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IP Compliance Weekly Report Form

Representative Information

Project Information

Payroll Details



Acknowledgement

I, _______ do hereby state:

  1. That I pay or supervise the payment of the persons employed by _______ on the _______ during the payroll period commencing on the day of _______ and ending on the day of _______ paid the full weekly wages earned, that no rebates have been or will be made either directly or indirectly to or on before of said project from the full weekly wages earned by any persons that no deductions have been made either directly or indirectly from the full weekly 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 967;76, Stat3S7;40 U.S.C. 76c) as 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 or mechanics contained in any wage determination incorporated into the contract; that the classifications set forth therein for each laborer or mechanic conform with the work being performed.
  3. That any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the 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.


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