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STATENIENT OF COinPLIflt~GE , ._ ~-= Date: JULY 17, 1997 Cantract tJu~ber: I, Tf~AC`~ ~ERIGHT, DFFICf MfirtdAGE~i dn hereby state: iit 7hat I pay ar supervise the pay~ent af the persans e~ployed by STAT~N CONSTRUGTION, INC. on the MARIC~N CD/SALEMIDEMO, that during the payrall period cai~encing r,n the ~ day of JULY, 1997 anti endi~~g the il day uf JULV, 1997, all per$un~ eAplayed on 5aid project have heen paid the full weekly wages earned, that no rehates have been or~ will be ~ade either directly or indirertly to or on behalf of said 5TATC~P1 CONSTRIICTI~{, INC. fra~ the full weekly wages earned by any ~erson and that no deductions have been ~ade either directly ar indirectly fro~ the full wages earned by any person, other than perrissible deductions as defined in Regulations, Part 3(c9 CFR Subtitle A), issued by the Serretary of Lebor under the Capeiand Act, a~ arended t48 Stat. 948.63 5tat. i~8, 7~ 5tat. 967; 76 Stat. 357; 4@ U.5.C. ~76cI, and de~cribed beiow: t2) That any payrulls otherwise under this contract required to be sub~itted fnr the above per•iod are correct ar~d ca0plete; that the wage r~ates for lahorers or ~echanic~ contained ther~ein are not lese than the applicabie wage rates contained in any wage deterdinatinn incor~porated into the contract; that the classifirations set forth therein for eacfi laborer or ~echanic confare with the wark he perfor~ed. t3) That any apprentices e~ployed in the above periad are duly registered in a bona fide apprenticeship pr-ogra~ r~egistered with a 5tate apprenticeship agency recognized by the Bureau af Apprenticeship and Training, tJnited StateS Uepart~er~t of Labor, vr if nu such recagnized agency exists in a 5tate, are registered with the 8ureau of Apprenticeship and Training, United States Depart~ent of Labor. i4l Tfiat: tal WHERE FAINGE ~ENEFIIS ARE PAID TO APPRUVED PLANS, FUtdD5, Qk PROGRAMS t~- in addition to the hasic hourly wage rates paid tu each labarer ar ~echanic listed in the above refer~enced payroll, payients of fringe benefits as listed in the contract have been or will be ~ade ta appropriate pragr~as5 for the benefit of surh e~playees, except as noied in Sectian 4te? belaw. ib? IrHEflE FRINGE AEtdEFITS ARE PAIb IN CASH iiii - Each Iaborer or ~echanic listed in the above referenced payrall has been paid as indicated on the payrull, an a~aount not less than the su~ of the applicable basic hourly wage rate plus the arount of the required fringe henefit~ as listed in the cantract, except as noted in Section 4{c) below. (cj EXCEPTIONS EJiGEF~TION tCraft) I EXPLANATION I P9EOICAL INSl1RAPICE 1 .56 TO f1.~8/HA. IS DEUUCTEb I bE~'ENDIP~ DN DEGENDENT STATfJ5. I F'ENSIDN I fc.50/HR. IS DEDUCTED RE4+~IRKS -- _. Nf~MIE AND TITLE I SIGNATURE ~ TRI~Y WRI6HT, DFFICE MANAGER I ~_ __ •!~ ~, ~~ ~Q ~ y ~ The wilful falsification of any of the above stateients ~ay subject the contra~frbr ar subcontractor ~ civii or crLi~inal prosecution. See Section iQ~~i uf Title i$ and 5ection 2s'i af Title si af trie IJnited State~ Code.