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HomeMy WebLinkAbout19U�S. Dt ARTROENT OF L.M. F — A--. 0 .... .. ".. ... .. .11"c "".) STATEMENT OF COMPLIANCE lln.., �­ N.. a.-RI093 a A.'l do hereby state: ze �_"Y' C. on (1) That I pay or supervise the payment of the person. employed q the 4,#o%k0*A4r/_ that durina the payroll period comnerici,g an the_,Y_d.,Of (J�jjdM a a- 19-V. and eridiriz th-M�daty of J.4,'AVA le Y , 19_" .11 p­­ employed I. aid project have been paid the f.11 weekly -.Sea earned, the, no rebates have b.. or will be made either directly or indirectly to 11 On behalf Of risid — 1^ — - -- -f—. the f.il -..kty -age. --ad by any person and that no dd­tionir have (Cao".­' KE ' 7­ been ad. either directly or indirectly from the (Oil wages earned by any person. other then permissible derhiction. 0. defined in Regulation*. Pan 3 (29 CFR S,btitl, A). iss,ed by the Secretary of Labo, under the Copeland Act. as amended (48 Stat� 94Mt. 7 ,E�00r;7;; ��7; 40 U S.0 276c). and described bel.— (2) That any payrolls otherwise under this c.nt,a" —q.ired to be . red to the above lod a— correct and E—pl.t.; that the wage rate. for latoves., reech.nicir contained therein am not I= the. t;i. tipplicabl'.7 wage ext.. contained in any wage determination incorporated into he contract. that the classification. set forth thereto (Or each Itibom, or mechani, con- I.— kth the ­.rk be performed wilt) T%.t any apprentices Employed I- the above pen oil - .7.dly registered in a boom fid, apprenticeship program registered state apprenticeship agency excIariLzed by the So , of Apprenticeship .oil Trsioine.,U -tied flattar, Department Of L-b—, — it no ii-ch —.ogix.d agency ..Let. in . State, am registered with the B. a.. of Appren iceship and TminLn, United State. Department Of L—b., (4) That: (a) WHERE FRINGE BENEFITS ARE PAID TO APPROtrED PLANS. FUNDS, OR PROGRAMS Wr- I ,Z addition to the beat. ho.dy wage rate: Paid to each Iabo;7r,:, mech nic listed in the above eirferenced pay- ,11. payment. of fringe, benefit, as list d In the contract , bee. :r ivill be ad. to appropriate Prollre-ii I., the benefit of ,ch employ .... .. cpt as noted in Section 4(c) below. (b) WHERE FRINGE BENEFITS ARE PAID IN CASH Each I-abom, or tnechanic listed in the above referenced poyr�I.l has ties, paid an indic:ted :rT the payroll. nor fee. the. the ... Of the applicable basic h..,Iy BE rate pl.. the ­nt I th required fringe benefits a, listed in the contract. except as noted I, secri,n 4(c) below EXCEPTION (CRAFT) EXPLANATION A.. T.11. 1Z-_//X J T, -EF, 111, OF TITLE 11 1.1 IWITI­ 211 c... I I TMK 111TED STATES IF T.TIE 3 0