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Kv�r4m
a.
AN
U.S. S-.RTe 01
STATEMENT OF COMPLIANCE lr� A--d
N-
A'
..-a,.- Pv) do hereby .,at.:
n
(1) T%-t I pay or s'p—lis, the payment of the P""'. employed b�
th. 0 that d.,A.g the payroll period co-L.—Z the 7 day of
19A, End ending the /A day of 19-IM,
-11 Per---- employed 0. aid project h.le be.. paid the fuji
weekly wages &,mad, that no rebates hall been or will be mad, either directly or indirectly to — on behalf of said
iu from the full weekly wages earned by any person ..d that no deduction. hall
been ad. Either directly .1 indirectly from he Full wage. earned by any person. other then permissible deduction. as defined
In Regulations, Pact 3 (29 CFR Subtitle A), issued ]by
the Secretary I Labor ..d., the Copeland Act, as amended (48 St.t.
948-63 Stal- I., 7 4. 11 S.C. 276c), and described
�Wl; bel-
(2) T'hst any payrolls otherwise under this contract required to be submitted for the abIll P'Ti,d am correct and complete;
that the -age nat for I-b-ne— or mechanics contained therein am not lea, then the applicable wage rates contained in any
wage determination Incorporated Into th, contract; that the classification, set forth therein for each lab— or me,h,,,c con-
form wtth the work he performed
(3) That any apprentices employed In the abo,e period am duty registered in a bns fide apprenticeship Program registered
with a State apprenticeship agency recognized by the Bureau of Apprenticeship and Training. United States DepsAma,t of
Labor. or if nu such recognized agency exist, in & State. am registered with the Bureau of Apprenticeship and Training. United
State. Dap.rtm.nt of Labor
(4) Th,t:
(a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS. FUNDS. OR PROGRAMS
Inadditi,n to the belil'hourly wage rates paid to each 1-bore, or mechanic listed in the abo— mf.r.,c.d pay-
MjI,,.psyments of fringe benefits a, listed in the contract hall been or will be ad. to appropriate p—grem.
or _. benefit of such employees. elelpt — noted in Section 4(c) below
(b) W"F RE FRINGE RENEFIJ S ARE PAID IN CASH
Each I—b—, or mechanic listed in the boll lf—enced plycoll has been paid as indicated on he payroll,
the — of the applicable basic hourly wag' rate Pill the amount of the mquimd fr ge
",,,a 1111, 1h
as ted n the contract, except 0. noted in section 4(c) bel.- in
(c) EXCEPJJONS
F.— WK I I
y-