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Date: JUNE ~0, 1997 I, TRACY WRIGHT, OFFICE MANA6ER do hereby state: STATQ~NT OF CDMPLIRNCE (1) That I pay or supervise the pay~ent of the persons eaployed by STATDN CDNSTRt~TIDN, INC. on the t4ARIUN CD/SALEM/DEMO, that dur~ing the payroll period ~or~enting on the 8 day of Jl1NE, 1997 and ending the 14 day of JUNE, 1997, all persons e~pioyed on 5aid project have been paid the full weeHly wages earr~ed, that no rebates have been or will be aade either directly or indirectly to or on behalf of saitl STAT~N CONSTRUt:TION, INC. fror the fuli weekly wages earned by any person and that no deductions have been ~ade either directiy or indirectly fro~ the full wages earned by any person, other than perrissible deductinns as defined in Regulations, Part 3!29 CFR Su6title A), is5ued by the Secretary of Labor under the Copeland Act, as a~ended (48 Stat. 948.63 Stat. 1N8, 72 Stat. 967; 76 Stat. s57; 4@ U.S.C. 276c), and described below: f~l That any payrolls otherHise under this contract requir~ed to be sub~itted for the above Period are correct and co~plete; that the wage rates for laborers or ~echanics contained ther•ein are not less than the applicable wage rate5 contained in any wage deter~ination incorporated into the contrart; that the ~lassification5 5~t fOY~th therein for each labor•er or rechanic eonfor~ with the r+ork he perfor~ed. ts) That any apprentices e~ployed in the above period are duly registered in a bona fide apprenticeship progra~ register,ed with a State apprenticeship agency recognized by the Bureau of Apprenticeship and Training, United States Depart~ent of Labor, or if no such recagnized agency exists in a State, are registered with the Bureau of Apprenticeship and Training, United States Departrent of Labor. (4) That: (a) WHERE FRIt~E BEhfEFITS ARE PAID TD ~ROVED PLt~IS, FUNDS, DR PR~RApIS !)- In addition to the ba~ic hourly aage rate5 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 Hill be ~ade to appropriate "'~`" progra~s for the benefit of such e~ployees, except as noted in Section 4tc) belo-v. (b) WHERE FRIt~E BENEFITS ARE PAID IN CASH SX) - 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 basi~ hourly wage rate plus the a~ount of the required fringe benefits as listed in the contrart, except as noted in 5ection 4(c) below. (c) EXCEPTIDNS EXCEPTIDN tCr-~aft) I EXRLANATIC?Pi MEDICAL INSURANCE PENSIDN REMARKS Contract Nu~ber: .56 TD 51.58/HR. IS DEIMICTED DEPENDII~ ON DEPENDENT 5TATUS. i~.50/HR. I5 DEDUCTED I NAME AND TITLE I SIGNATURE, . ~ I TRACY WftIGHT, OFFICE MANA6Ek , ~ ~ , ~~~ ~~ ~C'~ L-~-/~-~~`~~Z-~ ~ The wilf~~l falsification of any of the abuve stateaent5 ~ay 5~~~a~~t tne cont ctoi• or subcon~actor to civil or~ cri~inal I ~I prosecution. See 5ection 1@@1 of Title 18 and Section c.il of Title .;l of the United States Lode. ~ i ~