Fax MEMORANDUM

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1 Sal Misiti Director of Water & Sewer Operations Fax MEMORANDUM Member American Water Works Association N.Y. Rural Water Association N.Y. Water Environment Association Westchester Water Works Conference To: Supervisor Schiliro & North Castle Town Board From: Sal Misiti Date: January 2, 2014 Cc: Re: Faith Berland, Comptroller North Castle Water District No.4 Groundwater Rule Project Payment Application No.2 The following is a request for authorization of Payment Application No.2 to Eventus Construction Company, Inc., in the amount of $133, for the above referenced project. I have included all documentation from our consulting engineer, L.B.G. Engineering Services, Inc., who has reviewed the payment requisition and has also approved the work to date provided by the contractor which is detailed in the attached payment application. I have reviewed the attached documentation and the work provided thus far, and I concur with our consultant and hereby respectfully request that the Board approve Payment Application No.2 for this project. SM:sm Attachment WD4GroundRulePayapp.2.doc Serving ~Armonk, No. White Plains, Quarry Heights, Whippoorwill, Windmill Farm

2 LBG ENGINEERING SERVICES, P.C. PROFESSIONAL ENVIRONMENTAL & CIVIL ENGINEERS 4 RESEARCH DRIVE, SUITE 301 SHELTON, CT (FAX) December 12, 2013 Mr. Sal Misiti Director of Water & Sewer Operations North Castle Water & Sewer Department 15 Business Park Drive Armonk, NY Dear Mr. Misiti: RE: Town of North Castle Water District #4 Installation of Chlorine Contact Tank Eventus Construction Payment Requisition LBG Engineering Services, P.C. (LBGES) has received Requisition #2 from Eventus Construction for the installation of the chlorine contact tank at Water District #4. The amount that is being requested is $133, This amount is within the approved budget and it is consistent with the work that has occurred. Therefore, LBGES recommends that the invoice be approved for payment. Very truly yours, LBG ENGINEERING SERVICES, P.C. Michael J. Shortell Associate MJS:cmm Enclosure H:\NOHCAS\Water District 4\2013\Chlorine Contact Tank, Cover - Req #2.doc A Subsidiary of Leggette, Brashears & Graham, Inc.

3 North Castle EVENTUS CONRUCTION COMPANY, INC. Date: 13-Dec-13 1 OF 2 Water District #4 Upgrade Requisition No. 2 rev 01 Contract: 1 GENERAL Requisition Period: 10/1/13 to 12/13/13 Description:North Castle Water District #4 Contact Tank By: JA Eventus Project No *NE: UNIT PRICES BELOW DO N REFLECT ADDITIONAL WORK OR CREDIT VALUES. Item Description Contract Amount Previous This Period To-date No. Quantity Unit Unit Price Amount Quantity Amount Quantity Amount Quantity Amount Original Revisions Current BASE CONTRACT 1.00 Mobilization , , % 25, % % 25, ,000 gallons contact tank & access , , % % 108, % 108, Flow Restrictor 1 1 2, , % % 1, % 1, Continuous Chlorine Analyzer , , % 00% % 00% 16, % 00% 16, Chart Recorder % % % Transfer Pump , , % 4, % 9, % 14, gallon Poly Tank % % % Secondary Containment Tank % % % BASE CONTRACT TAL 186, % 29, % 135, % 165,640.00

4 North Castle EVENTUS CONRUCTION COMPANY, INC. Date: 13-Dec-13 2 OF 2 Water District #4 Upgrade Requisition No. 2 rev 01 Contract: 1 GENERAL Requisition Period: 10/1/13 to 12/13/13 Description:North Castle Water District #4 Contact Tank By: JA Eventus Project No *NE: UNIT PRICES BELOW DO N REFLECT ADDITIONAL WORK OR CREDIT VALUES. Item Description Contract Amount Previous This Period To-date No. Quantity Unit Unit Price Amount Quantity Amount Quantity Amount Quantity Amount Original Revisions Current Approved Addendum CO01 Ballast Pad , , % % 5, % 5, CO % % % CHANGE ORDER TAL 5, , , ============ =========== =========== =========== T O T A L C O M B I N E D A M O U N T 191, VALUE OF COMPLETED WORK 15.62% 29, % 140, % 170, Less Retained Percentage 5% 7, , Amount Approved for Payment 133, , Less Previous Payment Requisitions 28, Less Deductions Plus Retainage Release NET DUE THIS REQUISITION 133, ,655.50

