WebCEM 2503 Calif DOT Statement of Compliance STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION STATEMENT OF COMPLIANCE CONTRACTOR/SUBCONTRACTOR CONTRACT NUMBER FIRST DAY AND DATE OF PAY PERIOD LAST DAY AND DATE OF PAY PERIOD I do hereby certify under penalty of perjury: (1) WebFRINGE BENEFIT STATEMENT CEM-2501 (REV. 8/1994) CONTRACTOR/SUBCONTRACTOR (Please Print) CONTRACT NUMBER FEDERAL AID PROJECT DATE TO: RESIDENT ENGINEER/DISTRICT LABOR COMPLIANCE OFFICER BUSINESS ADDRESS The following information (as shown or referenced on wage rate determinations) paid to or on behalf of …
Cem 2503 - Fill and Sign Printable Template Online - US …
WebFollow the step-by-step instructions below to design your cem 2501 fringe benefit statement: Select the document you want to sign and click Upload. Choose My Signature. Decide on what kind of signature to create. There are three variants; a typed, drawn or uploaded signature. Create your signature and click Ok. Press Done. WebFor information call (916) 654-6410 or TDD (916) 654-3880 or write Records and Forms … broken pipe from 127.0.0.1 django
Statement Of Compliance Form - formspal.com
WebCaltrans form CEM-2503, Statement of Compliance, is due with each weekly payroll. Boxes must be marked indicating if benefits are paid to a fund and/or to the employee/employees. Reference: Standard Specifications, California Labor Code §1776 ... Statement of Compliance. Documents to confirm the “other” deduction that meet requirements of an WebBilden CEM-0101, Citizen Engineer’s Report von Assignment (PDF) Form CEM-0501, Relief by Maintenance (PDF) Form CEM-0602, Project Safety Program Statement (PDF) Form CEM-0603, Major Builder Incident Notification (PDF) Contact CEM-0604, Project Technical Review or Meeting (PDF) Form CEM-0606, Construction Safety Checklist (PDF) WebSTATEMENT OF COMPLIANCE Date: do hereby state: (Name of signatory party) (Title) (1) … telescope nikon