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STATE OF CALIFORNIA^ p� COMPLIANCE <br />p�/+(y` °�L°� <br />DEPARTMENT OF TRANSPORTATION STATEP+rtE1VT OF COMPLIANCE e}`� <br />PORN Nt:,34t1 (REV. 2-'aq p <br />JUL 1988 <br />Date00 OFHCE OF <br />rs <br />�— <br />1, honay Ai rc3spP, pct rnl 1 Cly{ <br />into) fdo hereby stat 0:21 THE C17YCLERY A. <br />QJ.uucut+ylnww+YPr)- - , <br />but T or supervise the payine "f the per' employed by <br />on 9 <br />1, <br />th �« ha' Ciusin the payroll period commencing on the ;day o <br />19 and ending the day oil 19, all persons employed on said project have. been paid their full Weekly wages <br />earned, that no rebates have been or will be made either directly or indirectly to or on behalf of said Ponta ]o a Pani nq, Tnr <br />(Canaactar«sublwwu,Ictcv) ' <br />from the full weekly wages earned by any person and that no deductions have been made either directly or indirectly from the full wages earned by any <br />person, <br />other than przutissibledcducti us, asdescribed below: <br />FIT �nT <br />qTrp Vacation. <br />FTrA ri <br />(2) That any payrolls otherwise under this contract required to be submitted for the above period are correct and complete; that the wage rates for <br />laborers or mechanics contained therein are not less than the applicable wage rates contained in any wage determination incorporated into the contract; <br />that the classifications set forth therein for a ch laborer or ntcchanic condornt with the work he or she performed. <br />(3) That any apprentices employed in the above period are duly registered in a, bona fide apprenticeship program registed <br />with a State apprenticeship agency. er, <br />(4) That: <br />(a) %'HE,RE FRINGE t3ENEFITS,ARE.PAID TO APPROVEDPLANS, FUNDS, OR PROGRAMS <br />lm addition to the `basic hourly t4°atc rates paid to each laborer or mechanic listed in.the above referenced payroll, <br />payments of fringe benefits "s listed in the contract have been or will be made to appropriate programs for the <br />benefit of sucl employ,c cs, exc ept "s,noted in 'Section 4(c) below. <br />(b) :WHLRE FRINGE BENEFITS ARE,PAID IN CASH <br />Each Laborer or mechanic luted in the above referenced Payroll- has been paid as indicated on the payroll, an <br />amount not less than the -xum of the aFliltcabli basic hourly' wage rate plus the amount of the requirted fringe <br />benefits as listed in the contr<,ct..except Iua noted in Section 4(c) below, <br />(c) EXCEPTIONS . <br />EXCEPTION '(CRAFT)'EXPLANATION ` <br />i <br />Remarks: <br />NAME AND TITLE SIGH E <br />Nancy Birdse e Payroll Clerk <br />r <br />Cin federally -funded projects, permissible deductions are defined in Regulations. Part 3 (09 ubtitle A), issued by the ll <br />Secretary ,of Labor under the Copeland Act, as amended t48 Stat. �i48 o3 Stat. job, 72 Stat, 4t b Stat. 357 44 t1:S,C..2?lot). <br />s Also, the willful falsification of any of the above statealents may +t[bject the contractor or subcontractor to civil or criminal } <br />Prosecution (wee: Section 11)41 of Title lb and Section -13.1 of Title 31 of the United States Code). <br />r <br />