5 Department of Labor Bureau of Public Work WEEKLY PAYROll For Contractor's Optional Use. Use of this form meets payroll notification requirements as stated on the Payroll Records Notification Name of Contractor ~ Subcontractor Address Eyentus Construction Comoany. Inc. P.O. Box 419 Amawalk NY FEIN For Week Ending PrOject and Location Water District #4, Contact Tank /16/2013 (1) (2) (3) (4) Day and Date (5) (6) Name, Address and No. of Sun Mon Tue IWed Thu FrI Sat Rate Social SecUrity Number With Work or 11/10 11/11 11/12111/13 11/14 11/15 11/16 Total of of EmDloyee holdinqs Classification Hours Worked Each Day Hours Pay Andres A Santamaria 2629 Sedgwick Ave $ Apt. :; 2D 0 XXX -XX-2060 Laborer George J Koklnchak 28 State Line Road New fairfield, CT XXX-XX uoer John Alfonzettl PO Box 136 Amawalk, NY OffiCials XXX-XX-9338 ~1anaqers) at Pedro A Rodrlgles 75 Memory Lane $ Mahopac, NY XXX-XX-7184 Laborer (7) Gross Amount Earned $ $ $ S FWH MCARE S 5.13 $ 6.31 S $ FICA (8) Deductions UNION WH DUES $ $ Project or Contract Number (9) Total TAL Wages Paid HER DEDUCTIONS for Week $ $ S S at at at at at at Sunburst Software Solutions, Inc.

6 Date 12/17/2013 I, John Alfonzetti, President do hereby state: (1) That I payor supervise the payment of the persons employed by Eventus Construction Company, Inc. on the Town of North Castle Water District #4, Contact Tank; that during the payroll period commencing on the 10th day of November, 2013, and ending the 16th day of November, 2013, 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 Eventus Construction Company, Inc. 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 Stat. 108, 72 Stat. 967; 76 Stat. 357; 40 USc. 276c), and described below: Deductions are based on gross wages and include but are not limited to: Federal Withholding, FICA, Medicare, State Withholding, State Disability Insurance, Union Deductions, Child Support or Other Garnishments. Explanations for deductions listed in the "Other" Column are described on the Certified Payroll Report. REMARKS: amount of the required fringe benefits as listed in the contract, except as noted in Section 4( c) below. (c) EXCEPTIONS EXCEPTION (CRAFT) EXPLANATION :~',~'\'.:~:-',':~~~lr.fa" ~':~::~:T,",k. -.r- A ~IH ~r -r..,--- Z~::~rS~:;;u,---~r~ ;~~p~,:\ (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 wage rates contained in any wage determination incorporated into the contract; that the classifications set forth therein for each laborer or mechanic conform with the work he performed. (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, or 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 PLANS, FUNDS, OR PROGRAMS o -In addition to the basic hourly wage rates paid to each laborer or mechanic listed in the above referenced payroll, payments 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( c) below (b) WHERE Fj/(fNGE BENEFITS ARE PAID IN CASH GJ"". Each laborer or mechanic listed in the above referenced payroll has been paid, as indicated on the payroll, an amount not less than the sum of the applicable basic hourly wage rate plus the

7 Department of Labor Bureau of Public Work WEEKLY PAYROll For Contractor's Optional Use. Use of this form meets payroll notification requirements as stated on the Payroll Records Notification Name of Contractor ~ Subcontractor Address Eventus Construction Comoanv, Inc. P.O. Box 419 Amawalk NY FEIN For Week Ending Project and Location Water District #4, Contact Tank Project or Contract Number /23/2013 (1) (2) (3) (4) Day and Date (5) (6) (7) (8) (9) Name, Address and No. of Sun ~~on ITue Wed 11,u IFn ISat Rate Gross Deductions Total Social Secunty Number With Work or 11/17111/18111/19 11/20 11/21111/22111/23 Total of Amount UNION TAL Wages Paid of EmDloYee hold,nqs Classification Hours Worked Each Day Hours Pay Earned FWH r'lcare FlCA WH DUES HER DEDUCTIONS for'vveek Andres A Santamana 2629 Sedgwick Ave $ 5440 Apt. :: 2D 0 $ 2, $ $ 2919 $ $ $ $ 1, XXX-XX-2060 Laborer George J Koklnchak 28 State Line Road New fairfield, CT XXX-XX-4771 Super George J Koklnchak 28 State Line Road $ New fairfield, CT $ 1, $ $ $ $ $ $ 1,19065 XXX-XX-4771 ~1echanlCs John Alfonzettl P.O Bex 136 Amawalk, NY OffiCials XXX-XX-9338 ~1anaQers) John Alfonzett, P.O Bex $ 7587 Amawalk. NY Plpefltter $ $ 5926 $ 440 $ $ 1716 $ $ XXX-XX-9338 Plumber Joseph Pecylak Jr. 81 Beckman Dnve $ 5365 Carmel, NY $ 1, $ $ $ $ $ $ 1, XXX-XX-5524 Laborer Pedro A Rodngles 75 Memory Lane $ 5440 Mahopac, NY $ 2, $ S $ $ $ $ 1, XXX-XX-7184 Laborer $ Richard F Thomas P.O Bex $ Montrose, NY $ $ 4600 $ 846 $ $ 2250 $ $ XXX-XX-1180 MechaniCS Sunburst Sofiwan: Solutions, Inc.

