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23B - PROJ - MEMORIAL PARK SECURITY
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23B - PROJ - MEMORIAL PARK SECURITY
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Last modified
7/6/2015 8:39:42 AM
Creation date
7/2/2015 4:11:29 PM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23B
Date
7/7/2015
Destruction Year
2020
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EXHIBIT 13 <br />U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT <br />Los Angeles Area Office, Region IX <br />1615 West Olympic Boulevard <br />Los Angles, California 90015 -3801 <br />CERTIFICATION FOR APPLICABLE FRINGE BENEFIT PAYMENTS <br />Project Name: --- ���I4l'1 �k�A -� 1� �{� � 1 � i „` -1 €�1 �3 <br />Project Number: W Y_ f GI 11 i <br />Classification /Fringe Benefits Provided Name, Address and Telephone Number of Plan /FandProgram <br />Y) <br />Health and Welfare $ .............m <br />Pension $ <br />Vacation $ <br />Apprenticeship / Trah�ing $ <br />2) <br />Health and Welfare $ <br />Pension $ - <br />Vacation $� _ <br />Apprenticeship /Training$ _ <br />3) <br />Health and Welfare $ <br />Pension $ <br />Vacation $ <br />Apprenticesip /Training$ <br />a <br />Health and Welfare $ <br />Pension $ <br />Vacation $ <br />Apprenticeship / Training $ <br />OR: (CHECK IF APPLICABLE) <br />�./1 certify that I do not make payments to approved fringe benefit la fiords, or programs. <br />Green Giant Landscape, Inc. <br />Contractor /Subcontractor Si tpre <br />611-7 t 5' <br />Date <br />Title <br />F: 1DOCS\ PROPSVOSWUOPORMSIMBU5804AMS- SeO.o3SP.. 600 23B -44 <br />
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