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2021-04-04 thru 2021-06-27 Cert PayrolleCPR 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: 2021-06-27 Payroll Number: 104 Amendment Number: 0 11 employee payroll record(s) processed Your Transaction ID is: 11484744 Print this Page 9 x"% 'i % 4-t-, We View your submission submit another set of payroll records Public Works Certifi ayroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2021-06-27 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-07-01." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: PO BOX 848, THOUSAND PALMS, CA 92276 FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM Insurance Number: NA 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 Descriptions LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 104- 0 For Week Ending: 06/27/2021 D 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/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number ALATORRE, GRISELDA 11550 WESTERN AVE 0 Date Work Classification 06121 06122 06/23 06/24 06/25 06/26 06/27 This Pro'ect 1 All Pro'ecls 1 0.00 48.96 0.00 7.68 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 LANDSCAPE MAINTENANCE LABORER- RIVERSIDE 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 Deduct 583.36 10123 00.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 56.64 p 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 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 Hdflday Health & Welf. Pension Net Wage Paid For Week Check Number ALFARO, DANIELA 84047 FIESTA RD 0 Date Work Classification 06/21 06/22 06/23 06/24 06/25 06/26 06127 This Project All Projects 0.00 19.58 0.00 3.07 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA 92236 LANDSCAPE MAINTENANCE LABORER- RIVERSIDE S 8.00 8,00 0.00 0.00 0.00 0,00 0.00 16.00 16.00 256.00 256.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 233.35 6399 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 L.00 0.00 1 0.00 0.00 0.00 22.65 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 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 0 Date ALFARO, SOCORRO N 11550 WESTERN AVE Work Classification 06/21 06/22 06123 06/24 06/25 06/26 06/27 This Project All All 0.00 48.96 0.00 7.68 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 � LANDSCAPE MAINTENANCE LABORER- RIVERSIDE S 8.00 B.00 8.00 8.Oo 8.00 0.00 0.00 40.00 16.00 640.00 640.00 Training Fund Admin Dues Trav! Subs Savings Other Total Deduct 583.36 10124 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 56.64 p o.00 o.00 0.00 1 0.00 0.00 1 0.00 1 o.00 1 0.00 0.00 NOTE: Public works certified Payroll Reporting Form 07/01/2021 - Page 1 Public Works Certifi ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 06/27/2021 Payroll Number:104-0 Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Federal State Vac/ Heallli Tax FICA Tax SDI Holiday & Wo1f. Pension Net Wage Check Paid For Number Week Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned ALFARO, ZEYIN 11550 WESTERN AVE 0 Date Work Classification 06/21 06/22 06123 06/24 06/25 06/26 06/27 This Project 1 All Projects 1 0.00 52.62 8.59 8.26 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 LANDSCAPE MAINTENANCE LABORER- RIVERSIDE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 688.00 688.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 618.53 10125 0.00 0.00 0.00 0.00 0.00 2.00 0.00 2.00 24.00 0.00 0.00 0.00 0.00 0.00 0.00 69.47 ro o.00 o.00 o.00 0.00 0.00 0.00 0.00 0.00 0.00 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 Zola Holida y Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date CASTILLO VIGIL, RAMON A 27335 HOPPER RD DESERT HOT SPRINGS CA 92241 Work Classification 06/21 06/22 06123 06/24 06/25 06/26 06/27 This Project 1 All Projects 1 44.38 55.08 11.69 8.64 0.00 0.00 0.00 Hours Worked Each Day LANDSCAPE MAINTENANCE LABORER- RIVERSIDE 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 600.21 10126 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 119.79 p 0.00 0.00 1 0.00 0.00 0.00 0.00 0.00 o.00 1.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ y Holida Health & Welf. Pension Net Wage Paid For Week Check Number 1 Date DIMAS, PEDRO REYES 31-900 AVENIDA EL MUNDO Work Classification 06/21 06/22 06/23 06/24 06/25 06/26 06/27 This Project 1 All Projects J 40.67 55.09 7.49 8.64 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER- RIVERSIDE S 8.00 0.00 0.00 0.00 0.00 0.00 0.00 8.00 18.00 144.00 720.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 608.11 10102 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 111.89 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 o.ao NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holida y Health & Waif. Pension Net Wage Paid For Week Check Number 0 Date GARCIA, ARMANDO 76025 PIERCE ST THERMAL CA 92274 Work Classification 06/21 06/22 06/23 06/24 06/25 06/26 06/27 This Project All Projects 26.33 46.52 4.14 7.30 0.00 0.00 0.00 Hours Worked Each Day LANDSCAPE MAINTENANCE LABORER- RIVERSIDE S 8.00 8.00 8.00 6.00 8.00 0.00 0.00 38.00 16.00 608.00 608.00 Training Fund Admin Dues Trav/ Subs Savings O[her Total 523.71 10103 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 84.29 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 1 0.00 NOTE: Public works certified Payroll Reporting Form 07/01/2021 - Page 2 Public Works Certifi ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 06/27/2021 Payroll Number:104-0 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 HERRERA, GUSTAVO 32250 AURORA VISTA RD CATHEDRAL CITY 0 Date Work Classification 06/21 06/22 06/23 06/24 06125 06/26 06/27 This Project All Projects 16.63 45.90 0.00 7.20 0.00 0.00 0.00 Hours Worked Each Day CA 92234 LANDSCAPE MAINTENANCE LABORER- RIVERSIDE 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 530.27 10127 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 0.00 1 0.00 69.73 p 0.00 0.00 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number MURILLO MARTINEZ, JUAN 48097 ESTRELLATOMAS 0 Date Work Classification 06/21 06/22 06/23 06/24 06/25 06126 06/27 This Project 1 All Projects 1 45.16 52.65 12.91 8.26 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA 92236 r LANDSCAPE MAINTENANCE LABORER- RIVERSIDE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 688.00 686.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 569.02 10128 0 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00 24.00 0.00 0.00 0.00 0.00 0.00 0.00 118.98 p 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vacl Holiday& Health Welf. Pension Net Wage Paid For Week Check Number ROMAN, MIGUEL B 84047 FIESTA RD 0 Date Work Classification 06121 06/22 06/23 06/24 06/25 06/26 06/27 This Project All Projects 7.87 24.48 3.20 3.84 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA 92236 LANDSCAPE MAINTENANCE LABORER- RIVERSIDE S 0.00 0.00 0.00 8.00 8.00 0.00 0.00 16.00 20.00 320.00 320.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 280.61 10129 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39.39 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 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 Vic.' Holiday& Health Welf. Pension Net Wage Paid For Week Check Number 0 Date SARABIA, JOSE A 2950 N INDIAN CANYON DR Work Classification 06/21 06122 06/23 06124 06/25 06/26 06/27 This Project 1 All Projects 1 0.00 48.96 4.85 7.68 0.00 0.00 0.00 Hours Worked Each Day PALM SPRINGS CA 92262 LANDSCAPE MAINTENANCE LABORER- RIVERSIDE 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 10130 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 61.49 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 0.00 NOTE: Public Works certified Payroll Reporting Form 07/01/2021 - Page 3 eCPR Online Confirmation C—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: 2021-06-20 Payroll Number: 103 Amendment Number: 0 11 employee payroll record(s) processed Your Transaction ID is: 11426621 Print this Page View your submission ubmit another set of payroll records Public Works Certifies yroll 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 2021-06-20 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-06-23." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 72350 QUARRY TRAIL, SUITE A, THOUSAND FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM PALMS, CA 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: 103- 0 For Week Ending: 06/20/2021 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 Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Chock Number Social SecurityNumber of Worker Withholding 0 Date ARMANDO GARCIA 76025 PIERCE ST Work Classification 06/14 06/15 06/16 06/17 06118 06/19 06/20 This Project qil Projects 0.00 37.94 0.00 5.95 0.00 0.00 0.00 Hours Worked Each Day THERMAL CA LANDSCAPEkD MAINTENANCE 7.00 8.00 8.00 8.00 0.00 0.00 31.00 16.00 496.00 496.00 Training g Fund Admin Dues Trav/ Subs Savings g Other Total Deduct 452.11 34334 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.00 92274 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 43.89 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 Gross Amount Earned Total Hourly Hours Pay Rate This All Project Projects Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Dale DANIELA.ALFARO 84047 FIESTA RD Work Classification 06/14 06/15 06/16 06/17 06/18 06/19 06/20 0.00 48.96 0.30 7.68 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA LANDSCAPE MAINTENANCE 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 Deduct 583.06 34357 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.00 LABORER 0.00 0.00 0.00 0.00 0.0o 0.00 56.94 92236 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 PaidgFor Week Numeck ber 0 Dale GRISELDAALATORRE 11550 WESTERN AVE Work Classification 06/14 06/15 06M6 06/17 06/18 06/19 06/20 This Project All Projects 0.00 48.96 2.93 7.68 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 640.00 640.