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STATEMEtJT OF COMPLIAtJI~ Date: AU6UST 21, 14?7 Contract Nuaber; I, TRACY WRIGHT, OFFICE MAtJA6ER do her•eb~ s+,ate: (1) That I pay OY SUaeYViSB the pa~eent of the persons e~played by STATGN CDtJSTkI!CTIOid INC. on the MP~~-'' CO/tiALc~t/DEYU, that durir~g the payrell period coe~encing on the 1P~ da~ of ALGUST, 1997 and ending the 16 day of Al 199i, 31I ~iFi'sor~s e~ployed on ~aid pr~o.ject have been paid the rull we?kly riages earned, that no rebates have been or will ~e ea;~e eit`,er ~irectly ar ir~direc±ly to or on ber~alf of sa?d STAT~N COtdSTRL'CTID~J, ?NC. froe the full weekly wages earned by anj person and that r~o deduction5 f~eV"e he~n ~ade eitt~er directly or i^dii~ectly fr~o~ the full WaCPS earned by any person, other ~han per•~i~siuie deductio~~~ d5 '~Ff]11Pd ir; RE"y~11~t1~ii5~ Part ~ fc:? CFR Sut~itle A?, i:SUe~ ~r~ the Secretcr~y of Labor under~ the Copeland Act, as aeended (48 Stat. 948.63 ~ta~, l~c'8, T~ Stat. 967; i6 Stat. ~~7; 4~1 U.S.C. ;'76ci, and descriGed below: ~_~ ~~) nas ~P,;! Pd it'ul l: G~he'r4~1'se UfiuFt' ~`;15 C'Oi~~r ~Ct Y'?aUlr'~~ t~,G ~~F :U`~91±tEd i ui' tii~ d50'1? Ne'r;Gd d~'E CGY'Y'PC± dii~i Ci;~ple~e~ thdt :he i~dge r'ate5 fDi` Ln~~GY'eY'_ rr ~~Ci`l~"i1C5 CUri~dlPe~ th?reir,~ a, e POt 12;5 thdTl tfiP dj7~?I1Cd~ile W3ye t'dtPS contained :ii dfi~f WdDe ~@%EY'91(l~t1CTl i'iCOt'~iGYe±P,~i 1?1tC~ ±riE CG;itY^3C't; thdt t~'~E CId55lf1Cdt1Dii5 5~t fGY'±h th~Y'Eir~ foY ee~Fi IduG'r'et' Gt~ ~echanic ~or~forg r~ith th? r~ork he perforaed. (~) lhat any apprentices ewploy~d in ;he above period are duly registered in a bona fide apGrenti~eship pt`D9YdB reqistered with a S:ate apprenticeship aRer~cy recogr~i~ed by the Bur-eau of Apprer~tices~ip and Training, Unit?d ~tate=. Dep~r~t9?nt of Labor, or if no such recoqr~i~ed aqenc~ exists in a ~tatr, are Y'PqIS~eY~ed ~ith the Bureau of Appr?nticeship and Training, Ur,ited States -~pcrt~ent of La~or. (~) That: (c) WHErt FP,I~dG~ P~E~~iEFII: FikE F'AID TU Ar~PnOVED F'~AtdS~ FUPIDS~ OR PROGRAi4S t)- In eddition to th? Ud51'~ hDUYly v~age rates p~id to ea~t~ laborer or ~ec~;~nic listed in the above referenced payroll, pay~ents ~~f frirge benefits as listed in the cor~tract hat~e been or~ Hill be eade to appropriate Flf'O~;~a~: far ~he here; it c~f such eapl:,yee:, except as noted in Se~ tian 4tc} beloa. (bl 4lFI~RE FRItdGE RE.1.cf~I1S ARE FAID IN CASH tX) - Each laborer or eechanic listed in the above referenced payroll has been paid a5 indicated an the payroll, an a~aunt not less than tf~e su~ of the appli~eble basic huurly wage ~^ete pl~~s tie aaount of the required fringe benefits a: listed in thz contract, except as noted in Section 4ic? 6elow. tc? tXCcPTIt?NS ~ EXCEF'TIUN (Craft) I EX~.At~ATION ~ I ~ f+S~7ICAL It+fSIiRANCc I .56 TO 31.58/HR. IS I}E~UCTED ~ ~ DEPENDING ON DEPEfdDENT STATllS. ~ I ~ f~E1~~IUtd I S2.5Q/HR. I5 DEDUCTED ~ I ~ I ~ REMARKS ~ I I I I NAME AND TITLE I SI6tJA ~ Tr2~CY WRIGHT, ~FICE M~LyP,6ER 1 1)' ( ~ '~ ` , ! The -ti!ful falsifi~ation of any of the above state~ents ~ay sub.j t the c ractor or subcn actor to civil or rrieinal I ~asecution. 5ee Section 1@@1 of Title 18 and Section 231 of Title sl of the United 5tates Code. ~