HomeMy WebLinkAbout24U-S. DEPARTUCkT OF LABOR
WAS& AND Hft AID LIC STATEMENT OF COMPLIANCE Forot
co _ . A, to Old.- Bl N 44-ftZ093
Date /-
A
do hereby .,at.:
ol
the /VJA 9W; that during the P*Yroll Period commencing o, the
d... —L,/—d.y of Z4-c-em
19,& and ending the.LA;) day Of p.... —pl.y.d on aid project h... been Paid the full
mr—Itly -.Co. earned, the' no '-her-. h been or will be -ad. either directly Or Indirectly to .1 On behalf of aid
jC:�C—� CA the 1.11 weekly by an, Person And hot no dr,d.... h
T " . .. . A _
baln ra-d* either directly Or indirectly from the full
in Rag Part 3 (29 CFF wage. earned by ..y
! Subtitle A). issued deduction. .. d.fi..d
948,63 St., 106. 72 Silt 967; 7 St � he Secret., of Labor n der he op,lod Act. as amended (48 St,t�
6 276c). and de..,ibed below:
;a�k% 40 U,S.C�
(2) 7h-t a-Y P-Y-11. Otherwise under this contract required to be submitted for the b_ cl.d a— co—ct and c.-pl.,.;
the
t th 2 saffe rates I-' I-b- -1 rerrch..ic. contained th.—in a- not I... than the ppI c.b1p. -1.91 —to. contained in ...
areas determination inp.,.t.d into the contract; that the lissuific-tioll get forth therein for -tch I,bomr or co
form With the work he performed
.1(3) Tl,.t any apprentices employed In the above Period am duly registered I, a bne fide OPPrenticeship Program registered
I_ th - State Apprenticeship —ccnL..d by the Hume, of Apprenticeship and Training, United Sists. Depmen, of
bor. or if no such torloanixod gen" ,jot. I, a State, .— re,i.tered With the Bureau of Appre.ttcrr.hip and Tmiin& United
totes D,pZment of Labor
(4) That:
(A) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS. FUNDS, OR PROGRAMS
1. addition to -lic fio,rly wage cot,s paid to each lob,,er 0, m,choni, listed in the Above refmn,ed pay-
_.., P.,...,:hl I
Of friolte berurfal. tilled I, the 11nt,sct he,, bee, or will be tuade to pproptiem p._Vams
for the benefit -1 Such --PI-Y---. -P1 .. ..red I. Scli.. 4(c) below.
(b) WHERE FRINGE BENEFITS ARE PAID IN CASH
Each Labore, or mechanic listed in the ob refre,ced royroll has bee, paid os indicated on the poytoll,
:;,,,""nl "*' 1.. ban ��-n::- Of the applicable b.ssil hj Y w
.fit. .. listed I. he cl . )age rate Pill the mount of the mq,imd frinire
. lept so noted in ectio, 4( below
Ic) EXCFP�InN-�
EXCEPTION (CRAFT)
EXPLANATION
..7 �Re
7"4)
or,
C.-L ;c "L.'
C'.. TO
TF1
F.— WH-340 (1/68)
N�
