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2020-10-04 thru 2020-12-27 Cert PayrolleCPR Online Confirmation Your payroll submission request has been processed. .lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 10124947 This certified payroll will be treated as an amendment #: 1 Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-12-27 Payroll Number: 78 Amendment Number: 1 1 employee payroll record(s) processed Your Transaction ID is: 10861769 Print this Page Jew your submission P3[foe Submit another set of payroll records Public Works Certifii ayroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC Il, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-12-27 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-04-11." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92262 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: Payroll #: 78 - 1 Ctr Payroll #: 78-1 Week Ending: 12/27/2020 ❑ Statement of Non -Performance? ❑ Final payroll for this project? Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 SSPj� Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 12/21 12122 12/23 12/24 12125 12126 12127 Hours Base Hourly Fringe Holiday & Welf. Pension Other Training Hourly Rate S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 0.00 0.00 0.00 0.00 ' O. ji 16.00 0.00 0.00 0.00 0.00 0.00 0.00 0 4ff0am1 NOTE: ORIGINAL PAYROLL NUMBER 78-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER ADDED OR DEDUCTED FROM THE EMPLOYEE'S CHECK, Travel & Subsistence 0.00 Total Deductions 44.28 SHOULD = 0.00 Public Works certified Payroll Reporting Form 04/11/2021 - Page 1 eCPR Online Confirmation Your payroll submission request has been processed. 'lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-12-27 Payroll Number: 78 Amendment Number: 0 8 employee payroll record(s) processed Your Transaction ID is: 10124947 Print this Page } View your submission Adobe submit another set of payroll records Public Works Certified Payroll Reporting Form Certification under penalty of perjury: 1, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-12-27 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-01-08." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 78- 0 For Week Ending: 12/27/2020 Is this a 'Statement of Non -Performance?' Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount ned Federal Tax FICA Stale Tax SDI Vac/ Holiday Health t: Welf. Pension Net Wage Paid For Week Check Number APOLINAR GONZALEZ MARTINEZ 33255 DATE PALM DR #19 Work Classification 12/21 12/22 12/23 12/24 12125 12/26 12/27 This Project All Projects 15.88 36.72 0.00 4.80 120.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S B.00 8.00 8.00 0.00 0.00 0.00 0.00 24.00 15.00 360.00 480.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 422.60 32224 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 22.50 0.00 0.00 0.00 0.00 0.00 0.00 57.40 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 30.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA Slate Tax SDI Vac! Holiday Health 8 Welf. Pension Net Wage Paid For Week Check Number 3 Dale ARMANDO RICO CHAVEZ 2103 JACQUES DR Work Classification 12/21 12/22 12/23 12/24 12/25 12/26 12/27 This Project All Projects 34.46 48.95 5.88 6.40 160.00 0.00 0.00 Hours Worked Each Day PALM SPRINGS CA 92262 LANDSCAPE MAINTENANCE LABORER $ 8.00 8.00 8.00 0.00 0.00 0.00 0.00 24.00 20.00 480.00 640.00 Trainin 9 Fund Admin Dues Trav/ Subs Savings s g Other Total Deduct 544.31 32223 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 0.00 0.00 0.00 0.00 0.00 0.00 95.69 p o.00 o.00 0.00 0.00 0.00 0.00 o.00 o.ao ao.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI 1lacl Hollday Health 8 Welf. Pension Net Wage Paid For Week Check Number 0 Date ELIZABETH OJEDA 67145 SAN GABRIEL CIR E Work Classification 12/21 12122 12/23 12/24 12/25 12/26 12/27 This Project All Projects 0.00 36.73 0.00 4.80 120.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE l4BORER S 8.00 8.00 8.00 0.00 0.00 0.00 0.00 24.00 15.00 360.00 480.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 438.47 32226 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 41.53 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 30.00 NOTE: Public Works certified Payroll Reporting Form 01 021 - Page 1 Public Works Certified Payroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 12/27/2020 Payroll Number:78-0 Name, Address and Social SecurityNumber of Worker Number of Withholding Day I Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac! Holiday& Health Welf. Pension Net Wage Paid For Week Check Number 5 Date GENARO VARGAS 69130 VICTORIA DR Work Classification 12/21 12/22 12/23 12/24 12/25 12/26 12127 This Project All Projects 0.00 36.72 0.00 4.80 120.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 0.00 0.00 0.00 0.00 24.00 15.00 360.00 480.00 Training g Fund Admin Dues Trav/ Subs Savings g Other Total 438.48 32227 0E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 41.52 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date GUSTAVO HERRERA 32250 AURORA VISTA RD Work Classification 12/21 12/22 12/23 12124 12/25 12126 12/27 This Project 1 All Projects 1 0.00 18.36 0.00 2.40 120.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 0.00 0.00 0.00 0.00 0.00 0.00 8.00 15.00 120.00 240.00 Training g Fund Admin Dues Trav/ Subs Savings g Other Total 219.24 32225 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 20.76 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holida y Health & Waif. Pension Net Wage Paid For Week Check Number LETICIA BONILLA 33477 NAVAJO TR #B 4 Date Work Classification 12/21 12/22 12123 12/24 12/25 12/26 12/27 This Project All Projects 0.00 39.16 0.00 5.12 128.00 47.39 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER 5 8.00 8.00 8.D0 0.00 0.00 0.00 0.00 24.00 16.00 384.00 512.00 Training Fund Admin Dues Trav/ Subs Savings J Other Total 467.72 32221 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.00 0.00 0.00 0.00 0.00 0.00 0.00 44.28 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date MARIO VASOUEZ 68285 CORTA RD Work Classification 12121 12/22 12123 12/24 12/25 12/26 12/27 Thls Project All Projects 0.00 34.28 0.00 4.48 112.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 0.00 0.00 0.00 0.00 24.00 14.00 336.00 448.00 Training g Fund Admin Dues Trav/ Subs Savings g Other Total 409.24 32228 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 D.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 38.76 p o.DD 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Public works certified Payroll Reporting Form 01 J21 - Page 2 Public Works Certified Payroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 12/27/2020 Payroll Number:78-0 Name, Address and Soclal Security Number of Worker tY Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vacs Hollda y Health 8 Welf. Pension Net Wage Paid For Week � Check Number 0 Date RAMON A. CASTILLO VIGIL 27335 HOPPER RD Work Classification 12121 12122 12/23 12/24 12/25 12/26 12/27 This Project 1 All Projects 1 0.00 44.06 8.23 5.76 144.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92241 LANDSCAPE MAINTENANC LABORER S 8.00 8.00 8.00 0.00 0.00 0.00 0.00 24.00 I 18.00 432.00 1 1 576.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 517.95 32222 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.00 1 0.00 0.00 1 0.00 0.00 1 0.00 0.00 1 58.05 p 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 1 0.00 1 36.00 NOTE: -7J Public works Certified Payroll Reporting Form 01; Q1 - Page 3 eCPR Online Confirmation Your payroll submission request has been processed. 'lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-12-20 Payroll Number: 77 Amendment Number: 0 9 employee payroll record(s) processed Your Transaction ID is: 10124507 Print this Page 'f View your submission Adobe - - - submit another set of payroll records Public Works Certil Payroll Reporting Form Certification unaer penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC ll, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-12-20 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-01-08." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 AAA-- 9FAd F I A rARADAAIA IA/AV DAI KA CDDIAIr`C rA CC1K1. Rlr1r.4070R r...-a.....a... C.. -:1. vmlc Tw. Mnn rn 1- 92202 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 77- 0 For Week Ending: 12/20/2020 ❑ Is this a 'Statement of Non -Performance?' Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number APOLINAR GONZALEZ MARTINEZ 33255 DATE PALM DR #19 CATHEDRAL CITY CA 92234 3 Date Work Classification 12114 12115 12/16 12117 12/18 12/19 12/20 This Proect j� All Projects PI 29.66 45.90 4.12 6.00 0.00 0.00 0.00 Hours Worked Each Day LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 514.32 6239 0 0.00 0.00 0.00 0.00 0.00 0.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 85.68 D 0.00 0.00 0.00 0.00 i�g 0.00 0.00 30.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vacf Hglldzl y Health & Wolf. Pension Net Wage Paid For Week Check i Number 3 Date ARMANDO RICO CHAVEZ 2103 JACQUES DR Work Classification 12/14 12/15 12116 12/17 12/18 12/19 12/20 This Project 1 All Projects 1 53.66 61.20 14.66 8.00 0.00 0.00 0.00 Hours Worked Each Day PALM SPRINGS CA 92262 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 800.00 800.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 662.48 6238 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 0.00 0.00 0.00 0.00 0.00 0.00 137.52 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date EDGAR I. SANCHEZ 33477 NAVAJO TR #B Work Classification 12/14 12/15 12/16 12/17 12/18 12/19 12/20 This Project All Projects 0.00 39.17 0.25 5.12 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 0.00 0.00 0.00 32.00 16.00 512.00 512.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 467.46 6242 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.00 0.00 0.00 0.00 0.00 0.00 0.00 44.54 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.00 NOTE: Public Works Certified Payroll Reporting Form 01/08/2021 - Page 1 Public Works Certif 'ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 12/20/2020 Payroll Number:77-0 Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holida y Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date ELIZABETH OJEDA 67145 SAN GABRIEL CIR E Work Classification 12/14 12/15 12/16 12117 12118 12/19 12/20 This Project � All Projects � 0.00 45.89 1.54 6.00 0.00 1 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Trainin 9 Fund Admin Dues Trav/ Subs Savings 9 Other Total 546.57 6241 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 53.43 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA Stale Tax SDI Vac/ Holiday Health 8 Welf. Pension Net Wage Paid For Week Check Number 5 Date GENARO VARGAS 69130 VICTORIA DR Work Classification 12/14 12115 12/16 12/17 12/18 12/19 12/20 This Project All Projects 0.00 45.90 0.00 6.00 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Training 9 Fund Admin Dues Trav/ Subs Savings 9 Other Total 548.10 6243 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 51.90 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 30.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date GUSTAVO HERRERA 32250 AURORA VISTA RD Work Classification 12/14 12/15 12/16 12/17 12/18 12/19 12/20 This Project All Projects 0.00 45.90 0.00 6.00 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 548.10 6240 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 51.90 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vacl Holiday Heath &'Neff. Pension Net Wage Paid For Week Check Number 4 Date LETICIABONILLA 33477 NAVAJO TR #B Work Classification 12/14 12/15 12/16 12/17 12/18 12/19 12/20 This Project All Projects 8.04 48.96 0.00 6.40 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 �fi LANDSCAPE MAINTENANCE LABORER $ 8.00 8.00 8.00 8.00 8.00 0.00 0,00 40.00 16.00 640.00 640.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 576.60 6236 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.00 0.00 0.00 0.00 0.00 0.00 0.00 63.40 D 0,00 0.00 0.00 0.00 0.00 0.00 1 0.00 0.00 1 32.00 NOTE: Public works certified Payroll Reporting Form 01/08/2021 - Page 2 Public Works Certif 'ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 12/20/2020 Payroll Number:77-0 Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Gross Amount Earned Hourly Pay Rate This All Project Projects J 1 Federal Tax FICA State Tax SDI Vacs Holida y Health & Wei(- Pension Net Wage Paid For Week Check Number MARIO VASQUEZ 68285 CORTA RD 0 Date Wok 1 Classification 12/14 12/15 12/16 12/17 12/18 12/19 12/20 0.00 42.84 0.00 5.60 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 0.00 0.00 0.00 32.00 14.00 448.00 560.00 Training Fund gdmin Dues Travl Subs Savings Other Total 511.56 6244 O 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 48.44 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vacl HVol da y Health & WOE Pension Net Wage Paid For Week Check Number 0 Date RAMON A. CASTILLO VIGIL 27335 HOPPER RD Work Classification 12/14 12/15 12/16 12117 12/18 12/19 12/20 This Project 1 All Projects 1 15.53 55.08 14.56 7.20 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92241 �� LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 B.00 0.00 0.00 40.00 18.00 720.00 720.00 Training g Fund Admin Dues Trav/ Subs Savings g Other Total 627.63 6237 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.00 0.00 0.00 0.00 0.00 0.00 0.00 92.37 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: Public works certified Payroll Reporting Form 01/08/2021 - Page 3 eCPR Online Confirmation Your payroll submission request has been processed. ?lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 10123046 This certified payroll will be treated as an amendment #: 1 Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-12-13 Payroll Number: 76 Amendment Number: 1 1 employee payroll record(s) processed Your Transaction ID is: 10861760 Print this Page iew your submission mote Submit another set of payroll records Public Works Certifie ayroll Reporting Form Certification under penalty of perjury: 9, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-12-13 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-04-11." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92262 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: Payroll #: 76 - 1 Ctr Payroll #: 76-1 Week Ending: 12/13/2020 ❑ Statement of Non -Performance? ❑ Final payroll for this project? Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 SSNq!� Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 12/07 12/08 12/09 12/10 12/11 12/12 12/13 Hours Base Hourly Fringe Holiday & Welf. Pension Other Training Hourly Rate S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00 '�1_4,0;00 16.