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STATEh~'NT ~ t:DR~LIAIVCE ~-.~ ,,~, Date: Jl~ 26, 1947 Contrect Nu~ber: I, TRACY WRiGHT, ~FICE MANf~ER do hereby state: Si) That I pay or supervise the pay~ent of the persons e~ployed 6y STATDN C~ISTRLICTION, II~. on the t~RION GO/5f~.EM/DEMO, that during the payroll period conencing on the 15 day of ,IIA~, 1997 and ending the 21 day af JtA~, 1997, all persons e~played an said project have been paid the full weekly Nage~ earned, that no rebates have been nr will he ~ade either directly or indirectly to or on behalf of 5aid STAT~V C~+ISTttI~TI~I, IP~. fro~ the full weekly wages earned by any persnn and that no deductions have been ~ade either directly or indirectly fro~ the full aages earned by any person, other than per~issible deductions as defined in Regulations, Part 3 tE9 GFR 5ubtitle fl), issued by the Secretary of Labor under the Copeland Act, as a~ended s48 Stat. 948.63 Stat. 108, 72 5tat. 967; 76 5tat. 357; 4@ U.S.C. P76c), and described belaw: {E) That any payralls atherwise under this contract required to be sub~itted far the above period are carrect and co~plete; that the wage rate3 for laborers or ~echanics contained therein are not leas than the applicable wage rates contained in any wage detereination incorporated inta the contract; that the classificationa set forth therein for each laborer or ~echanic confor~ with the work he perfar~ed. t3) That any apprentices e~ployed in the above period are duly registered in a bona fide apprenticeship progra~ registered with a State apprenticeship agency recognixed by the Bureau of Apprenticeship and Training, United States Departeent of Labor, ar if no such recogni~ed agency exists in a 5tate, are registered with the Bureau of Apprentireship and Training, IJnited States flepart~ent of Labor. t4) That: ia) WF~f~ FRIt+~E BENEFIT5 Af~ PAID TO APPRDVED RLAN5, FtA+ID5, OR PR~R~15 !}- In additian ta the basic hourly Mage rates paid to each laborer or ~echanic listed in the abave referenced payrall, pay~ents of fringe benefits as listed in the contract have been or will be ~ade to appropriate prngra~s for the benefit of such e~ployees, except as noted in Section 4tey beloN. th) WHERE FAIN~ BEI~FITS At~ PAIa IN CA51i {X} - Each labarer ar ~echanic listed in the above referenced payrall has been paid as indicated an the payrall, an a~ount not less than the su~ of the applicable basic hourly wage rate plus the a~aunt af the required fringe 6enefits as listed in the contract, except as nated in Section 4tcl below. (c) EJiCEPTI0N5 I EXCEPTIQIV iCraft) I EXPLANATIOM I I I I i MEDICAL IIVSURi~ICE I .5b TO 51.59/HR. IS DEDLICTED I 1 I DEGENDIN6 ON l~PENDENT STATUS. I I I I I PENSIDhf I f2.58/HR. I5 ~DUCTED I I I I I I I I REMAf~iS I I I I I ~ I ~ I I t~ t~ID TITLE f SIGNflTUt~ . I I TRACY WRIGHT, ~FICE M~IAGER I '~.~- ~,. ' I ~ ~ ~~ ..:~~~~~~ L~~-G ~~~~ , The ~ilful falsification of any of the ahave state~ents ~ay Subject the cant'~actor or ~u6cnntractor ta civil or cri~inal prosecution. See Section 1~1 af Title 18 and Sectian 231 af Title 31 af the United States Code.