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 580.43 34356 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.00 s22ao LABORER 0.00 0.00 0.00 0.00 0.00 0.00 59.57 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.00 NOTE: Public Works certified Payroll Reporting Form 06/23/2021 - Page 1 Public Works Certifier yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 06/20/2021 Payroll Number:103-0 Name, Address and Social Security Number of Worker Number of Withholding Day Deductlons, 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 06/14 06/15 06/16 06/17 06118 06/19 06/20 This Project AEI Projec1 is 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 8.00 8.00 0.00 0.00 0.00 32.00 15.00 I 480.00 480.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 437.52 34361 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 o.00 1 0.0041011000 42.48 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 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 JOSE A. SARABIA 2950 N INDIAN CANYON DR #122 0 Date Work Classification 06/14 06/15 06116 06/17 06/18 06/19 06/20 This Project All Projects 0.00 44.68 8.33 7.01 0.00 0.00 0.00 Hours Worked Each Day PALM SPRINGS CA 92262 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 4.50 8.00 8.00 0.00 0.00 36.50 16.00 584.00 584.00 Trainin 9 Fund Admin Dues Trav/ Subs Savin s 9 Other Total 523.98 34364 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 0.00 60.02 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 0 Date JUAN MURILLO MARTINEZ 48097 ESTRELLATOMAS COACHELLA CA 92236 Work Classification 06/14 06/15 06/16 06/17 06/18 06/19 06/20 This Project 1 All Projects 1 11.31 52.64 12.91 8.26 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 16.00 688.00 688.00 Training 9 Fund Admin Dues Trav/ Subs Savings g Other Total 602.88 34362 p 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00 24.00 0.00 0.00 0.00 0.00 0.00 0.00 85.12 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.00 �NITE- 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 & Wall- Pension Net Wage Paid For Week Check Number 0 Date MIGUEL B. ROMAN 84047 FIESTA RD Work Classification 06/14 06/15 06/16 06/17 06/18 06/19 06/20 This Project 1 All Projects 1 7.87 24.48 3.20 3.84 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA 92236 - LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 0.00 0.00 0.00 0.00 0.00 20.00 320.00 320.00 Training Fund Admin Dues Travl Subs Savings Other Total 280.61 34363 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 L16. 30.00 0.00 0.00 0.00 0.00 0.00 0.00 39.39 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.00 NOTE: Public works certified Payroll Reporting Form 06/23/2021 - Page 2 Public Works Certifie yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 06/20/2021 Payroll Number:1O3-0 Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holida y Health & Welf. Pension Net Wage Paid For Week Check Number 1 Date PEDRO REYES DIMAS 31-900 AVENIDA EL MUNDO Work Classification 06114 06/15 06/16 06/17 06/18 06/19 06/20 This Project All Projects 40.67 55.08 7.49 8.64 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 0.00 0.00 0.00 0.00 0.00 16.00 16.00 288.00 720.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 608.12 34333 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 0.00 111.88 D 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 RAMON A. CASTILLO VIGIL 27335 HOPPER RD Work Classification 06/14 06/15 06/16 06/17 06/18 06/19 06/20 This Project All Projects 0.00 55.08 11.69 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 16.00 720.00 720.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 644.59 34360 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 75.41 D 0.00 0.00 1 0.00 0.00 0.00 0.00 000 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 Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date SOCORRO N. ALFARO 11550 WESTERN AVE Work Classification 06/14 06/15 06/16 06/17 06/18 06/19 06/20 This Project All Projects 0.00 39.16 0.00 6.14 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 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 466.70 34358 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 1 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 Vacl Holiday Health &Wet[. Pension Net Wage Paid For Week Check Number 0 Date ZEYIN ALFARO 11550 WESTERN AVE Work Classification 06/14 06/15 06/16 06/17 06/18 06/19 06/20 This Project All Projects 0.00 52.64 10.28 8.26 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 B.00 8.00 8.00 0.00 0.00 40.00 16.00 688.00 686.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 616.82 34359 0 0.00 0.00 0.00 0.00 0.00 2.00 0.00 2.00 24.00 0.00 0.00 0.00 0.00 0.00 0.00 71.18 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.00 NOTE: Public works certified Payroll Reporting Form 06/23/2021 - 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: 2021-06-13 Payroll Number: 102 Amendment Number: 0 11 employee payroll record(s) processed Your Transaction ID is: 11372672 Print this Page View your submission \ submit another set of payroll records Public Works Certifie ayroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2021-06-13 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-06-16." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 72350 QUARRY TRAIL, SUITE A, THOUSAND FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM PALMS, CA 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: 102- 0 For Week Ending: 06/13/2021 ❑ 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 Hourly Hours Pa Rate y Gross Amount Earned Federal Tax FICA State Tax SDI I Vac/ Holiday Health & Well. Pension Net Wage Paid For Week Check Number 0 Date ARMANDO GARCIA 76025 PIERCE ST Work Classification 06/07 06I08 06/09 06/10 06/11 06/12 06113 This Project All Projects 0.00 48.96 5.55 7.68 0.00 0.00 0.00 Hours Worked Each Day THERMAL CA LANDSCAPE MAINTENANCE S 8.00 8.00 B.00 B.00 B.00 0.00 0.00 40.00 16.00 640.00 640.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 577.81 34291 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 24.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 62.19 92274 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 Stale Tax SDI I Vac/ Holiday Health & Waif. Pension Net Wage Paid For Week Check Number 0 Date CECILIO LIMA 69365 VERA DR Work Classification 06107 06/08 06/09 06110 06/11 06/12 06113 This Project All Projects 0.00 47.74 2.22 7.49 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA LANDSCAPE MAINTENANCE S 8.00 7.00 0.00 8.00 8.00 0.00 0.00 31.00 16.00 496.00 624.00 Trainin g Fund Admin Dues Trav/ Subs Savings g Other Total Deduct 566.55 6387 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.00 92234 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 57.45 D 0.00 0.00 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 Vecl Haltday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date DANIEL A. ALFARO 84047 FIESTARD Work Classification 06/07 06/08 06/09 06/10 06/11 06/12 06/13 This Project All Projects 0.00 48.96 0.30 7.68 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 B.00 8.00 0.00 0.00 40.00 16,00 640.00 640.