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STATEMENT t~ C~GLIANt~ Date: SEPTEMBEk 11, 1997 Contract Nu~ber: I, TRf~Y WRIGNT, OFFICE MANAGER do hereby state: !1) That I pay or supervise the payeent of the persans e~ployed by STAT~1 CUNSTRt1CTI[~N, It~. on the +~.,..t+N C[1~SAl-ETilDEMO, that during the payroll period couencing on the 24 day of AUGUST, 1997 and ending the 30 day of RU61151, 1997, all persons e~ployed on said project have been paid the full weekiy wages earned, that no rebates have been or wili be ~ade either directly or indirectly ta Di" GT1 behalf of said STATDN CONSTRtICTION, INC, fro~ the fuil Heekly wages earned by any person and that no deductions have heen rade either directly or ir~directly fro~ the full Hages earned by any person, other than per~issibie deductions as defined in Regulations, Part 3 t29 CFR 5ubtitie A), issued by the Serretary of Labor under the Copeland Act, as a~ended t48 Stat. 948.E3 5tat. 108, 72 Stat. 967; 76 Stat. s57; 40 U.S.C. ~76c), and described below: f~l That any payralls otherwise under thi5 car~tract required to be 5ub,itted for the above period are correct and co~plete; that the wage rates for laborers or rec~t~anics contained therein are not less than the applicable wage rates contained in any wage deter~inatian incorporated into the contract; that the classifirations set forth therein for earh laborer or ~echanic confor~ with the Hork he perforted. (3) That any apprentices e~played in the above period are duly registered in a bona fide apprenticeship progra~ registered with a State apprentice5hip agency recognized by the t~ureau of Apprenticeship and Training, United States Depart~ent of Labor, or if no such recognized agency exists in a State, are registered Hith the Rureau of Apprenticeship and Training, United States Uepart~ent of Labor. t4) That: (al 4~tEftE FRIM1~E BENEFIIS ARE NAID TU A4~RRUVED PLAIVS, FUNDS, Ok Pft~kAMS t)- In addition to the basic hourly nage rates paid to each IaGorer or ~echanic listed in the above referenced payroll, pay~ents of fringe benefits as listed in the contract have been ar Nill be ~ade to appropriate progra~s for the benefit of surh e~ployees, except as noted in 5ection 4!c) beloa. -~.ti tb) FA~(~ FRII~£ 6EI+IE~I1S AF~ F~AID IN CAS~I !Xl - Each labarer or ~echanic listed in the abave referenced payroll has been paid as indicated on the payroll, an aiount not less than the su~ of the applicable basic hourly Mage rate plus the a~ount of the required fringe benefits as listed in the contract, except as noted in Section 4tc> below. (c) EXCEPTIt~1S EXt;EPTIDN (Craftl I E1(PLANATIDN I I ~ PiEDIC.~L IN~IRAPI(;E I .;6 TO f 1. ~8/HR. IS I~DUCTED I I DEF~NDIN6 ON DEf~NDENT STATLIS. I ~ I ~NSIUN I f~.5@/HR. IS DEDUCTED I 1 ~ I ~ REPWRKS ~ I I I -- 1 I tJf~ AND TIILE I 5I6NATUkE ~ I Ttic~Y WRIG'FIT, ~FICE MAMA6tR ~ aC7`~G~~~ I ~ ~ I ' The Nilful falsification of any of the above state~ents ~ay subject the cont tor or subcont actar to ciail or cri~inal I ~~, prosecution. See Section 1R-~1 of Title 18 and Section 231 of Title 31 af the United States Code. I i ~