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2021-01-03 thru 2021-03-28 Cert Payroll
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: 10776213 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: 2021-03-28 Payroll Number: 91 Amendment Number: 1 14 employee payroll record(s) processed Your Transaction ID is: 10779205 Print this Page 'iew your submission rrd ob Submit another set of payroll records Public Works Certi` '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 II, INC. (name of business andlor contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2021-03-28 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 2021-03-31." 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: WSD 5059867-00 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: 91- 1 For Week Ending: 03/28/2021 ❑ Is this a 'Statement of Non -Performance?' Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal Stale Vacl Health Social SecurityNumber of Worker Withholding Total Hourly Earned Tax FICA Tax SDI Holiday& WoIE. Pension Net Wage 3 Dale ARMANDO RICO CHAVEZ Check Work 03/22 03/23 03/24 03/25 03/26 03/27 03/28 This All 53.29 61.20 14.10 9.60 0.00 0.00 0.00 Hours Pay Rate Paid For Number 2103 JACQUES DR Classification Project J Projects 1 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 20.00 800.00 600.00 Fund Trav/ Total 661.81 33439 CA MAINTENANCE Training Admin Dues Subs Savings g Other Deduct 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 0.00 138.19 92262 p 0.00 0.00 o.00 o.00 0.00 0.00 0.00 0.00 40.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal Stale Vacl Health Social SecurityNumber of Worker Withholding Total Hourly Earned Tax FICA Tax SDI Holiday & Welf. Pension Net Wage Check 4 Date CARLOS LUNA GONZALEZ Work 03/22 03/23 03/24 03/25 03/26 03/27 03/28 This All 55.16 83.29 7.93 13.07 0.00 0.00 0.00 Hours Pay Rate Paid For Number 66145 7TH ST Classification Prc'ect 1 Projects J Week Hours Worked Each Day DESERT HOT SPRINGS TREE 5 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 27.22 1,086.80 1,088.80 Fund Trav/ Total 929.35 33448 CA MAINTENANCE Trainin 9 Admin Dues Subs Savin s g Other Deduct Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 40.83 1 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 159.45 92240 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 54.44 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 & Welf. Pension Net Wage Check 0 Date ELIZABETH OJEDA Work 03/22 03/23 03/24 03/25 03/26 03/27 03/28 This All 0.00 45.90 1.17 7.20 0.00 0.00 0.00 Hours Pay Rate Paid For Number 67145 SAN GABRIEL CIR E Classifcation Project J Projects 1 Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 8.0 88.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Fund Trav/ Total 545.73 33442 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 54.27 92234 p 0.00 0.00 0.00 0.00 0.00 1 0.00 1 0.00 0.00 30.00 NOTE: Public works certified Payroll Reporting Form 03/31/2021 - Page 1 Public Works Certi`. Payroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 03/28/2021 Payroll Number: 91-1 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 Net Wage Paid For Week Check Number 5 Date GENARO VARGAS 69130 VICTORIA DR Work Classification 03/22 03/23 03/24 03/25 03/2fi 03/27 03/28 This Project All Projects 0.00 48.56 0.00 7.62 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 16.00 640.00 640.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 578.51 33443 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 5.31 61.49 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.00 NOTE: $5.31 OTHER = FH125D 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 Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date GUSTAVO HERRERA 32250 AURORA VISTA RD Work Classification 03122 03/23 03/24 03/25 03/26 03/27 03128 This Project All Projects 0.00 45.90 0.00 7.20 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 GNOMON& 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 g Fund Admin Dues Trav/ Subs Savings 9 Other Total 546.90 33441 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 53.10 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 0 Date HUMBERTO S. VALDEZ 12966 CACTUS DR #A Work Classification 03/22 03/23 03124 03125 03/26 03/27 03/28 This Project All Projects 115.54 74.42 30.75 11.67 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 24.32 972.80 972.80 Training Fund Admin Dues Trav/ Subs Savings Other Total 740.42 33450 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.48 0.00 0.00 0.00 0.00 0.00 0.00 232.38 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.64 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 i Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date JASSAN J. JAMAND 51963 CALLE AVILA Work Classification 03/22 03/23 03/24 03/25 03126 03127 03/28 This Project All Projects 45.49 74.42 30.75 11.67 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA 92236 qsmomm TREE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 24.32 972.80 972.80 Training Fund Admin Dues Trav/ Subs Savings Other Total 810.47 33447 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.48 0.00 0.00 0.00 0.00 0.00 0.00 162.33 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.64 NOTE: Public works certified Payroll Reporting Form 03/31/2021 - Page 2 Public Works Certi` Payroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 03/28/2021 Payroll Number: 91-1 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 I Health & Welf. Pension Net Wage Paid For Week Check Number 4 Date LETICIA BONILLA 33477 NAVAJO TR #B CATHEDRAL CITY CA 92234 Work ClassificationProject 03/22 03/23 03/24 03/25 03/26 03127 03/28 Thjis All Projects 0.00 39.16 0.00 6.14 0.00 0.00 0.00 Hours Worked Each Day 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 466.70 33437 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 45.30 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 Stale Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 4 Dale MARCELINO RAMIREZ 1500 E SAN RAFAEL DR #164 Work Classification 03/22 03/23 03/24 03125 03126 03/27 03128 This Project All Projects 63.41 B8.56 10.96 13.89 0.00 0.00 0.00 Hours Worked Each Day PALM SPRINGS CA 92262 TREE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 B.00 0.00 0.00 40.00 29.42 1.176.80 1.176.80 Training Fund Admin Dues Trav/ Subs Savings Other Total 980.79 33449 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 19.19 196.01 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 58.84 NOTE: $13.88 OTHER = FH125 , $5.31 OTHER = FH125D 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 VASQUEZ 68285 CORTA RD Work03/22 Classification 03l23 03/24 03I25 03126 03127 03/28 This Project All Projects 0.00 45.90 0.00 7.20 0.00 0100 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S B.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 546.90 33444 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 53.10 p 0.00 0.00 1 0.00 1 0.00 0.00 1 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 Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date NOE M. JACINTO 73332 GUADALUPE AVE Work Classification 03/22 03/23 03/24 03/25 03/26 03127 03/28 This Project All Projects 0.00 90.02 40.66 14.12 0.00 0.00 0.00 Hours Worked Each Day PALM DESERT CA 92260 TREE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 29.42 1,176.80 1,176.80 Training Fund Dues Subs Savings Other Total 1,032.00 33446 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 0.00 144.80 p o.00 o.00 0.00 0.00 0.00 0.00 0.00 0.00 58.84 NOTE: Public works certified Payroll Reporting Form 03/31/2021 - Page 3 Public Works Certi' 'Payroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 03/28/2021 Payroll Number: 91-1 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 & WE f. Pension Net Wage Paid For Week Check Number 0 Date RAMON A. CASTILLO VIGIL 27335 HOPPER RD Work Classification 03122 03123 03/24 03/25 03/26 03/27 03/28 This Pro ect > All Projects > 53.61 55.08 16.94 8.64 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 8.00 0.00 0.00 40.00 18.00 720.00 720.00 Training g Fund Admin Dues Trav/ Subs Savin s g Other Total 585.73 33438 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 0.00 134.27 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.0 336.00 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 State Tax SDI Vac/ Holiday Health Pension Net Wage Paid For Week Check Number 0 Date RUBEN F. HENRIQUEZ 15687 PALM DR #83 Work Classification 03122 03l23 03/24 03/25 03/26 03/27 03/28 This Project All Projects 101.00 69.36 29.01 10.88 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 TREE MAINTENANCE LABORER S 5.50 8.00 8.00 8.00 8.00 0.00 0.00 37,50 24.32 912.00 912.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 650.84 33445 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.48 0.00 0.00 0.00 0.00 0.00 50.91 261.16 D 0.00 0.00 0.00 0.00 0.00 1 0.00 0.00 0.00 48.64 NOTE: $45.60 OTHER = CAL SAVERS, $5.31 OTHER = FH125D 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 APOLINAR GONZALEZ MARTINEZ 33255 DATE PALM #19 Work Classification 03/22 03/23 03/24 03125 03/26 03127 03/28 This Project All Projects 0.00 36.72 0.00 5.76 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA � 92234 LANDSCAPE MAINTENANCE LABORER $ 8.00 8.00 8.00 0.00 8.00 0.00 0.00 32.00 0.00 480.00 480.00 Training Admi Dues Subs Savin-7: Oth Ttal 437.52 33440 p 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 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 o.oa NOTE: BASE RATE _ $15.00IHOUR Public works certified Payroll Reporting Form 03/31/2021 - Page 4 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: 2021-03-28 Payroll Number: 91 Amendment Number: 0 13 employee payroll record(s) processed Your Transaction ID is: 10776213 Print this Page View your submission f Submit another set of payroll records Public Works Certi Payroll 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 2021-03-28 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 2021-03-31." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 85578 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: WSD 5059867-00 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 8 . ....... ,.._,.._. . ..,., _ ,-.,..r•,-,..-- . ___u__, nwrn 1 11-1-on a r nnrnc�noc MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 91- 0 For Week Ending: 03/28/2021 ❑ 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 Stale Tax SDI Vac/ Hnliday Health & Wetf. Pension Net Wage Paid For Week Check Number 3 Date ARMANDO RICO CHAVEZ 2103 JACQUES DR Work Classification 03/22 03/23 03/24 03/25 03/26 03127 03/28 This Project All Projects 53,29 61.20 14.10 9.60 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 661.81 33439 p 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 0.00 136.19 D 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 Pa Rate Y Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & WeIF. Pension Net Wage Paid For Week Check Number q Date CARLOS LUNA GONZALEZ 66145 7TH ST Work Classification 03/22 03/23 03/24 03/25 03/26 03/27 03/28 This Project All Projects 55.16 83.29 7.93 13.07 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 1,088.80 1,088.80 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 929.35 33448 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.83 0.00 0.00 0.00 0.00 0.00 0.00 159.45 D 0.00 0.00 0.00 1 0.00 0.00 1 0.00 0.00 0.00 54.44 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 VarJ Hatfday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date ELIZABETH OJEDA 67145 SAN GABRIEL CIR E Work Classification 03/22 03/23 03124 03/25 03126 03127 03/28 This Project All Projects 0.00 45.90 1.17 7.20 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 doubm 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 Fund Admin Dues Trav/ Subs Savings Other Total Deduct 545.73 33442 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 54.27 D 0.00 0.00 1 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: PuDnc worKs Lernnea Payroii Keporcniy ru-i -1-1 vu - reyc Public Works Certi Payroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 03/28/2021 Payroll Number: 91-0 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 5 Date GENARO VARGAS 69130 VICTORIA DR CATHEDRAL CITY CA 92234 mommm Work Classification 03122 03/23 03/24 03/25 03126 03127 03/28 This Project j All Projects j 0.00 48.56 0.00 7.62 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 16.00 640.00 640.