8 Date: 12/17/2013 I, John Alfonzetti, President do hereby state: amount of the required fringe benefits as listed in the contract, except as noted in Section 4( c) below. (c) EXCEPTIONS (1) That I payor supervise the payment of the persons employed by Eventus Construction Company, Inc. on the Town of North Castle Water District #4, Contact Tank; that during the payroll period commencing on the 17th day of November, 2013, and ending the 23rd day of November, 2013, 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 Eventus Construction Company, Inc. 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 Stat. 108, 72 Stat. 967; 76 Stat. 357; 40 USc. 276c), and described below: Deductions are based on gross wages and include but are not limited to: Federal Withholding, FICA, Medicare, State Withholding, State Disability Insurance, Union Deductions, Child Support or Other Garnishments. Explanations for deductions listed in the "Other" Column are described on the Certified Payroll Report. (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 wage rates contained In any wage determination incorporated Into the contract; that the classifications set forth therein for each laborer or mechanic conform with the work he performed. (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, or 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 PLANS, FUNDS, OR PROGRAMS o -In addition to the basic hourly wage rates paid to each laborer or mechanic listed in the above referenced payroll, payments 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( c) below (b) WHE~ fj.inge BENEFITS ARE PAID IN CASH lif- Each laborer or mechanic listed in the above referenced payroll has been paid, as indicated on the payroll, an amount not less than the sum of the applicable basic hourly wage rate plus the REMARKS: EXCEPTION (CRAFT) NAME AND TITLE John Alfonzetti, President THE WILLFUL FALSIFICATION OF ANY OF T THE CONTRACTOR OR SUBCONTRACTO SECTION 1001 OF TITLE 18 AND SECT CODE. EXPLANATION

9 Department of Labor Bureau of Public Work WEEKLY PAYROLL For Contractor's Optional Use. Use of this form meets payroll notification requirements as stated on the Payroll Records NotificatiOn Name of Contractor ~ Subcontractor Address Eventus Construction Company, Inc. P.O. Box 419 Amawalk NY FEIN For Week Endlllg Project and Location Water District #4, Contact Tank Project or Contract Number /30/2013 (1) (2) (3) (4) Dav and Date (5) (6) (7) (8) (9) Name, Address and No. of Sun 1~lon Tue Wed IThu Fn Sat Rate Gross Deductions Total SOCIal SecUrity Number With- Work or 11/24111/25 11/26111/27111/28 11/29 11/30 Total of Amount UNION TAL Wages Paid of Employee holdings Classification HOllrs Worked Each Dav Hours Pay Earned FWH HCARE FICA WH DUES HER PEDUCTIONS for Week Andres A Santamaria 2629 Sedgwick Ave $ 5440 Apt. t 2D 0 $ 1, $ $ S $ $ $ XXX -xx-2060 Laborer George J Kokinchak 28 State Line Road New fairfield, a XXX-XX-4771 Super John Alfonzettl PO. Box 136 Amawalk, NY OffiCials XXX-XX-9338 Managers) Joseph Pecylak Jr. 81 Beckman Drive $ Carmel, NY S $ $ 623 $ $ $ XXX-XX-5524 Laborer Pedro A Rodrigles 75 Memory Lane $ 5440 I'lahopac, NY $ 1, $ 155.Ql $ $ $ $ XXX-XX-7184 Laborer

