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STATEMENT UF COMPLIAMI~ Dai,e: JULY sl, 1991 I, TRACY WRlf~l(, I~=FICE MANAC~R do hereby state: Contract Nu~ber: tl) That I pay or supervise the payeent of the persons e~ployed hy STAT(~1 E(~UIPhiENT RENTALS on the hi~' CU/Dt~MU/~EM, that during the payrnll period co~~encing an the 20 day of JIAY, 1997 and ending the 2b day of Jlt~,,~.i99i, all persons e~ployed on said project have been paid the full weekly wages earned, that no rebates have been or will be ~ade either directly or indirectly to or on behalf of said 5TAT~J EQUI~MEtdT RENTALS fro~ the full Heekly wages earned by any person and that no deductions have been eade either directly or indirectly fro~ the full wages earned by ar~y person, other than per~issible deductions as defined in Regulations, Part 3 t~9 C~R Subtitle A1, issued by the Secretary of Labor under the Copeland Act, as a~ended (48 Stat. 448.63 Stat. 1@8, 7~ 5tat. 967; 76 Stat. 357; 40 U.S.C. c76c), and described helow: !~) That any payrolls otherwise under this car~tract required to be suh~itted for the above period are correct and ca~plete; that the wage rates for lahorers or eechanics contained therein are not less than the applicable wage rate5 contained in any wage detereination incorporated ir~to the contrart; that the classifirations 5et forth therein for each laborer or rechanic confore with the work he perfareed. t3) lhat ary apprentices eeployed in the above period are duly registered in a bona fide apprenticeship prograo registered with a State apprenticeship agenry recognized by the Bureau of Apprenticeship and Training, United States Depart~ent of Labor, or~ if no suc~h recognized agency exists in a State, are registered with the Aureau of Apprenticeship and Training, United States Oepart~ent of La~or. t4) lhat: (a) WHEKE FNIt~E RENEFIIS Ak~ NAID TO ANPRUVEU PLAt~IS, FUr~DS, Dk PKDGRAt~; tX> - In addition to the basir 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 Nill be ~ade to appropriate progra~s for the benefit af such e~ployees, except as noted in Section 4Ic) beloH. th) I~&iEkE FRII~ BEtJEFI1S AHE PAID IN CASH t)- Each laburer ar ~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 Hage rate plus the a~ount nf the required fringe benefits as listed in the contract, except as noted in Section 4(c) below. tc) EXCEPTIUNS EXCEPTIUN tCraft) (~ERATORS UNION 701 EXPLE~IATIDN t~SAt~(5 I I I i I t~ihE WdD T11LE ~ I SI(~TUKE . ~ fttf~Y WRIGIiT, UFFit~ MFlNA(~R ~ ~ ' I ~ fhe Hilful falsification of any of the abave state~ents ~ay subject he contr or or subcon ctor to civil or cri~inal I ~rasecution. See Sertion 1~01 of Title 18 and 5ection 2:51 of Title 31 of the United States Code. ~ I