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STATE~NT DF COMPLIAhlCE Date: JI~Y 3, 199i Contract Nu~ber: I, TR~Y WRI6FIT, (I~FICE MANAf'ER do hereby state: fl) That I pay or 5upervise the pay~ent of the persons e~ployed by STAT[NJJ COIdSTRI~TI[~J, INC. on the ~~,,N G1]/SALEM/DEMU, that during the payroll period co~~encing on the ~2 day af JUNE, 1997 and ending the 28 day of JUNE, 199i, 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 ta or on behalf of said STATON CONSTRIICTIt~~, INC. fro~ the full Heekly wages earned by any person and that no deductions have been eade either directly or indirectly fro~ the full wages earr~ed by any persan, other than per/1551b1E deductions as defined in Regulations, Part 3(29 CFR Subtitle A), issued by the Secretary of Labor under the Copeland Act, as a~endeu !48 Stat. 948.63 Stat. 108, 72 Stat. 967; 76 Stat. s.,7; 40 U.S.C. 276c), and described below: (21 That any payrolls otherwise under this contract required to be sub~itted for the above periad are correct and co~plete; that the Hage rates for labarers or ~echanics contained therein are not less than the applicahle wage rates contained in any aage deter~ination incorporated intn the contract; that the classifications set forth therein for each laborer or ~echanic confor~ Hith the Nork he perfor~ed. f3) That any apprentices e~ployed in the abave period are duly registered ir~ a hona fide apprenticeship prograr registered Hith a State apprentice5hip agency recognized by the Aur~eau of Apprenticeship and Training, United States Departrent 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 Labor. (4) That: !a) 411~kE FRINGE AENEFITS ARE RAID TO Af~RUVED PLANS, Fl~ID5, OR PR06RAWS ()- In addition to the basic haurly r-age 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 of such e~ployees, except as noted in Section 4tc) beloN. .~ !b) V~KE f-RIt~ AEI~FIIS AkE PAID IN CAS'FI !X) - 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 hasic hourly wage rate plus the aiount nf the required fringe henefits as listed in the contract, except as noted in 5ection 4!c) beloM. tc) EXCEPTIONS EXCEPTIUN tCraft) I EXPLANATIOPI MEDICAL It~.SURANI~ PENSI(~VV REMARKS .56 TO f1.58/HR. IS DEDUCTED I DEPENDINB ON DEPENDENT STATIIS. I I S2. `~lHR. IS DEDL~TED I I I I I I I I Mf~ RND T I TLE I 5I ~IAT I TRACY WRIGHT, ~'FICE MANA~R ~ , ~ I ~ The wilful falsifiration of any of the above state~ents ~ay subject the con a~tor or sub ntractor to civil or cri~inal I ~ prosecution. 5ee Section IQ-~i of Title 18 and Section 231 of Title 31 of the United States Code. I -- I