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 578.51 33443 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 5.31 61.49 p 0.00 0.00 0.00 1 0.00 0.00 0.00 0.00 0.00 32.00 NOTE: $5.31 OTHER=FH125D 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! HAIIday Health &Wall. Pension Net Wage Paid For Week Check Number 0 Date GUSTAVO HERRERA 32250 AURORA VISTA RD Work Classification 03/22 03/23 03/24 03/25 03/26 03127 03/28 This Project All Projects 0.00 45.90 0.00 7.20 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 546.90 33441 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 53.10 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/ Holiday Health & Weif. Pension Net Wage Paid For Week Check Number 0 Date HUMBERTO S. VALDEZ 12966 CACTUS DR #A Work Classification 03/22 03/23 03/24 03/25 03126 03/27 03/28 This Project All Projects 115.54 74.42 30.75 11.67 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 TREELOO MAINTENANCE LABORER 8.00 8.00 8.00 8.00 0.00 0.00 40.00 24.32 972.80 972.80 Training Fund Admin Dues Trav/ Subs Savings Other Total 740.42 33450 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.48 0.00 0.00 0.00 0.00 0.00 0.00 232.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.64 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 JASSAN J. JAMAND 51963 CALLE AVILA Work Classification 03/22 03123 03/24 03/25 03126 03/27 03128 This Project All Projects 45.49 74.42 30.75 11.67 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA 92236 � TREE MAINTENANCE LABORER S 6.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 24.32 972.80 972.80 Train in Fund Admin Dues Trav/ Subs Savings Other Total 810.47 33447 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.48 0.00 0.00 0.00 0.00 0.00 0.00 162.33 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 o.00 ae.sa NOTE: Public works certified Payroll Reporting Form 03/31/2021 - Page 2 Public Works Certi. Payroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 03/28/2021 Payroll Number: 91-0 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 8'N©IF. Pension Net Wage Paid For Week Check Number 4 Date LETICIA BONILLA 33477 NAVAJO TR #B CATHEDRAL CITY CA 92234 Work Classification 03/22 03/23 03/24 03/25 03/26 03/27 03128 This Project 1 All Projects 1 0.00 39.16 0.00 6.14 0.00 0.00 0.00 Hours Worked Each Day 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 466.70 33437 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 45.30 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 4 Date MARCELINO RAMIREZ 1500 E SAN RAFAEL DR #164 Work Classification 03122 03/23 03/24 03/25 03/26 03/27 03/28 This Project All Projects 63.41 88.56 10.96 13.89 0.00 0.00 0.00 Hours Worked Each Day PALM SPRINGS CA 92262 TREE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 29.42 1,176.80 1,176.80 Training Fund Admin Dues Trav/ Subs Savings Other Total 980.79 33449 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 19.19 196.01 D 0.00 0.00 0.00 0.00 0.00 0.00 0.001 0.00 58.84 NOTE: $13.86 OTHER = FH125 , $5.31 OTHER = FH125D 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 03/22 03/23 03/24 03125 03/26 03/27 03/28 This Project All Projects 0.00 45.90 0.00 7.20 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 546.90 33444 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 53.10 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 PHourly ay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vacl Hollday Health & WeM Pension Net Wage Paid For Week Check Number 0 Date NOE M. JACINTO 73332 GUADALUPE AVE Work Classification 03122 03123 03/24 03/25 03/26 03/27 03/28 This Project All Projects 0.00 90.02 40.66 14.12 0.00 0.00 0.00 Hours Worked Each Day PALM DESERT CA 92260 TREE MAINTENANCE LABORER S 8.00 8.00t 8.00 0.00 0.00 40.00 29.42 1,176.80 1,176.80 Training Fund Admin Dues Trav/ Subs Savings Other Total 1,032.00 33446 0 0.00 0.00 0.00 0.00 0.00 0.00 44.13 0.00 0.00 0.00 0.00 0.00 0.00 144.80 D 0.00 0.00 0.00 0.00 0.00 0.00 58.84 NOTE: Public works certified Payroll Reporting Form 03/31/2021 - Page 3 Public Works Certi( 'Payroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 03/28/2021 Payroll Number.91-0 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 I Vacl Holiday Health & Wolf. Pension Net Wage Paid For Week Check Number 0 Date RAMON A. CASTILLO VIGIL 27335 HOPPER RD Work Classification 03/22 03/23 03/24 03/25 03/26 03/27 03/28 This Project roPt All Projects 53.61 55.08 16.94 8.64 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92241 � LANDSCAPE MAINTENANCE LABORER S 8.00 8.0 88.00 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 585.73 33438 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 0.00 134.27 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36,00 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 & Welf. Pension Net Wage Paid For Week Check Number 0 Date RUBEN F. HENRIQUEZ 15687 PALM DR #83 Work Classification 03/22 03123 03124 03/25 03/26 03/27 03/28 This Projec[ All Projects 101.00 69.36 29.01 10.88 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 TREE MAINTENANCE LABORER S 5.50 8.00 8.00 8.00 8.00 0.00 0.00 37.50 24.32 912.00 912.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 650.84 33445 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.48 0.00 0.00 0.00 0.00 0.00 50.91 261.16 p a.00 0.00 o.00 0.00 0.00 0.00 o.oa o.00 a8.sa NOTE: $45.60 OTHER = CAL SAVERS, $5.31 OTHER = FH125D Public Works certified Payroll Reporting Form 03/31/2021 - Page 4 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: 2021-03-21 Payroll Number: 90 Amendment Number: 0 13 employee payroll record(s) processed Your Transaction ID is: 10718639 Print this Page t= View your submission Adobe ubmit another set of payroll records Public Works Certifi( ayroll Reporting Form Certification unot, 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 andjor contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2.021-03-21 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 2021-03-24." 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: WSD 5059867-00 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 I Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 90- 0 For Week Ending: 03/21/2021 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 Vacl Holiday& Health Welf. Pension Net Wage Paid For Week Check Number APOLINAR GONZALEZ MARTINEZ 33255 DATE PALM #19 0 Date Work Classification 03/15 03116 03/17 03118 03/19 03/20 03/21 This Pro'ect All Projects 1 0.00 45.90 0.00 7.20 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 doomm� 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 546.90 33297 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 53.10 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 I 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 4 Date CARLOS LUNA GONZALEZ 66145 7TH ST Work Classification 03/15 03/16 03/17 03/18 03/19 03/20 03/21 This Protect > All Protects > 55.16 83.30 7.93 13.07 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 TREE MAINTENANCE LABORER S 8.00 8.00 4.00 0.00 B.00 0.00 0.00 28.00 I 27.22 762.16 I 1,088.80 1 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 929.34 33305 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.83 0.00 0.00 0.00 0.00 0.00 0.00 159.46 D 0.00 0.00 0.00 0.00 0.00 0.00 D.00 0.00 54.44 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 SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date ELIZABETH OJEDA 67145 SAN GABRIEL CIR E Work Classification 03/15 03/16 03/17 03/18 03/19 03/20 03/21 This Project All Projects 0.00 36.72 0.00 5.76 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE I LABORER S 0.00 I 8.00 8.00 8.00 8.00 0.00 0.00 I 32.00 I 15.00 480.00 480.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 437.52 33299 Q 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 42.48 D 0.00 0.00 O.DO 0.00 0.00 0.00 iiL�� 30.00 NOTE: Public works Certified Payroll Reporting Form 03/24/2021 - Page 1 Public Works Certifii ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 03/21/2021 Payroll Number: 90-0 I 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 GENARO VARGAS 69130 VICTORIA DR 5 Date Work Classification 03115 03116 03/17 03118 03/19 03/20 03/21 This Project All Projects 0.00 48.55 0.00 7.62 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 stir 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 578.52 33300 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 5.31 61.48 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.00 NOTE: $5.31 OTHER = FH125D 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 GUSTAVO HERRERA 32250 AURORA VISTA RD 0 Dale Work Classification 03115 03/16 03/17 03/18 03/19 03120 03/21 This 1 Pro ect All Proj1ects 0.00 45.90 0.00 7.20 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 linsions 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 gdmin Dues Trav/ Subs Savings Other Total 546.90 33298 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 53.10 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 0 Date HUMBERTO S. VALDEZ 12966 CACTUS DR #A Work Classification 03/15 03/16 03/17 03/18 03/19 03/20 03/21 Thjis Project All Projects 87.31 73.54 7.15 11.54 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 24.32 972.80 1 972.80 Training Fund Admin Dues Trav/ Subs Savings Other Total 781.76 33307 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.48 0.00 0.00 0.00 0,00 0.00 11.50 191.04 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.64 NOTE: $11.50 OTHER = FH125D 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 JASSAN J. JAMAND 51963 CALLE AVILA Work Classification 03115 03/16 03117 03/18 03/19 03120 03/21 This Project 1 All Projects 1 0.00 74.42 7.41 11.67 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA 92236 TREE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 24.32 972.80 972.80 Training Fund Admin Dues Trav/ Subs Savings Other Total 879.30 33304 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.48 0.00 0.00 0.00 0.00 0.00 0.00 93.50 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.64 NOTE: Public works certified Payroll Reporting Form 03/24/2021 - Page 2 Public Works Certifil ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 03/21/2021 Payroll Number: 90-0 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 Vacl Holida y Health & Welf. Pension Net Wage Paid For Week Check Number 4 Date LETICIA BONILLA 33477 NAVAJO TR #B Work Classification 03/15 03/16 03/17 03/18 03/19 03/20 03/21 This Pject ro1 All Projects 1 7.46 48.96 0.00 7.68 0.00 0.00 0.00 H Hours Worked Each Day CATHEDRAL CITY CA 92234 � LANDSCAPE MAINTENANCE LABORER S 8.00 B.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 575.90 33294 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 64.10 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 Grass Amount Earned Federal Tax FICA State Tax SDI Vac/ Holida y Health & Welf. Pension Net Wage Paid For Week Check Number 4 Date MARCELINO RAMIREZ 1500 E SAN RAFAEL DR #164 Work Classification 03/15 03116 03117 03118 03/19 03/20 03/21 This Project 1 All Projects 1 63.41 88.56 10.96 13,89 0.00 0.00 0.00 Hours Worked Each Day PALM SPRINGS CA 92262 TREE MAINTENANCE LABORER S 8.00 8.00 4.00 0.00 8.00 0.00 0.00 28.00 29.42 823.76 1,176.80 Training 9 Fund Admin Dues Trav/ Subs Savings 9 Other Total 980.79 33306 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 19.19 196.01 D 0.00 0.00 0.00 1 0.00 0.00 1 0.00 0.00 0.00 58.84 NOTE: $13.88 OTHER = FH125 , $5.31 OTHER = FH125D 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 Net Wage Paid For Week Check Number 0 Date MARIO VASQUEZ 68285 CORTA RD Work Classification 03/15 03/16 03117 03/18 03/19 03/20 03/21 This Project All Projects 0.00 45.90 0.00 7.20 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 546.90 33301 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 53.10 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 0 Date NOE M. JACINTO 73332 GUADALUPE AVE Work Classification 03/15 03/16 03/17 03118 03/19 03120 03121 This Proect All Proj1ects 0.00 90.03 0.00 14.12 0.00 0.00 0.00 Hours Worked Each Day PALM DESERT CA 92260 TREE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 29.42 1,176.80 1,176.80 TrainingFund Admin Dues Trav/ Subs Savings g Other Total 1,072.65 33303 Q 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 0.00 104.15 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 58.84 NOTE: Public Works certified Payroll Reporting Form 03/24/2021 - Page 3 Public Works Certifii ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 03/21/2021 Payroll Number:90-0 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 Hate Grass Amount Earned Federal Tax FICA State Tax SDI Vacl Hollda y Health & Waif. Pension Net Wage Paid For Check Number 0 Date RAMON A. CASTILLO VIGIL 27335 HOPPER RD Work ClassificationWeek 03115 03/16 03/17 03/18 03119 03/20 03/21 This Project All Projects 53.61 55.08 16.94 8.64 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 8.00 0.00 0.00 40.00 18.00 720.00 720.