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: ORIGINAL PAYROLL NUMBER 76-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER ADDED OR DEDUCTED FROM THE EMPLOYEE'S CHECK, Travel & Subsistence 0.00 Total Deductions 63.40 SHOULD = 0.00 Public works certified Payroll Reporting Form 04/11/2021 - Page 1 eCPR Online Confirmation Your payroll submission request has been processed. 'lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-12-13 Payroll Number: 76 Amendment Number: 0 11 employee payroll record(s) processed Your Transaction ID is: 10123046 Print this Page View your submission l�d4l submit another set of payroll records Public Works Certif layroll Reporting Form Certification unaer penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-12-13 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-01-08." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 T Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 76- 0 For Week Ending: 12/13/2020 ❑ Is this a 'Statement of Non -Performance?' Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number Social SecurityNumber of Worker Withholding 3 Dale APOLINAR GONZALEZ MARTINEZ 33255 DATE PALM DR #19 Work Classification 12107 12/08 12/09 12110 12111 12/12 12/13 This Project All Projects 51.26 59.67 13.34 7.80 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 1 600.00 780.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 647.93 32196 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 132.07 92234 D 0.00 0.00 0.00 0.0o 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac! Holiday Health & Welf. Pension Net Wage Paid For Week Check Number Social SecurityNumber of Worker Withholding 3 Date ARMANDO RICO CHAVEZ 2103 JACQUES DR Work Classification 12107 12/08 12/09 12/10 12/11 12/12 12113 This Project All Projects 53.66 61.20 14.66 8.00 0.00 0.00 0.00 Hours Worked Each Day PALM SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 800.00 800.00 Training 9 Fund Admin Dues Travl Subs Savin s 9 Other Total Deduct 662.48 32195 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 137.52 92262 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate _ Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 4 Date CARLOS LUNA GONZALEZ 66145 7TH ST Work Classification 12107 12/08 12/09 12/10 12/11 12/12 12113 This Project All Projects 16.13 55.14 0.00 7.21 1 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA TREE MAINTENANCE S 0.00 0.00 0.00 0.00 4.00 0.00 0.00 4.00 27.22 108.88 720.88 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 642.40 32203 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.83 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 78.48 92240 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54.44 NOTE: Public Works certified Payroll Reporting Form 01/08/2021 - Page 1 Public Works Certif 'ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 12/13/2020 Payroll Number:76-0 Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pa Rate y Gross Amount Earned Federal Tax FICA State Tax SDI I Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date EDGAR I. SANCHEZ 33477 NAVAJO TR #B yya,� Classification 12107 12/08 12I09 12I10 12/11 12112 12l13 This Project / A1I Projects � 0.00 39.16 0.25 5.12 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 0.00 0.00 0.00 32.00 I 16.00 512.00 512.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 467.47 32199 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.00 0.00 0.00 0.00 0.00 0.00 0.00 44.53 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Dale ELIZABETH OJEDA 67145 SAN GABRIEL CIR E Work Classification 12/07 12108 12/09 12/10 12111 12/12 12/13 This Project All Projects 0.00 36.73 0.00 4.80 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 0.00 8.00 8.00 8.00 0.00 0.00 32.00 15.00 480.00 480.00 Training i Admin Dues Subs Savings Other Total 438.47 32198 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 41.53 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vacl Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 5 Date GENARO VARGAS 69130 VICTORIA DR Work Classification 12/07 12/08 12/09 12/10 12/11 12/12 12113 This Project All Projects 13.77 59.67 0.00 7.80 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 780.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 698.76 32200 ` i 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 81.24 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: I Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax I SDI Vac/ Holiday I Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date GUSTAVO HERRERA 32250 AURORA VISTA RD Work Classification 12/07 12/08 12/09 12/10 12/11 12/12 12/13 This Project I All Projects 0.00 36.72 0.00 4.80 1 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 0.00 8.00 8.00 8.00 8.00 0.00 0.00Travi 32.00 15.00 480.00 480.00 Training Admin Dues Subs Savings Other Total 438.48 32197 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 0.00 0.00 0,00 0.00 0.00 0.00 41.52 D 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 0.00 30.00 NOTE: Public Works certified Payroll Reporting Form 01/08/2021 - Page 2 Public Works Certi Payroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 12/13/2020 Payroll Number:76-0 Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hourly Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday •Health & Welf. Pension Net Wage Check Social SecurityNumber of Worker Withholding LETICIA BONILLA 4 Date Work Classification 12107 12/08 12/09 12/10 12/11 12/12 12/13 This Project J All Projects 1 8.04 48.96 0.00 6.40 0.00 47.39 0.00 33477 NAVAJO TR #B Hours Pay Rate Paid For Week Number Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 640.00 640.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 576.60 32193 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.00 0.00 0.00 0.00 0.00 0.00 63.40 D 0.00 0.00 0.00 0.00 - 0.00 -[0.00 0.00 0.00 0.00 32.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hourly Gross Amount Earned Federal Tax FICA Stale Tax SDI Vac/ Holida y Health & Welf. Pension Net Wage Check Social SecurityNumber of Worker Withholding MARIO VASQUEZ 0 Date Work Classification 12/07 12/08 12/09 12/10 12/11 12/12 12/13 This Project J All Projects 1 0.00 42.84 0.00 5.60 0.00 0.00 0.00 68285 CORTA RD Hours Pay Rate Paid For Week Number Hours Worked Each Day CATHEDRAL CITY CA LANDSCAPE MAINTENANCE S 8.00 8.00 B.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 511.56 32201 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 92234 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 48.44 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hourly Gross Amount Federal Earned Tax FICA State Tax SDI Vacl Holida y I Health & Welf. Pension Net Wage Check Social SecurityNumber of Worker Withholding RAMON A. CASTILLO VIGIL 0 Date Work Classification 12/07 12/08 12/09 12/10 12/11 12112 12/13 Hours Pay Rate This Project 1 All Projects J 15.53 55.08 14.56 7.20 0.00 0.00 0.00 27335 HOPPER RD Paid For Week Number Hours Worked Each Day DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 B.00 B.00 0.00 0.00 40.00 18.00 720.00 720.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 627.63 32194 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.00 92241 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 92.37 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.01 31.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hourly Hours Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday& Heal[h Welf. Pension Net Wage Paid For Week Check Number Social SecurityNumber of Worker Withholding RUBEN F. HENRIQUEZ 15687 PALM DR #83 0 Dale Work Classification 12/07 12/08 12/09 12/10 12/11 12/12 12/13 This Project All Projects 76.23 56.61 18.44 7.40 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA TREE MAINTENANCE S 0.00 0.00 0.00 0.00 4.00 0.00 0.00 4.00 24.32 97.28 745.28 Training 9 Fund Admin Dues Trav/ Subs Savings 9 Other Total 581.29 32202 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.48 92240 LABORER 0.00 0.00 0.00 0.00 0.00 5.31 163.99 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.64 NOTE: $5.31 OTHER=FH125D Public works certified Payroll Reporting Form 01/08/2021 - Page 3 eCPR Online Confirmation Your payroll submission request has been processed. ,'lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 9925617 This certified payroll will be treated as an amendment #: 1 Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-12-06 Payroll Number: 75 Amendment Number: 1 1 employee payroll record(s) processed Your Transaction ID is: 10861747 Print this Page iew your submission Adobe Submit another set of payroll records Public Works Certifit ayroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC ll, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-12-06 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-04-11." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92262 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA Contract With: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 County: RIVERSIDE Location Description: Payroll #: 75 - 1 Ctr Payroll #: 75-1 Week Ending: 12/06/2020 ❑ Statement of Non -Performance? ❑ Final payroll for this project? Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 S311j� Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health 11 /30 12101 12/02 12/03 12/04 12/05 12/06 Hours Base Hourly Fringe Holiday & Welf. S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40:60_Mq 16.00 0.00 0.00 0.00 NOTE: ORIGINAL PAYROLL NUMBER 75-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00 Travel & Subsistence Pension Other Training Total Hourly Rate 0.00 0.00 0.00 VENT 0.00 Total Deductions 63.40 Public works certified Payroll Reporting Form 04/11/2021 - Page 1 eCPR Online Confirmation Your payroll submission request has been processed. .'lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-12-06 Payroll Number: 75 Amendment Number: 0 9 employee payroll record(s) processed Your Transaction ID is: 9925617 Print this Page View your submission C'ubmit another set of payroll records Public Works Certifir--layroll Reporting Form Certification uno. -,natty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-12-06 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2020-12-11." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 75- 0 For Week Ending: 12/06/2020 Is this a'Statement of Non -Performance?' Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Grass Amount Federal State Vac/ Health 3 Date Earned Tax FICA Tax SDI I Holiday & Welf. Pension Net APOLINAR GONZALEZ MARTINEZ Total Hourly Wag Check Work 11/30 12/01 12/02 12/03 12/04 12/05 12/06 Hours Pay Rate This All 51.26 59.67 13.34 7.80 0.00 0.00 0.00 Paid For Number 31325 AVE LA PALOMA Classification Hours Worked Each Day Project Projects / �j Week CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 B.00 0.00 0.00 40.00 15.00 600.00 780.00 Fund Trav/ Total 647.93 32039 CA MAINTENANCE Trainin 9 Admin Dues Subs Savin s 9 Other Deduct 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 132.07 92234 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Social SecurityNumber of Worker Withholding Total Hourly Earned Tax FICA Tax SDI Holiday & Welt Pension Net Wage Check 3 Date ARMANDO RICO CHAVEZ Work 11/30 12/01 12/02 12/03 12/04 12/05 12/06 This All 53.66 61.20 14.66 8.00 0.00 0.00 0.00 Hours Pay Rate Paid For Number 2103 JACQUES DR Classification Project �j/ Projects Week Hours Worked Each Day PALM SPRINGS LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 800.00 800.00 Fund Trav/ Total 662.48 32038 CA MAINTENANCE Training 9 Admin Dues Subs Savings 9 Other Deduct 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 137.52 92262 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.00 NOTE: Number of Day Deductions, Contributions, and Payments Name, Address and Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vacl Health Social Security Number of Worker Withholding Total Hourly Earned Tax FICA Tax I SDI Holiday & Welt Pension Net Wage Check 0 Dale EDGAR I. SANCHEZ Work 11/30 12I01 12IO2 12103 12I04 12/O5 12/O6 This All 0.00 48.96 5.88 6.40 0.00 0.00 0.00 Hours Pay Rate Paid For Number 33477 NAVAJO TR #B Classification Project Projects Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 640.00 640.00 Fund Trav/ Total 578.76 32042 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 61.24 92234 D 0.00 1 0.00 0.00 0.00 0.00 0.00 1 0.00 0.00 32.00 NOTE: Public Works certified Payroll Reporting Form 12/11/2020 - Page 1 Public Works Certifi%-''ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 12/06/2020 Payroll Number:75-0 Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date ELIZABETH OJEDA 67145 SAN GABRIEL CIR E Work Classlficatlon 11/30 12/01 12/02 12/03 12/04 12/05 12/06 This Project All Projects 0.00 41.88 0.00 5.48 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 4.50 8.00 8.00 8.00 0.00 0.00 36.50 15.00 547.50 547.50 TrainingFund Admin Dues Trav/ Subs Savings 9 Other Total 500.14 32041 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 47.36 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vacl Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 5 Date GENARO VARGAS 69130 VICTORIA DR Work Classification 11/30 12/01 12/02 12/03 12/04 12/05 12/06 This Project All Projects 13.77 59.67 0.00 7.80 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTEN�NCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 780.00 Training Admin Dues Subs Savings Other Total 698.76 32043 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 81.24 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date _ GUSTAVO HERRERA 32250 AURORA VISTA RD Work Classification 11/30 12/01 12/02 12/03 12/04 12/05 12/06 This Project All Projects 0.00 45.90 0.00 6.00 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 548.10 32040 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 51.90 D 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 0.00 30.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI VacLy Holida Health & Welf. Pension Net Wage Paid For Week Check Number 4 Date LETICIA BONILLA 33477 NAVAJO TR #B Work Classification 11/30 12/01 12/02 12/03 12/04 12/05 12/06 This Project I All Projects 8.04 48.96 0.00 6.40 0.00 47c39 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 640.00 640.00 Training Admin Dues Subs Savings Other Total 576.60 32036 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.00 0.00 0.00 0.00 0.00 0.00 0.00 63.40 D 0.00 0.00 0.00 1 0.00 0.00 0.00 0.00 0.00 32.00 NOTE: Public Works certified Payroll Reporting Form 12/11/2020 - Page 2 Public Works Certifir`?ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE R LIGHTING DISTRICT 89-1 For Week Ending: 12/06/2020 Payroll Number:75-0 Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welt Pension Net Wage Paid For Week Check Number 0 Date MARIO VASQUEZ 68285 CORTA RD CATHEDRAL CITY CA 92234 Work Classification 11130 12/01 12102 12I03 12/04 12/05 12106 This Project j All Projects 0.00 42.84 0.00 5.60 0.00 0.00 0.00 Hours Worked Each Day LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Training Fund Admin Dues Subs Subs Savings Other Total 511.56 32044 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 48.44 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date RAMON A. CASTILLO VIGIL 27335 HOPPER RD Work Classification 11/30 12/01 12/02 12/03 12/04 12/05 12/06 This Project All Projects 15.53 55.08 14.56 7.20 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92241 e� LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 18.00 720.00 720.00 Training Fund Admin Dues Travl Subs Savings Other Total 627.63 32037 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.00 0.00 0.00 0.00 0.00 0.00 0.00 92.37 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: Public Works certified Payroll Reporting Form 12/11/2020 - Page 3 eCPR Online Confirmation Your payroll submission request has been processed. 'lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 9925073 This certified payroll will be treated as an amendment #: 1 Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-11-29 Payroll Number: 74 Amendment Number: 1 1 employee payroll record(s) processed Your Transaction ID is: 10861743 Print this Page i iew your submission r ._Adobe Submit another set of payroll records Public Works Certifie ayroll Reporting Form Certification undo, penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-11-29 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-04-11." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92262 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: Payroll #: 74 - 1 Ctr Payroll #: 74-1 Week Ending: 11/29/2020 ❑ Statement of Non -Performance? LIFinal payroll for this project? Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 SS� Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 11/23 11/24 11/25 11126 11/27 11/28 11/29 Hours Base Hourly Fringe Holiday & Welf. Pension Other Training Hourly Rate S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 0.00 0.00 0.00 0.00 j_ Z 16.00 0.00 0.00 0.00 0.00 0.00 0.00 T.GW NOTE: ORIGINAL PAYROLL NUMBER 74-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00 Travel & Subsistence 0.00 Total Deductions 33.22 Public works certified Payroll Reporting Form 04/11/2021 - Page 1 eCPR Online Confirmation _Your payroll submission request has been processed. 'lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-11-29 Payroll Number: 74 Amendment Number: 0 9 employee payroll record(s) processed Your Transaction ID is: 9925073 Print this Page 7___ View your submission Adobe 'ubmit another set of payroll records Public Works Certifir"`-layroll Reporting Form Certification una. :natty of perjury., "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC Il, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-11-29 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2020-12-11:' Contractor Name: PWLC ll, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 kddress: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 nsurance Number: WCV5504144 4warding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS 2ayroll Number: 74- 0 For Week Ending: 11/29/2020 a Is this a'Statement of Non -Performance?' Number of Day Deductions, Contributions, and Payments Name, Address and State Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Heall GrossAmountunt Federal Net FICA SDI Pension TaxHpl day & Welf. 3 Date Total Hourly Wage Check APOLINAR GONZALEZ MARTINEZ Hours Pa Rate 3.88 27.55 0.00 3.60 0.00 0.00 0.00 Paid For Number 11/23 11/24 11l25 11126 11/27 11/28 11l29 y All Wok This Week 31325 AVE LA PALOMA Classification Hours Worked Each Day Project Projects CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 0.00 0.00 0.00 0.00 24.00 15.00 360.00 360.00 Fund Trav/ Total 324.97 32012 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 35.03 92234 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Number of Day Deductions, Contributions, and Payments Name, Address and Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Social Security Number of Worker Withholding Total Hours Hourly Pay Rate Earned Tax Tax Holiday & W01L Wage Paid For Check Number 3 Date ARMANDO RICO CHAVEZ 11/23 11/24 11/25 11/26 11/27 11/2B 11/29 This All 15.88 36.72 0.00 4.80 0.00 0.00 0.00 2103 JACQUES DR Work Classification Project Projects Week Hours Worked Each Day PALM SPRINGS LANDSCAPE S 8.00 8.00 8.00 0.00 0.00 0.00 0.00 24.00 20.00 480.00 480.00 Fund Trav/ Total 422.60 32011 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 57.40 92262 p11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.0o 40.00 NOTE: Number of Day Deductions, Contributions, and Payments Name, Address and Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State SDI Vac/ Health Pension Net Social Security Number of Worker Withholding Total Hours Hourly Pay Rate Earned Tax FICA Tax Holiday & Welf. Wage Paid For Check Number p Date EDGAR I. SANCHEZ 11/23 11124 11/25 11/26 11127 11/28 11/29 This All 0.00 29.38 0.00 3.04 0.00 0.00 0.00 Work Week 33477 NAVAJO TR #B Classification Project Projects Hours Worked Each Day CATHEDRAL CITY LANDSCAPE $ 8.00 8.00 8.00 0.00 0.00 0.00 0.00 24.00 16.00 384.00 384.00 Fund Trav/ Total 350.78 32015 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 33.22 92234 p 0.00 1 0.00 0.00 0.00 0.00 0.00 1 0.00 0.00 32.00 NOTE: Public works certified Payroll Reporting Form 12/11/2020 - Page 1 Public Works Certifir "'ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 11/29/2020 Payroll Number:74-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State I Vac/ Health 0 Date Earned Tax FICA Tax SDI Holiday & Welf. Pension Net ELIZABETH OJEDA Total Hourly Wage Check Work 11/23 11/24 11/25 11/26 11/27 11128 11/29 Hours Pay Rate This All 0.00 27.54 0.00 3.60 0.00 0.00 0.00 Paid For Number 67145 SAN GABRIEL CIR E Classification Hours Worked Each Day Project Projects Week I CATHEDRAL CITY CA LANDSCAPE MAINTENANCE $ 8.00 8.00 8.00 0.00 0.00 0.00 0.00 24.00 15.00 360.00 360.00 Training 9 Fund Admin Dues Trav/ Subs Savings g Other Total 328.86 32014 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 LABORER 0.00 0.00 0.00 0.00 0.00 �31 92234 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/y Holida Health & Welf. Pension Net Wage Paid For Week Check Number 5 Date GENARO VARGAS 69130 VICTORIA DR Work Classification 11/23 11/24 11/25 11126 11/27 11/28 11129 This Project All Projects 0.00 27.54 0.00 3.60 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA LANDSCAPE MAINTENANCE $ 8.00 8.00 8.00 0.00 0.00 0.00 0.00 24.00 15.00 360.00 360.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 328.86 32016 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 92234 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 31.14 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Wlthholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Dale GUSTAVO HERRERA 32250 AURORA VISTA RD Work Classification 11/23 11/24 11125 11/26 11/27 11/28 11/29 This Project All Projects 0.00 27.54 0.00 3.60 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 0.00 0.00 0.00 0.00Fund 24.00 15.00 360.00 360.00 Training Admin Dues Subs Savings Other Total 328.86 32013 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 92234 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 31.14 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 3D.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI I Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 4 Date LETICIA BONILLA 33477 NAVAJO TR #B Work Classification 11/23 11/24 11/25 11/26 11/27 11/28 11/29 This Project All Projects 0.00 29.38 0.00 3.84 0.00 47.39 ().Do Hours Worked Each Day CATHEDRAL CITY CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 0.00 0.00 0.00 0.00Fund 24.00 16.00 384.00 384.00 Training Admin Dues Subs Savings Other Total 350.78 32009 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.00 92234 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 33.22 D 0.00 1 0.00 0.00 0.00 0.00 0.00 1 0.00 O.OD 32.00 NOTE: Public works certified Payroll Reporting Form 12/11/2020 - Page 2 Public Works Certifi! layroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 11/29/2020 Payroll Number:74-0 Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holida y Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date MARIO VASQUEZ 68285 CORTA RD Work Classification 11/23 11/24 11/25 11126 11/27 11/28 11129 This Project ro ec j All Projects 0.00 25.70 0.00 3.36 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 � LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 0.00 0.00 0.00 0.00 24.00 14.00 336.00 336.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 306.94 32017 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 29.06 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date RAMON A. CASTILLO VIGIL 27335 HOPPER RD Work Classification 11/23 11/24 11/25 11/26 11127 11/28 11/29 This Project All Projects 0.00 33.04 3.14 4.32 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92241 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 0.00 0.00 0.00 0.00 24.00 18.00 432.00 432.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 391.50 32010 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 27.00 0.00 0.00 0.00 0.00 0.00 0.00 40.50 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: Public Works certified Payroll Reporting Form 12/11/2020 - Page 3 eCPR Online Confirmation _Your payroll submission request has been processed. .pease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 9921885 This certified payroll will be treated as an amendment #: 1 Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-11-22 Payroll Number: 73 Amendment Number: 1 1 employee payroll record(s) processed Your Transaction ID is: 10861724 Print this Page iew your submission =Adobe. Submit another set of payroll records Public Works Certifit ayroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-11-22 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-04-11." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92262 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: Payroll #: 73 - 1 Ctr Payroll #: 73-1 Week Ending: 11/22/2020 Statement of Non -Performance? Final payroll for this project? Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 SSNIIMJ� Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 11/16 11/17 11/18 11/19 11/20 11/21 11/22 Hours Base Hourly Fringe Holiday & Welf. y Pension Other Training Hourly Rate y S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 0.00 8.00 8.00 0.00 0.00 ;,x S2;00 ;i 16.00 0.00 0.00 0.00 0.00 0.00 0.00 iR0 ' NOTE: ORIGINAL PAYROLL NUMBER 73-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00 Travel & Subsistence 0.00 Total Deductions 44.28 Public works certified Payroll Reporting Form 04/11/2021 - Page 1 eCPR Online Confirmation Your payroll submission request has been processed. 'lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-11-22 Payroll Number: 73 Amendment Number: 0 9 employee payroll record(s) processed Your Transaction ID is: 9921885 Print this Page View your submission f Adobe qubmit another set of payroll records Public Works Certif "Oayroll Reporting Form Certification unL enalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-11-22 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2020-12-10." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 73- 0 For Week Ending: 11/22/2020 Is this a'Statement of Non -Performance?' Number of Day Deductions, Contributions, and Payments Name, Address and Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Set Sun Grass Amount Federal State Vacl Health 3 Date Total Earned HourlyWage FICA SDI Tax Tax Holiday & Welf. pension Net Check APOLINAR GONZALEZ MARTINEZ 11/16 11/17 11/18 11/19 11/20 11/21 11/22 1 Hours Pay Rate 21.56 40.73 1.15 5.33 0.00 0.00 0.00 Paid For Number 31325 AVE LA PALOMA Work Classification This All Project Projects Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 3.50 B.00 8.00 8.00 0.00 0.00 35.50 15.00 532.50 532.50 Fund Trav/ Total 463.73 31859 CA MAINTENANCE Training Admin Dues Subs Savings gs Other Deduct Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 68.77 92234 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Number of Day Deductions, Contributions, and Payments Name, Address and Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Net Social SecurityNumber of Worker Withholding Total Hourly Earned Tax FICA Tax SDI Holiday & Welf. Pension Wage Check 3 Date ARMANDO RICO CHAVEZ Hours Pay Rate Paid For Number 11/16 11/17 11/18 11/19 11/20 11/21 11/22 This All 53.66 61.20 14.66 8.00 0.00 0.00 0.00 2103 JACQUES DR Work Classification Project Projects Week Hours Worked Each Day PALM SPRINGS LANDSCAPE $ 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 800.00 800.00 Fund Trav/ Total 662.48 31858 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 137.52 92262 p o.00 o.00 o.00 o.00 0.00 0.00 0.00 0.00 40.00 � NOTE: Number of Day Deductions, Contributions, and Payments Name, Address and Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State SDI Vac/ Health Pension Net Social Security Number of Worker Withholding Total Hourly Earned Tax FICA Tax Holiday & Welf. Wage Check 0 Date EDGAR I. SANCHEZ Hours Pa Rate y Paid For Number 11116 11/17 11/18 11119 11/20 11/21 11/22 This All 0.00 48.96 5.88 6.40 0.00 0.00 0.00 33477 NAVAJO TR #B Wok Classification Project Projects Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 640.00 640.00 Fund Trav/ Total 578.76 31862 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct Q 0.00 0.00 0.00 0.00 0.00 0.00 lwo 0.00 24.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 61.24 92234 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.00 NOTE: Public Works Certified Payroll Reporting Form 12/10/2020 - Page 1 Public Works Certif -0ayroll Reporting Form Contractor Name: PWLC It, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 11/22/2020 Payroll Number:73-0 Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Hollday Health & Wolf. Pension Net Wage Paid For Week Check Number 0 Date ELIZABETH OJEDA 67145 5AN GABRIEL CIR E Work Classification 11/16 11/17 11/18 11/19 11/20 11/21 11122 This Protect All Protects 0.00 45.90 1.54 6.00 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Training 9 Fund Admin Dues Subs Subs Savings g Other Total 546.56 31861 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 22.50 0.00 0.00 0.00 0.00 0.00 0.00 53.44 D 0.00 0.00 0.00 1 0.00 0.00 0.00 0.00 1 0.00 30.