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STATEMENT OF f~,IA~k..'E Date: RUGUST 1, 1597 Contract Nu~ber: I, T1tACY NRIGHT, (#~FIt~ 14ANA6ER do hereby state: tl) That I pay or supervise the pay~ent of the persons e~ployed by STAT(~J CI~VSTRl~TION, It~. on the ~ ~~~5~~~~1, that during the payroll period co~~encing on the 20 day of JULY, 1997 and ending the 26 day of Jt~'~, 199i, all persons e~played on said project have been paid the full weekly wages earned, that no rebates have been or -+ill be ~ade either directly or indirectly to or on behalf of said STATI~I C(~1STRUCTION, INC. fro~ the full aeekly aages earned by any person and that no deductions have been eade either directly or indirectly fro~ the full Nages earned by any person, other than per~is5ihle dedu~tions as defined in Regulations, Part 3 t29 (~ R Subtitle A), issued by the Secretary of Labor under the Copeland Act, as a~ender; t48 Stat. 948.6:5 5tat. 1@8, 72 5tat. 967; 7E 5tat. 3~7; 40 t1.S.C. 276c), and described Gelow: !2) That any payrolls otherwise under this contract required to be sub~itted for the above period are correct and rorplete; that the wage rate5 for laborers or ~echanics contained therein are not less than the applicable wage rates contained in any -vage deter~ination incorporated into the contract; that the classifications set forth therein for each laborer or ~echanic conforr Nith the work he perfor~ed. (s) lhat any apprentices e~ployed in the abave period are duly registered in a hona fide apprenticeship prograe registered aith a State apprenticeship agency recognized by the Aureau of Apprenticeship and Training, United States Depart~ent of Labor, or if na such recognized agency exists in a 5tate, are registered with the Aureau of Apprenticeship and Training, United States Oepart~ent of Labor~. !4) That: tal WHEKE FRIP16~ BEPlEFIIS AHE PAID TU A~'PRUVED PLRNS, FIAJDS, Dk Pk~kAt4S ()- In addition to the basic hourly wage rates paid to each laborer or sechanic listed in the above referenced payroll, pay~ents of fringe benefits as listed in the contract have been or will be ~ade to apPrapriate progra~s for the benefit of such e~ployees, except a5 noted in Sectinn 4(~) beloa. fb) V~&~kE FRIPI6f BEI~I15 ARE RAID IN CA~1 (X) - Each laborer or ~echanic listed in the abave referenced payroll has been paid as indicated on the payroll, an a~ount not less than the su~ of the applicable basic hourly wage rate plus the a~ount of the required fringe benefits as listed in the contract, except as noted in 5ection 4(r) beloH. tc) EXCEPTI~t~ ~ EXCEPTIt~I (Craft) I EXPLt~lATION ~ ~ I ~ ~ M~DICAL IP~lI~Nt.,'E I .5b TO f1.:;8/HR. IS DEDUCTED ~ ~ I DEPElVDING ON ~PENDEHT STATUS. i ~ ~ ~ ~ ~I~ ~ 52.5@/HR. IS DEDUCTED ~ ~ ~ I ~ ~ I I F&]~4AR}tS ~ I I ~ I I I ~ I I t~ f~lD TITLE I SI(~IATUkE ~ I fRACY WRI~T, ~FICE ~R ~ ~ ~ ~ ~ I ! The Nilful falsification of any of the above state~ents ~ay subjec the con ctor or SUhCD actor to civil or cri~inal I ~ prosecution. See Section 1~1 of Title 18 and Section 231 of Title 31 of the United States Code. I I ~