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 585.73 33295 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 0.00 134.27 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 36.00 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 I State Tax SDI Vacl Hofida y Health & Weir. Pension Net Wage Paid For Week Check Number 0 Date RUBEN F. HENRIQUEZ 15687 PALM DR #83 Work Classification 03/15 03/16 03/17 03/18 03/19 03120 03/21 This Project 1 A11 Projects 1 114.38 74.02 33.03 11.61 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 TREE MAINTENANCE LABORER S 8.00 8.00 4.00 0.00 8.00 0.00 0.00 28.00 24.32 680.96 972.80 Training g Fund Admin Dues Trav/ Subs Savings 9 Other Total 685.81 33302 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.48 0.00 0.00 0.00 0.00 0.00 53.95 286.99 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.64 NOTE: $48.64 OTHER = CAL SAVERS, $5.31 OTHER = FH125D Public works certified Payroll Reporting Form 03/24/2021 - Page 4 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: 10658644 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: 2021-03-14 Payroll Number: 89 Amendment Number: 1 1 employee payroll record(s) processed Your Transaction ID is: 10861842 Print this Page 'iew your submission Adobe Submit another set of payroll records Public Works Certi{ Payroll 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 2021-03-14 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: WSD 5059867-00 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 #: 89 - 1 Ctr Payroll #: 89-1 Week Ending: 03/14/2021 Statement of Non -Performance? Final payroll for this project? Employee: LETICIA BONILLA 33477 NAVAJO TR #B. CATHEDRAL CITY, CA, 92234 Mon Tue Wed Thu Fri Sat Sun Total Total 03/08 03100 03110 03/11 03/12 03/13 03/14 Hours Base Hourly Fringe S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00 - :!L0I 16.00 0.00 NOTE: ORIGINAL PAYROLL NUMBER 89-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER ADDED OR DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00 Vac/ Health Holiday & Welf. Pension 0.00 0.00 0.00 Other Training Total Hourly Rate 0.00 0.00 4 -10—aw Travel & Subsistence 0.00 Total Deductions 64.10 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 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: 2021-03-14 Payroll Number: 89 Amendment Number: 0 8 employee payroll record(s) processed Your Transaction ID is: 10658644 Print this Page I View your submission ,ubmit another set of payroll records Public Works Certifier, iyroll 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 2021-03-14 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 2021-03-16." 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: WSD 5059867-00 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: 89- 0 For Week Ending: 03/14/2021 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 Pa Rate Y Gross Amount Earned Federal Tax FICA State Tax SDI Vacf Holiday Heath & weir, Pension Net Wage Paid For Week Check Number 0 Date APOLINAR GONZALEZ MARTINEZ 33255 DATE PALM #19 yyo� Classification 03/OB 03/09 03/10 03/11 03/12 03/13 03/14 This Project All Projects 0.00 45.90 0.00 7.20 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 Deduct 546.90 33264 O 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 53.10 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 & Waif. Pension Net Wage Paid For Week Check Number 3 Date ARMANDO RICO CHAVEZ 2103 JACQUES DR Work Classification 03/08 03/09 03/10 03/11 03112 03/13 03114 This Project All Projects 53.29 61.20 14.10 9.60 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 Fund Admin Dues Trav/ Subs Savings Other Total Deduct 661.81 33263 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 92262 LABORER 0.00 0.00 0.00 0.000.00 138.19 D 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 Hourly Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Waif. Pension Net Wage Paid For Week Check Number 0 Date ELIZABETH OJEDA 67145 SAN GABRIEL CIR E yyo� Classification 03/08 03109 03/10 03/11 03/12 03/13 03/14 Hours Pa Rate y This Project[P__ A[l rojects 0.00 45.90 1.17 7.20 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 TrainingFund Admin Dues Trav/ Subs Savings Other Total Deduct 545.73 33266 O 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 54.27 D 0.00 0.00 0.00 1 0.00 0.00 1 0.00 0.00 1 0.00 30.00 NOTE: Public works certified Payroll Reporting Form 03/16/2021 - Page 1 Public Works CertifiF 3yroll Reporting Form Contractor Name: PWLC II, INC. i Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 03/14/2021 Payroll Number: 89-0 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 Tex FICA State Tax SDI Vac1 Holiday Health & we[f. Pension Net Wage Paid For Week Check Number 5 Date GENARO VARGAS 69130 VICTORIA DR Work Classification 03/08 03/09 03/10 03/11 03112 03/13 03/14 This Project All Projects 0.00 48.55 0.00 7.62 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 16.00 640.00 640.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 578.52 33267 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 5.31 61.48 D 0.00 0.00 0.00 0.00 1 0.00 0.00 0.00 0.00 32.00 NOTE: $5.31 OTHER = FH125D 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 & WOf. Pension Net Wage Paid For Week Check Number 0 Dale GUSTAVO HERRERA 32250 AURORA VISTA RD Work Classification 03/08 03/09 03/10 03/11 03/12 03/13 03114 This Project All Projects 0.00 45.90 0.00 7.20 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 0.00Fund 40.00 15.00 600.00 600.00 Training Admin Dues Subs Savings Other Total 546.90 33265 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 53.10 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 Pay rants 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 Dale LETICIA BONILLA 33477 NAVAJO TR #B Work Classification 03/08 03109 03/10 03/11 03/12 03/13 03/14 This Project All Projects 7.46 48.96 0.00 7.68 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 Fund Admin Dues Tray/ Subs Savings Other Total 575,90 33261 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 64.10 D 0.00 0.00 0.00 1 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 Pa Rate Y 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 03/OB 03/09 03/10 03l11 03/12 03113 03/14 This Project All Projects 0.00 45.90 0.00 7.20 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 546.90 33268 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 53.10 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 03/16/2021 - Page 2 Public Works CertifiE, iyroll Reporting Form Contractor Name: FWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 03/14/2021 Payroll Number:89-0 Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Frl 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 03/08 03/09 03/10 03/11 03/12 03/13 03/14 This Project 1 Ail Projects � 54.42 55.61 17.24 8.72 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 9224- LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 18.00 726.75 726.75 Training Fund gdmin Dues Trav/ Subs Savings Other Total 590.76 33262 0 0.00 0.25 0.00 0.00 0.00 0.00 0.00 0.25 27.00 0.00 0.00 0.00 0.00 0.00 0.00 135.99 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 03/16/2021 - Page 3 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: 10633297 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: 2021-03-07 Payroll Number: 88 Amendment Number: 1 1 employee payroll record(s) processed Your Transaction ID is: 10861837 Print this Page iew your submission Adobe Submit another set of payroll records Public Works CertifiE iyroll 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 2021-03-07 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 #: 88 - 1 Ctr Payroll #: 88-1 Week Ending: 03/07/2021 Statement of Non -Performance? Final payroll for this project? Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 03/01 03/02 03/03 03/04 03/05 03/06 03107 Hours Base Hourly Fringe Holiday & Waif. Pension Other Training Hourly Rate S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00 MWE00 16.00 0.00 0.00 0.00 0.00 0.00 0.00mmamwl NOTE: ORIGINAL PAYROLL NUMBER 88-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER ADDED OR DEDUCTED FROM THE EMPLOYEE'S CHECK, Travel & Subsistence 0.00 Total Deductions 64.10 SHOULD = 0.00 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 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: 2021-03-07 Payroll Number: 88 Amendment Number: 0 8 employee payroll record(s) processed Your Transaction ID is: 10633297 Print this Page View your submission AdDbe Submit another set of payroll records Public Works Certifie` iyroll 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 2021-03-07 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 2021-03-12." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 72350 QUARRY TR #A, THOUSAND PALMS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92276 Insurance Number: WSD 5059867-00 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: 88- 0 For Week Ending: 03/07/2021 ❑ 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 Slate Tax SDI Vac/ Holiday Health & Welf. pension Net Wage Paid For Week Check Number 3 Dale APOLINAR GONZALEZ MARTINEZ 33255 DATE PALM DR #19 yyo* Classification 03/01 03/02 03/03 03/04 03/05 03/06 03/07 This Project All Projects 46.90 84.15 3.79 13.20 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 1,100.10 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 952.06 33122I6 330 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 0.00 148.04 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 Federai 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 03/01 03/02 03/03 03104 03/05 03/06 03/07 This Project All Projects 53.29 61.20 14.10 9.60 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 Fund Admin Dues Trav! Subs Savings Other Total Deduct 661.81 33121 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 92262 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 136.19 D 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 W Paid For Week Check Number 0 Date ELIZABETH OJEDA 67145 SAN GABRIEL CIR E Work Classification 03/01 03/02 03/03 03/04 03/05 03/06 03/07 This Project All Projects 0.00 41.88 0.00 6.57 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA LANDSCAPE MAINTENANCE S 8.00 4.50 8.00 8.00 8.00 0.00 0.00 36.50 15.00 547.50 547.50 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 499.05 33124 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 g223q LABORER 0.00 0.00 0.00 0.00 0.00 0.00 48.45 D 0.00 0.00 1 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Public works certified Payroll Reporting Form 0311ZIZUZ1 - Page 1 {- Public Works Certifie iyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 03/07/2021 Payroll Number:88-0 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 Vacl Holiday I Health & Welr. Pension Net Wage Paid For Week Check Number 5 Date GENARO VARGAS 69130 VICTORIA DR Work Classification 03/01 03/02 03/03 03/04 03105 03106 03/07 This Project All Projects 0.00 48.55 0.00 7.62 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 WAOMMOMP 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 578.52 33125 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 5.31 61.48 D 0.00 0.00 0.00 0.00 1 0.00 0.00 0.00 0.00 32.00 NOTE: $5.31 OTHER = FH125D 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 Holiday Health &Well. Pension Net Wage Paid For Week Check Number 0 Date GUSTAVO HERRERA 32250 AURORA VISTA RD Work Classification 03/01 03/02 03/03 03104 03105 03/06 03/07 This Project All Projects 0.00 36.72 0.00 5.76 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 0.00 0.00 0.00 32.00 15.00 480.00 480.