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PRINT ON YOUR COMPANY LETTER HEAD PROJECT NAME Trolley Residential Senior Apartments Project Company Project Name Address City STATEMENT OF NON-PERFORMANCE PAYROLL SUPPLEMENT FORM PAYROLL NUMBER s Must be consecutive I do hereby state that no person from this Company who were not exempt from the of the California Labor Codes or the Department of Industrial Relations prevailing wage requirements for a Public Works project or the Davis Bacon and Related Acts requirements for a Public Works...
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The print on your company refers to the submission of company information to the relevant authorities.
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