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Waif. Pension Net Wage Paid For Week Check Number 5 Date GENARO VARGA5 69130 VICTORIA DR Work Classification 11/16 11/17 11/18 11/19 11/20 11/21 11/22 This Project All Projects 0.00 45.90 0.00 6.00 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 TrainingFund Admin Dues Trav/ Subs Savings 9 Other Total 548.10 31863 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1_ 22.50 0.00 0.00 0.00 1 0.00 0.00 0.00 51.90 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac! Holiday Health & Wolf. pension Net Wage Paid For Week Check Number 0 Date GUSTAVO HERRERA 32250 AURORA VISTA RD Work Classification 11/16 11117 11I18 11/19 11/20 11/21 11/22 This Project All Projects 0.00 45.90 0.00 6.00 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Training 9 Fund Admin Dues Trav/ Subs Savings 9 Other Total 548.10 31860 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 51.90 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI I Vac/ Holiday Health & Waif. Pension Net Wage Paid For Week Check Number 4f 4 Date LETICIA BONILLA 33477 NAVAJO TR #B Work Classification 11116 11/17 11/18 11119 11/20 11/21 11122 This Project All Projects 0.00 39.16 0.00 5.12 0.00 47.39 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 0.00 8.00 8.00 0.00 0.00 32.00 16.00 512.00 512.00 Training Admin Dues Subs Savings Other Total 467.72 31856 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.00 0.00 0.00 0.00 0.00 0.00 0.00 44.28 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.00 NOTE: Public works certified Payroll Reporting Form 12/10/2020 - Page 2 Public Works Certify-?ayroll Reporting Form n Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 11/22/2020 Payroll Number:73-0 Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA Stale Tax SDI Vacl Holiday& Health Welf. Pension Net Wage Paid For Week Check Number 0 Date MARIO VASQUEZ 68285 CORTA RD Work Classification 11/16 11/17 11/18 11/19 11/20 11/21 11/22 This Pro ect j All Projects 0.00 42.84 0.00 5.60 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 511.56 31864 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 48.44 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI I Vac/ Holiday Health & Welf. Pension I Net Wage Paid For Week Check Number 0 Date RAMON A. CASTILLO VIGIL 27335 HOPPER RD Work Classification 11/16 11117 11/18 11/19 11/20 11/21 11/22 This Project All Projects 12.29 53.02 13.37 6.93 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92241 LANDSCAPE MAINTENANCE LABORER S 6.50 8.00 8.00 8.00 8.00 0.00 0.00 38.50 18.00 693.00 693.00 TrainingFund Admin Dues Trav/ Subs Savings 9 Other Total 607.39 31857 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.00 0.00 0.00 0.00 0.00 0.00 0.00 85.61 D 0.00 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: Public Works certified Payroll Reporting Form 12/10/2020 - Page 3 eCPR Online Confirmation Your payroll submission request has been processed. 'lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 10861713 This certified payroll will be treated as an amendment #: 2 Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-11-15 Payroll Number: 72 Amendment Number: 2 1 employee payroll record(s) processed Your Transaction ID is: 10861731 Print this Page iew your submission Adobe Submit another set of payroll records Public Works Certific ayroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC ll, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-11-15 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-04-11." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92262 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: Payroll #: 72 - 2 Ctr Payroll #: 72-2 Week Ending: 11/15/2020 F1 Statement of Non -Performance? J Final payroll for this project? Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 SSir� Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 11/09 11/10 11/11 11/12 11/13 11/14 11/15 Hours Base Houry Fringe Holiday & Wolf. Pension Other Training Hourly Rate S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 0.00 8.00 8.00 0.00 0.00 ;'`.3E:Qjj 16.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Travel & Subsistence 0.00 Total Deductions 44.28 Public Works certified Payroll Reporting Form 04/11/2021 - Page 1 eCPR Online Confirmation Your payroll submission request has been processed. 'lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 9733578 This certified payroll will be treated as an amendment #: 1 Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-11-15 Payroll Number: 72 Amendment Number: 1 1 employee payroll record(s) processed Your Transaction ID is: 10861713 Print this Page iew your submission Adobe Submit another set of payroll records Public Works Certifii ayroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-11-15 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-04-11." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92262 Insurance Number: WCV5504144 i Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: Payroll #: 72 - 1 Ctr Payroll #: 72-1 Week Ending: 11/15/2020 Statement of Non -Performance? ❑ Final payroll for this project? Employee: LETICIA BONILLA 33477 NAVAJO TR #B. CATHEDRAL CITY, CA, 92234 SSN� Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 11/09 11/10 11/11 11/12 11/13 11/14 11/15 Hours Base Hourly Fringe Holiday & Welf. Pension Other Training Hourly Rate LANDSCAPE MAINTENANCE LABORER 8.00 8.00 0.00 8.00 8.00 0.00 0.00 ; ,43�4pg4l 16.00 0.00 0.00 0.00 0.00 0.00 0.00 i? 'f o NOTE: ORIGINAL PAYROLL NUMBER 72-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00 Travel & Subsistence 0.00 Total Deductions 41.52 Public works certified Payroll Reporting Form 04/11/2021 - Page 1 eCPR Online Confirmation Your payroll submission request has been processed. 'lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-11-15 Payroll Number: 72 Amendment Number: 0 9 employee payroll record(s) processed Your Transaction ID is: 9733578 Print this Page r View your submission Submit another set of payroll records Public Works Certifi payroll Reporting Form Certification undL nalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-11-15 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2020-11-17." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 72- 0 For Week Ending: 11/15/2020 L]Is this a'Statement of Non -Performance?' Number of Day Deductions, Contributions, and Payments Name, Address and Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Net 3 Date Total Earned Hourly FICA SDI Tax Tax Holiday & WeIF. Pension Wage Check APOLINAR GONZALEZ MARTINEZ 11/09 11/10 11/11 11112 11/13 11/14 11/15 Hours Pay Rate This All 15.88 36.72 0.00 4.80 0.00 0.00 0.00 Paid For Number 31325 AVE LA PALOMA Work Classification Hours Worked Each Day Project Projects Week CATHEDRAL CITY LANDSCAPE $ 8.00 8.00 0.00 8.00 8.00 0.00 0.00 32.00 15.00 480.00 480.00 Fund Trav/ Total 422.60 31830 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 57.40 92234 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Number of Day Deductions, Contributions, and Payments Name, Address and Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Net Total Hourly Earned Tax FICA Tax SDI Holiday & Welf. Pension Wage Check 3 Date ARMANDO RICO CHAVEZ Hours Pay Rate Paid For Number 11/09 11/10 11/11 11/12 11/13 11/14 11115 This Air 34.46 48.96 5.88 6.40 0.00 0.00 0.00 2103 JACQUES DR Work Classification Project Projects Week Hours Worked Each Day PALM SPRINGS LANDSCAPE S 8.00 8.00 0.00 8.00 8.00 0.00 0.00 32.00 20.00 640.00 640.00 Fund Trav/ Total 544.30 31829 CA MAINTENANCE raining Tii Admin Dues Subs Savings Other Deduct 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 95.70 92262 D 0.00 0.00 0.00 0.00 0.00 o.00 0.00 0.00 40.00 NOTE: Number of Day Deductions, Contributions, and Payments Name, Address and Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Pension Net Social Security Number of Worker Withholding Total Hourly Earned Tax FICA Tax SDI Holiday &'A , Wage Check 0 Date EDGAR I. SANCHFZ Hours Pa Rate y Paid For Number 11/09 11/10 11/11 11/12 11/13 11114 11l15 This All 0.00 39.16 0.25 5.12 0.00 0.00 0.00 33477 NAVAJO TR #B Wok Classification Project Projects Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 8.00 0.00 8.00 8.00 0.00 0.00 32.00 16.00 512.00 512.00 Fund Trav/ Total 467.47 31833 CA MAINTENANCE Admin Dues Subs Savings Other Deduct 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.0092234 LABORER E 0.00 0.00 0.00 0.00 0.00 44.53 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.00 1 . NOTE: Public works certified Payroll Reporting Form 11/17/2020 - Page 1 f Public Works Certifi-'-layroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 11/15/2020 Payroll Number:72-0 Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date ELIZABETH OJEDA 67145 SAN GABRIEL CIR E Work Classification 11/09 11/10 11/11 11/12 11/13 11/14 11/15 This Project All Projects 0.00 36.72 0.00 4.80 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 0.00 8.00 B.00 0.00 0.00 32.00 15.00 480.00 480.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 438.48 31832 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 41.52 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 5 Date GENARO VARGAS 69130 VICTORIA DR Work Classification 11109 11/10 11/11 11/12 11/13 11/14 11/15 This Project All Projects 0.00 36.72 0.00 4.80 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 0.00 8.00 8.00 0.00 0.00 32.00 15.00 480.00 480.00 TrainingFund Admin Dues Trav/ Subs Savings 9 Other Total 438.48 31834 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 41.52 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pa Rate Y Gross Amount Earned Federal Tax FICA Slate Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date GUSTAVO HERRERA 32250 AURORA VISTA RD Work Classification 11/09 11/10 11/11 11/12 11/13 11/14 11/15 This Project All Projects 0.00 36.72 0.00 4.80 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 0.00 8.00 8.00 0.00 0.00 32.00 15.00 480.00 480.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 438.48 31831 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 41.52 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA Slate Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 4 Date LETICIA BONILLA 33477 NAVAJO TR #B Work Classification 11/09 11I10 11111 11/12 11/13 11/14 11115 This Project All Projects 0.00 39.16 0.00 5.12 0.00 47.39 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER $ 8.00 8.00 0.00 8.00 8.00 0.00 0.00 32.00 16.00 512.00 512.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 467.72 31827 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.00 0.00 0.00 0.00 0.00 0.00 0.00 44.28 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.00 NOTE: Public works certified Payroll Reporting Form 11/17/2020 - Page 2 Public Works Certifi,"-'3ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 11/15/2020 Payroll Number:72-0 Day Deductions, Contributions, and Payments Name, Address and Social SecurityNumber of Worker Number of Withholding Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date MARIO VASQUEZ 68285 CORTA RD Work Classification 11/09 11/10 11/11 11/12 11/13 11/14 11/15 This Project All Projects 0.00 34.28 0.00 4.48 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 0.00 8.00 8.00 0.00 0.00 32.00 14.00 448.00 448.00 Training Fund Admin Dues Subs Subs Savings Other Total 409.24 31835 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 38.76 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac! Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date RAMON A. CASTILLO VIGIL 27335 HOPPER RD Work Classification 11/09 11/10 11/11 11/12 11/13 11/14 11115 This Project All Projects 0.00 44.06 8.23 5.76 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92241 - LANDSCAPE MAINTENANCE LABORER $ 8.00 8.00 0.00 8.00 8.00 0.00 0.00 32.00 18.00 576.00 576.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 517.95 31828 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.00 0.00 0.00 0.00 0.00 0.00 0.00 58.05 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: Public Works certified Payroll Reporting Form 11/17/2020 - Page 3 eCPR Online Confirmation Your payroll submission request has been processed. .'lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 9711784 This certified payroll will be treated as an amendment #: 1 Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-11-08 Payroll Number: 71 Amendment Number: 1 2 employee payroll record(s) processed Your Transaction ID is: 10861705 Print this Page iew your submission r Adobe Submit another set of payroll records Public Works Certifii ayroll Reporting Form Certification under penalty of perjury: 1, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC ll, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-11-08 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-04-11." Contractor Name: PWLC II, INC. Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA 92262 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA Contract With: CITY OF LA QUINTA Contractor PWCR: 1000037373 FEIN: 510532726 DIR Project ID: 290440 County: RIVERSIDE License Type: CSLB License Number 855783 Contractor Email: KRISTYS@PWLC2.COM Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Location Description: Payroll #: 71 - 1 Ctr Payroll #: 71-1 Week Ending: 11/08/2020 Statement of Non -Performance? Final payroll for this project? Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 SSN49000=111 Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 11/02 11I03 11/04 11105 11/06 11/07 11/08 Hours Base Hourly Fringe Holiday & Welf. Y Pension Other Training Hourly Rate Y S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00 '_ _4'0 00 ! 16.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: ORIGINAL PAYROLL NUMBER 71-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00 Travel & Subsistence 0.00 Total Deductions 63.40 Public Works certified Payroll Reporting Form 04/11/2021 - Page 1 Public Works Certifii ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Week Ending: 11/08/2020 Payroll Number: 71-1 Employee: MARCELINO RAMIREZ 1500 E SAN RAFAEL DR #164, PALM SPRINGS, CA, 92262 SSN:°mommw Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 11/02 11/03 11/04 11/05 11/06 11107 11/08 Hours Base Hou ly Fringe Holiday & Welf. Pension Other Training Hourly Rate S TREE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40:00 29.42 0.00 0.00 0.00 0.00 0.00 0.00 29,42 O TREE MAINTENANCE LABORER 0.00 0.00 0.00 0.00 0.00 3.50 0.00 3.50 40.47 0.00 0.00 0.00 0.00 0.00 0.00 40,4r NOTE: ORIGINAL PAYROLL NUMBER 71-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = Travel & Subsistence 0.00 Total Deductions 270.69 0.00, 13.88 WAS DEDUCTED FOR HEALTH INSURANCE Public works certified Payroll Reporting Form 04/11/2021 - Page 2 eCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at vblicworks@dir.ca.gov. C, Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-11-08 Payroll Number. 71 Amendment Number. 0 11 employee payroll record(s) processed Your Transaction ID is: 9711784 Print IN,; age View your submission i Submit another set of payroll records Public Works Certifir"layroll Reporting Form Certification undo nalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-11-08 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2020-11-13." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 69-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 71- 0 For Week Ending: 11/08/2020 ❑ Is this a 'Statement of Non -Performance?' Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA I State Tax SDI Vac/ Holiday Health & Waif. pension - Net Wage Pala For Week Check 3 Date APOLINAR GONZALEZ MARTINEZ 31325 AVE LA PALOMA Work Classification 11/02 11/03 11/04 11/05 11/06 11/07 11/08 This Project All Projects 29.66 45.90 4.12 6.00 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 514.32 31678 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 85.68 D 0.00 0.0o 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 3 Date ARMANDO RICO CHAVEZ 2103 JACQUES DR Work Classification 11102 11/03 11/04 11/05 11/06 11/07 11/08 This Protect I All Projects 53.66 61.20 14.66 8.00 0.00 0.00 0.00 Hours Worked Each Day PALM SPRINGS CA 92262 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 800.00 800.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 662.48 31677 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 0.00 0.00 0.00 0.00 0.00 0.00 137.52 D 0.00 0.0o 0.00 0.00 0.00 0.00 0.00 0.00 40.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Penslon Net Wage Paid For Week Check Number 4 Date CARLOS LUNAGONZALEZ 66145 7TH ST Work Classification 11/02 11/03 11104 11/05 11/06 11/07 11/08 This Project All Projects 91.41 105.92 21.53 13.85 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 TREE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 27.22 1,219.26 1,384.64 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 1,151.93 31685 Q 0.00 0.00 0.00 0.00 0.00 3.50 0.00 3.50 37.28 0.00 0.00 0.00 0.00 0.00 0.00 232.71 D 0.00 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Public Works certified Payroll Reporting Form 11/13/2020 - Page 1 Public Works Certifir"-payroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 11/08/2020 Payroll Number: 71-0 Name, Address and Number of pay Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health FICA SDI Pension Net Earned Tax Tax Holiday & Welf. I ELI2ABETH OJEDA 0 Date Total Hourly Wage Check Work 11102 11/03 11/04 11/05 11106 11/07 11/08 Hours Pay Rate This All 0.00 45.90 1.54 6.00 0.00 0.00 0.00 Paid For Number 67145 SAN GABRIEL CIR E Classification Hours Worked Each Day Protect Projects Week CATHEDRAL CITY CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 546.56 31680 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 92234 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 53.44 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 � I NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 5 Date GENARO VARGAS 69130 VICTORIA DR Work Classification 11/02 11/03 11/04 11/05 11/06 11/07 11/08 This Project All Projects 0.00 45.90 0.00 6.00 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 548.10 31681 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 92234 LABORER I 0.00 0,00 0.00 0.00 0.00 0.00 51.90 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE; Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Tourstal Hourly Gross Amount Federal Earned Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week eck Number 0 Date GUSTAVO HERRERA 32250 AURORA VISTA RD Work Classification 11/02 11/03 11104 11lO5 11I06 11/07 11/08 Hours Pay Rate This Project All Projects 0.00 36.72 0.00 4.80 0.00 0.00 - 0.00 Hours Worked Each Day CATHEDRAL CITY CA LANDSCAPE MAINTENANCE S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 15.00 480.00 480.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 438.48 31679 I 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 92234 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 41.52 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pa Rate Y Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check I Number 4 Date LETICIA BONILLA 33477 NAVAJO TR #B Work Classification 11IO2 11/03 11/04 11I05 11I06 11l07 11/OB This Project All Projects 8.04 48.96 0.00 6.40 0.00 47.39 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 1 0.00 0.00 40.00 16.00 640.00 640.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 576.60 31675 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.00 0.00 0.00 0.00 0.00 0.00 0.00 63.40 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.00 NOTE: Public works certified Payroll Reporting Form 11/13/2020 - Page 2 1'' Public Works Certifir 'payroll Reporting Form j Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 11/08/2020 Payroll Number: 71-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal Slate Vac/ Health Earned Tax FICA Tax SDI Holiday & Welf. Pension Net MARCELINO RAMIREZ 4 Date Total Hourly Wage Check Work 11/02 11/03 11/04 11/05 11106 11/07 11/08 Hours Pay Rate This All 102.58 113.05 26.40 14.78 0.00 47.39 0.00 Paid For Number 1500 E SAN RAFAEL DR #164 Week Classification Hours Worked Each Day Protect Projects i PALM SPRINGS CA TREE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 29.42 1,318.45 1,491.61 Training Fund gdmin Dues Travl Subs Savings Other Total 1,220.92 31686 0 0.00 0.00 0.00 0.00 0.00 3.50 0.00 3.50 40.47 LABORER 0.00 0.00 0.00 0.00 0.00 13,811 270.69 92262 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 NOTE: $13.88 OTHER = FH125 Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Waif. Pension Net Paid For Week Check Number 0 Date MARIO VASOUEZ 68285 CORTA RD Work Classification 11/02 11/03 11/04 11105 11/06 11/07 11I08 This Project All Projects 0.00 42.84 0.00 5.60 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Training Fund min Dues Subs Savings Other Total 511.56 31682 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 92234 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 48.44 p o.00 o.00 o.00 o.o0 0.00 0.00 0.00 0.00 1 28.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pa Rate y Gross Amount Earned Federal Tax FICA Slate Tax SDI Vac/ Holiday Health & Waif. Pension Net Wage Paid For Week Check Number j 0 Date RAMON A. CASTILLO VIGIL 27335 HOPPER RD Work Classification 11IO2 11I03 11I04 11I05 11/06 11/07 11/08 This Project All Projects 0.00 55.08 2.05 7.20 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00Fund 40.00 18.00 720.00 720.00 Training Adml Dues Trav/ Subs Savings Other Total 655.67 31676 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.00 92241 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 64.33 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Waif. Pension Net Wage Paid For Week Check i Number 0 Date RUBEN F. HENRIQUEZ 15667 PALM DR #83 Work Classification 11/02 11/03 11/04 11/05 11106 11107 11/08 This Project All Projects 172.66 93.79 56.58 12.26 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA TREE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 24.32 1,088.30 1,231.20 Training Fund Admin Dues Trav/ Subs Savings Other Total 890.60 31683 0 0.00 0.00 0.00 0.00 0.00 3.50 0.00 3.50 33.00 92240 LABORER 0.00 0.00 0.00 0.00 0.00 5.31 340.60 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: $5.31 OTHER = FH125D j Public works certified Payroll Reporting Form 11/13/2020 - Page 3 eCPR Online Confirmation Your payroll submission request has been processed. .'lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 9711744 This certified payroll will be treated as an amendment #: 1 Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-11-01 Payroll Number: 70 Amendment Number: 1 2 employee payroll record(s) processed Your Transaction ID is: 10861693 Print this Page .0 iew your submission f AdAe Submit another set of payroll records Public Works Certifi( Iayroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-11-01 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-04-11." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92262 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA Contract With: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 County: RIVERSIDE Location Description: Payroll #: 70 - 1 Ctr Payroll #: 70-1 Week Ending: 11/01/2020 Statement of Non -Performance? ❑ Final payroll for this project? Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 SSN:dl§MMWW Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 10/26 10/27 10/28 10129 10/30 10/31 11/01 Hours Base Houdy Fringe Holiday & Welf. Pension Other Training Hourly Rate S LANDSCAPE MAINTENANCE LABORER 8.00 6.00 8.00 8.00 8.00 0.00 0.00 'y",46;60'r, 16.00 0.00 0.00 0.00 0.00 0.00 0.00 MOTTYM NOTE: ORIGINAL PAYROLL NUMBER 70-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00 Travel & Subsistence 0.00 Total Deductions 63.41 Public works certified Payroll Reporting Form 04/11/2021 - Page 1 Public Works Certific ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Week Ending: 11/01/2020 Employee: MARCELINO RAMIREZ 1500 E SAN RAFAEL DR #164, PALM SPRINGS, CA, 92262 SSN Mon Tue 'M:I Thu Fri Sal Sun Total Total Vac! Health Hours Base Hourly Fringe Holiday & Welf. Pension 10/26 10/27 1 i1128u 10/29 10/30 10/31 11101 9 Y S TREE MAINTENANCE LABORER 8.00 8.00 8.00 0.00 0.00 0.00 0.00T4dj 29.42 0.00 0.00 0.00 0.00 NOTE: ORIGINAL PAYROLL NUMBER 70-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = Travel & Subsistence 0.00 0.00, 13.88 WAS DEDUCTED FOR HEALTH INSURANCE Payroll Number:70-1 Other Training Total Hourly Rate 0.00 0.00 MOM=` Total Deductions 172.17 Public works Certified Payroll Reporting Form 04/11/2021 - Page 2 eCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at -1bl icwor k stNdlf. ca. g ov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 29MO Contract With: CITY OF LA QUINTA Week Ending Date: 2020-11-01 Payroll Number. 70 Amendment Number. 0 11 employee payroll record(s) processed Your Transaction ID is: 9711744 Print this Page ti View your submission ! d'r'r Submit another set of payroll records Public Works Certifi,` 7ayroll Reporting Form Certification und, nalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-11-01 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2020-11-13." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANIA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE Payroll Number: 70- 0 MAINTENANCE OF CITYWIDE MEDIANS For Week Ending: 11/01/2020 Is this a'Statement of Non -Performance?' Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/y Hollda Health & Welf. Pension Net Wage Paid For Week Check Number 3 Date APOLINAR GONZALEZ MARTINEZ 31325 AVE LA PALOMA Work Classification 10/26 10/27 10/28 10/29 10/30 10/31 11/01 This Project All Projects 29.66 45.90 4.12 6.00 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 ommomm� LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Training Fund Admin Dues Travl Subs Savings Other Total Deduct 514.32 31649 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 85.68 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA Slate Tax SDI I Vac/ Hollday Health & Welf. Pension Net Wage Paid For Week Check Number 3 Date ARMANDO RICO CHAVEZ 2103 JACQUES DR Work Classification 10/26 10/27 10/28 10/29 10/30 10131 11/01 This Project All Projects 53.66 61.20 14.66 8.00 0.00 0.00 0.00 Hours Worked Each Day PALM SPRINGS CA 92262 � LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 800.00 800.00 Training Fund Admin Dues Travl Subs Savings Other Total Deduct 662.48 31648 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 0.00 0.00 0.00 0.00 0.00 0.00 137.52 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 4 Date CARLOS LUNA GONZALEZ 66145 7TH ST Work Classification 10126 10127 10I28 10129 10I30 10131 11/01 This Project All Projects 46.09 77.04 4.91 10.07 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 TREE MAINTENANCE LABORER $ 8.00 8.00 8.00 8.00 0.00 0.00 0.00 32.00 27.22 871.04 1,007.04 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 868.93 31657 0 0.00 0.00 D,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 138.11 p 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 54.44 NOTE: Public works certified Payroll Reporting Form 11/13/2020 - Page 1 Public Works Certifirl,ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 11/01/2020 Payroll Number:70-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vacl Health FICA SDI Pension Net I Earned Tax Tax Holiday& Welf. 0 Date Tote Hourly Wage Check ELIZABETH OJEDA Work 10/26 10127 10/28 10/29 10/30 10131 11/01 Hours Pay Rate This All 0.00 27.54 0.00 3.60 0.00 0.00 0.00 Paid For Number 67145 SAN GABRIEL CIR E Classification Protect Projects Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 0.00 0.00 8.00 8.00 8.00 0.00 0.00 24.00 15.00 360.00 360.00 Fund Trav/ 328.86 31651 CA MAINTENANCE Training g Adrn Dues Subs Savings g Other Total Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 31.14 92234 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Number of Day Deductions, Contributions, and Payments Name, Address and Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Net Social SecurityNumber of Worker Withholding Total Hourly Earned Tax FICA Tax SDI Holiday & Welf. Pension Wage Check 5 Date GENARO VARGAS Work 10/26 10/27 10/28 10/29 10/30 10/31 11/01 This All 13.77 59.67 0.00 7.80 0.00 0.00 0.00 Hours Pay Rate Paid For Number 69130 VICTORIA DR Classification Project Projects Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 780.00 Fund Trav/ 698.76 31653 CA MAINTENANCE n Training g Admin Dues Subs Savin s g Other Total Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 81.24 92234 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Number of Day Deductions, Contributions, and Payments Name, Address and Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Net Social SecurityNumber of Worker Withholding Total Hourly Earned Tax FICA Tax SDI Holiday & WeIF. Pension Wage Check 0 Date GUSTAVO HERRERA Hours Pay Rate Paid For Number 10/26 10/27 10128 10/29 10/30 10/31 11101 This All 0.00 45.90 0.00 6.00 0.00 0.00 0.00 32250 AURORA VISTA RD Work Classification Project Projects Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 31650 CA MAINTENANCELABORER Training Admit Dues Subs Savings Other TJtal548.10 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.5092234 0.00 0.00 0.00 0.00 0.00 0.00 5 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Number of Day Deductions, Contributions, and Payments Name, Address and Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Pension Net Social Security Number of Worker Withholding Total Hourly Earned Tax FICA Tax SDI Holiday & Welf. Wage Check 0 Date JOSE I. PEREZ CINTORA Hours Pay Rate Paid For Number 10/26 10127 10/28 10/29 10/30 10131 11/01 This All 0.00 54.68 11.75 7.15 0.00 0.00 0.00 46857 LILAC CT Work Classification Project Projects Week Hours Worked Each Day INDIO LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 18.00 720.00 720.00 Fund Travl 641.11 31652 CA MAINTENANCE Training Admin Dues Subs