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 437.52 33123 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 42.48 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 Rato 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 Work Classification 03101 03/02 03/03 03104 03105 03/06 03/07 This Project All Projects 7.46 48.96 0.00 7.68 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 Fund Admin Dues Travl Subs Savings Other Total 575.90 33119 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 0.0�64.1 D 0.00 0.00 0.00 1 0.00 1.00 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 SDE Vac/ Holiday Health & Welf. Pension NeWag t Paid For Week Numeck ber 0 Date MARIO VASOUEZ 68285 CORTA RD Work Classification 03/01 03/02 03/03 03/04 03/05 03/06 03/07 This Project All Projects 0.00 45.90 0.00 7.20 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA � 92234 490100 LANDSCAPE MAINT ENANCE LABORER 5 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 546.90 33126 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 r001 0.00 0.00 0.00 0.00 0.00 53.10 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 03/12/2021 - Page 2 r Public Works Certifie iyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 03/07/2021 Payroll Number:88-0 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 I Vacl Holiday Health 8, Wolf. Pension Net Wage Paid For Week Check Number 0 Date RAMON A. CASTILLO VIGIL 27335 HOPPER RD Work Classification 03101 03/02 03/03 03/04 03/05 03/06 03/07 This Project All Projects 56.85 57.14 18.47 8.96 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 8.00 0.00 0.00 40.00 18.00 747.00 747.00 1 Training IAdmin Fund Dues Trav/ Subs Savings Other Total 605.58 33120 0 1.00 0.00 0.00 0.00 0.00 0.00 0.00 1.00 27.00 0.00 0.00 0.00 0.00 0.00 0.00 141.42 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 03/12/2021 - Page 3 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: 10538416 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: 2021-02-28 Payroll Number: 87 Amendment Number: 1 1 employee payroll record(s) processed Your Transaction ID is: 10861832 Print this Page F iew your submission Adobe Submit another set of payroll records Public Works Certific� �tyroll 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 2021-02-28 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 #: 87 - 1 Ctr Payroll #: 87-1 Week Ending: 02/28/2021 ❑ Statement of Non -Performance? Final payroll for this project? Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 Mon Tue I.-WII Thu Fri Sat Sun Total Total Vac/ Health Total 02/22 02/23 02614 02/25 02/26 02/27 02/28 Hours Base Hourly Fringe Holiday & Welf. Pension Other Training Hourly Rate S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 0.00 8.00 0.00 0.00 MZ12LUOMI 16.00 0.00 0.00 0.00 0.00 0.00 0.00 11 1 NOTE: ORIGINAL PAYROLL NUMBER 87-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER ADDED OR DEDUCTED FROM THE EMPLOYEE'S CHECK, Travel & Subsistence 0.00 Total Deductions 45.31 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: 2021-02-28 Payroll Number: 87 Amendment Number: 0 8 employee payroll record(s) processed Your Transaction ID is: 10538416 Print this Page View your submission Adobe - ubmit another set of payroll records Public Works Certifi `ayroll Reporting Form Certification uno.,, 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 2021-02-28 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 2021-03-02." 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: 87- 0 For Week Ending: 02/28/2021 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/ Holida y Health & Welf. Pension Net Wage Paid For Week Check Number APOLINAR GONZALEZ MARTINEZ 33255 DATE PALM DR #19 3 Date Work Classification 02122 02/23 02/24 02/25 02/26 02/27 02/28 This ro Project 1 All Projects 1 29.29 45.90 3.79 7.20 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 4111110011111111, 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 513.82 33089 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 I 0.00 0.00 0.00 0.00 0.00 0.00 86.18 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 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 02/22 02/23 02/24 02125 02/26 02/27 02/28 This Project A!1 Projects 53.29 61.20 14.10 9.60 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 661.81 33088 0 1 0.00 1 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 0.00 138.19 p 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 & Waif. PHsio Net Wage Paid For Week Check Number 0 Date ELIZABETH OJEDA 67145 SAN GABRIEL CIR E Wok Classification 02/22 02123 02124 02/25 02/26 02/27 02/28 This Project All Projects 0.00 45.90 1.17 7.20 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 545.73 33091 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 54.27 p 0.00 0.00 0.00 0.00 1 0.00 0.00 0.00 0.00 1 30.00 NOTE: Public works certified Payroll Reporting Form 03/02/2021 - Page 1 Public Works CertifC iayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 02/28/2021 Payroll Number:87-0 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 & Wolf. Pension Net Wage Paid For Week Check Number GENARO VARGAS 69130 VICTORIA DR 5 Date Work Classification 02/22 02123 02124 02/25 02/26 02/27 02/28 This Project 1 All Projects 1 0.00 48.55 0.00 7.62 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 16.00 640.00 640.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 578.52 33092 p 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 5.31 61.48 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.00 NOTE: $5.31 OTHER = FH125D 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 GUSTAVO HERRERA 32250 AURORA VISTA RD 0 Date Work Classification 02/22 02/23 02/24 02125 02/26 02/27 02/28 This Project 1 All Projects 1 0.00 45.90 0.00 7.20 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 r LANDSCAPE MAINTENANCE LABORER S 8.00 B.00 B.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 546.90 33090 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 1 0.00 0.00 0.00 53.10 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/ Holida y Health & Welf. Pension Net Wage Paid For Week Check Number LETICIA BONILLA 33477 NAVAJO TR #B 4 Date Work Classification 02/22 02/23 02/24 02125 02/26 02127 02/28 This Project All Projects 0.00 39.17 0.00 6.14 0.00 47.39 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 0.00 8.00 0.00 0.00 32.00 16.00 512.00 512.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 466.69 33086 7070. 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 45.31 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 I State Tax SDI I Vac/ Holiday Health & Welf. I Pension Net Wage Paid For Week Check Number 0 Date MARIO VASQUEZ 68285 CORTA RD Work Classification 02/22 02/23 02/24 02/25 02/26 02/27 02/28 This Project All Projects 0.00 45.90 0.00 7.20 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 546.90 33093 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 53.10 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 03/02/2021 - Page 2 Public Works Certifies 'ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 02/28/2021 Payroll Number:87-0 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 I State Tax SDI Vac/ Holida y Health 8 Welf. Pension Net Wage Paid For Week Check Number 0 Date RAMON A. CASTILLO VIGIL 27335 HOPPER RD Work Classification 02/22 02/23 02124 02125 02126 02/27 02/28 This Project All Projects 53.61 55.08 16.94 8.64 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 8.00 0.00 0.00 40.00 18.00 720.00 720.00 Training g Fund Admin Dues Trav/ Subs Savings g Other Total 585.73 33087 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 0.00 134.27 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 03/02/2021 - 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: 10492904 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: 2021-02-21 Payroll Number: 86 Amendment Number: 1 1 employee payroll record(s) processed Your Transaction ID is: 10861826 Print this Page 'iew your submission Adobe. Submit another set of payroll records Public Works Certifi 'ayroll 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 2021-02-21 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 #: 86 - 1 Ctr Payroll #: Week Ending: 02/21/2021 Statement of Non -Performance? Final payroll for this project? Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 Mon Tue Wed Thu Fri Sat Sun Total Total 02115 02/16 02117 02/18 02119 02/20 02121 Hours Base Hourly Fringe S LANDSCAPE MAINTENANCE LABORER 0.00 8.00 8.00 8.00 8.00 0.00 0.00 j32>w6i 16.00 0.00 NOTE: ORIGINAL PAYROLL NUMBER 86-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER ADDED OR DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00 Vac/ Health Total Pension Other Training Holiday & Welf. Hourly Rate 0.00 0.00 0.00 0.00 0.00 , ,i�i,,, _lam., Travel & Subsistence 0.00 Total Deductions 45.30 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: 2021-02-21 Payroll Number: 86 Amendment Number: 0 8 employee payroll record(s) processed Your Transaction ID is: 10492904 Print this Page FL View your submission I , ' AdoN ubmit another set of payroll records Public Works Certifie iyroll 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 2021-02-21 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 2021-02-24." 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: 86- 0 For Week Ending: 02/21/2021 Is this a 'Statement of Non -Performance?' Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal Stale Vac! Health Social SecurityNumber of Worker Withholding Total Hourly FICA Tax SDI Holiday & Welf. Pension Net Wage Check APOLINAR GONZALEZ MARTINEZ Work 02/15 02/16 02/17 02/18 02/19 02120 02/21 This All 15.60 36.72 0.00 5.76 0.00 0.00 0.00 Hours Pay Rate Paid For Number 33255 DATE PALM DR #19 Classification Project Projects Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE 0.00 8.00 8.00 0.00 0.00S32.00 15.00 480.00 480.00 Fund Trav/ Total 421.92 32941 CA MAINTENANCE TrainingAdmin Dues SubsSavings Other Deduct O 0.00 t8.008.00 0.00 0.00 0.00 0.00 0.00 22.50 LABORER 0.000.00 0.00 0.00 0.00 0.00 58.08 92234 p 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 & Waif. Pension Net Wage Check 3 Date ARMANDO RICO CHAVEZ Work 02115 02/16 02/17 02/18 02/19 02/20 02/21 This All 34.09 48.96 5.55 7.68 0.00 0.00 0.00 Hours Pay Rate Paid For Number 2103 JACQUES DR Classification Project Projects Week Hours Worked Each Day PALM SPRINGS LANDSCAPE S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 20.00 640.00 640.00 Fund Trav/ Total 543.72 32940 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct O 0.00 0.00 0.00 0.00 0.00 0.00 0.do 0.00 30.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 96.28 92262 D 0.00 0.00 0.00 0.00 0.00 0.00 0.0 0.00 40.00 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 8 Wall. Pension Wage Check 0 Date ELIZABETH OJEDA Hours Pay Rate Paid For Number 02/15 02/16 02/17 02/18 02/19 02/20 02/21 This All 0.00 36.72 0.00 5.76 0.00 0.00 0.00 67145 SAN GABRIEL CIR E Work Classification Project Projects Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 0.00 8.00 8.00 8.00 0.00 0.00 0.00 24.00 15.00 360.00 480.00 Fund Trav/ Total 437.52 32943 CA MAINTENANC ITraining 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 42.48 92234 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 02/24/2021. - Page 1 Public Works Certifie' iyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 02/21/2021 Payroll Number:86-0 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 $ waif. Pension Net Wage Paid For Week Check Number 5 Date GENARO VARGAS 69130 VICTORIA DR Work Classification 02115 02116 02/17 02/18 02/19 02/20 02/21 This Project All I Projects 0.00 38.76 0.00 6.08 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 0.00 32.00 16.00 512.00 512.