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Davis bacon Fringe Benefit Statement Form: What You Should Know

If paying all fringe benefits to none approved plans, use the statement “Please do not include any fringe benefit” and enter zero in the Fringe Benefit Detail checkbox. If all plans or programs and the fringe benefit percentage is  less than the applicable Davis-Bacon fringe benefit percentage, enter zero in the Fringe Benefit Detail checkbox. If all plans and programs and the fringe benefit percentage is  more than the applicable Davis-Bacon fringe benefit percentage, make a “Fringe Benefit Detail” checkbox.   Item 2. Do not include fringe benefits: If any program or service has a fringe benefit plan that is  not a Davis-Bacon plan or program, please specify your services on the Affiliate Statement. All fees and other payments made to an employee, a beneficiary, or an officer, director, or partner of a qualified business enterprise shall be determined pursuant to chapter 3 of and the regulations of 15 U.S.C.  § 882(c), and if these expenses can not be substantiated or determined by the responsible agency, should be declared in the employee's employment agreement; or, All expenses for an office, agency, or position that is not a residence but is occupied by a person that has a business relationship with the contractor, or Covered Labor Organizations — Employees of a Labor Organization Who Are Dependent upon Workers' Compensation Coverage to Provide Services — Affiliated Labor Organization August 30, 2023 — The Labor Organization Affiliate Certification form (FFL) #654 (for the prime contractor) is submitted to the Labor Compliance Officer, (Labor Compliance Officer), IBEX. The Labor Compliance Officer completes a cover letter on the form indicating that: The Employee has a membership in the Labor Organization and the Labor Organization Affiliate has made and has maintained reasonable efforts to make its membership available to its employee members. The Labor Organization Affiliate has made reasonable efforts to provide the Employee with a copy of the Labor Organization Affiliation Statement. The Labor Organization Affiliate has made reasonable efforts to make its membership statement available to the Employer on an Employee Information Form, or a copy thereof. The Affiliate is not currently in a state of suspension or disaffiliation.

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