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 583.06 34310 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.00 92236 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 56.94 D 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 0.00 32.00 NOTE: Public Works certified Payroll Reporting Form 06/16/2021 - Page 1 Public Works Certifie .fyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 06/13/2O21 Payroll Number:102-0 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 I Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date GRISELDAALATORRE 11550 WESTERN AVE DESERT HOT SPRINGS CA 92240 Work Classification 06/07 06/08 06/09 06/10 06/11 06/12 06/13 This Project All Projects 0.00 48.96 2.93 7.68 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 580.43 34309 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 24.00 0.00 0.00 0.00 0.00 0.00 0.00 59.57 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date GUSTAVO HERRERA 32250 AURORA VISTA RD Work Classification 06/07 06/08 06/09 06/10 06/11 06/12 06/13 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 34314 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 I Vac/ Holiday Health & Waif. Pension Net Wage Paid For Week Check Number 0 Dale JUAN MURILLO MARTINEZ 48097 ESTRELLATOMAS Work Classification 06/07 06/08 06/09 06/10 06/11 06/12 06113 This Project All Projects 5.55 48.96 10.80 7.68 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA 92236 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 567.01 34315 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 72.99 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 Vast Hollday Health & Woo. Pension Net Wage Paid For Week Check Number 0 Date MIGUEL B. ROMAN 84047 FIESTA RD Work Classification 06/07 06/08 06/09 06/10 06/11 06/12 06/13 This Project All Projects 63.21 61.20 21.97 9.60 1 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA 92236 quoub 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 644.02 34316 O 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 0.00 155.96 D o.00 E 0.00 0.00 0.00 0.00 0.00 0.00 40.00 NOTE: Public works certified Payroll Reporting Form 06/16/2021 - Page 2 Public Works Certifie iyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 06/13/2021 Payroll Number:102-0 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 Vacla Holidy Health & Welf. Pension Net Wage Paid For Week Check Number 1 Date PEDRO REYES DIMAS 31-900 AVENIDA EL MUNDO CATHEDRAL CITY CA 92234 fo� Work Classification 06/07 06/08 06/09 06/10 06/11 06/12 06/13 This Project 1 All Pro ects 1 40.67 55.08 7.49 8.64 0.00 0.00 0.00 Hours Worked Each Day LANDSCAPE MAINTENANCE LABORER S 8.00 B.00 8.00 8.00 8.00 0.00 0.00 40.00 18.00 720.00 720.00 Trainin g Fund Admin Dues Trav/ Subs Savin s g Other Total 608.12 34290 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 0.00 111.88 D 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 Totai Hours Hourly Pay Rate Gross Amount Earned Federal Talc 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 06/07 06/08 06/09 06110 06/11 06/12 06/13 This Project All Projects 0.00 55.08 11.69 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 Trainin g Fund Admin Dues Trav/ Subs Savings g Other Total 644.59 34313 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 75.41 D 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 SOCORRO N. ALFARO 11550 WESTERN AVE Work Classification 06/07 06/08 06/09 06110 06/11 06/12 06/13 This Project All Projects 0.00 48.96 2.93 7.68 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 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 g Fund Admin Dues Trav/ Subs Savings g Other Total 580.43 34311 0 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 59.57 0 0.00 0.00 0.00 0.00 0.00 E 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 & Welf. Pension Net Wage Paid For Week Check Number 0 Date ZEYIN ALFARO 11550 WESTERN AVE Work Classification 06/07 06/08 06/09 06/10 06/11 06/12 06113 This Project All Projects 0.00 48.96 8.17 7.68 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 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 575.19 34312 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 64.81 0.000.00 0.00 0.00 0.00 0.00 S NOTE: Public works certified Payroll Reporting Form 06/16/2021 - 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. 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: 2021-06-06 Payroll Number: 101 Amendment Number: 0 10 employee payroll record(s) processed Your Transaction ID is: 11332893 Print this Page View your submission r )ubmit another set of payroll records dification under p `V of perjury: 1, KRISTY SOt, , H, the undersigned, am the CONTROLLER (position in business) with the authority to h- for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under ,malty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2021-06-06 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-06-11." ntractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 cress: 72350 QUARRY TRAIL, SUITE A, THOUSAND FEIN: 510532726 PALMS, CA 92276 Contractor Email: KRISTYS@PWLC2.COM urance rvumoer: vvou ouoaoor-uu arding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 ntract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS (roll Number: 101- 0 For Week Ending: 06/06/2021 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 0 Date ARMANDO GARCIA 76025 PIERCE ST Work Classification 05/31 06/01 06/02 06/03 06/04 06/05 06/06 This Pro'ect i All Projects 0.00 37.94 0.00 5.95 0.00 0.00 0.00 Hours Worked Each Day THERMAL CA 92274 LANDSCAPE MAINTENANCE LABORER S 0.00 8.00 8.00 8.00 7.00 0.00 0.00 31.00 16.00 496.00 496.00 Training 9 Fund Admin Dues Trav/ Subs Savings g Other Total Deduct 452.11 34152 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 43.89 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.00 ITE: 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 8 Welf. Pension Net Wage Paid For Week Check Number 0 Date DANIELA.ALFARO 84047 FIESTA RD Work Classification 05/31 06/01 06102 06/03 06/04 06/05 06/06 This Project > All Projects > 0.00 39.16 0.00 6.14 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA 92236 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 g Fund Admin Dues Trav/ Subs Savings g Other Total Deduct 466.70 34173 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 1 0.00 0.00 0.00 0.00 32.00 rTE: 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 I State Tax SDI Vacl Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date GRISELDAALATORRE 11550 WESTERN AVE Work Classification 05/31 06/01 06/02 06/03 06/04 06/05 06/06 This Project All Projects 0.00 29.38 0.00 4.61 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 LANDSCAPE MAINTENANCE LABORER $ 0.00 0.00 8.00 8.00 8.00 0.00 0.00 24.00 16.00 384.00 384.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 350.01 34172 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 33.99 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.00 iTE: Public works Certified Payroll Reporting Form 06/11/2021 - Page 1 ntractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 06/06/2021 Payroll Number: 101-0 Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holida y Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date GUSTAVO HERRERA 32250 AURORA VISTA RD Work Classification 05/31 06/01 06l02 06/03 06/04 06/05 06/06 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 MAINTENANC LABORER S 0.00 0.00 8.00 8.00 8.00 0.00 0.00 24.00 15.00 I 360.00 480.00 I Training Fund Admin Dues Trav/ Subs Savings Other Total 437.52 34176 QE00. 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 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 ITE: 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 Hollday Health &Well. Pension Net Wage Paid For Week Check Number 0 Date JUAN M. OCEGUEDA 82321 ADOBE RD Work Classification 05/31 06/01 06/02 06103 06/04 06105 06/06 Thls Project All Projects 24.81 36.72 6.72 5.76 0.00 0.00 0.00 Hours Worked Each Day INDIO CA 92201 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 g Fund Admin Dues Trav/ Subs Savings g Other Total 405.99 34178 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 74.01 p 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 ITE: 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 Vaal Holiday Health & Welt. Pension Net Wage Paid For Week Check Number 0 Date JUAN MURILLO MARTINEZ 48097 ESTRELLA TOMAS Work Classification 05/31 06/01 06/02 06/03 06/04 06105 06/06 This Project All Projects 0.00 39.16 5.16 6.14 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA 92236 LANDSCAPE MAINTENANCE LABORER 5 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 461.54 34177 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 50.46 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.00 ITE: 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 8 Welf. Pension Net Wage Paid For Week Check Number 0 Date MIGUEL B. ROMAN 84047 FIESTA RD Work Classification 05131 06/01 06/02 06/03 06/04 06/05 06/06 This Project All Projects 44.01 48.96 13.42 7.68 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA 92236 LANDSCAPE MAINTENANCE LABORER $ 0.00 8.00 8.00 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 525.93 34179 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 0.00 0.00 0.00 0.00 0,00 0.00 114.07 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.10 ITE: Public works certified Payroll Reporting Form 06/11/2021 - Page 2 ntractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 06/06/2021 Payroll Number: 101-0 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/ Holida y Health & Welf. Pension Net Wage Paid For Week Check Number PEDRO REYES DIMAS 31-900AVENIDAELMUNDO 1 Date Work Classification 05/31 06/01 06/02 06/03 06/04 06/05 06/06 ThisF Project 1 25.87 44.06 4.32 6.91 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 0.00 8.00 0.00 0.00 0.00 0.00 0.00 8.00 18.00 144.00 576.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 494.84 34151 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 81.16 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 ITE: 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 Wulf. Pension Net Wage Paid For Week Check Number 0 Date RAMON A. CASTILLO VIGIL 27335 HOPPER RD Work Classification 05/31 06/01 06102 06/03 06/04 06105 06/06 This Project All Projects 0.00 44.06 5.36 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 8.00 0.00 0.00 32.00 18.00 576.00 576.