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STATEMEtJT OF COMPLIRNC:E Date: .1ULY 17, 1997 Contract Nueber: I, Tt2ACY WRIGHT, OFFICE MANAGER da her-et~y state: il) That I pay or- supervise the pay~er~t of the persons e~ployed by STATDN CONSTRUCTION, ItJC. on the 1N CO/SALEM/DEMO, that during the payroil period coraencing or~ the 5 day of JUL`i, 1497 antl endir~g the 11 day of ,1t~', 1997, all persons e~ployed on said pr•oject have been paid the fuli weekly wages earned, that no rebates have been or will be ~ede either dir,ectly or indirectly to or on behalf of said 5TATDtJ CONSTRUCTIDiJ, INC. fro~ the full weekly wage5 earned Gy any person ar~d thet no deductions have beer~ eade either• directly or indirectly fras the full wages earned by any person, other• than per~is5ible deductior~5 as defined in Regulations, Part ~ t~9 CFR Subtitle A), i5sued b~~ tnE Secr•etary of Labor- under• the Copeland Act, d5 aoended (48 5tat. 448.63 Stat. 108, 7c Stat. 96i; in 5tat. 357; 4@ U.S.C. ~i6c), ar~d de5cribed below: !c) That any payrD115 othErwi_.e under• this contract required to be subritted for the above period are correct erid co~plete; that the wage rates for laborers or' OPCfidT11C5 CGiitdlfiE'd tfieY~ein are fi4t Ie55 than the applicable wage rates contained in eny wege detereination incor~porated into the contrect; tndt tnE classifications set for•th ther•ein for eact~ labarer~ or ~echenic confor~ with the work he perforred. !s) That any apprentices erployed in the ab~ve period are duly registered in a bona fide apprenti~eship pr~ograe registered with a State apprenticeship agency rec~gr~izEd by the Bureau of Apprer~ticeship and Training, United States fiepartaent nf Labnr, or• if no such recugnized agency exists ir~ a 5tate, are registered with the Bureau of Apprenticeship and Training, United States Depart~ent of Labor. !4) That: la) WHERE FRING'E REt~EFIIS ARE PAID TO APPRUVED F'LANS, FUNDS, OH PROGRAMS ()- In addition to the basic hourly wage rates paid to each laborer or ~echanic listed in the above referenced payroll, pay~ents of fringe benefits as listed in the contract have been or Hill be ~ade to appropriate progra~s for the benefit of such e~ployees, except as noted in Section 4(c) below. (b) WHERE FRINGE BENEFITS ARE PAID IN CASH tX) - Each laborer or ~echanic listed in the above referenced payroll has been paid as indicated on the payroll, an a~ount not less than the su~ of the applicable basir hourly wage rate plus the a~ount af the required fringe benefits as listed in the contract, except as nated in Section 4ic) below. (c) EXCEPTI~NS EXCEF'TION tCraft) I EXPLANATIdN I I I MEDICAL INSURG~ICE I . ~b TO f1.58/HR. IS DEUUCTED I I DEF~ENDIN6 ON DEPENDENT STATUS. I I I (-'ENSION I fc.5Q~1HR. IS QEDUCTED I I I I I REt~1RK5 I ~ I i I t~IqE AtdD TITLE I SIGNATURE I TRACY WRI6FIT, DFFICE MAMA6ER i ~ I I I The ailfui falsification of any of the above state~ents ~ay subject the contra r or subcontractor civil or cri~inal I pr•osecution. 5ee Section 1@01 of Title 1B and Section 2.s1 of Title 31 of the United States Code. I " I