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 461.85 32944 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 5.31 50.15 p 1 0.00 0.00 0.00 1 0.00 0.00 0.00 0.00 0.00 32.00 NOTE: $5.31 OTHER = FH125D 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 Vael Holiday Health $Wolf. Pension N et Wage Paid For Week Check Number 0 Dale GUSTAVO HERRERA 32250 AURORA VISTA RD Work Classification 02/15 02116 02/17 02/18 02/19 02/20 02/21 This Project All Projects 0.00 36.72 0.00 5.76 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 41111011111110111111, LANDSCAPE MAINTENANCE LABORER S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 15.00 480.00 480.00 Training Admin Dues Subs Savings Other Total 437.52 32942 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 42.48 D 0.00 0.00 1 0.00 1 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 i Vac/ Holiday Health $' Welf. Pension Net Wage Paid For Week Check Number 4 Date LETICIA BONILLA 33477 NAVAJO TR #B Work Classification 02/15 02116 02/17 02/18 02119 02120 02/21 This Project All Projects 0.00 39.16 0.00 6.14 0.00 47.39 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 0.00 32.00 16.00 512.00 512.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 466.70 32938 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 45.30 D 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 Vac/ Holiday Health $ Waif. Pension Net Wage Paid For Week Check Number 0 Date MARIO VASQUEZ 68285 CORTA RD Work02/15 Classification 02/16 02117 02/18 02119 02I20 02/21 This Project All Projects 0.00 36.72 0.00 5.76 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 0.00Fund 32.00 15.00 460.00 480.00 Training Admin Dues Subs Savings Other Total 437.52 32945 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 42.48 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 OZIZ41ZOZI - Page Z Public Works Certifie lyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 02/21/2021 Payroll Number: 86-0 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 RAMON A. CASTILLO VIGIL 27335 HOPPER RD Work Classification 02115 02/16 02/17 02/18 02/19 02/20 02/21 This Project 1 Ail Projects j 36.33 44.06 10.60 6.91 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92241 LANDSCAPE MAINTENANCE LABORER S 0.00 8.00 8.00 8.00 0.00 0.00 0.00 24.00 18.00 432.00 576.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 478.10 32939 p 0.00 0.00 0.00 1 0.00 0.00 0.00 0.00 0.00 27.00 0.00 0.00 0.00 0.00 0.00 1 0.00 97.90 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: �+ 1 Public works certified Payroll Reporting Form 02/24/2021 - Page 3 eCPR Online Confirmation Your payroll submission request has been processed. Tease 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: 10437130 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: 2021-02-14 Payroll Number: 85 Amendment Number: 1 1 employee payroll record(s) processed Your Transaction ID is: 10861822 Print this Page .1 ;ew your submission Submit another set of payroll records Public Works Certifiel 'iyroll 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 2021-02-14 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 Il, 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 County: RIVERSIDE Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Location Description: Payroll #: 85 - 1 Ctr Payroll #: 85-1 i Week Ending: 02/14/2021 ❑ Statement of Non -Performance? ❑ Final payroll for this project? Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total i 02/08 02/09 02/10 02/11 02/12 02/13 02114 Hours Base Hourly Holiday & Welf. Pension Other Training Hourly Rate S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 7.75 0.00 0.00 Z�*,7.5ff 16.00 0.00 0.00 0.00 0.00 0.00 0.00 ' NOTE: ORIGINAL PAYROLL NUMBER 85-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER ADDED OR DEDUCTED FROM THE EMPLOYEE'S CHECK, Travel & Subsistence 0.00 Total Deductions 63.34 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: 2021-02-14 Payroll Number: 85 Amendment Number: 0 8 employee payroll record(s) processed Your Transaction ID is: 10437130 Print this Page W7,-- View your submission '' Adobe - Submit another set of payroll records Public Works Certi� Payroll 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 2021-02-14 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 2021-02-17." 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: 85- 0 For Week Ending: 02/14/2021 ❑ Is this a 'Statement of Non -Performance?' Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Federal State Vacl Health Social SecurityNumber of Worker Withholding Gross Amount Earned Total Hourly Tax FICA Tax SDI Holida y & weir, Pension Net Wage Check 3 Date APOLINAR GONZALEZ MARTINEZ Work 02108 02/09 02/10 02/11 02112 02/13 02/14 28.84 45.62 3.62 7.16 0.00 0.00 0.00 Hours Pay Rate This All Paid For Number 33255 DATE PALM DR #19 Classification roPjt Pjects Project Projects� Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 7.75 0.00 0.00 39.75 15.00 596.25 596.25 Fund Total 511.01 32908 CA MAINTENANCE Training 9 Admin Dues Subs Subs Savings 9 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 85.24 92234 p 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 & Welf. Pension Net Wage Check 3 Date ARMANDO RICO CHAVEZ Work 02/OB 02/09 02l10 02/11 02l12 02/13 02/14 This Alt 53.29 61.20 14.10 9.60 0.00 0.00 0.00 Hours Pay Rate Paid For Number 2103 JACQUES DR 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 661.81 32907 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 30.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 138.19 92262 p 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 "l Health Social SecurityNumber of Worker Withholding Total Hourly Earned Tax FICA Tax SDI Holiday & Welt. Pension Net Wage Check 0 Date ELIZABETH OJEDA Work02/08 02/09 02/10 02/11 02/12 02/13 02/14 ThisF0.00 45.62 1.00 7.16 0.00 0.00 0.00 Hours Pay Rate Paid For Number 67145 SAN GABRIEL CIR E Classification Project Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 7.75 0.00 0.00 39.75t22. 596.25 596.25 Fund Trav/ Total 542.47 32910 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.0092234 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 53.78 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Public works Certified Payroll Reporting Form 02/17/2021 - Page 1 Public Works Certi' Payroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 02/14/2021 Payroll Number: 85-0 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 Nat Wage Paid For Week Check Number GENARO VARGAS 69130 VICTORIA DR { 5 Date Work Classification 02/08 02/09 02110 02/11 02/12 02/13 02/14 This Project A[i Projects 0.00 48.55 0.00 7.62 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 ddEMMUML, 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 578.52 32911 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 5.31 61.48 D 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 0.00 32.00 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 GUSTAVO HERRERA 32250 AURORA VISTA RD 0 Date Work Classification 02/08 02/09 02/10 02/11 02/12 02/13 02/14 This Project 1 All Projects 1 0.00 29.55 0.00 4.64 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 �t>fil�t LANDSCAPE MAINTENANCE LABORER S 0.00 8.00 2.00 8.00 7.75 0.00 0.00 25.75 15.00 386.25 386.25 Training Fund Admin Dues Trav/ Subs Savings Other Total 352.06 32909 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 34.19 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 Federai Tax FICA State Tax SDI Vac/ Holida y Health & Welf. Pension Net Wage Paid For Week Check Number 4 Date LETICIA BONILLA 33477 NAVAJO TR #B Work Classification 02/08 02/09 02/10 02/11 02/12 02/13 02/14 This Project 1 All Projects 1 7.06 48.65 0.00 7.63 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 7.75 0.00 0.00 I 39.75 16.00 636.00 636.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 572.66 32905 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 63.34 D 0.00 0.00 1 0.00 0.00 0.00 0.00 0.00 1 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 I State Tax SDI I Vac! Holiday Health & Welr. Pension Net Wage Paid For Week Check Number 0 Date MARIO VASQUEZ 68285 CORTA RD Work Classification 02/08 02/09 02/10 02/11 02/12 02/13 02114 This Project 1 All Projects 1 0.00 45.62 0.00 7.16 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 7.75 0.00 0.00 39.75 15.00 596.25 596.25 Trainin 9 Fund Admin Dues Trav/ Subs Savin s 9 Other Total 543.47 32912 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 52.78 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 02/17/2021 - Page 2 Public Works Certi' 'Payroll Reporting Form contractor Name: N1/VLG 11, ING. ProjeCt Name: LANUSGAI'E & LIGH I ING UISI RIG 1 89-1 For Week Ending: 02/14/2021 Payroll Number: 85-0 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 State FICA Tax SDI Vac/ Holiday Health 8 Welf. Pension Net Wage Paid For Week Check Number 0 Dale RAMON A. CASTILLO VIGIL 27335 HOPPER RD DESERT HOT SPRINGS CA 92241 Work Classification 02/08 02/09 02/10 02/11 02/12 02/13 02114 This Project 1 All Projects 1 15.15 55.08 ` 14.32 8.64 0.00 0.00 0." Hours Worked Each Day LANDSCAPE MAINTENANCE LABORER S 6.00 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 626.81 32906 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 93.19 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 02/17/2021 - 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: 10392435 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: 2021-02-07 Payroll Number: 84 Amendment Number: 1 1 employee payroll record(s) processed Your Transaction ID is: 10861815 Print this Page Jew your submission Submit another set of payroll records Public Works Certifie 3yroll Reporting Form Certification undt. 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 11, INC. (name of business andlor contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2021-02-07 are the originals or true, full, and carrect coples 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 #: 84 - 1 Ctr Payroll #: 84-1 Week Ending: 02/07/2021 ❑ Statement of Non -Performance? ❑ Final payroll for this project? Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 02/01 02/02 02/03 02104 02/05 02/06 02107 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 j 4_b`O ml 16.00 0.00 0.00 0.00 0.00 0.00 0.00 , NOTE: ORIGINAL PAYROLL NUMBER 84-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER ADDED OR DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00 Travel & Subsistence 0.00 Total Deductions 64.10 Public works certified Payroll Reporting Form 04/11/2021 - Page 1 eCPR Online Confirmation Your payroll submission request has been processed. Olease 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: 2021-02-07 Payroll Number: 84 Amendment Number: 0 11 employee payroll record(s) processed Your Transaction ID is: 10392435 Print this Page .Q View your submission Adobe Submit another set of payroll records Public Works Certi 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 a0dlor contractor), certify under penalty of perjury that the records or coples thereof submitted and consisting of certified payroll records for the week ending 2021-02-07 are the originals or true, full, and correct copies of the originals which deplat 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 2021-02-11." 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 C Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 84- 0 For Week Ending: 02/07/2021 Is this a 'Statement of Non -Performance?' Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal Slate Vac! Health Social SecurityNumber of Worker Withholding Total Hourly Earned Tax FICA Tax SDI Holiday & Welf. Pension Net Wage 3 Date APOLINAR GONZALEZ MARTINEZ Check Work 02/01 02/02 02/03 02/04 02/05 02/06 02/07 29.29 45.90 3.79 7.20 0.00 0.00 0.00 Hours Pay Rate Paid For Number 33255 DATE PALM DR #19 Classification 7ThsctAll Projects 1 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 Trav/ Total 513.82 32761 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct 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 86.18 92234 Lp 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 & Welf. Pension Net Wage Check 3 Date ARMANDO RICO CHAVEZ Work 02/01 02/02 02103 02l04 02/05 02/06 02/07 This All 53.29 61.20 14.10 9.60 0.00 0.00 0.00 Hours Pay Rate Paid For Number 2103 JACQUES DR Classification Project 1 Projects 1 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 661.81 32760 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 30.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 138.19 92262 p o.o0 0.00 0.00 0.00 0.00 0.00 0.00 0.0o ao.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 & Welf. Pension Net Wage Check 4 Date CARLOS LUNAGONZALEZ Work 02/01 02/02 02/03 02/04 02/05 02106 02/07 This All 25.14 62.47 0.00 9.80 0.00 0.00 0.00 Hours Pay Rate Paid For Number 66145 7TH ST Classification Project 1 Pro Projects J Week Hours Worked Each Day DESERT HOT SPRINGS TREE S 3.50 3.50 3.50 0.00 0.00 0.00 0.00 10.50 27.22 285.81 816.81 Fund Trav/ Total 719.40 32767 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 40.83 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 97.41 92240 _ 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 02/11/2021 - Page 1 Public Works Certi Payroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & For Week Ending: 02/07/2021 Number: 84-0 LIGHTING DISTRICT 89-1 Payroll Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health ELIZABETH OJEDA Date Total Hourly Earned Tax FICA Tax SDI Holiday & Waif. Pension Net 67145 SAN GABRIEL CIR E Work 02/01 02/02 02/03 02/04 02/05 02/06 02/07 Hours Pay Rate This All 0.00 42.46 0.00 6,66 0.00 0.00 0.00 Waga Paid For Check Number Classification Hours Worked Each Day Project Projects Week CATHEDRAL CITY LANDSCAPE S 8.00 5.00 8.00 8.00 8.00 0.00 0.00 37.00 15.00 555.00 555.00 Fund Trav/ 505.88 32763 CA MAINTENANCE Training Admin Dues Subs Savings Other Total LABORER 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92234 E30.00 0.00 0.00 0.00 0.00 0.00 0.00 49.12 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net GENARO VARGAS 5 Date Total Hourly Earned Tax Tax Holiday & Waif. Wage a Check Work 02/01 02/02 02/03 02/04 02/05 02/06 02/07 Hours Pay Rate This All 000 . 4855 0.00 7.62 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 0.00 40.00 16.00 640.00 640.00 Fund Trav/ 578.52 32764 CA MAINTENANCE Training Admin Dues Subs Savings Other Total LABORER 0 0.00 0.00 0.00 0.00 0." 0.00.00 0.00 0.00 24.00 92234 0.00 0.00 0.00 0.00 0.00 5.31 61.48 �� D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.00 NOTE: $5.31 OTHER = FH125D Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health GUSTAVO HERRERA 10 Date Total HourlyEarned Tax FICA Tax SDI Holiday & Welf. Pension Net Wage Check Work 02/01 02/02 02/03 02/04 02/05 02/06 02/07 Hours Pay R to This All 0.00 45.90 0.00 7.20 0.00 0.00 0,00 Paid For Number 32250 AURORA VISTA RD Classification Hours Worked Each Day Pro a j ct Projects Week CATHEDRAL CITY LANDSCAPE S 8.00 8.00 1 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Fund Trav/ 546.90 32762 CA MAINTENANCE Training Admin Dues Subs Savings Other Total LABORER 0 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 53.10 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 Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun 4 Date Total Hourly Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Health Pension Net Wage Check LETICIABONILLA Work 02/01 02/02 02/03 02104 02/05 02/06 02/07 Hours Pay Rate This All 7.46 48.96 0.00 7.68 0.00 47.39 0.00 Paid For Number 33477 NAVAJO TR #B Classification Hours Worked Each Day Pro ect 1 Projects 1 Week 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/ 575.90 32758 CA MAINTENANCE Training Dues Savings Other Total LABORER 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.00 Admin Subs 92234 0.00 0.00 0.00 0.00 0.00qpmmmmo 0.00 64.10 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 02/11/2021 - Page 2 Public Works Certi Payroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 02/07/2021 Payroll Number:84-0 Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Social Security Number of Worker Withholding Gross Amount Earned Total Hourly Federal State Vac/ Health Tax FICA Tax SDI Holiday & WeIL Pension Net Wage Check MARCELINO RAMIREZ 4 Dale Work Classification 02/01 02/02 02/03 02/04 02105 02/06 02107 31.43 67.30 1.19 10.56 0.00 0.00 0.00 1500 E SAN RAFAEL DR #164 PALM SPRINGS Hours Pay Rate This All Project Projects Paid For Number Week Hours Worked Each Day CA 92262 TREE MAINTENANCE LABORER S 3.50 3.50 3.50 0.00 0.00 0.00 0.00 10.50 29.42 308.91 898.91 Training Fund Admin Dues Trav/ Subs Savings Other Total 769.24 32768 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 19.19 129.67 I D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 58.84 owns, NOTE: $13.88 OTHER = FH125 , $5.31 OTHER = FH125D Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hourly Gross Amount Earned Federal lax FICA State Tax SDI Vacl Holiday Health 8 Welf. Pension Net Wage Check Social Security Number of Worker Withholding MARIO VASOUEZ Dale Work Classification 02/01 02/02 02103 02/04 02/05 02/06 02/07 This Project 1 All Projects 1 0.00 45.90 0.00 7.20 0.00 0.00 0.00 68285 CORTA RD 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 15.00 600.00 600.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 546.90 32765 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 13.10 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 Total Hourly Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Check Social Security Number of Worker Withholding RAMON A. CASTILLO VIGIL Date Work Classification 02/01 02102 02/03 02/04 02/05 02/06 02/07 This Project 1 All Projects 1 15.15 55.08 14,32 8.64 0.00 0.00 0.00 27335 HOPPER RD Hours Pay Rate Paid For Week Number Hours Worked Each Day DESERT HOT SPRINGS CA 92241 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 Trav/ Subs Savings Other Total 626.81 32759 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 93.19 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 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 State Tax SDI Vacl Holiday Health & Welf. Pension Net Wage Check Social SecurityNumber of Worker Withholding RUBEN F. HENRIQUEZ 0 Date Work Classification 02/01 02/02 02/03 02/04 02105 02/06 02/07 This Project 1 All Projects 1 80.78 59.76 20.72 9.37 0.00 0.00 0.00 15687 PALM DR #83 Hours Pay Rate Paid For Week Number Hours Worked Each Day DESERT HOT SPRINGS CA 92240 TREE MAINT LABORER S 3.50 3.50 3.50 I 0.00 0.00 0.00 0.00 10.50 24.32 255.36 786.36 Training Fund Admin Dues Trav/ Subs Savings Other Total 571.10 32766 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00--0- 36.48 0.00 0.00 0.00 0.00 0.00 44.63 215.26 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.64 NOTE: $39.32 OTHER = CAL SAVERS, $5.31 OTHER = FH125D Public Works certified Payroll Reporting Form 02/11/2021 - 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. 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: 2021-01-31 Payroll Number: 83 Amendment Number: 0 7 employee payroll record(s) processed Your Transaction ID is: 10347075 Print this Page View your submission r AdOe Submit another set of payroll records Public Works Certi Payroll Reporting Form Certification unuer 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 andtor contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week endlna 2021-01-31 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 2021-02.05." 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: 83- 0 For Week Ending: 01/31/2021 --]Is this a 'Statement of Non -Performance?' Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Earned Federal Tax FICA I State Tax SDI Vacl Holiday Health & Welf. Pension Net Social Security Number of Worker Withholding 3 Date APOLINAR GONZALEZ MARTINEZ Total Hourly Wage Check Work 01/25 01/26 01/27 01/28 01/29 01/30 01/31 This All 3.60 27.54 0.00 4.32 0.00 0.00 0.00 Hours Pay Rate Paid For Number 33255 DATE PALM DR #19 CATHEDRAL CITY Classification 1Project Pro ects Week Hours Worked Each Day LANDSCAPE S 0.00 8.00 8.00 B.00 0.00 0.00 0.00 24.00 15.00 360.00 360.00 Fund Trav/ Total 324.54 32733 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 35.46 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 Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Social Security Number of Worker Withholding 3 Date ARMANDO RICO CHAVEZ Total Hourly Wage Check Work 01/25 01/26 01/27 01128 01/29 01130 01/31 This All 15.60 36.72 0.00 5.76 0.00 0.00 0.00 Hours Pay Rate Paid For Number 2103 S DR PALM Classification Project 1 Projects 1 Week Hours Worked Each Day M SPRINGS 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 421.92 32732 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 30.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 58.08 92262 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Social Security Number of Worker Withholding 0 Date ELIZABETH OJEDA Total Hourly Wage Check Work 01/25 01/26 01/27 01/28 01/29 01/30 01/31 This All 0.00 27.54 0.00 4.32 0.00 0.00 0.00 Hours Pay Rate Paid For Number 67145 SAN GABRIEL CIR E Classification Project 1 Projects 1 Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 0.00 8.00 8.00 8.00 0.00 0.00 0.00 24.00 15.00 360.00 360.00 Fund Trav/ Total 328.14 32735 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 31.86 92234 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 02/05/2021 - Page 1 Public Works Certi, 'Payroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 01/31/2021 Payroll Number: 83-0 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 Wage Paid For Week Check Number GENARO VARGAS 69130 VICTORIA DR 5 Date Work Classification 01/25 01/26 01/27 01/28 01/29 01/30 01/31 This Project 1 All Projects 1 0.00 28.98 0.00 4.54 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE S 0.00 8.00 8.00 8.00 0.00 0.00 0.00 24.00 16.00 384.00 384.00Ea'n,'n Fund Admin Dues Trav/ Subs Savings Other TotaLABORER 345.17 32736 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 5.31 38.83 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.00 NOTE: $5.31 OTHER = FH125D 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 GUSTAVO HERRERA 32250 AURORA VISTA RD 0 Date Work Classification 01/25 01/26 01/27 01/28 01/29 01/30 01/31 This �j Project All Projects P� 0.00 27.54 0.00 4.32 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 I 0.00 0.00 0.00 24.00 15.00 360.00 360.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 328.14 32734 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 31.86 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/ Holida y Health & Welf. Pension Net Wage Paid For Week Check Number MARIO VASQUEZ 68285 CORTA RD 0 Date Work Classification 01/25 01126 01/27 01/28 01/29 01/30 01/31 This Project 1 All Projects 1 0.00 27.54 0.00 4.32 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 0.00 0.00 0.00 24.00 15.00 360.00 360.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 328.14 32737 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 31.86 D 0.00 0.00 1 0.00 1 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 Check Number 0 Dale RAMON A. CASTILLO VIGIL Work 01/25 01126 01127 01/28 01/29 01130 01/31 This Project All ProjectsWeek 0.00 40.62 6.00 6.37 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92241 fe LANDSCAPE MAINTENANCE LABORER S 5.50 8.00 8.00 8.00 0.00 0.00 0.00 29.50 18.00 531.00 531.00 + Trainin I g Fund Admin Dues Trav/ Subs Savings 9 Other Total 478.01 32731 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 52.99 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 02/05/2021 - 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 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: 10361957 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: 2021-01-24 Payroll Number: 82 Amendment Number: 2 1 employee payroll record(s) processed Your Transaction ID is: 10861809 PrInt this Page iew your submission AdoN 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 2021-01-24 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: WSC5504144 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 #: 82 - 2 Ctr Payroll #: 82-2 I Week Ending: 01/24/2021 Statement of Non -Performance? Final payroll for this project? Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 01/18 01/19 01/20 01/21 01/22 01/23 Hours Base Hourly Fringe Holida & Welt. 01/24 9 Y Pension Other Training Hourly Rate Y S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 0.00 8.00 5.00 0.00 0.00 R; 9%ggZ! 16.00 0.00 0.00 0.00 0.00 0.00 0.00 AtT a NOTE: ORIGINAL PAYROLL NUMBER 82-1 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER ADDED OR DEDUCTED FROM THE EMPLOYEE'S CHECK, Travel & Subsistence SHOULD = 0.00 0.00 Total Deductions 41.07 Public works certified Payroll Reporting Form 04/11/2021 - Page i 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: 10314124 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: 2021-01-24 Payroll Number: 82 Amendment Number: 1 10 employee payroll record(s) processed Your Transaction ID is: 10361957 Print this Page KIT7 " A"e 'iew your submission Submit another set of payroll records Public Works Certif ,payroll 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 2021-01-24 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 2021-02-08." 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: 82- 1 For Week Ending: 01/24/2021 ❑ Is this a 'Statement of Non -Performance?' 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 & Welf. Pension Net Wage Check 3 Date APOLINAR GONZALEZ MARTINEZ Work 01/18 01/19 01/20 01/21 01/22 01/23 01/24 This All 15.60 36.72 0.00 5.76 0.00 0.00 0.00 Hours Pay Rate Paid For Number 33255 DATE PALM DR #19 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 15.00 480.00 480.00 Fund Trav/ Total 421.92 32584 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 58.08 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 Stale Vac/ Health Total Hourly Earned Tax FICA Tax SDI Holiday & Welf. Pension Net Wage Check 3 Date ARMANDO RICO CHAVEZ yyo� 01l18 01/19 01/20 01121 01/22 01123 01/24 This Al] 34.09 48.96 5.55 7.68 0.00 0.00 0.Oo � Hours Pa Rate y Paid For Number 2103 JACQUES DR 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 543.72 32583 CA MAINTENANCE Training g Admin Dues Subs Savings g 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 96.28 92262 D 0.00 0.00 0.00 0.11 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 Vac/ Health Net Social SecurityNumber of Worker Withholding Total Hourly Earned Tax FICA Tax SDI Holiday I & Welf. Pension Wage Check 60 Date ELIZABETH OJEDA Hours Pa Rate y Paid For Number 01/18 01/19 01/20 01/21 01/22 01/23 01/24 This All 0.00 36.72 0.00 5.76 0.00 0.00 0.00 67145 SAN GABRIEL CIR E Work 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 15.00 480.00 480.00 Fund Trav! Total 437.52 32586 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 42.48 92234 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 02/08/2021 - Page 1 Public Works Certif 3ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 01/24/2021 Payroll Number:82-1 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 01/18 01/19 01/20 01/21 01/22 01/23 01/24 This Project All Projects 0.00 38.76 0.00 6.08 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 16.00 512.00 512.00 Trainin 9 Fund Admin Dues Subs Subs Savings 9 Other Total 461.85 32567 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 5.31 50.15 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.00 NOTE: $5.31 OTHER = FH125D 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 Vacl Holiday Health & Well. Pension Net Wage Paid For Week Check Number 10 Dale GUSTAVO HERRERA 32250 AURORA VISTA RD Work Classification 01/18 01/19 01120 01/21 01/22 01/23 01124 This Project All Projects 0.00 36.72 0.00 5.76 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 Travl Subs Savings Other Total 437.52 32585 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 42.48 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 & Wolf. Pension Net Wage Paid For Week Check Number 4 Date LETICIA BONILLA 33477 NAVAJO TR #B Work Classification 01/18 01119 01/20 01/21 01/22 01123 01/24 This Project All Projects 0.00 35.50 0.00 5.57 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 5.00 0.00 0.00 29.00 16.00 464.00 464.00 Training Admin Dues Subs Savings Other Total 422.93 32581 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 41.07 D 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 Wlthholding 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 12 Date MARIO VASQUEZ 68285 CORTA RD Work Classification 01/18 01/19 01I20 01121 01/22 01/23 01/24 This Project All Projects 0.00 36.72 0.00 5.76 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 min Dues Subs Savings Other Total 437.52 32588 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 42.48 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 02/08/2021 - Page 2 Public Works Certif ?ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 01/24/2021 Payroll Number: 82-1 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! Hollda y Health & WeIL Pension Net Wage Paid For Week Check Number 20 Date RAMON A. CASTILLO VIGIL 27335 HOPPER RD Work Classification 01118 01/19 01/20 01/21 01/22 01/23 01/24 This Proeect J All ProJ acts 10.83 52.33 12.73 8.21 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92241 domwAsm LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 0.00 7.50 7.50 7.00 0.00 38.00 18.00 684.00 1 684.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 599.90 32582 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.00 0.00 0.00 1 0.00 0.00 0.00 0.00 84.10 D 0.00 0.00 0.00 0.00 1 0.00 0.00 0,00 0.00 36.00 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 Net Wage Paid For Week Check Number SALVADOR VALDEZ CISNEROS 12966 CACTUS DR 0 Date Work Classification 01/18 01/19 01/20 01/21 01/22 01/23 01/24 This Prolect 1 All Projects 1 36.54 45.90 7.47 7.20 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 ` TREE MAINTENANCE LABORER S 0.00 0.00 0.00 0.00 8.00 0.00 0.00 8.00 15.00 120.00 600.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 472.89 32565 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 30.00 127.11 D 0.00 0.00 0.00 1 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: $30.00 OTHER = CAL SAVERS 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 & Wolf. Pension Net Wage Paid For Week Check Number 16 Date VICTOR M. PEREZ 65467 SALIDA DEL SOL PL Work Classification 01/18 01119 01/20 01/21 01/22 01/23 01/24 This Project All Projects 0.00 36.60 0.00 5.74 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 LANDSCAPE MAINTENANCE LABORER S 0.00 0.00 0.00 0.00 8.00 0.00 0.00 8.00 15.00 142.50 476.50 Fund Admin Dues Trav/ Subs Savings Other Total 436.16 32564/6 302 0 0.00 0.00 0.00 0.00 1.00 0.00 0.00 1.00 22.50 L'aining 0.00 0.00 0.00 J 0.00 0.00 42.34 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 02/08/2021 - Page 3 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. 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: 2021-01-24 Payroll Number: 82 Amendment Number: 0 10 employee payroll record(s) processed Your Transaction ID is: 10314124 Print this Page ti View your submission ode Submit another set of payroll records Public Works Certi Payroll 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 2021-01-24 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 2021-02-02." 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: 82- 0 For Week Ending: 01/24/2021 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 Hourly Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday y Health & Welf. Pension Net Wage Check Social SecurityNumber of Worker Withholding APOLINAR GONZALEZ MARTINEZ 3 Date Work Classification 01/18 01/19 01/20 01/21 01/22 01/23 01/24 This Project J All Projects 1 15.60 36.72 0.00 5.76 0.00 0.00 0.00 33255 DATE PALM DR #19 Hours Pay Rate Paid For Week Number 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 Deduct 421.92 32584 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 58.08 D 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 1 0.00 30.00 anionampm 1 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 State Tax SDI Vacl Holiday& Health Welf. Pension Net Wage Check Social SecurityNumber of Worker Withholding 3 Date ARMANDO RICO CHAVEZ Work Classification 01118 01/19 01/20 01/21 01/22 01/23 01/24 This Project J Ali Projects 1 34.09 48.96 5.55 7.68 0.00 0.00 0.00 2103 JACQUES DR Hours Pay Rate Paid For Week Number Hours Worked Each Day PALM SPRINGS CA 92262 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 0.00 8.00 8.00 0.00 0.00 32.00 20.00 640.00 640.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 543.72 32583 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 96.28 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 Vacl Holiday Health & Waif, Pension Net Wage Paid For Week Check Number 0 Date ELIZABETH OJEDA 67145 SAN GABRIEL CIR E Work Classification 01/18 01/19 01/20 01/21 01/22 01/23 01/24 This I Project J All Projects 1 0.00 36.72 0.00 5.76 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA LANDSCAPE MAINTENANCE i S I 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 Deduct 437.52 32586 O 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 42.48 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 minsommom NOTE: Public works certified Payroll Reporting Form 02/02/2021 - Page 1 Public Works Certi Payroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 01/24/2021 Payroll Number: 82-0 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 Wage Paid For Week Check Number GENARO VARGAS 69130 VICTORIA DR 5 Date Work Classification 01/18 01/19 01/20 01/21 01122 01123 01/24 This Project All Projects 0.00 38.76 0.00 6.08 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 16.00 512.00 512.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 461.85 32587 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 5.31 50.15 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.00 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 GUSTAVO HERRERA 32250 AURORA VISTA RD 0 Date Work Classification 01/18 01/19 01/20 01121 01/22 01/23 01/24 This Project 1 All Projects 1 0.00 36.72 0.00 5.76 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 437.52 32585 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 42.48 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 Vacl Holiday 'Health & Welf. Pension Net Wage Paid For Week Check Number LETICIA BONILLA 33477 NAVAJO TR #B 4 Date Work Classification 01/18 01/19 01/20 01/21 01/22 01/23 01/24 This Project J All Projects 1 0.00 35.50 0.00 5.57 0.00 47.39 _ 0.00 Hours Worked Each Day CATHEDRAL CITY Cq 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 0.00 8.00 5.00 0.00 0.00 29.00 16.00 464,00 464.