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 519.67 34175 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.00 0.00 0.00 0.00 0.00 0,00 0.00 56,33 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 ITE: Name, Address and Social Securit • 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 I State Tax SDI Vac/ Holida y Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date SOCORRO N. ALFARO 11550 WESTERN AVE Work Classification 05/31 06/01 06/02 06/03 06104 06/05 06106 This Project > All Projects > 0.00 29.38 0.00 4.61 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 - LANDSCAPE MAINTENANCE LABORER S 0.00 0.00 8.00 8.00 8.00 0.00 0.00 24.00 16.00 384.00 384.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 350.01 34174 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 33.99 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.00 ITE: Public Works Certified Payroll Reporting Form 06/11/2021 - 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: 2021-05-30 Payroll Number: 100 Amendment Number: 0 10 employee payroll record(s) processed Your Transaction ID is: 11260583 Print this Page i 71�- -- View your submission Adobe ,ubmit another set of payroll records Public Works Certifit 'ayroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2021-05-30 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 2021-06-02." Contractor Name: PWLC ll, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 72350 QUARRY TRAIL, SUITE A, THOUSAND FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM PALMS, CA 92276 Insurance Number: WSD 5059867-00 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: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 100- 0 For Week Ending: 05/30/2021 ❑ 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 Grass Amount Earned Federal Tax FICA State Tax SDI I Vac/ Holiday Health 8 Welf. Pension Net Wage Paid For Week Check Number 0 Date CECILIO LIMA 69365 VERA DR Work Classification 05/24 05/25 05/26 05/27 05/28 05/29 05130 This roPt Project All Projects roi 0.00 48.96 2.93 7.68 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 Deduct 580.43 34122 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 59.57 D 0.00 0.00 0.00 0.00 0.00 0.00 1 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 Ralc Grass Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health 8 Waif. Pension Net Wage Paid For Week Check Number 0 Date ELIZABETH OJEDA 67145 SAN GABRIEL CIR E Work Classification 05/24 05/25 05/26 05/27 05/28 05/29 05130 This Project All Projects 0.00 9.18 0.00 1.44 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 0.00 8.00 0.00 0.00 0.00 0.00 0.00 8.00 15.00 120.00 120.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 109.38 6377 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 10.62 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 8 Waif, Pension Net Wage Paid For Week Check Number 0 Date GUSTAVO HERRERA 32250 AURORA VISTA RD Work Classification OS/24 OS/25 OS/26 OS/27 OS/28 OS/29 OS/30 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 0.00 32.00 15.00 480.00 480.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 437.52 34143 QFOO 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 30.00 NOTE: Public works certified Payroll Reporting Form 06/02/2021 - Page 1 Public Works Certifi; ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 05/30/2021 Payroll Number:100-0 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 Grass Amount Earned Federal Tax FICA State Tax SDI Holiday Health 8 Welf, Pension Net Wage Paid For Week Check Number 0 Date JUAN M. OCEGUEDA 82321 ADOBE RD Work Classification 05/24 05/25 05/26 05/27 05/28 05/29 05/30 This Project All Projects 39.21 45.90 11.66 7.20 j 0.00 0.00 0.00 Hours Worked Each Day INDIO CA 92201 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 Adm n Dues Trav/ Subs Savings Other Total 496.03 34145 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 0.00 103.97 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 8 Welf. Pension Net Paid For Week CheckWage Number 0 Dale JUAN MURILLO MARTINEZ 48097 ESTRELLATOMAS Work Classification 05/24 05/25 05126 05/27 05128 05/29 05/30 This Project All Projects 5.55 48.96 10.80 7.68 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA 92236 VOW LANDSCAPE MAINTENANCE LABORER $ 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 640.00 640.00 Training Admin Dues Travi Subs Savings Other Total 567.01 34144 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 72.99 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 & Welf. Pension Net Wage Paid For Week Check Number 0 Date MARIO VASOUEZ 68285 CORTA RD Work Classification 05/24 05125 05/26 05/27 05/28 05/29 05/30 This Project All Projects 0.00 18.36 0.00 2.68 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 0.00 0.00 0.00 0.00 0.00 16.00 15.00 240.00 240.00 Training Admin Dues Subs Savings Other Total 218.76 6378 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 21.24 D 0.00 0.00 0.00 0.00 0,00 0.00 1 0.00 0.00 30.00 NOTE: Name, Address and Social 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 & WeIL Pension Net Wage Paid For Week Check Number 1 Date PEDRO REYES DIMAS 31-900 AVENIDA EL MUNDO Work Classification 05/24 05I25 05/26 05/27 05/28 05/29 05I30 This Project All Projects 40.67 55.08 7.49 8.64 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER $ 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 18.00 720.00 720.00 Training Fund Admin Dues Trav/ Subs Savings Other To[al 608.12 34120 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.00 0.00 0.00 0LM7 0.00 111.88 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: Public Works Certified Payro-lI Reporting Form Ub/UL/LULL - Page Public Works Certifit ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 05/30/2021 Payroll Number: 100-0 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 Check Paid For Number Week 0 Date RAMON A. CASTILLO VIGIL 27335 HOPPER RD Work Classification 05/24 05/25 05/26 05/27 05/28 05/29 05/30 This Project All Projects 0.00 55.08 11.69 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 644.59 34142 O 1 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 1 0.00 75.41 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 PHourly ay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac! Holiday Health & Wulf.Wage Pension Net Paid For Week eck Nuhmber EVERARDO MUNOZ 74501 42ND AVE #J88 0 Date Work Classification 05124 05/25 05126 05/27 05128 05/29 05130 This Project All Projects 0.00 11.02 0.00 1.73 0.00 0.00 0.00 Hours Worked Each Day PALM DESERT CA 92260 � LANDSCAPE MAINTENANCE LABORER S 8.00 0.00 0.00 0.00 0.00 0.00 0.00 8.00 0.00 144.00 144.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 131.25 6381 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 0.00 0.00 0.00 0.00 0.00 12.75 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: BASE HOURLY RATE = $18.00 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 & We1f. Pension Net Wage Paid For Week Check Number 0 Date ARMANDO GARCIA 76025 PIERCE ST Work Classification 05/24 05/25 05/26 05/27 05/28 05/29 05/30 This Project All Projects 0.00 44.68 3.09 7.01 0.00 0.00 0.00 Hours Worked Each Day THERMAL CA 92274 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 4.50 0.00 0.00 36.50 0.00 584.00 584.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 529.22 34121 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 0.00 0.00 54.78 p 0.00 0.00 0.00 o.00 0.00 o.00 o.00 0.00 0.00 NOTE: BASE HOURLY RATE = $16.00 Public works Certified Payroll Reporting Form 06/02/2021 - 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: 2021-05-23 Payroll Number: 99 Amendment Number: 0 8 employee payroll record(s) processed Your Transaction ID is: 11219571 Prior' this Page AdobeView your submission Public Works Certifil ayroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2021-05-23 are the originals or true, full, and correct copies of the originals which deplet 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 2021-05-27." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 72350 QUARRY TRAIL, SUITE A, THOUSAND FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM PALMS, CA 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: 99- 0 For Week Ending: 05/23/2021 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 Hekday Health & Welt. Pension Net Wage Paid For Week Check Number 3 Dale ARMANDO RICO CHAVEZ 2103 JACQUES DR Work Classification 05/17 05/18 05/19 05120 05/21 05/22 05/23 This Project 1 All Projects 1 160.85 109.15 68.30 17.12 1.266.80 0.00 0.00 Hours Worked Each Day PALM SPRINGS CA 92262 LANDSCAPE MAINTENANCE LABORER S 8.00 0.00 0.00 0.00 0.00 0.00 0.00 8.00 20.00 160.00 1,426.80 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 1,071.38 6376 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 1 0.00 355.42 D 0.00 0.00 0.0o 0.00 1 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 Welf. Pension Net Wage Paid For Week Check Number 0 Date ELIZABETH OJEDA 67145 SAN GABRIEL ClR E CATHEDRAL CITY CA 92234 Work Classification 05/17 05/18 05/19 05120 05/21 05/22 05/23 This Project All Projects 0.00 36.72 0.00 5.76 0.00 0.00 0.00 Hours Worked Each Day LANDSCAPE MAINTENANCE LABORER S 8.00 8,00 B.00 0.00 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 34014 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 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 State Tax SDI Vac/ Holiday& Health Welf. Pension Net Wage Paid For Week Check Number 0 Date GUSTAVO HERRERA 32250 AURORA VISTA RD Wok Classification 05/17 05/18 05/19 05/20 05/21 05/22 05/23 This Project 1 All Projects 1 0.00 45.91 0.00 7.20 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 doolow LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Training Fund Admin Dues Travl Subs Savings Other Total Deduct 546.89 34011 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 53.11 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 05/27/2021 - Page 1 Public Works Certifii ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 05/23/2021 Payroll Number: 99-0 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! Hollda y Health & Welf. Pension Net Wage Paid For Week Check Number JUAN M. OCEGUEDA 82321 ADOBE RD 0 Date Work Classification 05/17 05/18 05/19 05/20 05/21 05/22 05123 This Project 1 All Projects 1 24.81 36.72 6.72 5.76 0.00 0.00 0.00 Hours Worked Each Day INDIO CA LANDSCAPE MAINTENANCE S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 15.00 480.00 480.00LFund Admin Dues Trav/ Subs Savings Other TotalLABORER 405.99 34013 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.5092201 0.00 0.00 0.00 0.00 0.00 74.01 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/ Holida y I Health & Welf. Pension Net Wage Paid For Week Check Number JUAN MURILLO MARTINEZ 48097 ESTRELLA TOMAS 0 Date Work Classification 05/17 05/18 05/19 05/20 05/21 05/22 05/23 This Project1j All Projects 28.59 63.64 21.46 9.98 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA 92236 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 640.00 632.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 708.33 34012 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 0.00 123.67 D 0.00 0.00 0.00 0.00 1 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 hate 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 05/17 05/18 05119 05/20 05/21 05/22 05123 This Project All Projects 13.72 53.75 0.00 8.43 650.10 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER $ 3.50 0.00 0.00 0.00 0.00 0.00 0.00 3.50 15.00 52.50 702.60 Training Fund Admin Dues Trav/ Subs Savings Other Total 626.70 6374 0 0.00Ei�i 0.00 0.00 0.00 0.00 0.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 75.90 D 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: I Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac( Holiday Health & Walf. Pension Net Wage Paid For Week Check Number 0 Date MARIO VASOUEZ 68285 CORTA RD Work Classification 05/17 05/18 05119 05/20 05/21 05/22 05/23 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 34015 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 05/27/2021 - Page 2 Public Works Certifik' ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 05/23/2021 Payroll Number:99-0 Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holida y Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date RAMON A. CASTILLO VIGIL 27335 HOPPER RD DESERT HOT SPRINGS CA 92241 Work Classification 05/17 05/18 05/19 05/20 05/21 05/22 05/23 This Pro'ect 1 All Pro'ects 1 0.00 55.08 11.69 8.64 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 18.00 720.00 720.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 644.59 34010 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 :7�1 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 05/27/2021 - 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: 2021-05-16 Payroll Number: 98 Amendment Number: 0 8 employee payroll record(s) processed Your Transaction ID is: 11147439 Print this Page View your submission submit another set of payroll records Public Works Certifi !ayroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2021-05-16 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 2021-05-18." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 72350 QUARRY TRAIL, SUITE A, THOUSAND FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM PALMS, CA 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: 98- 0 For Week Ending: 05/16/2021 ❑ 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 Fedoral Tax FICA I State Tax SDI I Vacl Holiday Health & Well. Pension Net Wage Paid For Week Check Number 3 Date ARMANDO RICO CHAVEZ 2103 JACQUES DR yyo� Classification OS/10 05/11 05112 OSl13 05/14 05/15 OS116 This Pro'ect > All Projects > 44.89 55.85 9.51 8.76 0.00 0.00 0.00 Hours Worked Each Day PALM SPRINGS CA 92262 � LANDSCAPE MAINTENANCE LABORER S 8.00 4.50 8.00 8.00 8.00 0.00 0.00 36.50 20.00 730.00 730.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 610.99 33979 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 0.00 119.01 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 I SDI Vac! Holiday Hcalth & Welf. Pension Net Wage Paid For Week Check Number 0 Date ELIAS M. DORADO 33848 VIA ECHO Work Classification 05/10 05/11 05/12 05/13 05114 05/15 05/16 This Project All Projects 44.01 61.19 10.80 9.60 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 640.00 800.00 Training Fund Admin Dues Travl Subs Savings Other Total Deduct 674.40 6371163 72 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 0.00 125.60 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 Tex 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 05/10 05/11 05/12 05/13 05/14 05/15 05/16 This Project All Projects 0.00 45.91 1.17 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 Deduct 545.72 33982 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 54.28 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.01 NOTE: Public Works certified Payroll Reporting Form 05/18/2021 - Page 1 Public Works Certifi 'ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 05/16/2021 Payroll Number:98-0 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 4:�c1 Holiday Health $ Wolf. Pension Net Wage Paid For Week Check Number 0 Date GUSTAVO HERRERA 32250 AURORA VISTA RD Work Classification 05/10 05/11 05/12 05/13 05/14 05115 05/16 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 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 4.50 8.00 8.00 8.00 0.00 0.00 36.50 15.00 547.50 547.50 TrainingFund Admin Dues Trav/ Subs Savings 9 Other Total 499.05 33980 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 48.45 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 Chek cNumbe r 0 Date JUAN MURILLO MARTINEZ 48097 ESTRELLATOMAS Wok Classification 05/10 OS/11 OS/12 OS/13 05114 OS/15 05/16 This Project All Projects 5.55 48.96 10.80 7.68 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA 92236 LANDSCAPE MAINTENANCE LABORER $ 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 640.00 640.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 567.01 33981 LOO 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 0.00 791 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 Vacl Holiday Health $ WeIF. Pension Net Wage Paid For Week Check Number j 4 Date LETICIABONILLA 33477 NAVAJO TR #B Work Classification 05110 05/11 05/12 05/13 05/14 05/15 05/16 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 0.00 0.00 0.00 0.00 0.00 0.00 8.00 15.00 120.00 480.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 437.52 33977 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 1 0.00 0.00 0.00 0.00 1 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 p Date MARIO VASQUEZ 68285 CORTA RD Wok Classification O5/10 O5/11 O5/12 O5/13 05/14 O5/15 O5/16 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 Admin Dues Subs Savings Other Total 546.90 33983 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 05/18/2021 - Page 2 Public Works Certifi 'ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 05/16/2021 Payroll Number:98-0 Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holida y Health & Welf. Pension Net Wage Paid For Week Check Number RAMON A. CASTILLO VIGIL 27335 HOPPER RD 0 Date Work Classification 05110 05/11 05/12 05/13 05/14 05/15 05116 This Project J All Projects J 0.00 55.08 11.69 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 Travl Subs Savings Other Total 644.59 33978 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 75.41 1: 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 OS/18/2021 - 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: 2021-05-09 Payroll Number: 97 Amendment Number: 0 8 employee payroll record(s) processed Your Transaction ID is: 11146157 Print this Page View your submission r �p tsubmit another set of payroll records r Public Works Certifi 'ayroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2021-05-09 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 2021-05-18." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 72350 QUARRY TRAIL, SUITE A, THOUSAND FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM PALMS, CA 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: 97- 0 For Week Ending: 05/09/2021 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/ Holiday y Health B Welf. Pension Net Wage Paid For Week Check Number 3 Date ARMANDO RICO CHAVEZ 2103 JACQUES DR Work Classification 05/03 05/04 05/05 05106 05/07 05/08 05/09 This Project All Projects 74.89 74.97 25.98 11.76 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 20.00 800.00 980.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 792.40 33846 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 0.00 0.00 0.00 0.00 0.00 0,00 187.60 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 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/ Holida Y Health $ Welf. Pension Net Wage Paid For Week Check Number 0 Dale CECILIO LIMA 69365 VERA DR Work Classification 05/03 05/04 05/05 05/06 05107 05/08 05/09 This Project 1 All Projects 1 0.00 48.47 2.65 7.61 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 0.00 0.00 0.00 8.00 0.00 0.00 0.00 8.00 15.00 120.00 633.75 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 575.02 33826 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 58.73 D 0.00 0.00 0.00 0.00 0.00 0.0 00.00 1 0.00 1 31.10 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 8 Welf. Pension Net Wage Paid For Week Check Number ELIZABETH OJEDA 67145 SAN GABRIEL CIR E CATHEDRAL CITY CA 92234 0 Date Work Classifcation 05/03 05/04 05/05 05/06 05/07 05/08 05/09 This Project 1 All Projects � 0.00 47.62 2.16 7.47 0.00 0.00 0.00 Hours Worked Each Day LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 5.00 0.00 0.00 37.00 15.00 555.00 622.50 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 565.25 33850 I 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 57.25 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 05/18/2021 - Page 1 Public Works Certifi 'ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 05/09/2021 Payroll Number: 97-0 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 I Federal Tax FICA State Tax SDI Vacl Helida y Haaith & Welf. Pension Net Wage Paid For Week Check Number 0 Data GUSTAVO HERRERA 32250 AURORA VISTA RD Work Classification 05/03 05/04 05105 05/06 05107 05/08 05/09 This Project All Projects 0.00 51.06 1.51 8.01 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 r LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 667.50 Training Fund Admin Dues Trav/ Subs Savings Other Total 606.92 33848 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 60.58 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 JUAN MURILLO MARTINEZ 48097 ESTRELLATOMAS Work Classification 05/03 05/04 05/05 05/06 05/07 05/08 05109 This Project All Projects 22.83 59.98 18.29 9.41 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA 92236 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 640.00 784.00 Training 9 Fund Admin Dues Trav/ Subs Savings 9 Other Total 673.49 33849 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 1 10.51 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 Hourl Pay Rate Gross Amount Earned Foderal Tax FICA Stale Tax SDI Vac/ Holiday I Health 8 Welf. Pension Net Wage Paid For Week Check Number 4 Date LETICIA BONILLA 33477 NAVAJO TR #B Work Classification 05/03 05/04 05/05 05/06 05/07 05/08 05109 This Project All Projects 16.96 56.23 0.00 8.82 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 0.00 0.00S40.00 15.00 600.00 735.00 TrainingAdmin Fund Dues Trav/ Subs Savings Other Total 652.99 33844 0 0.00 L8.O 0.00 0.00 0.00 0.00 0.00 0.00 22.5092234 0.00 0.00 0.00 0.00 0.00 0.00 82.01 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pa Rate y Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date MARIO VASQUEZ 68285 CORTA RD Work Classification 05/03 05/04 OS/OS 05/06 05/07 05/08 05/09 This Project All Projects 0.00 56.23 1.94 8.82 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 15.00 600.00 735.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 668.01 33851 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 66.99 D 0.00 0.00 0.00 0.00 0.00 1 0.00 0.00 11 0.00 30.00 NOTE: Public Works Certified Payroll Reporting Form 05/18/2021 - Page 2 Public Works Certifi 'ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 05/09/2021 Payroll Number:97-0 Name, Address and Soclal Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Toe 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 Data RAMON A. CASTILLO VIGIL 27335 HOPPER RD Work Classification 05/03 05/04 05/05 05/06 05/07 05108 05/09 This Project 11 All Projects 0.00 55.08 11.69 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 644.59 33845 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 75.41 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 05/18/2021 - 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: 2021-05-02 Payroll Number: 96 Amendment Number: 0 8 employee payroll record(s) processed Your Transaction ID is: 11036473 Print this Page 'i View your submission Adobe lubmit another set of payroll records Public Works Certifie' lyroll 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 2021-05-02 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 2021-05-04." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 72350 QUARRY TRL STE A, THOUSAND PALMS, FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM CA 92276 Insurance Number: WSD 5059867-00 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 w 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: 96- 0 For Week Ending: 05/02/2021 El 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 3 Date ARMANDO RICO CHAVEZ 2103 JACQUES DR Work Classification 04126 04/27 04/28 04/29 04/30 05/01 05/02 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 qmmmNmw 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 33813 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 0.00 0.00 :0.00 0.00 0.00 0.00 138.19 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.00 NOTE: Name, Address and Social 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 8 Welf. Pension Net Wage Paid For Week Check Number 0 Date ELIAS M. DORADO 33848 VIA ECHO Work Classification 04/26 04/27 04/28 04129 04/30 05/01 05/02 This Project All Projects 67.05 63.64 21.46 9.98 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 16.00 640.00 832.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 669.87 33814 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 0.00 162.13 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 ELIZABETH OJEDA 67145 SAN GABRIEL CIR E Work Classification 04/26 04/27 04/28 04/29 04/30 05/01 05/02 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 LANDSCAPE MAINTENANCE LABORER S 0.00 8.00 8.00 8,00 8.00 0.00 0.00 32.00 15.00 480.00 600.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 545.73 33817 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 54.27 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: I Public works Certified Payroll Reporting Form 05/04/2021 - Page 1 Public Works Certifie' lyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 05/02/2021 Payroll Number:96-0 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 GUSTAVO HERRERA 32250 AURORA VISTA RD CATHEDRAL CITY CA 92234 Work Classification 04/26 04127 04/28 04/29 04/30 05/01 05/02 This Pro ect 1 All Projects 1 0.00 45.90 0.00 7.20 0.00 0.00 0.00 H Hours Worked Each Day LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 546.90 33815 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: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health &Welf. Pension Net Wage Paid For Week Check Number 0 Dale JUAN MURILLO MARTINEZ 48097 ESTRELLATOMAS Work Classification 04/26 04/27 04128 04129 04/30 05/01 05102 This Project All Projects 5.55 48.97 10.80 7.68 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA 92236 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 1 640.00 640.00 Training Fund Admin Dues Travl Subs Savings Other Total 567.00 33816 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 73.00 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 & Wetf. Pension Net Wage Paid For Week Check Number 4 Date LETICIA BONILLA 33477 NAVAJO TR #B Work Classification 04/26 04/27 04/28 04129 04/30 05/01 05/02 This Project All Projects 3.46 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 543.44 33811 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 1 0.00 0.00 0.00 0.00 0.00 0.00 56.56 D 0.00 0.00 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 i Gross Amount Earned Hourly Pay Rate This All Project Projects Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date MARIO VASQUEZ 68285 CORTA RD Work Classification 04/26 04/27 04/28 04/29 04/30 05/01 05/02 0.00 45.90 0.00 7.20 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 S 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 33818 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 1 0.00 0.00 0.00 0.00 30.00 NOTE: Public works certified Payroll Reporting Form 05/04/2021 - Page 2 Public Works Certifi yroll Reporting Form contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 05/02/2021 Payroll Number:96-0 Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Man 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 04/26 04/27 04/28 04/29 04/30 05/01 05/02 This Project All Projects 0.00 55.08 11.69 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 Subs Subs Savings g Other Total 644.59 33812 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 75.41 D 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 1 0.00 36.00 NOTE: Public Works certified Payroll Reporting Form 05/04/2021 - 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: 2021-04-25 Payroll Number: 95 Amendment Number: 0 10 employee payroll record(s) processed Your Transaction ID is: 10997658 Print this Page View your submission Adebe 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 2021-04-25 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-04-28." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Arfdre95- 7935n n1IARRY TRI STF A. TH01JSAND PALMS. FEIN: 510532726 Contractor Email: KRISTYS(iPWLC2.COM CA 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: 95- 0 For Week Ending: 04/25/2021 Is this a 'Statement of Non -Performance?' Day Deductions, Contributions, and Payments Name, Address and Social Security Number of Worker Number of Withholding Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health 8 Welf. Pension Net Wage Paid For Week Check Number 3 Date ARMANDO RICO CHAVEZ 2103 JACQUES DR Work Classification 04/19 04/20 04/21 04/22 04/23 04/24 04/25 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 40a� LANDSCAPE MAINTENANCE LABORER $ 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 33676 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 30.00 0.00 0.00 0.00 0.00 0.00 0.00 138.19 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 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 ELIAS M. DORADO 33848 VIA ECHO Work Classification 04/19 04/20 04/21 04/22 04/23 04/24 04/25 This Project All Projects 44.73 49.42 11.06 7.75 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 16.00 518.00 646.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 533.04 33677 0 0.00 0.25 0.00 0.00 0.00 0.00 0.00 0.25 24.00 0.00 0.00 0.00 0.00 0.00 0.00 112.96 D 0.00 0.00 OAO 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 ELIZABETH OJEDA 67145 SAN GABRIEL CIR E Work Classification 04/19 04/20 04l21 04/22 04/23 04l24 04/25 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 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 33680 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 54.27 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 04/Z8/"Zl - Page i Public Works CertifiE' iyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 04/25/2021 Payroll Number:95-0 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 Federai Taz 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 04/19 04/20 04/21 04/22 04123 04/24 04/25 This Project All Projects 33.46 75.18 0.83 11.79 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 limanplaw LANDSCAPE MAINTENANCE LABORER S 8.00 0.00 0.00 0.00 0.00 0.00 0.00 8.00 16.00 128.00 988.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 861.43 33666 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 5.31 126.57 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 RateFP Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. pension Net Wage Paid For Week Check Number 0 Date GUSTAVO HERRERA 32250 AURORA VISTA RD Wok Classification 04/19 04/20 04/21 04/22 04l23 04/24 04/25 is This ject All Projects 0.00 45.90 0.00 7.20 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 4 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 33678 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 p o.o0 0.00 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 8 Welf. Pension Net Wage Paid For Week Check Number 0 Date JUAN MURILLO MARTINEZ 48097 ESTRELLATOMAS Work Classification 04119 04/20 04/21 04/22 04/23 04/24 04/25 This Project All Projects 6.27 49.42 11.06 7.75 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA LANDSCAPE MAINTENANCE LABORER $ 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 16.00 518.00 646.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 571.50 33679 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.25 24.0092236 0.00 0.00 0.000.0074.50 p 0.00 ]0.25 .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 & Welf. pension Net Wage Paid For Week Check Number 4 Date LETICIA BONILLA 33477 NAVAJO TR #B Wok Classification 04/19 04/20 04/21 04/22 04/23 04/24 04/25 This Project All Projects 3.46 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 Adman Dues Subs Savings Other Total 543.44 33674 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 56.56 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 04/18/LOLL - Page t Public Works Certifie Jyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 04/25/2021 Payroll Number: 95-0 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 Stale Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date MARIO VASQUEZ 68285 CORTA RD Work Classification 04/19 04/20 04/21 04/22 04123 04/24 04125 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 0.00 0.00 40.00 15.00 600.00 600.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 546.90 33681 O 0.00 too 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 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 I FICA State Tax SDI Vac/ Holiday Health & Welf. pension Net Wage Paid For Week Check Number 0 Dale RAMON A. CASTILLO VIGIL 27335 HOPPER RD Work Classification 04/19 04/20 04/21 04/22 04/23 04/24 04/25 This Project All Projects 0.00 55.08 11.69 8.64 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA I 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 644.59 33675 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 75.41 D 0.00 0.00 1 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 State Tax SDI Vac/ Holiday Health & Welf. pension Net Wage Paid For Week Check Number 0 Date SALVADOR VALDEZ CISNEROS 12966 CACTUS DR Work Classification 04/19 04/20 04/21 04122 04/23 04124 04/25 This Project All Projects 76.51 71.60 15.59 11.23 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 LANDSCAPE MAINTENANCE LABORER S 8.00 0.00 0.00 0.00 0.00 0,00 0.00Fund 8.00 18.00 144.00 936.00 Training Admin Dues Subs Savings Other Total 714.27 33673 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 46.80 221.73 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: $46.80 OTHER = CAL SAVERS Public Works certified Payroll Reporting Form 04/28/2021 - 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: 2021-04-18 Payroll Number: 94 Amendment Number: 0 8 employee payroll record(s) processed Your Transaction ID is: 10937248 Print this Page View your submission -� Awe ubmit another set of payroll records Public Works Certifier :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 2021-04-18 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-04-21." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 72350 QUARRY TRL STE A, THOUSAND PALMS, FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM CA 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: 94- 0 For Week Ending: 04/18/2021 ❑ 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 Federel State Vacly Health Security Social Secure Number of Worker Withholding Total Hourly Earned Tax FICA Tax SDI HoBda & Wolf. Pension Net Wage Check 0 Date APOLINAR GONZALEZ MARTINEZ Work 04/12 04/13 04/14 04/15 04116 04/17 04/18 This All 0.00 36.72 0.00 5.76 0.00 0.00 0.00 Hours Pay Rate Paid For Number 33255 DATE PALM #19 Classification Project 1 Projects 1 Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 15.00 480.00 480.00 Fund Trav/ Total 437.52 33644 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 42.48 92234 p 1 0.00 0.00 0.00 1 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 VarJ Hea€lh Social SecurityNumber of Worker Withholding Total Hourly Earned Tax FICA Tax SDI Holiday 8 Welf. Pension Net Wage Check 3 Date ARMANDO RICO CHAVEZ Work 04/12 04/13 04114 04/15 04116 04/17 04/18 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 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 33643 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 138.19 92262 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.00 NOTE: Number Day Deductions, Contributions, and Payments Name, Address and of Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vacl Health Social SecurityNumber of Worker Withholding Total Hourly Earned Tax FICA Tax SDI Hafiday 8 Wslf. Pension Net Wage Check 0 Date ELIZABETH OJEDA Work 04/12 04/13 04114 04115 04/16 04/17 04/18 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 Classification Project Projects Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Fund Trav/ Total 545.73 33646 CA MAINTENANCE Trainin g Admin Dues Subs Savings 9 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 0.00 0.00 0.00 30.00 NOTE: Public works certified Payroll Reporting Form 04/21/2021 - Page 1 Public Works Certifi6 iyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 04/18/2021 Payroll Number: 94-0 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 Work Classification 04112 04/13 04/14 04/15 04/16 04/17 04/18 This Pro'ect J All Pro'ecls J 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 33647 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/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date GUSTAVO HERRERA 32250 AURORA VISTA RD Work Classification 04/12 04/13 04114 04/15 04/16 04/17 04/18 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 0.0 32.00 15.00 480.00 480.