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STATEMENT QF C~MRLIflNCE Date: JUNE 1~, 1997 ,y,. Contract Nu~ber: ,~,,; I, TRACY WRIGHT, OFFICE MAtJAGER do hereby state: t11 That I pay or supervi~e the pay~ent af the persons e0pioyed by STATON CON5TFt1CTI0N, INC. nn the MARIL~N CO/SP.LEM/BEMO, that during the payroll period cae~encing on the 1 day of JUNE, 1597 and ending the 7 day of JL1NE, 1997, all persors e'ployed on said praject have been paid the full weekly wages earned, that no rebates have been or will be ~ade either directly ar indirectly to or un behalf af seid STATON CDNSTRUCTION, INC. fro, the full ~reekly wages ea~ned by any persan and that na deduction~ have been eade either directly or indirectly fro~ the full wages earned by any persan, other~ than periissible deductions es defined in Regulations, Part 3 t29 CFR Subtitle fl), issued by the 5ecretary uf Labor under +,he Copeland Act, as aeended S48 5tat. 948.6's 5tat. 108, 72 Stat. 9E7; lb Stat. s"57; 40 U.S.C. ~76c), and described belaw: (21 That any payro113 otherwise under this contract required to be 5ubsitted for the above perind are correct and coeplete; that the wage rate$ far labarers or ~echanics contained therein are nat less than the applicable wage rates cantained in any wage deter~ination incarporated into the contract; that the classifications set forth therein for each laborer nr ~echanic confort with the wor•k he perforeed. f3) That any apprentices eaploye~ in the above period are duly registered in a bona fide apprenticeship progra~ regi~tered with a State apprentireship agency recogni:ed hy the Bureau af flpprenticeship and Training, Ilnited States Departient of Labor, or if na euch r•ecagnized agency exists in a State, are registered with the Pureau of Apprenticeship and Training, llnited States Departaent of La6or. t4) That: (al WHERE FRINGc BENEFITS ARE PAID TD flPPRDVED PLANS, FUNDS, OR PAOGRAMS t l- I~ additian to the basic hnurly wage rates paid t~ each laborer or ~echanic listed in the above referenc?d payroll, payaents of fringe benefits as listed in the c~ntract have been or• aill be ~ade t~ apprupr•iate prograAS for the benefit of such e'ployees, except as nated in Section 4!c} below. tb) WHERE FRItvGE AENEFITS RRE PAID IN GASH {X) - Each labarer• or mechanic listed in the above refere~ced payroll haa 6een paid as indicated on the payrall, an a0ount nnt Iess than the su~ of the applicable 6asic hourly wage rate plus the araunt of the required fi•inge b~nefits as list~d in the c~ntract, except as noted ir Sectian 4tc? 6elow. !c} EXCEPTIONS I EXCEPTION {Craft) I EXPLANATION I I I I I ~EDICAL INSUAAtJCE I .56 TO fl.,`~8/HR. IS DEDI{GTED f I I DERENDIN6 ON DEPENDENT STATUS. I f I I f PENSION I S2.5Q~/HR. IS DEDUCTED I f I I I I I I REPiARHS 1 I I I I { I I I I t~{~ AtJD TITLE I SIGNATURE , ' 1 i TRAC'I WRI[~IT, OFFICE MflNAGER i ~ ' L,`~'~C "Z-~ ~ ~c~~~ ,. I The wilful faiaificati~n of any nf the abuve statesents ~ay subject the contractor or suhcontractar to civil or• rri~inal i I prosecution. 5ee Sectian iQ~01 af Title 18 and 5ection 2s1 of Title 31 of the United States Code. I I I