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Date: SEPTEMIAER il, 1997 STATEMENT C~ C~MRLIG~k;E I, TRACY WRIGHT, ~FICE Mt~lpGER do hereby state: Contract Nu~ber: (11 That I pay or supervise the pay,ent of the persons e~ployed by STATON CONSTRUCTIDN, IPfC. on the I I CA/SALtM/DEMU, that during the payroll period co~~encing an the .31 day of AU~11S7, 1997 and ending the 6 day of S~MBER, 1997, all persons e~ployed on said project have been paid the full weekly Hages earned, that r~a rebates have been or Nill be oade either directly or~ indirectly to or on behalf of said STATON CONS7RUCTIDN, INC. fro~ the full Heekly Nages earned by ar~y person and that no deductions have been ~ade either directly or indirectly froo the full Hages earned by any person, other than per~issible deductions as deiined in Regulations, Part 3!~9 CFR Subtitle A), issued by the Secretary of Labor under the CaGeland Act, as a~ended S4b Stat. 94b.63 Stat. 108, 7P Stat. 967; 7E Stat. 357; 40 U.S.C. c76c), and described belaw; (c) That any payrolls other~wise under this contract required to be suhaitted for the above period are correct and cooplete; tt~at the wage rates for laGorers or rechanics cantained therein are not less than the applicable wage rates contained in any wage deter~inatian incarporated into the contract; that the classifications set forth therein for each laborer or ~echanic confar~ with the work he perforred. t3l That any apprentices e~Ployed in the above period are duly registered in a bona fide apprenticeship progra~ registered with a State apprenticeship agency recognized by the Aureau of Apprenticeship and Training, United States Departsent of Labor, or if no such recognized agency exists in a State, are registered with the Bureau of Apprenticeship and Training, United States Depart~ent of Labar. t4) That: Sal IJFIERE FRII~E RENEFITS Af~ PAID TO Fi~PRUVED PLF~~, FUNDS, OR PK~(tAMS t)- In addition to the basic hourly wage rates paid to each laborer or ~echanic listed in the above referenced payroll, pay~ents af fringe benefits as listed in the contract have been or -vill be ~ade to appropriate progra~s for the benefit of such e~ployees, except as noted in Section 4(r) belaM. ~ tb) ~ERE FAIN~ BEt~FI7S AkE NAID IN CASH tXl - 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 basic hourly wage rate plus the a~aunt of the required fringe benefits as listed in the contract, except as noted in Sectian 4tc) beloN. I I I I I I I I I RE~RKS I I I I (c) EXCEFTIt~tS EXCEPTIUN tCraft) MEDIC~ IN~JRAI~CE RENSIUN EI(PLAiVATIDN .:;6 TO f 1. :;8/HR. I S DEDUCTED DEI~NDIt~ ~I DEF~ENDENT STATL~S. fc.5@/HR. 1S UElMJCTED ~ "~ ~ ~ 1 ~~ I SI(~IATURE I TRACY WRI6'FlT, t~FICE kt~ER ~ C,~„~l~tti I ~ i The wilful falsifiration of any of the above state~ents ~ay subject the contr or or su~ontraci ' prosecution. See Section 1@01 of Title 18 and Section 231 of Title 31 of the United States Code. I ~' or to civil or cri~inal