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Date 04/23/2011 ` <br /> I, LEANNA LEWIS MGR FINANCIAL PLAN&ANALYSIS (b) WHERE FRINGE BENEFITS ARE PAID IN CASH. <br /> (Name of Signatory Party) (Title) <br /> do hereby state: F--J— Each laborer or mechanic listed in the above referenced payroll has been paid, <br /> (1) That I pay or supervise the payment of the persons employed by as indicated on the payroll,an amount not less than the sum of the applicable <br /> basic hourly wage rate plus the amount of the required fringe benefits as listed <br /> RAIN FOR RENT on the in the contract,except as noted in Section 4(c)below. <br /> (Contractor or Subcontractor) <br /> Well Installation&Hydraulic Load Testing (c) EXCEPTIONS <br /> that during the payroll period commencing on the <br /> (Building or work) EXCEPTION(CRAFT) EXPLANATION <br /> 17 day of April 2011 and ending the 23 _day of April 2011 <br /> all persons employed on said project have been paid the full weekly wages earned,that no rebates <br /> have been or will be made either directly or indirectly to or on behalf of said <br /> RAIN FOR RENT from the full <br /> (Contractor or Subcontractor) <br /> Weekly wages earned by any person and that no deductions have been made either directly or <br /> indirectly from the full wages earned by any person,other than permissible deductions as defined in <br /> Regulations,Part 3(29 CFR Subtitle A),issued by the Secretary of Labor under the Copeland Act, <br /> as amended(48 Stat.948,63 Start.108,72 Stat.967;76 State.357;40 U.S.C.276c),as described <br /> below: <br /> (2) That any payrolls otherwise under this contract required to be submitted for the above period <br /> are correct and complete;that the wage rates for laborers or mechanics contained therein are not REMARKS: <br /> less than the applicable wage rates contained in any wage determination incorporated into the <br /> contract;that the classifications set forth therein for each laborer or mechanic conform with the work <br /> he performed. <br /> (3) That any apprentices employed in the above period are duly registered in a bona fide <br /> apprenticeship program registered with a State apprenticeship agency recognized by the Bureau of <br /> Apprenticeship and Training,United States Department of Labor,or if no such recognized agency <br /> exists in a State,are registered with the Bureau of Apprenticeship and Training, United States <br /> Department of Labor. �) <br /> (4) That: NAME AND TITLE IGNA AJR <br /> (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS,FUNDS OR PROGRAMS. <br /> LEANNA LEWIS <br /> 0— in addition to the basic hourly wage rates paid to each laborer or mechanic listed in MGR FINANCIAL PLAN&ANALYSIS <br /> the above referenced payroll,payments of fringe benefits as listed in the contract THE WILLFUL FALSIFICATION OF ANY OF THE ABOVE STATEMENTS MAY SUBJECTTlie CONTRACTOR OR <br /> have been or will be made to appropriate programs for the benefit of such SUBCONTRACTOR TO CIVIL OR CRIMINAL PROSECUTION. SEE SECTION 1001 OF TITLE 18 AND SECTION 231 OF <br /> employees,except as noted in Section 4(c)below. TITLE 31 OF THE UNITED STATES CODE. <br /> `U.S.G.P.0.:1997519.861 <br />