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Get Statement Of Compliance Template 2013-2024

R STATE PROJECT NUMBERS (S) PRIME CONTRACTOR/SUBCONTRACTOR DATE PHONE NUMBER CONTRACT NUMBER ADDRESS FEDERAL PROJECT NUMBER TYPE OF WORK (Complete as described on proposal) STATEMENT WITH RESPECT TO COMPLIANCE AND WAGES PAID I, , (Name of signatory party) do hereby state: (Title) (1) That I pay or supervise the payment of the persons employed by on said Contract; that during the payroll period commencing on the day of of the year , and ending the day of of the year , there were worke.

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