Savings Other Total Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.00 LABORER 0.00 0.00 0.00 0.00 0.00 5.31 78.89 92201 D 0.00 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: $5.31 OTHER= FH125D Public works Certified Payroll Reporting Form 11/13/2020 - Page 2 Public Works Certifi," "-Iayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 11/01/2020 Payroll Number:70-0 Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Hollday Health & Welf. Pension Net Wage Paid For Week Check Number 4 Date LETICIABONILLA 33477 NAVAJO TR #B Work Classification 10/26 10/27 10/28 10/29 10/30 10/31 11/01 This Project All Projects 8.04 48.97 0.00 6.40 0.00 47.39 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 640.00 640.00 Training Admin Dues Subs Savings Other Total 576.59 31647 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.00 0.00 0.00 0.00 0.00 0.00 0.00 63.41 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vaal Holiday Health & Wolf. Pension Net Wage Paid For Week Check Number 4 Date MARCELINO RAMIREZ 1500 E SAN RAFAEL DR #164 Work Classification 10/26 10127 10/28 10/29 10/30 10/31 11/01 This Project Ali Projects 55.76 83.20 8.45 10.88 0.00 47.39 0.00 Hours Worked Each Day PALM SPRINGS CA 92262 TREE MAINTENANCE LABORER $ 8.00 8.00 8.00 0.00 0.00 0.00 0.00 24.00 29.42 706.08 1.101.44 Training Admin Dues Subs Savings Other Total 929.27 31658 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.88 172.17 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 0.00 [NOTE: $13.88 OTHER = FH125 Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI I Vac/ Holiday Health & Welf. Pension Net Wage Pald For Week Check Number 0 Date MARIO VASQUEZ 68285 CORTA RD yya,k Classification 10126 10127 10128 10/29 10/30 10131 11/01 This Project All Projects 0.00 42.84 0.00 5.60 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 a LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Training Admin Dues Subs Savings Other Total 511.56 31654 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 48.44 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pa Rate Y Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number p Date RUBEN F. HENRIOUEZ 15687 PALM DR #83 Work Classification 10/26 10/27 10/28 10/29 10/30 10131 11/01 This Project All Projects 103.04 69.57 29.62 9.09 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 TREE MAINTENANCE LABORER $ 8.00 8.00 8.00 8.00 0.00 0.00 0.00 32.00 24.32 794.74 914.74 Training Fund Admin Dues Travl Subs Savings Other Total 698.11 31655 0 0.00 0.00 0.50 0.00 0.00 0.00 0.00 0.50 33.00 0.00 0,00 0.00 0.00 0.00 5.31 216.63 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: $5.31 OTHER = FH125D Public works certified Payroll Reporting Form 11/13/2020 - Page 3 eCPR Online Confirmation Your payroll submission request has been processed. .'lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 9711638 This certified payroll will be treated as an amendment #: 1 Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-10-25 Payroll Number: 69 Amendment Number: 1 1 employee payroll record(s) processed Your Transaction ID is: 10861675 Print this Page ,ew your submission Submit another set of payroll records Public Works Certifit ayroll Reporting Form Certification under penalty of perjury: 1, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-10-25 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-04-11." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92262 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: Payroll #: 69 - 1 Ctr Payroll #: 69-1 Week Ending: 10/25/2020 ❑ Statement of Non -Performance? Final payroll for this project? Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 SSNA1010W Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 10/19 10/20 10127 10/22 10/23 10/24 10/25 Hours Base Hourly Fringe Holiday & Welf. Pension Other Training Hourly Rate S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00 y`.4l),OOy 'i 16.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: ORIGINAL PAYROLL NUMBER 69-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00 Travel & Subsistence 0.00 Total Deductions 99.62 Public Works certified Payroll Reporting Form 04/11/2021 - Page 1 eCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at iblicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-10-25 Payroll Number: 69 Amendment Number. 0 10 employee payroll record(s) processed Your Transaction ID is: 9711638 Print this Page View your submission ' A%n( Submit another set of payroll records Public Works Certifir'� `ayroll Reporting Form Certification unde. _ _nalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behajf of PWLC Il, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-10-25 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of casht check, or whatever form to the individual or individuals named. I certify this on 2020-11-13." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 69- 0 For Week Ending: 10/25/2020 Is this a 'Statement of Non -Performance?' Day Deductions, Contributions, and Payments Name, Address and Number of Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State I Vac! Health Net FICA SDI Pension Earned Tax Tax Holiday & Welf. 3 Date Total Hourly Wage Check APOLINAR GONZALEZ MARTINEZ 10/19 10l20 10/21 10/22 10/23 10/24 10125 Hours Pay Rate7h�lAll 51.26 59.67 13.34 7.80 0.00 0.00 0.00 Paid For Number 31325 AVE LA PALOMA Work Classification Projects Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE $ B.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 780.00 Fund Trav/ Total 647.93 31499 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 132.07 92234 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Day Deductions, Contributions, and Payments Name, Address and Number of Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Social Security Number of Worker Withholding Total Hours Hourly Pay Rate Earned Tax Tax Ho liday & Welf. Wage Paid For Check Number 3 Date ARMANDO RICO CHAVEZ 10/19 10120 10/21 10/22 10/23 10/24 10/25 This All 57.26 63.50 16.64 8.30 0.00 0.00 0.00 Work Week 2103 JACQUES DR Classification Project Projects Hours Worked Each Day PALM SPRINGS LANDSCAPE $ 8.00 8.00 8.00 8,00 8.00 0.00 0.00 40.00 20.00 830.00 830.00 Fund Trav/ Total 684.30 31498 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct O 0.50 0.00 0.00 0.50 0.00 0.00 0.00 1.00 30.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 145.70 92262 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.00 NOTE: Day Deductions, Contributions, and Payments Name, Address and Number of Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health FICA SDI Pension Net Earned Tax Tax Holiday & Welf. q Date Total Hourly Wage Check CARLOS LUNA GONZALEZ 10/19 10/20 10/21 10/22 10/23 10/24 10/25 Hours Pay Rate This All 71.57 93.28 14.25 12.19 0.00 0.00 0.00 Paid For Number Work 66145 7TH ST Classification Hours Worked Each Day tlon Project Projects Week DESERT HOT SPRINGS TREE $ 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 27.22 8T1.04 1,219.32 Fund Trav/ Total 1,028.03 31506 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.83 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 191.29 92240 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54.44 NOTE: Public works certified Payroll Reporting Form 11/13/2020 - Page 1 Public Works Certifir'-'ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 10/25/2020 Payroll Number:69-0 Number of Day Deductions, Contributions, and Payments Name, Address and Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Net FICA SDI Pension 5 Date Earned Tax Tax Holiday & Welf. Wage Check I Total Hourly GENARO VARGAS Work 10/19 10120 10/21 10/22 10/23 10/24 10/25 Hours Pay Rate This All 13.77 59.67 0.00 7.80 0.00 0.00 0.00 Paid For Number 69130 VICTORIA DR Classification Hours Worked Each Day Project Projects Week CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00Fund 40.00 15.00 600.00 780.00 698.76 31502 CA MAINTENANCE Training Adm n Dues Subs Savings Other Total Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 81.24 92234 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 ANEW NOTE: Number of Day Deductions, Contributions, and Payments Name, Address and Mon Tue Wed Thu Fri Sat Sun GrossAmountunt Federal Health Pension Net Social SecurityNumber of Worker Withholding Total Hourly FICA Tax SDI Holiday & Welf. I Wage Check 0 Date GUSTAVO HERRERA Hours Pay Rate Pala For Number 10/19 10120 10/21 10/22 10/23 10/24 10/25 This All 0.00 45.90 0.00 6.00 0.00 0.00 0.00 32250 AURORA VISTA RD Work Classification Project Projects Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Fund 548.10 31500 CA MAINTENANCE Training Dues Subs Savings Other Total Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 51.90 92234 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: i Number of Day Deductions, Contributions, and Payments Name, Address and Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Pension Net Social Security Number of Worker Withholding Total Hours Hourly Pay Rate Earned Tax FICA Tax SDI Holiday & Welf. Wage Paid For Check Number 0 Date JOSE I. PEREZ CINTORA 10/19 10l20 10/21 10122 10l23 10124 10/25 This All 0.00 54.67 11.75 7.15 0.00 0.00 0.00 46857 LILAC CT Work Classification Project Projects Week Hours Worked Each Day INDIO LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00Fund 40.00 18.00 720.00 720.00 641.12 31501 CA MAINTENANCE Training Adm n Dues Subs Savings Other Total Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.00 LABORER 0.00 0.00 0.00 0.00 0.00 5.31 78.88 92201 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: $5.31 OTHER= FH125D i Number of Day Deductions, Contributions, and Payments Name, Address and Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Social Security Number of Worker Withholding Total Hours Hourly Pay Rate Earned Tax Tax Holiday & Welf. Wage Paid For Check Number q Date LETICIABONILLA 10119 10I20 10121 10122 10l23 10/24 10l25 This All 27.24 63.64 0.42 8.32 0.00 47.39 0.00 Work Week 33477 NAVAJO TR #B Classification Project Projects Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 640.00 832.00 732.38 31497 CA MAINTENANCE Training Admin Dues Subs Savings Other Total Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.00 LABORER i0o 0.00 0.00 0.00 0.00 0.00 99.62 92234 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.00 NOTE: Public works Certified Payroll Reporting Form 11/13/2020 - Page 2 Public Works Certifi%"-layroll Reporting Form Contractor Name: PWLC II, INC. i Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 10/2512020 Payroll Number:69-0 Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA Slate Tax SDI I Vac/ Holiday Health & Waif. Pension Net Wage Paid For Week Check Number 4 Date MARCELINO RAMIREZ 1500 E SAN RAFAEL DR #164 Work Classification 10119 10120 10/21 10/22 10/23 10/24 10/25 This Project All Projects 55.76 83.20 8.45 10.88 0.00 47.39 0.00 Hours Worked Each Day PALM SPRINGS CA 92262 quosso TREE MAINTENANCE LABORER S 0.00 8.00 8.00 8.00 8.00 0.00 0.00Fund 32.00 29.42 941.44 1,101.44 Training Adm n Dues Subs Savings Other Total 929.27 31507 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 44.13 0.00 0.00 0.00 0.00 0.00 13.88 172.17 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 58.84 NOTE: $13.88 OTHER = FH125 Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vacl Holiday Health & Waif. Pension Net Wage Paid For Week Check Number 0 Date MARIO VASQUEZ 68285 CORTA RD Work Classification 10/19 10120 10121 10/22 10/23 10/24 10125 This Project All Projects 0.00 42.84 0.00 5.60 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 6.00 0.00 0.00 40.00 14.00 560.00 560.00 Training AFund dm n Dues Subs Savings Other Total 511.56 31503 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 48.44 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pa Rate y Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Waif. Pension Net Wage Paid For Week Check Number 0 Date RUBEN F. HENRIQUEZ 15687 PALM DR #83 Work Classification 10/19 10/20 10121 10/22 10/23 10/24 10/25 This Project All Projects 140.39 82.56 43.29 10.79 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 TREE MAINTENANCE LABORER S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 24.32 778.24 1,084.51 Training Admin Dues Subs Savings Other Total 802.17 31504 0 0.00 D.00 0.00 0.00 0.00 0.00 0.00 0.00 36.48 0.00 0.00 0.00 0.00 0.00 5.31 282.34 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48,64 NOTE: $5.31 OTHER = FH125D Public works Certified Payroll Reporting Form 11/13/2020 - Page 3 eCPR Online Confirmation Your payroll submission request has been processed. .'lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 9549405 This certified payroll will be treated as an amendment #: 1 Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-10-18 Payroll Number: 68 Amendment Number: 1 1 employee payroll record(s) processed Your Transaction ID is: 10861671 Print this Page iew your submission Submit another set of payroll records Public Works Certifit ayroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-10-18 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-04-11." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92262 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: Payroll #: 68 - 1 Ctr Payroll #: 68-1 Week Ending: 10/18/2020 ❑ Statement of Non -Performance? Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 SSN.dIENEW Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health 10/12 10113 10/14 10/15 10/16 10/17 10/18 Hours Base Hourly Fringe Holiday & Welf. S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.0040,:OOi 16.00 0.00 0.00 0.00 NOTE: ORIGINAL PAYROLL NUMBER 68-0 SHOWS 47,39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00 Travel & Subsistence ❑ Final payroll for this project? Pension Other Training Total Hourly Rate 0.00 0.00 0.00 MMM 0.00 Total Deductions 63.40 Public works certified Payroll Reporting Form 04/11/2021 - Page 1 eCPR Online Confirmation Your payroll submission request has been processed. 'lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-10-18 Payroll Number: 68 Amendment Number: 0 8 employee payroll record(s) processed Your Transaction ID is: 9549405 Print this Page View your submission r-ri{�yF Submit another set of payroll records Public Works Certifi"^?ayroll Reporting Form Certification unde. penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for Lire week ending 2020-10-18 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2020-10-22." Contractor Name: PWLC 11, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 68- 0 For Week Ending: 10/18/2020 Is this a'Statement of Non -Performance?' Number of Day Deductions, Contributions, and Payments Name, Address and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health FICA SDI Pension Net 3 Date Earned Tax Tax Holiday & Welf. Total Hourly Wage Check APOLINAR GONZALEZ MARTINEZ 10/12 10/13 10/14 10/15 10/16 10/17 10/18 Hours Pay Rate This All 29.66 45.90 4.12 6.00 0.00 0.00 0.00 Paid For Number Work Week 31326 AVE LA PALOMA Classification Hours Worked Each Day Project Projects CATHEDRAL CITY LANDSCAPE $ 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 15.00 480.00 600.00 Fund Travl Total 514.32 31471 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 85.68 92234 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Day Deductions, Contributions, and Payments Name, Address and Number of Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Social Security Number of Worker Withholding Total Hours Hourly Pay Rate Earned Tax Tax Holiday & Welf. Wage Paid For Check i Number 3 Date ARMANDO RICO CHAVEZ 10/12 10/13 10/14 10/15 10/16 10/17 10118 This All 59.06 64.64 17.63 8.45 0.00 0.00 0.00 2103 JACQUES DR Work Classification Project Projects Week Hours Worked Each Day PALM SPRINGS LANDSCAPE $ 8.00 8.00 8.00 8.00 6.00 0.00 0.00 40.00 20.00 845.00 845.00 Fund Trav/ Total 695.22 31470 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct III 0 0.50 0.00 0.50 0.50 0.00 0.00 0.00 1.50 30.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 149.78 92262 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 40.00 NOTE: i Day Deductions, Contributions, and Payments Name, Address and Number of Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vacl Health Pension Net Social Security Number of Worker Withholding Total Hours Hourly Pay Rate Earned Tax Tax Holiday & Welf. Wage Paid For Check Number 5 Date GENARO VARGAS 10/12 10/13 10/14 10/15 10/16 10/17 10/18 This All 13.77 59.67 0.00 7.80 0.00 0.00 0.00 69130 VICTORIA DR Work Classification Project Projects Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE $ 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 780.00 Fund Trav/ Total 698.76 31474 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 81.24 92234 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 30.00 NOTE: Public works certified Payroll Reporting Form 10/22/2020 - Page 1 Public Works CertifC-'ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 10/18/2020 Payroll Number:68-0 Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Paid For Wage Week Check i 0 Date GUSTAVO HERRERA 32250 AURORA VISTA RD Work Classification 10/12 10/13 10114 10115 10/16 10117 10/18 This Project AI Projects 0.00 45.90 0.00 6.00 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER $ 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Training Admin Dues Subs Savings Other Total 548.10 31472 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 51.90 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 [NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Dale JOSE I. PEREZ CINTORA 46857 LILAC CT Work Classification 10112 10/13 10/14 10/15 10/16 10/17 10/18 This Project All Projects 0.00 54.67 11.75 7.15 0.00 0.00 0.00 Hours Worked Each Day INDIO CA 92201 LANDSCAPE MAINTENANCE LABORER $ 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 18.00 720.00 720.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 641.12 31473 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.00 0.00 0.00 0.00 0.00 0.00 5.31 78.88 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 - NOTE: $5.31 OTHER = FH125D Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 4 Date LETICIA BONILLA 33477 NAVAJO TR #B Wok Classification 10/12 10/13 10/14 10/15 10/16 10/17 10/18 This Project All All 8.04 48.96 0.00 6.40 0.00 47.39 0.00 Hours Worked Each Day CATHEDRAL CITY LANDSCAPE CA MAINTENANCE $ 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 640.00 640.00 0.00 24.0092234 Fund Dues Trav/ SubsSavingsOther TotalLABORER 576.60 31469 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 La,Admin 0.00 0.00 0.00 0.00 0.00 63.40 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.00 rNOTE- Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date MARIO VASQUEZ Work 10/12 10/13 10/14 10/15 10/16 10117 10118 This All 0.00 42.84 0.00 5.60 0.00 0.00 0.00 68285 CORTA RD Classification Project Projects Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER $ 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 511.56 31475 Q 0.00 0.00 0.00 0.00 1 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 48.44 D o.00 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Public Works Certified Payroll Reporting Form 10/22/2020 - Page 2 Public Works Certify "payroll Reporting Form Contractor Name: PWLC II, INC. Name, Address and Social Security Number of Worker Number of Withholding 5 PABLO A. LOPEZ FLORES Work 1212 DATE AVE #B Classification COACHELLA LANDSCAPE CA MAINTENANCE LABORER 92236 NOTE: Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 10/18/2020 Payroll Number:68-0 Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number Date 10/12 10/13 10/14 10/15 10/16 10/17 10/18 This Protect All Projects 0.00 11.62 0.00 1.52 0.00 0.00 0.00 Hours Worked Each Day 8.00 0.00 0.00 0.00 0.00 0.00 0.00 8.00 19.00 152.00 152.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 138.86 6213 0.00 0.00 0.00 0.00 0.00 1 0.00 0.00 0.00 28.50 0.00 0.00 0.00 0.00 0.00 0.00 13.14 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 0.00 38.00 Public Works Certified Payroll Reporting Form 10/22/2020 - Page 3 eCPR Online Confirmation Your payroll submission request has been processed. ?lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 9549342 This certified payroll will be treated as an amendment #: 2 Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-10-11 Payroll Number: 67 Amendment Number: 2 1 employee payroll record(s) processed Your Transaction ID is: 10861656 Print this Page iew your submission r{ Ad obe Submit another set of payroll records Public Works Certifit ayroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-10-11 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-04-11." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92262 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: Payroll #: 67 - 2 Ctr Payroll #: 67-2 Week Ending: 10/11/2020 ❑ Statement of Non -Performance? ❑ Final payroll for this project? Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 S S N: 40111111110— Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 10/05 10/06 10/07 10/08 10/09 10110 10/11 Hours Base Hourly Fringe Holiday & Welf. Pension Other Training Hourly Rate S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00 `40:00`.'"' 16.00 0.00 0.00 0.00 0.00 0.00 0.0007 6 fT NOTE: ORIGINAL PAYROLL NUMBER 67-1 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00 Travel & Subsistence 0.00 Total Deductions 63.40 Public works certified Payroll Reporting Form 04/11/2021 - Page 1 eCPR Online Confirmation Your payroll submission request has been processed. 'lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 9549256 This certified payroll will be treated as an amendment #: 1 Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-10-11 Payroll Number: 67 Amendment Number: 1 8 employee payroll record(s) processed Your Transaction ID is: 9549342 Print this Page View your submission Submit another set of payroll records Public Works Certifio' `ayroll Reporting Form Certification undo. jenalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to. act for and on behalf of PWLC II, INC. (name of business andior contractor), certify under penalty of that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-10-11 are the originals or true, full, and correct copies of the originals which depict the perjury payroll record(s) of the actual disbursements byway of cash, check, or whatever farm to the individual or individuals named. I certify this on 2020-10-22." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 67- 1 - For Week Ending: 10/11/2020 =1s this a'Statement of Non -Performance?' Day Deductions, Contributfons, and Payments Name, Address and Number of Social Security Number of Worker Withholding Man Tue Wed Thu Fri Sal Sun Gross Amount Federal State Vac/ Health FICA SDI Pensio n Net 3 Date Earned Tax Tax Holiday & Welf. Total Hourly Wage Check APOLINAR GONZALEZ MARTINEZ 10/05 10I06 10l07 10/08 10/09 10/10 10/11 Hours Pay Rate This All 29.66 45.90 4.12 6.00 0.00 0.00 0.00 Paid For Number 31325 AVE LA PALOMA Work Classification Hours Worked Each Day j�ecProjects Prot Week CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Fund Trav/ Total 514.32 31443 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 LABORER 0.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 85.68 92234 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Day Deductions, Contributions, and Payments Name, Address and Number of Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vacl Health Pension Net Social Security Number of Worker Withholding Total Hours Hourly Pa Rate Y Earned Tax Tax Holiday & Welf. Wage Paid For Check Number 3 Dale ARMANDO RICO CHAVEZ 10/O6 10/07 10/08 10/09 10/10 10/11 53.66 61.20 14.66 8.00 0.00 0.00 0.00 Work 10/05 This All Week 2103 JACQUES DR Classification Project Projects Hours Worked Each Day PALM SPRINGS LANDSCAPE 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 800.00 800.00 Fund Trav/ Total 662.48 31442 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct JD0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 LABORER 0.00 30.00 0.00 0.00 0.00 0.00 0.00 0.00 137.52 92262 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.00 NOTE: Day Deductions, Contributions, and Payments Name, Address and Number of Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Social Security Number of Worker Withholding Total Hours Hourly Pay RWage ate Earned Tax Tax Holiday & Welf. Paid For Check Number 5 Date GENARO VARGAS 10/07 10/08 10/09 10110 10/11 0.00 45.90 0.00 6.00 0.00 0.00 0.00 Work 10/05 10/06 This All Week 69130 VICTORIA DR Classification Project Projects Hours Worked Each Day CATHEDRAL CITY j LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Fund Dues Trav/ Savings Other Total 548.10 31446 CA MAINTENANCE Training Admin Subs Deduct Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 LABORER 0.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 51.90 92234 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 I 1 0.00 1 30.00 NOTE: Public works certified Payroll Reporting Form 10/22/2020 - Page 1 r-• Public Works Certif(' `ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 10/11/2020 Payroll Number:67-1 Day Deductions, Contributions, and Payments Number of Name, Address and Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vacl Health Pension Net Social Security Number of Worker Withholding Total Hours Hourly Pay Rate Earned Tax Tax Holiday & Welf. Wage Paid For Check Number 0 Date JOSE I. PEREZ CINTORA 10I05 10/06 10107 10/08 10109 10I10 10111 This All 0.00 53.29 10.96 6.97 0.00 0.00 0.00 46857 LILAC CT Work Classification Pro ect � Pro ects / Week Hours Worked Each Day INDIO LANDSCAPE S 8.00 8.00 8.00 8.00 7.00 0.00 0.00 39.00 18.00 702.00 702.00 Fund Travl 625.47 31445 CA MAINTENANCE Training Admin Dues Subs Savings Other Total Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.00 LABORER 0.00 0.00 0.00 0.00 0.00 5.31 76.53 92201 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: $5.31 OTHER = FH125D Day Deductions, Contributions, and Payments Name, Address and Number of Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Social Security Number of Worker Withholding Total Hours Hourly Pay Rate Earned Tax Tax Holiday & Welf. PaidgFor Number 4 Date LETICIABONILLA 10/05 10/06 10/07 10/08 10/09 10110 10/11 This All 8.04 48.96 0.00 6.40 0.00 47.39 0.00 33477 NAVAJO TR #B Work Classification Project Projects Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 640.00 640.00 Fund Trav/ 576.60 31441 CA MAINTENANCE Training Admin Dues Subs Savings Other Total Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 LABORER 0.00 24.00 0.00 0.00 0.00 0.00 0.00 0.00 63.40 92234 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 isonow 0.00 32.00 NOTE: Day Deductions, Contributions, and Payments Name, Address and Number of Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Social Security Number of Worker Withholding Total Hours Hourly Pay Rate Earned Tax Tax Holiday Wage Paid For Check Number 0 Date MARIO VASQUEZ 10/07 10/08 10/09 10/10 10/11 0.00 42.84 0.00 5.60 0.00 0.00 0.00 Work 10/05 10l06 This All Week 68285 CORTA RD Classification Project Projects Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Fund Trav/ 511.56 31447 MAINTENANCE Training Admin Dues Subs Savings Other Total CA LABORER Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 48.44 92234 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Day Deductions, Contributions, and Payments Name, Address and Number of Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net 0 Date Total Hourly Earned Tax Tax Holiday & Welf. Wage Check PASTOR R. PEREZ NEGRON 10/07 10/08 10/09 10/10 10/11 Hours Pay Rate 71.63 53.05 16.97 6.93 53.34 0.00 0.00 PWe Number Work 10/05 10/06 This All Waid eek 67365 ONTINA RD Classification Hours Worked Each Day Project Projects CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 640.00 693.34 Fund Dues Travl Savings!Other Total 544.76 6209 CA MAINTENANCE Training Admin Subs LABORER Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.0092234 0.000.00 0.00 0.00 0.00 00 148.58 p 0.00 0.00 0.00 1 0.00 0.00 0.00 0.00 0.00 32.00 NOTE: Public works certified Payroll Reporting Form 10/22/2020 - Page 2 Public Works Certifi!(� 1ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 1O/11/2O20 Payroll Number:67-1 Number of Day Deductions, Contributions, and Payments Name, Address and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ FICA SDI Health Pension Net 0 Date Total Earned Hourly Tax Tax Holiday & Weif. Wage Check GUSTAVO HERRERA 10/05 10/06 10/07 10/08 10/09 10110 10/11 Hours Pa Rate y This All 0.00 45.90 0.00 6.00 0.00 0.00 0.00 Paid For Number 32250 AURORA VISTA RD Work Classification Hours Worked Each Day Project Projects Week CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 0.00 600.00 600.00 Fund Trav/ Dues Savings Other Total 548.10 31444 CA MAINTENANCE Training Admin Subs LABORER Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 51.90 92234 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: BASE HOURLY RATE _ $15.00 Public works Certified Payroll Reporting Form 10/22/2020 - Page 3 eCPR Online Confirmation Your payroll submission request has been processed. 'lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-10-11 Payroll Number: 67 Amendment Number: 0 7 employee payroll record(s) processed Your Transaction ID is: 9549256 Print this Page View your submission , ft)f Submit another set of payroll records Public Works Certifi' 'ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 10/11/2020 Payroll Number:67-0 Number of Day Deductions, Contributions, and Payments Name, Address and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health FICA SDI Pension Net 0 Date Total Hourly Earned Tax Tax Holiday & Welf. Wage Check JOSE I. PEREZ CINTORA 10/O5 10/06 10I07 10/O8 10/09 10/10 10111 Hours Pay Rate This All 0.00 53.29 10.96 6.97 0.00 0.00 0.00 Paid For Number Wok Week 46857 LILAC CT Classification Hours Worked Each Day Project Projects INDIO LANDSCAPE S 8.00 8.00 8.00 8.00 7.00 0.00 0.00 39.00 18.00 702.00 702.00 Fund Travl 625.47 31445 CA MAINTENANCE Training Admin Dues Subs Savings Other Total 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.00 LABORER 0.00 0.00 0.00 0.00 0.00 5.31 76.53 92201 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: $5.31 OTHER = FH125D Number of Day Deductions, Contributions, and Payments Name, Address and Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Social Security Number of Worker Withholding Total Hours Hourly Pay Rate Earned Tax Tax Holiday & Welf. Wage Paid For Nuheck mber 4 Date LETICIA BONILLA 10/05 10/06 10/07 10/08 10/09 10/10 10/11 This All 8.04 48.96 0.00 6.40 0.00 47.39 0.00 33477 NAVAJO TR #B Work Classification Project Projects Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 640.00 640.00 Fund Trav/ 576.60 31441 CA MAINTENANCE Training Admin Dues Subs Savings Other Total 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 63.40 92234 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.00 �} 1 NOTE: Day Deductions, Contributions, and Payments Name, Address and Number of Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pe nsion N Social Security Number of Worker Withholding Total Hours HourlyEarned te Pay Rate Tax Tax Holiday & Welf. Wage 9 Paid For Check Number 0 Date MARIO VASQUEZ 10/05 10/06 10/07 10/08 10/09 10/10 10/11 This All 0.00 42.84 0.00 5.60 0.00 0.00 0.00 68285 CORTA RD Work Classification Project Projects Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Fund Trav/ 511.56 31447 CA MAINTENANCE Training Admin Dues Subs Savings Other Total 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 LABORER 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 48.44 92234 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Day Deductions, Contributions, and Payments Name, Address and Number of Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vacl Health Pension Net Social Security Number of Worker Withholding Hours Pay Rate Earned Tax Tax Holiday & Welf. Wage Paid�Fk r Check Number Date PASTOR R. PEREZ NEGRON 10/06 10107 10/08 10/09 10/10 10/11 71.63 53.05 16.97 6.93 53.34 0.00 0.00 Work 10/05 This All 67365 ONTINA RD Classification Project Projects Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 8.00 6.00 8.00 8.00 0.00 0.00 40.00 16.00 640.00 693.34 Fund Dues Trav/ Savings Other Total 544.76 6 209 CA MAINTENANCE Training Admin Subs 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 LABORER 0.00 24.00 0.00 0.00 0.00 0.00 0.00 0.00 148.58 92234 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 32.00 NOTE: Public works certified Payroll Reporting Form 10/22/2020 - Page 2 Public Works Certifi/�'ayroll Reporting Form Certification undo. penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authorrty to act for and on behalf of PWLC ll, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-10-11 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2.020-10-22." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANIA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor'Email: KRISTYS@PWLC2.COM 92202 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 67- 0 For Week Ending: 10/11/2020 Is this a'Statement of Non -Performance?' Number of Day f Deductions, Contributions, and Payments Name, Address and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun y Gross Amount Federal State Vac! Health SDI Pension Net 3 Date Total HourlyFICA Earned Tax Tax Holiday & We If. Wage Check APOLINAR GONZALEZ MARTINEZ 10/05 10I06 10/07 10108 10I09 10I10 10111 y Hours Pa Rate This All 29.66 45.90 4.12 6.00 0.00 0.00 0.00 Paid For Number Wok 31325 AVE LA PALOMA Classification Hours Worked Each Day Project Projects Week CATHEDRAL CITY LANDSCAPE g 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Fund Trav/ Total 514.32 31443 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 85.68 92234 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Day Deductions, Contributions, and Payments Name, Address and Number of Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac! Health Pension Net Social Security Number of Worker Withholding Total Hours Hourly Pa Rate Y Earned Tax Tax Holiday & Welf. Wage P aid For Check Number 3 Date ARMANDO RICO CHAVEZ 10/OS 10/06 10/07 10/08 10/09 10/10 10l11 This All 53.66 61.20 14.66 8.00 0.00 0.00 0.00 2103 JACQUES DR Work Classification Project Projects Week Hours Worked Each Day PALM SPRINGS LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 800.00 800.00 Fund Trav/ Total 662.48 31442 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 LABORER 0.00 30.00 0.00 0.00 0.00 0.00 0.00 0.00 137.52 92262 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 40.00 NOTE: Day Deductions, Contributions, and Payments Name, Address and Number of Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension N Social Security Number of Worker Withholding Total Hours Hourly y Pay Rate Earned Tax Tax Holiday & Welf. 9 Paid For Check Number 5 Date GENARO VARGAS 10/05 10/06 10/07 10/08 10/09 10/10 10/11 All 0.00 45.90 0.00 6.00 0.00 0.00 0.00 Work This Week 69130 VICTORIA DR Classification Project Projects Hours Worked Each Day CATHEDRAL CITY SCAPE g 8.00 8.00 8.00 8.00 8.00 0.00 0.0040.00 15.00 600.00 600.00 Fund Trav/ Total 548.10 31446 CA ENANCE Training Admin Dues Subs Savings Other Deduct 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 FLABORER 0.00 0.00 0.00 0.00 0.00 0.00 51.90 92234 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 30.00 NOTE: Public works certified Payroll Reporting Form 10/22/2020 - Page 1 eCPR Online Confirmation Your payroll submission request has been processed. . please review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 9548263 This certified payroll will be treated as an amendment #: 1 Contractor Name: PWLC II, INC. Contractor Address: 3584 LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-10-04 Payroll Number: 66 Amendment Number: 1 1 employee payroll record(s) processed Your Transaction ID is: 10849748 Print this Page f ew your submission Submit another set of payroll records Public Works Certifi( ayroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-10-04 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-04-08." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 ,Address: 3584 LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532126 Contractor Email: KRISTYS@PWLC2.COM 92262 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: Payroll #: 66 - 1 Ctr Payroll #: 66-1 Week Ending: 10/04/2020 Statement of Non -Performance? Final payroll for this project? Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 SSN:MII� Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 09/28 09/29 09/30 10/01 10/02 10/03 10I04 Hours Base Hou ly Fringe Holiday & Welf. Pension Olher Training Hourly Rate S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00 'X+�j 16.00 0.00 0.00 0.00 0.00 0.00 0.00 1m NOTE: ORIGINAL PAYROLL NUMBER 66-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00 Travel & Subsistence 0.00 Total Deductions 63.40 Public works certified Payroll Reporting Form 04/08/2021 - Page 1 eCPR Online Confirmation Your payroll submission request has been processed. 'lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-10-04 Payroll Number: 66 Amendment Number: 0 8 employee payroll record(s) processed Your Transaction ID is: 9548263 Print this P e 'i View your submission Adobe Submit another set of payroll records Public Works Certifi' "layroll Reporting Form Certification unab. penalty of perjury: "I, KRI STY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and an behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certifled payroll records for the week ending 2020-10-04 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2020-10-22." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS i- 1 Payroll Number: 66- 0 For Week Ending: 10/04/2020 - Is this a 'Statement of Non -Performance?' Day Deductions, Contributions, and Payments Name, Address and Number of Man Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Social Security Number of Worker Withholding Total Hours Hourly Pay Rate Earned Tax Tax Holiday & Welf. Wage Paid For Check Number 3 Date APOLINAR GONZALEZ MARTINEZ 09/28 09129 09/30 10/01 10/02 10/03 10/04 This All 29.66 45.90 4.12 6.00 0.00 0.00 0.00 Work Week 31325 AVE LA PALOMA Classification Project Projects Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Fund Trav/ Total 514.32 31289 CA MAINTENANCE Admin pues Subs Savings Other Deduct Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 LABORER Lainin 0.00 0.00 0.00 0.00 0.00 85.68 92234 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Day Deductions, Contributions, and Payments Name, Address and Number of Man Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA I State SDI i Vac/ Health Pension I Net Social Security Number of Worker Withholding Total Hours Hourly Pa Rate Y Earned Tax Tax Holiday & Welf. Wage Paid For Check Number 3 Date ARMANDO RICO CHAVEZ 09/28 09/29 09/30 10/01 10/02 10/03 10/04 This All 57.26 63.50 16.64 8.30 0.00 0.00 - 0.00 2103 JACQUES DR Work Classification Project Projects Week Hours Worked Each Day PALM SPRINGS LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 830.00 830.00 Fund Travl Total 684.30 31288 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct O 0.50 0.50 0.00 0.00 0.00 0.00 0.00 LABORER 1.00 30.00 0.00 0.00 0.00 0.00 0.00 0.00 145.70 92262 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.00 NOTE: Day Deductions, Contributions, and Payments Name, Address and Number of Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Social Security Number of Worker Withholding Total Hours Hourly Pa Rate Y Earned Tax Tax Holiday & Welf. Wage PaidFor Check Number 5 Date GENARO VARGAS 09/29 09/30 10/01 10/02 10103 10/04 0.00 45.89 0.00 6.00 0.00 0.00 0.00 Work 09/28 This All 69130 VICTORIA DR Classification Project Projects Hours Worked Each Day CATHEDRAL CITY LANDSCAPE $ 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Fund Trav/ Total 548.11 31293 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct LABORER p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 92234 0.00 0.00 0.00 0.00 0.00 0.00 51.89 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Public Works Certified Payroll Reporting Form lu/[[/tutu - Page i Public Works Certifi' y'?ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 10/04/2020 Payroll Number:66 00 Number of Day Deductions, Contributions, and Payments Name, Address and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health FICA SDI Pension Net 0 Date Total Hourly Earned Tax Tax Holiday & Welf. Wage Check GUSTAVO HERRERA 09/28 09/29 09/30 10101 10/02 10/03 10/04 Hours Pay Rate This All 0.00 45.90 0.00 6.00 0.00 0.00 0.00 Paid For Number Wok 32250 AURORA VISTA RD Classification Project Projects Week Hours Worked Each Day _ CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00Fund 40.00 15.00 600.00 600.00 Trav/ 546.10 31290 CA MAINTENANCE Training Admin Dues Subs Savings Other Total Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 51.90 92234 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 mumposewh NOTE: Day Deductions, Contributions, and Payments Name, Address and Number of Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Social Security Number of Worker Withholding Total Hours Hourly Pay Rate Earned Tax Tax Holiday & Welf. Wage Paid For Check Number 0 Date JOSE I. PEREZ CINTORA 09/28 09/29 09/30 10l01 10/02 10/03 10/04 This All 0.00 54.68 11.75 7.15 0.00 0.00 0.00 46857 LILAC CT Work Classification Project Projects Week Hours Worked Each Day INDIO LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00Fund 40.00 18.00 720.00 720.00 641.11 31291 Training Admin Dues Subs Savings Other Total CA MAINTENANCE LABORER Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.00 92201 0.00 0.00 0.00 0.00 0.00 5.31 78.89 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: $5.31 OTHER = FH125D Day Deductions, Contributions, and Payments Name, Address and Number of Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac! Health Pension Net Social Security Number of Worker Withholding Total Hours Hourly Pay Rate Earned Tax Tax Holiday & Welf. Wage Paid For Check Number 4 Date LETICIA BONILLA 09/28 09/29 09/30 10/01 10/02 10103 10/04 This All 8.04 48.96 0.00 6.40 0.00 47.39 0.00 33477 NAVAJO TR #B Wok Classification Project Projects Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 640.00 640.00 Fund Trav/ 576.60 31287 CA MAINTENANCE Training Admin Dues Subs Savings Other Total Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 LABORER 0.00 24.00 0.00 0.00 0.00 0.00 0.00 0.00 63.40 92234 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.00 NOTE: Day Deductions, Contributions, and Payments Name, Address and Number of Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Social Security Number of Worker Withholding Total Hours Hourly Pay Rate Earned Tax Tax Holiday & Welf. - Wage Paid For Check Number 0 Date MARIO VASQUEZ 09/29 09/30 10/01 10/02 10/03 10/04 All 0.00 42.84 0.00 5.60 0.00 0.00 0.00 Work 09/28 This Week 68285 CORTA RD Classification Project Projects Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 0.00 8.00 0.00 0.00 32.00 14.00 448.00 560.00 Fund Dues Trav/ Savings Other Total 511.56 31294 CA MAINTENANCE Training Admin Subs Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 LABORER 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 48.44 92234 I D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.10 NOTE: Public Works Certified Payroll Reporting Form 10/22/2020 - Page 2 11-1 Public Works Certifi 'ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 10/04/2020 Payroll Number:66-0 r Number of - Day Deductions, Contributions, and Payments Name, Address and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ FICA SDI Health Pension Net 0 Date Total Earned Hourly Tax Tax Holiday & Welf. Wage Check PASTOR R. PEREZ NEGRON 09/28 09/29 09/30 10101 10/02 10103 10/04 Hours Pay Rate This All 65.23 48.95 14.62 6.40 0.00 0.00 0.00 Paid For Number Work Week 67365 ONTINA RD Classification Hours Worked Each Day Project Projects CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 0.00 8.00 0.00 0.00 32.00 16.00 512.00 640.00 Fund Trav/ 504.80 31292 CA MAINTENANCE Training Admin Dues Subs Savings Other Total 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 135.20 92234 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.00 NOTE: Public Works certified Payroll Reporting Form 10/22/2020 - Page 3