HomeMy WebLinkAbout20220902131210446 Customer:150G9 WHITE ROCK CONSTRUCTION
709 PINTO CIRCLE,GARDNERVILIE NV89410
Date 0/30/2022 (b)WHERE FRINGE BENEFITS ARE PAID IN CASH
I I, Martha Lopez Administrative Assistant � _ Each laborer or mechanic listed in the above referenced payroll has
(NameolalgnaloryParry> (Tale) been paid, as indicated on the payroll, en 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
certify under penalty of perjury: Section 4(c)below.
(i) That I pay or supervise the payment of the persons employed by
{
PENHALL COMPANY (c)EXCEPTIONS
(Contracor or Subconlrador) ',
on the
Job; 676E11 (CP)WHITE ROCK CONSTRUCTION- excEPTtoN(CRAFT) ExPLANA71oN
g r � r
chat during the payroll period commencing on the 20 ',
day of August 2022 ,and ending the 26 day of
August 2022 Week#: 3
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 behal/of said
PENHALLCOMPANY
(Contractor ar Sv6conlredw)
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.948,83 Slat.108,72 Stat.987;78 StaL 357;40
U.S.C,§3146),and described below:
No Work Performed
REMARKS:
(2) That any payrolls olhenvise under this contract required to be
submitted for the above period are correct and complete; that the wage rates
for laborers or mechanics contained ihereln are not less than the applicable NAME AND TITLE SJG TORE
wage rates contained In any wage determination Incorporated Into the Martha Lopez �\YP
contract; that the ciassificalions set forth (herein for each laborer or mechanic AdminisUaliveAsslstant �
conform w(th the work he performed.
THE WILLFUL FALSIFICATION OF ANY OF THE A VE STATEMENTS hIAY SUBJEC 7
CONTRACTOR OR SUBCONTRACTOR TO CNiI OR CRIMINAL PROSECl1TiON. SEE SE4 N
(3) That any apprentices employed in the above period are duly
tODI OF TITLE 18 AND SECTION 231 OF TIriE 3)OF THE UNITED STATES CODE.
registered in a bona fide apprenticeship program registered with a State
apprenticeship agency recognized by the Bureau of Apprentceship and
Training, United States Department of Labor, of if no such recognized agency
exists in a Stale, are registered with the Bureau of Apprenticeship and
Training,United States Department of labor. I
(4)Thal:
(a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED
PLANS,FUNDS,OR PROGRAMS p�nhra�� �'iUrt1p�l)'IY
650 �. parr�ivd.
�� In addition to the basic hourly wage rates paid to each laborer Rerlt9r NV �951�
or mechanic Osted In the above referenced payroll, payments ,�,r�47$�1®�4��
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(0)below.