ࡱ> 3527  bjbjUU ",7|7| ldddd pL($ n;;P  A @=d Af0-LLAU.S. Department of Labor Form Approved Wage and Hour and Public Budget Bureau No. 44-R1109J Contracts Division Date: _________________ STATEMENT OF COMPLIANCE I, _____________________________, ____________________________, do hereby state: (Name of Signatory Party) (Title) (1) That I pay or supervise the payment of the persons employed by _____________________________________________ (Contractor or Subcontractor) on the _________________________________________; that during the payroll period commencing on the ________ day (Name of Project) of ________________, 2000, all persons employed on said project have been paid the full weekly wages earned, that no rebates have been or will be made either directly or indirectly to or on behalf of said ________________________________ (Contractor or Subcontractor) 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 person, other than permissible deductions as defined in Regulations, Part 3, (29 CFR Subtitle A), issued by the Secretary of Labor under the Copeland Act, as amended (48 Stat. 948.63 Stat. 108, 72 Stat. 357: 40 U>S> C> 276c) and described below: ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ (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 laborers and mechanics contained therein are not less than the applicable wage rates contained in any wage determination incorporated into this contract; that the classifications set forth therein for each laborer or mechanic conform with the work he or she performed. (3) That any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with a State apprenticeship agency recognized by the Bureau of Apprenticeship and Training, United States Department of Labor, or if no such recognized agency exists in a State, are registered with the Bureau of Apprenticeship and Training, United States Department of labor. (4) That: (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS, OR PROGRAMS In addition to the basic hourly wage rates paid to each laborer or mechanic listed in the above referenced payroll, payments of fringe benefits as listed in the contract have been or will be made to appropriate programs for the benefit of such employees, except as noted in Section 4(c) below. (b) WHERE FRINGE BENEFITS ARE PAID IN CASH Each laborer or mechanic listed in the above referenced payroll has been paid as indicated on the payroll an amount not less than the sum of the applicable basic hourly wage rate plus the amount of the required fringe benefits as listed on the contract, except as listed in Section 4(c) below. (c) EXCEPTIONS EXCEPTION (CRAFT) EXPLANATIONName and Title SignatureTHE WILFUL FALSIFICATION OF ANY OF THE ABOVE STATEMENTS MAY SUBJECT THE CONTRACTOR OR SUBCONTRACTOR TO CIVIL OR CRIMINAL PROSECUTION. SEE SECTION 1001 OF TITLE 18 AND SECTION 231 OF TITLE 31 OF THE UNITED STATES CODE. ? 5  5OJQJ5CJOJQJ5CJOJQJCJr?@e   z { jk kNM$%56e$If & F 8^^ & F 8^ $Ifk$$Ifl      %0-'0      4 la $Ifk$$Ifl      0-'0      4 la $Ifk$$Ifl      0-'0      4 la $Ifk$$Ifl      0-'0      4 la++@a$$Ifl      B-''  10      4 la$Ifk$$Ifl      0-'0      4 la+5678 k$$Ifl      0-'0      4 la$If89 k$$Ifl      0-'  0      4 la &P/ =!"#$% i0@0 Normal_HmH sH tH <A@< Default Paragraph Font ,r?@ez{     j k N M $%56e+56789"  0000000000000000  k+8    "" Terri Jones7C:\WINDOWS\TEMP\AutoRecovery save of 2000 paycomply.asd Terri Jones7C:\WINDOWS\TEMP\AutoRecovery save of 2000 paycomply.asd Terri Jones7C:\WINDOWS\TEMP\AutoRecovery save of 2000 paycomply.asd Terri Jones7C:\WINDOWS\TEMP\AutoRecovery save of 2000 paycomply.asd Terri Jones8\\DECD\DATA\USERS\SDMBARA\MBARAN\DOCS\2000 paycomply.doc Terri Jones8\\DECD\DATA\USERS\SDMBARA\MBARAN\DOCS\2000 paycomply.doc Terri Jones7C:\WINDOWS\TEMP\AutoRecovery save of 2000 paycomply.asd Terri Jones7C:\WINDOWS\TEMP\AutoRecovery save of 2000 paycomply.asd Terri Jones=\\DECD\COMMON\CDBG\Labor Standards Hanbook\2000 paycomply.docValued Gateway Client vG:\CDBG\Website Documents\CDBG Program Materials\Labor\Labor Standards & Contracting Forms\Statement of Compliance.doco?&zG.z$=Ӑe-B;fWmKӐY*FU4j-q hh8^h`hCJOJQJo(qhh8^h`hCJOJQJo(qhh^h`CJOJQJo(qh8^h`8CJOJQJo(qhh^h`CJOJQJo(qhh8^h`hCJOJQJo(q hh^h`OJQJo(-q$=fWmKe-BG.o?&Y*FU56e+56789"@8^ P@UnknownG:Times New Roman5Symbol3& :Arial5& :Tahoma;Wingdings"h%DdUK "r0dSU Terri JonesValued Gateway Client  Oh+'0h  $ 0 <HPX`Uss Terri Joneserr Normal.dotValued Gateway Client 4luMicrosoft Word 9.0n@G@r@'UK  ՜.+,0 hp|   S U Title  !#$%&'()+,-./014Root Entry F@=61TableLWordDocument",SummaryInformation("DocumentSummaryInformation8*CompObjjObjectPool@=@=  FMicrosoft Word Document MSWordDocWord.Document.89q