New Search
subject to the federal <br />3 11 following section as welt: <br />TEMEN~ <br />CERTIFIED gTA lel sections Mple a the <br />to addition to comp utrements, <br />pct req VE4 PLANS, FUNDS OR <br />Davis Bacon <br />INGE BENEFITS ARE PAtD TO APPRO <br />(4)That'. echanic <br />m <br />(a) WHERE FR aid to each laborer or s <br />a rat es p e benefits a ins benefit <br />gate- (TITLE) PROGRAMS hourly dw Page payments of frtngcograms for the <br />the bast c to appr0p,.late P <br />, E PARTY) the Persons emPl°yed by• In additioh~°above reference made below. <br />1 M OF SIGNATURY listed in have been or will be Section <br />(NA A(c) <br />state'. the payment of eriod the contract except as noted in <br />d° hereby enttse a roll P employe aid, <br />or sup CONTRACTOR OR SURETY the p Y pID 1N CASH <br />(1) That i pay that during of such emp been P <br />(CON and ending WHERE F BENEFITS ARE P above referenced payroll has applicable <br />TRACTOR, SUB the -day RINGS of the apP <br />as listed <br />SUM nge benefits a <br />WORK) - the (b) listed in the the <br />on the ILDING OR YEAR) have been aid e, or mechanic amount not less than aired fri <br />o (BU day of N1O ( said protect h C]_ Each labor a toll, an aamount of the req <br />on the P y plus the below. <br />indicated wage rate oted in Section 4(c) <br />commencing on the ( employed on as hourly <br />ersons ade eitherd~cectly or n <br />the contract, except as <br />all p or will be m ET.{) baslr <br />Y RA) have been 5UR <br />of (MO ( no rebates CTOR SUBCONTRACTOR Oh EXPNATION <br />have been TIONS. ~ <br />wages earned, that ONTRA, no deductions h other than c) EXCEP <br />full weekly behalf of said (C and that by any person, Part ( CRAFT <br />to or on b any Person, in Regulations, <br />indirectly es earned s e{~ned EXCEPTION <br />es earned by the full wag and a land Act, as <br />from 652.614 er the Cope <br />276c), and <br />from the full weekly wages <br />d in ORS of Labor and 40 U S.C, <br />made either directly the Secretary .7., 76 Stat. 357, <br />tle'k), issued by 72 Stat. <br />perrnlssible deduct <br />Subtitle A), 63 Stat. 108, <br />3 CFR 948, <br />(29 amended (48 Stat. <br />submitted for the above <br />described below be to <br />contract required for workers contained therein are <br />Ise under this a rates wage determination <br />to any ein for each worker <br />olls otcompiete•, that the ntatned <br />KS: <br />(2) That any pay, e rates co set forth ther <br />period are correct andcable wag classifications <br />than the app that the bona fide FtEMAR <br />not less contract; registered in a b by the <br />o TUBE <br />incorporated tntork peCformed• Period are duty ° Tecog b S1GNA <br />with w toyed in the above p or if no <br />cnform state apprentic partnen of Labor, nize sac <br />istered with a States DeP Bureau of Apprenticeship NAME AND 'TITLE <br />(3) That any aPprentram egP Training, United ENTS M X <br />With the THE pgOVE STATE- <br />apprenticesh~prentc esh-IP and state, are registered TO CIVIL OR TITLE <br />SECTION 231 OF 31 <br />of APP TS THEREOF TION R SAN( OF T RAC <br />Bureau encY e Stags pepartment of Labor. L FALSIFICA <br />recogn1zed TOND <br />T, KNOW THE CONTEN <br />agUnited THE WiLLFU CONTRACTOR 1001 OF TITLE 18 A <br />and Training, SUBJ>=CT THE SEE SECTION <br />CERTIFIED STATEMEN TION CODE. <br />1 HAVE READ THIS MY KNOWLEDGE PROSECU STATES <br />OF THE UNITED OaECT. <br />pNp IT IS TRUE TO TITLE) ON THIS PR <br />ND <br />(NAME A G AGENCY yROLL SUBMISSIONS OLt. w <br />THE CONTRACTINOF YOUR PP, OREGON.GOVIB <br />ppTE WITH EACH WEBgas. WWw <br />SIGNATURE AND FILE TH15 < OROF THIS FOR M T OUR <br />COPIES VAtLABLE ON <br />T ATTACH E A <br />ONTRACTORS'o?0 ANp ADDITIONAL FORMS AR <br />NOTE TO C 1NSTRUCTI <br />