
been .,the, directly -1 indirectly _Y of 1-.b., under the Copeland Act. a. ..ended (48 Slut
in Regulation 3 ,, ,R gub,,,,. A). Issued by the Sec
Slut ;i.p,. let .67� 76 1Z 41 U.S.C. 276c), and de.cAbed t-I..:
r4L
(2) That any payrolls _d_ this contract q.ined to t:,aubmitted for the bo period a- correct and coespl-t-;
contained I. any
the in.d th.-i. . . less than applicable stage ...... or Itech..ic on -
I the ar.a. -to. (-I I-b-lers 01 mechanics C*nt (.,he
ar. that ill* cis no set rth therein for each labo
,ge determination incorporated into the contract;
,am -ith the -Ork he parfod, program registered
That any apprentices employed In the -bo Ybe, P"od &Z.duly registered il . b.n. nde apprenticeship .—t of
& State apprenticeship agency recognized Y the 8 , of App:,,ticeshiP and TrainingtUMI'd States Depsn'
L,abor. 0, it no such recognized agency exists in . State. am registered th the Bureau of Appmn icaship and Training. United
State. Department of L.-b-1
(4) That: pLANS. FINDS, OR PROGRAMS
(a) WHERIK FRINGE BENEFITS ARE PAID 110 APPROVED
g. —to. paid to each job.,— or mechanic listed= th-�ab- - ref-le-l"d P'Y-
'ly been It -ill be do I P;ropri-te program.
V:Iadd't'*n to the basic ".. it. as listed In the contract have
I;hP y-.nt. of fA-9- ba"ef -ar
I., . benefit of such employees. except as noted in Section 4(c) but
(b) WHFRE FRINGE BENEFITS ARE PAID IN CAS"
Each L.,b or mechanic listed in th� b,,e referenced pmyml.l has I—— p Id as Indicated *1 'he PIY-U,
::�,�_,.t.00t less than the m If he applicable basic h.. y g. re - plus the amount of the required fringe
fit. listed in the conirroct. except as noted in section 4(c) below