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 422.93 32581 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.00 0.00 0.00 70.00 0.00 0.00 0.00 41.07 D 0.00 0.00 0.00 1 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 y Health & Welf. Pension Net Wage Paid For Week Check Number MARIO VASOUEZ 68285 CORTA RD 0 Date Work Classification 01/18 01/19 01/20 01/21 01/22 01123 01/24 This Project All Projects 0.00 36.72 0.00 5.76 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 Train in g Fund Admin Dues Trav/ Subs Savings g Other Total 437.52 32588 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 42.48 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 02/02/2021 - Page 2 Public Works Certi Payroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE 8, LIGHTING DISTRICT 89-1 For Week Ending: 01/24/2021 Payroll Number:82-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Earned Federal Tax FICA State Tax I SDI Vac/ Holiday Health & Welf. Pension Net 0 Date RAMON A. CASTILLO VIGIL Total Hourly Wage Check Work 01/18 01119 01/20 01/21 01/22 01/23 01/24 This All 10.83 52.33 12.73 8.21 0.00 0.00 0.00 Hours Pay Rate Paid For Number 27335 HOPPER RD DESERT HOT SPRINGS Classification Project Projects Week Hours Worked Each Day LANDSCAPE S 8.00 8.00 0.00 7.50 7.50 7.00 0.00 38.00 18.00 684.00 684.00 Fund Trav/ 599.90 32582 CA MAINTENANCE Training Dues Savings Other Total p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.00 LABORER gdmin Subs 92241 0.00 0.00 0.00 0.00 0.00 0.00 84.10 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 maw NOTE: 4 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net 0 Date SALVADOR VALDEZ CISNEROS Total Hourly Wage Check Work 01/18 01/19 01/20 01/21 01/22 01/23 01124 This All 36.54 45.90 7.47 7.20 0.00 0.00 0.00 Hours Pay Rate Paid For Number 12966 CACTUS DR DESERT HOT SPRINGS Classification Project Projects Week Hours Worked Each Day TREE S 0.00 0.00 0.00 I 0.00 8.00 0.00 0.00 8.00 15.00 120.00 600.00 Fund Trav/ 472.89 32565 CA MAINTENANCE Training Admin Dues Subs Savings Other Total O 0.00 0.00 0.00 0.00 0.00 O.oO 0.00 0.00 22.50 LABORER 0.00 0.00 0.00 0.00 0.00 30.00 127.11 92240 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: $30.00 OTHER = CAL SAVERS Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Social Security Number of Worker Withholding 0 Date VICTOR M. PEREZ Total Hourly Wage Check Work 01/18 01/19 01/20 01/21 01/22 01/23 01/24 This All 0.00 34.88 0.00 5.47 0.00 0.00 0.00 Hours Pay Rate Paid For Number 65467 SALIDA DEL SOL PL DESERT HOT SPRINGS Classification Pro ect I Pro ec j is Week Hours Worked Each Day LANDSCAPE S 0.00 0.00 0.00 0.00 8.00 0.00 0.00 8.00 15.00 120.00 456.00 Fund Trav/ 415.65 32564 CA MAINTENANCE Training gdmin Dues Subs Savings Other Total 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 40.35 92240 D 0.00 0.00 0.00 0.00 1 0.00 0.00 0.00 0.00 30.00 "Wimmomm" NOTE: Public Works certified Payroll Reporting Form 02/02/2021 - 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: 10216199 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: 2021-01-17 Payroll Number: 81 Amendment Number: 1 1 employee payroll record(s) processed Your Transaction ID is: 10861799 Print This Page Jew your submission - ..Adobe 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 2021-01-17 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 #: 81 - 1 Ctr Payroll #: 81-1 Week Ending: 01/17/2021 Statement of Non -Performance? Final payroll for this project? Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 01/11 01112 01/13 01/14 01/15 01/16 01/17 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 M40;U0P; 16.00 0.00 0.00 0.00 0.00 0.00 0.00 g;Lf�06 NOTE: ORIGINAL PAYROLL NUMBER 81-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER ADDED OR DEDUCTED FROM THE EMPLOYEE'S CHECK, Travel & Subsistence 0.00 Total Deductions 64.10 SHOULD = 0.00 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 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: 2021-01-17 Payroll Number: 81 Amendment Number: 0 10 employee payroll record(s) processed Your Transaction ID is: 10216199 Print this Page View your submission rf �d.e -_ Submit another set of payroll records Public Works Certi' '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 2021-01-17 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 2021-01-20." 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: 81- 0 For Week Ending: 01/17/2021 ❑ 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 Vacl Holiday Heafih & Welf. Pension Net Wage Paid For Week Check Number 3 Date APOLINAR GONZALEZ MARTINEZ 33255 DATE PALM DR #19 Work Classification 01/11 01/12 01/13 01/14 01/15 01/16 01l17 This Pro'ect 1 All Projects 1 15.60 36.72 0.00 5.76 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA LANDSCAPE MAINTENANCE S 8.00 0.00 8.00 8.00 8.00 0.00 0.00 32.00 15.00 480.00 480.00 Fund Admin Dues Trav/ Subs Savin s gDeduct Other Total 421.92 32555 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 92234 LABORER Lano'n 0.00 0.00 0.00 0.00 0.00 58.08 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 Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI 1 Vac! Holiday Heai[h & Waif. Pension Net Wage Paid For Week Check Number Social SecurityNumber of Worker Withholding 3 Date ARMANDO RICO CHAVEZ 2103 JACQUES DR Work Classification 01111 01112 01/13 01/14 01/15 01/16 01/17 This Project / All Projects / 58.69 64.64 17.07 10.14 0.00 0.00 0.00 Hours Worked Each Day PALM SPRINGS CA LANDSCAPE MAIN S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 I 20.00 845.00 845.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 694.46 32554 O 0.00 0.00 0.00 0.00 0.00 1.50 0.00 1.50 30.00 92262 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 150.54 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 & WeIF. Pension Net Wage Paid For Week Check Number 0 Date ELIZABETH OJEDA 67145 SAN GABRIEL CIR E Work Classification 01/11 01112 01/13 01114 01/15 01/16 01l17 This P roject All Projects 0.00 45.90 1.17 7.20 0.00 0.00 0.00 Hours Worked Each Day H 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 Deduct 545.73 32557 p 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 54.27 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 m NOTE: Public works certified Payroll Reporting Form 01/20/2021 - Page 1 Public Works Certi 'Payroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 01/17/2021 Payroll Number: 81-0 Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun 1 Total Hours Hourly Y Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number GENARO VARGAS 69130 VICTORIA DR 5 Date Work Classification 01111 01/12 01/13 01/14 01/15 01/16 01/17 This Project All Projects 0.00 48.55 0.00 7.62 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 16.00 640.00 640.00 La,gDues Fdn Trav/ Subs Savings Other Total 578.52 32558 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 5.31 61.48 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 32.00 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 GUSTAVO HERRERA 32250 AURORA VISTA RD 0 Dale Work Classification 01111 01/12 01/13 01/14 01/15 01/16 01/17 This Project 1 1 All Projects 0.00 45.90 0.00 7.20 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 gdmin Dues Trav/ Subs Savings Other Total 546.90 32556 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 1 53.10 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 I Vac/ Holiday& Health Wel f` Pension Net Wage Paid For Week Check Number LETICIA BONILLA 33477 NAVAJO TR #B 4 Date Work Classification 01/11 01/12 01/13 01/14 01/15 01/16 01/17 This Project 1 All Projects 1 7.46 48.96 0.00 7.68 0.00 47.39 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 g � 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 575.90 32552 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 64.10 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 Vacf Holiday& Health Welf. Pension � Net Wage Check Paid For Number Week MARIO VASQUEZ 68285 CORTA RD 0 Date Work Classification 01/11 01/12 01/13 01114 01/15 01/16 01/17 This Project 1 All Projects 1 0.00 45.90 0.00 7.20 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 gdmin Dues Travl Subs Savings Other Total 546.90 32559 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 53.10 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 01/20/2021 - Page 2 Public Works Cert Payroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 01/17/2021 Payroll Number: 81-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding 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 RAMON A. CASTILLO VIGIL 0 Date Work 01/11 01/12 01/13 01/14 01/15 01/16 01/17 This All 15.15 55.08 14.32 8.64 0.00 0.00 0.00 Hours Pay Rate Paid For Number 27335 HOPPER RD DESERT HOT SPRINGS Classification Pro ect j Pro a j cts 1 1 Week Hours Worked Each Day LANDSCAPE S 8.00 8.008.00 8.00 8.00 0.00 0,00 40.00 18.00 720.00 720.00 Fund Trav/ 626.81 32553 CA MAINTENANCE Training Admin Dues Subs Savings Other Total LABORER O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.00 92241 0.00 0.00 0.00 0.00 0.00 0.00 93.19 EJ p 0,00 0.00 0.00 0.00 0.00 0.00 0.00 36,00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Earned Federal Tax FICA State Tax SDI Vacl FiVai 'y Health 8 Welf. Pension Net 0 Dale SALVADOR VALDEZ CISNEROS Total Hourly Wage Check Work 01111 01112 01/13 01114 01/15 01/16 01/17 This All 36.54 45.90 7.47 7.20 0.00 0.00 0.00 Hours Pay Rate Paid For Number 12966 CACTUS DR DESERT HOT SPRINGS Classification Pro ect 1 Pro Project Week Hours Worked Each Day TREE S 6.00 8.00 8.00 8.00 0.00 0.00 0.00 30.00 15.00 450.00 600,00 Fund Trav/ 472.89 32536 CA MAINTENANCE Training Admin Dues Subs Savings Other Total p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 LABORER 92240 0.00 0.00 0.00 0.00 0.00 30.00 127.11 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: $30.00 OTHER = CAL SAVERS Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding 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 VICTOR M. PEREZ 0 Date Work 01111 01/12 01/13 01/14 01/15 01/16 01117 This All 0.00 45.14 0.00 7.08 0.00 0.00 0.00 Hours Pay Rate Paid For Number 65467 SALIDA DEL SOL PL DESERT HOT SPRINGS Classification Project j t Projects Week Hours Worked Each Day LANDSCAPE S 6.00 8.00 8.00 8.00 0.00 0.00 0.00 30.00 15.00 450.00 590.00 Fund Trav/ 537.78 32535 CA MAINTENANCE Training Admin Dues Subs Savings Other Total O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 LABORER 92240 0.00 0.00 0.00 0.00 0.00 0.00 52.22 p 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 01/20/2021 - Page 3 eCPR Online Confirmation Your payroll submission request has been processed. t Tease 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: 10159217 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: 2021-01-10 Payroll Number: 80 Amendment Number: 1 1 employee payroll record(s) processed Your Transaction ID is: 10861792 Print this Page Jew your submission Submit another set of payroll records Public Works Certifii' ayroll Reporting Form Certification uno— 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 2021-01-10 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 Il, 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 #: 80 - 1 Ctr Payroll #: 80-1 Week Ending: 01/10/2021 [—]Statement of Non -Performance? ❑ Final payroll for this project? Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 01/04 01/05 01/06 01/07 01/08 01/09 01/10 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 O4;0[M! 16.00 0.00 0.00 0.00 0.00 0.00 0.00 =? 1 11 NOTE: ORIGINAL PAYROLL NUMBER 80-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER ADDED OR DEDUCTED FROM THE EMPLOYEE'S CHECK, Travel & Subsistence 0.00 Total Deductions 64.10 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: 2021-01-10 Payroll Number: 80 Amendment Number: 0 9 employee payroll record(s) processed Your Transaction ID is: 10159217 Print this Page View your submission J �ubmit another set of payroll records M 7 d U7 >� U N 0_ c� U L n U 03 a C O N f0 w C 01 U O o� U0 N C Un O U � U all C m o N U oa C R cn 7 — a 1- 0 — C6 N E�� o (0 �0N N C)U I N Z C O — O O r w w aEE O (0 U w O — �a L9E d N C 00 N a N N c 0� > (0 C a O C m c U Y (0 N O O N N � O" > 7 _C O L 86 U L O7 o N T EO (� C n> Na m 7-N Co at c aa) C U O O 0 Y in OlU 0 CL n Vl U C L W O N J U Co LL 0 >M, Z O T U E-0 N L N w � c N N E o E cc a a) N �O n— a U l6 C > � U � 2 cOi 0 F m o 0 L v } m C0? 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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: 10125230 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: 2021-01-03 Payroll Number: 79 Amendment Number: 1 1 employee payroll record(s) processed Your Transaction ID is: 10861782 Print this Page • R. iew your submission A$O R Submit another set of payroll records C w � O_ O N Cm C o x nL a _ V N L E L rn C c O o c U,1 m o O - T W w ~ � O/ O ❑ 00 T y o N Q C t o ` N N LL C O CL U 0 ❑ c o O 0 Ci � U -Q U N C com (O O ° n coL V U N p COl y cn N N N fQ E °—_ a E U ❑ ° T m o0 3 O Ur N Oo d O f6 y N U C x .... 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Please 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: 2021-01-03 Payroll Number: 79 Amendment Number: 0 8 employee payroll record(s) processed Your Transaction ID is: 10125230 Print this Page i 4- View your submission Submit another set of payroll records E U7 t. 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