10 Date 12/17/2013 I, John Alfonzetti, President do hereby state: (1) That I payor supervise the payment of the persons employed by Eventus Construction Company, Inc. on the Town of North Castle Water District #4, Contact Tank; that during the payroll period commencing on the 24th day of November, 2013, and ending the 30th day of November, 2013, 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 Eventus Construction Company, Inc. 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 Stat. 108, 72 Stat. 967; 76 Stat. 357; 40 USc. 276c), and described below: Deductions are based on gross wages and include but are not limited to: Federal Withholding, FICA, Medicare, State Withholding, State Disability Insurance, Union Deductions, Child Support or Other Garnishments. Explanations for deductions listed in the "Other" Column are described on the Certified Payroll Report. (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 wage rates contained in any wage determination incorporated into the contract; that the classifications set forth therein for each laborer or mechanic conform with the work he performed. REMARKS amount of the required fringe benefits as listed in the contract, except as noted in Section 4( c) below. (c) EXCEPTIONS EXCEPTION (CRAFT) EXPLANATION./'.~~.-? ~ /0# NAME AND TITLE I SIGDJiJTU~ John Alfonzetti. President L 4~- THE WILLFUL FALSIFICATION OF ANY OF JKE ABOVE ATE THE CONTRACTOR OR SUBCONTRACTOR'TO CIVIL OR CRIM~L PROSECUTION. SEE SECTION 1001 OF TITLE 18 AND SECTION 231 OF TITLE 31 OF THE UNITED ATES 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, or 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 PLANS, FUNDS, OR PROGRAMS D -In addition to the basic hourly wage rates paid to each laborer or mechanic listed in the above referenced payroll, payments of fringe benefits as listed in the contract have been or will be made to appropriate programs for the benefit of such emp;~s, except as noted in Section 4( c) below (b) WHEREY~NGE BENEFITS ARE PAID IN CASH ~ - Each laborer or mechanic listed in the above referenced payroll has been paid, as indicated on the payroll, an amount not less than the sum of the applicable basic hourly wage rate plus the

11 Department of Labor Bureau of Public Vlork WEEKLY PAYROLL For Contractor's Ootlonal Use. Use of this form meets payroll notification requrrements as stated on the Payroll Records Notification Name of Contractor ~ Subcontractor Address Eventus Construction Comoany, Inc. P.O. Box 419 Amawalk NY FEIN For Week Ending Project and Location Water District #4, Contact Tank (1) (2) (3) (4) Day and Date (5) (6) Name, Address and No. of Sun 1~10n ITue Wed IThu IFn Sat Rate Social Secunty Number With Work or 12/1 12/2 12/3 12/41 12/51 12/6 12/7 Total of of Employee hold,nqs ClasSification Hours Worked Each Day Hours Pay Andres A Santamana 2629 Sedgwick Aye $ Apt.." 2D 0 XXX-XX-2060 Laborer George J Koklnchak 28 State Line Road New farrfleld, CT XXX-XX 4771 Super John Alfonzettl P.O. Box 136 Amawalk, NY OffiCials XXX-XX'9338 IIManaqers) Pedro A Rodngles 75 ~lemory Lane $ ~lahopac, NY XXX-XX-7184 Laborer (7) Gross Amount Earned $ 1, $ 1, S S FWH 39l MCARE $ S S S FICA (8) Deductions UNION WH DUES S $ Project or Contract Number (9) Total TAL Wages Paid HER DEDUCTIDNS for Week $ $1, S $ 1,161.65

