HomeMy WebLinkAbout20221018114006661 Customer:15069 WHITE ROCK CONSTRUCTION
769 PINTO CIRCLE,GARDNERVILLE NV89410
Date
10f1312022 (b)WHERE FRINGE BENEFITS ARE PAID IN CASH
i, Martha Lopez Administrative Assistant _ Each laborer or mechanic listed in ills above referenced payroll has
(Namaolsk}naloryPady) (Tma) 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
certify under penalty of perjury: Section 4(c)below,
(1) That i pay or supervise the payment of ills persons employed by
PENHALL COMPANY (c)EXCEPTIONS
(Contractor or Subwolfador)
on the EXCEPTION(CRAFT) EXPLANATION
Job: 67681 (CP)WHITE ROCK CONSTRUCTION-
g t
that during the payroll period commencing on the 1
day of October 2022 ,and ending the 7 day of
October, 2022 Week#: 9
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
PENHALL COMPANY
(Contractor or Subcontractor)
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.948,63 Stal.108,72 Slat.967;76 Stat.357;40
U.S.C.§3145),and described below:
No Work Performed
REMARKS:
(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 NAME AND TITLE G TURE
wage rates contained in any wage determination incorporated Into the Martha Lopez
contract; that the classifications set forth therein for each laborer or mechanic Administrative Assistant
conform with the work he performed. THE WILLFUL FALSIFICATION OF ANY OF THE AB vE STATEMENTS MAY SUBJ E
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. '...,
(3) That any apprentices employed in the above period are duly
registered in a bona fide apprenticeship program registered With a State
apprenticeship agency recognized by the Bureau of Apprenticeship and
Training, United States Department of Labor, of If no such recognized agency
exists in a State, are registered with the bureau of Apprenticeship and
Training,United States Department of Labor.
(4)That:
(a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED Parthall CompanyPLANS,FUNDS,OR PROGRAMS
/ 650 E. Farr Blvd,
In addition to the basic hourly wage rates paid to each laborer Rangy NV 80512
or mechanic listed in the above referenced payroll, payments r
of fringe benefits as listed in the contract have been or will be 775-786-8498
made to appropriate programs for the benefit of such
employees,except as noted in Section 4(c)below,