1977-0214_C.T. & F, INC_Statement of ComplianceRECEIVED
FEe 11 1 13M11
CITY OF
SAN JUAN
STATEMENT OF COMPLIANCE C A P I S T R A N O
Date d/ -L4/ If t
I, Tnm GAl l A.nd C�THeaS do hereby state:
(Name of signatory party) itle)
(1) That I pay or supervise the payment of the persons employed by (,T T R. F _ Tr)C on
(Contras bcontractor)
the Blup. Fin & D21 ObispO that during the payroll period commencing on the7th day of Feburary
(Building or work)
1tr7 and ending thd.3th day of Feburary 19 77 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
C.T. & F. Inc, from the full weekly wages earned by any person and that no deductions have
(Contractor or Subcontractor)
been made either directly or indirectly from the full wages earned by any person, other than permissible deductions, as
described below:
S.D.I. F.I.C.A, Federal & State Withholding Taxes
Orange Co. Elec. Union Agreement Train. Fund @ .01 Per Hour
L.A. Elec. Union Agreement Vacation Fund @ .95 Per Hour
L.A. Elec. Union Agreement Education Fund @ .01 Per Hour
Laborers Union Agreement Vacation Fund @ .55 Per Hour
Oper. Engineers Union Agreement Vacation Fund @ .50 Per Hour
(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 or mechanics contained therein are not less than the applicable wage rates contained in any
wage determination incorporated into the contract; that the classifications set forth therein for each laborer or mechanic
conform with the work he 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.
(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 in the contract, except as noted in Section 4(c) below:
(c) EXCEPTIONS
EXCEPTION CRAFT
EXPLANATION
Remarks:
NAME AND TITLE
Tom Galland Sec/Treas.
SIGNATURE
On federally -funded projects, permissible deductions are 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. 967; 76 Stat. 357; 40 U.S.C. 276c) -
Also, the willful 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).
OCR -C-347 (REV. 6-75) EST. 1227. 34312-2W 6Ae 75M T ass
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