12 Date: 12/17/2013 I, John Alfonzetti, President do hereby state: (1) That I payor supervise the payment of the persons employed by Eventus Construction Company, Inc. on the Town of North Castle Water District #4, Contact Tank; that during the payroll period commencing on the 1st day of December, 2013, and ending the 7th day of December, 2013, 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 Eventus Construction Company, Inc. 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 Stat. 108, 72 Stat. 967; 76 Stat. 357; 40 U.s.c. 276c), and described below: Deductions are based on gross wages and include but are not limited to: Federal Withholding, FICA, Medicare, State Withholding, State Disability Insurance, Union Deductions, Child Support or Other Garnishments. Explanations for deductions listed in the "Other" Column are described on the Certified Pavroll Report. (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 wage rates contained in any wage determination incorporated into the contract; that the classifications set forth therein for each laborer or mechanic conform with the work he performed. (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, or 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 PLANS, FUNDS, OR PROGRAMS D - In addition to the basic hourly wage rates paid to each laborer or mechanic listed in the above referenced payroll, payments 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( c) below (b) WHE~ FJdNGE BENEFITS ARE PAID IN CASH [11/- Each laborer or mechanic listed in the above referenced payroll has been paid, as indicated on the payroll, an amount not less than the sum of the applicable basic hourly wage rate plus the REMARKS: amount of the required fringe benefits as listed in the contract, except as noted in Section 4( c) below. (c) EXCEPTIONS EXCEPTION (CRAFT) EXPLANATION NAM E AN D TITLE John Alfonzetti President ~ '-- - THE WILLFUL FALSIFICATION OF ANY OF T ABOVE ATEME THE CONTRACTOR OR SUBCONTRACTO 0 CIVIL OR CRIMINb;l(PROSECUTION. SEE SECTION 1001 OF TITLE 18 AND SECTION 231 OF TITLE 31 OF'THE UNITED ATES CODE. ~

13 Department of Labor Bureau of Public Work WEEKLY PAYROLL For Contractor's Optional Use. Use of this form meets payroll notification requirements as stated on the Payroll Records Notification Name of Contractor )<; Subcontractor Address Eventus Construction ConlDanv, Inc. P.O. Box 419 Amawalk NY FEIN For Week Ending Project and Location Water District #4, Contact Tank /14/2013 (1) (2) (3) (4) Day and Date (5) (6) Name, Address and No. of 5T Sun Mon Tue IWed Thu Fri Sat Rate Social SecUrity Number Wlth- Work or 12/8 12/9 12/10112/11 12/12 12/13 12/14 Total of of Employee holdinqs Classification Hours Worked Each Day Hours Pay Andres A Santamaria 2629 SedgWick Ave $ 5440 Apt. ti 2D 0 5T XXX-XX-2060 Laborer George J Koklnchak 28 State Line Road New fairfield, CT T XXX-XX-4771 Super John Alfonzettl P.O. Box 136 Amawalk, NY Officials 5T XXX-XX-9338 Manaqers) Pedro A Rodrlgles 75 Hemory Lane $ 5440 ~lahopac, NY T XXX-XX-7184 Laborer (7) Gross Amount Earned $ 1, , $ FWH ~KARE $ 2642 $ $ FICA (8) Deductions UNION snvh DUES $ Project or Contract Number (9) Total TAL Wages Paid HER DEDUCTiONS for Week $ $ 1, $ , T 5T 5T 5T 5T 5T 5T Sunburst Software Solutions, Inc.

14 Date: 12/17/2013 CJohn Alfonzetti, President do hereby state: (1) That I payor su pervise the payment of the persons em ployed by Eventus Construction Company, Inc. on the Town of North Castle Water District #4, Contact Tank; that during the payroll period commencing on the 8th day of December, 2013, and ending the 14th day of December, 2013, 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 Eventus Construction Company, Inc. 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 Stat. 108, 72 Stat. 967; 76 Stat. 357; 40 USc. 276c), and described below: Deductions are based on gross wages and include but are not limited to: Federal Withholding, FICA, Medicare, State Withholding, State Disability Insurance, Union Deductions, Child Support or Other Garnishments. Explanations for deductions listed in the "Other" Column are described on the Certified Payroll Report. (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 wage rates contained in any wage determination incorporated into the contract; that the classifications set forth therein for each laborer or mechanic conform with the work he performed. REMARKS: amount of the required fringe benefits as listed in the contract, except as noted in Section 4( c) below. (c) EXCEPTIONS EXCEPTION (CRAFT) EXPLANATION NAME AND TITLE John Alfonzetti, President THE WILLFUL FALSIFICATION OF ANY OF THE CONTRACTOR OR SUBCONTRACTQw'fo CIVIL OR CRIMINAL PROSECUTION. SEE SECTION 1001 OF TITLE 18 AND SEmON 231 OF TITLE 31 OF THE UNITED ATES 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, or 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 PLANS, FUNDS, OR PROGRAMS o -In addition to the basic hourly wage rates paid to each laborer or mechanic listed in the above referenced payroll, payments 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( c) below (b) WHERE F~E BENEFITS ARE PAID IN CASH ~ Each laborer or mechanic listed in the above referenced payroll has been paid, as indicated on the payroll, an amount not less than the sum of the applicable basic hourly wage rate plus the

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