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 437.52 33645 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 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 04/12 04/13 04/14 04/15 04/16 04/17 04/18 This Project AA Projects 7.46 48.96 0.00 7.68 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER $ 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 640.00 640.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 575.90 33641 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 Vac! Holiday Health & Weif. Pension Net Wage Paid For Week Check Number 0 Dale MARIO VASOUEZ 68285 CORTA RD Work Classification 04/12 04/13 04/14 04/15 04/16 04/17 04/18 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 Admit Dues Subs Savings Other Total 546.90 33648 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 04/21/2021 - Page 2 Public Works CertifiE tyroll Reporting Form Contractor Name: PWLC II. INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 04/18/2021 Payroll Number: 94-0 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 Vaal Holiday Health & Welr. Pension Net Wage Paid For Week Check Number 0 Date RAMON A. CASTILLO VIGIL 27335 HOPPER RD Work Classification 04/12 04/13 04/14 04/15 04116 04/17 04/18 This Project All Projects 0.00 55.08 11.69 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 644.59 33642 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 75.41 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 04/21/2021 - 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: 2021-04-11 Payroll Number: 93 Amendment Number: 0 8 employee payroll record(s) processed Your Transaction ID is: 10880370 Print this Page r Ate, View your submission ubmit another set of payroll records Public Works Certifie yroll 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 2021-04-11 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-04-13." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 72350 QUARRY TRL STE A, THOUSAND PALMS, FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM CA 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: 93- 0 For Week Ending: 04/11/2021 F-1Is 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 Stale 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 04105 04/06 04/07 04/08 04/09 04110 04/11 This Project All Projects 0.00 45.90 3.79 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 Deduct 543.11 33612 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 56.89 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 Tax Federal 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 04/05 04/06 04/07 04/08 04/09 04/10 04/11 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 loonsaw 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 Olher Total 661.81 33611 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 0.009 tDeduct D 0.00 1.00 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 HourlyCheck Pa Rate y Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf, pension Net Paid For Week Number 0 Date ELIZABETH OJEDA 67145 SAN GABRIEL CIR E Work Classification 04/05 04/06 04I07 04/08 04/09 04/10 04/11 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 0.00 8.00 8.00 8.00 0.00 0.00 24.00 15.00 360.00 480.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 437.52 33614 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 30.00 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 NOTE: Public Works Certified Payroll Reporting Form 04/13/2021 - Page 1 Public Works Certifie' !yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 04/11/2021 Payroll Number: 93-0 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/ Holida y Health & Welf. Pension Net Wage Paid For Week Check Number 5 Date GENARO VARGAS 69130 VICTORIA DR Work Classification 04/05 04/06 04/07 04108 04/09 04110 04/11 This Project 1 All Projects 1 0.00 48.55 0.00 7.58 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANC LABORER S 8.00 8.00 I 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 578.56 33615 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 61.44 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 Sal Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA Slate Tax SDI Vac! HnliUay Health &'Alelf. PIsm Net Wage Paid For Week Check Number 0 Date GUSTAVO HERRERA 32250 AURORA VISTA RD Work Classification 04/05 04/06 04/07 04/08 04/09 04/10 04/11 This Project All Projects 0.00 45.90 0.00 7.20 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER $ 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Trainin 9 Fund Admin Dues Trav/ Subs Savin s 9 Other Total 546.90 33613 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 I 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 04105 04/06 04/07 04/08 04/09 04110 04/11 This Project All Projects 0.00 39.16 0.00 6.14 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER $ 8.00 0.00 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 33609 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 1 0.00 1 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 I 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 04/05 04/06 04107 04/08 04/09 04/10 04/11 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 33616 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 04/13/2021 - Page 2 r^ Public Works Certifie' iyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 04/11/2021 Payroll Number: 93-0 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 Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date RAMON A. CASTILLO VIGIL 27335 HOPPER RD Work Classification 04/05 04/06 04/07 04/08 04/09 04/10 04111 This Project All Projects 0.00 53.70 10.90 8.42 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92241 LANDSCAPE MAINTENANCE LABORER S 7.00 8.00 8.00 8.00 8.00 0.00 0,00 39.00 18.00 702.00 702.00 Training g Fund Admin Dues Trav/ Subs Savin s g Other Total 628.98 33610 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 73.02 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 36.00 NOTE: Public Works certified Payroll Reporting Form 04/13/2021 - 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 publieworks@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: 2021-04-04 Payroll Number: 92 Amendment Number: 0 14 employee payroll record(s) processed Your Transaction ID is: 10820126 Print this Page ..' Adobe View your submission -Submit another set of payroll records Public Works Cert Payroll Reporting Form Certification w,der 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 2021-04-04 are the originals or true, full, and correct copies of the originals whirl, 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 2021-04-06." 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: 92- 0 For Week Ending: 04/04/2021 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 Health & Welf. Pension Net Wage Check Social SecurityNumber of Worker Withholding APOLINAR GONZALEZ MARTINEZ 0 Dale Work Classification 03/29 03/30 03131 04/01 04/02 04/03 04/04 This Project All Projects 0.00 36.72 0.00 5.76 0.00 0.00 0.00 33255 DATE PALM #19 Hours Pay Rate Paid For Week Number 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 15.00 480.00 480.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 437.52 33473 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 42.48 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 4mopmopgp 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 & Wei f. Pension Net Wage Check Social Securl Number of Worker t]' Withholding ARMANDO RICO CHAVEZ 3 Date Work Classification 03/29 03/30 03/31 04/01 04/02 04/03 04/04 This Project 1 All Projects 1 53.29 61.20 14.10 9.60 0.00 0.00 0.00 2103 JACQUES DR Hours Pay Rate Paid For Week Number Hours Worked Each Day H PALM SPRINGS CA 92262 LANDSCAPE MAINTENANCE LABORER S B.00 B.00 8.00 8.00 B.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 33472 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 0.00 138.19 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.00 1 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday& Health Welf. Pension Net Wage Paid For Week Check Number Social SecurityNumber of Worker Withholding CARLOS LUNA GONZALEZ 66145 7TH ST 4 Date Work Classif cation 03/29 03/30 03/31 04/01 04/02 04/03 04/04 This Project All Projects 30.57 66.63 1.00 10.45 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA TREE MAINTENANCE S 8.00 8.00 8.00 0.00 8.00 0.00 0.00 32.00 27.22 871.04 871.04 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 762.39 33481 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.83 92240 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 108.65 D 0.00 0.00 1 0.00 0.00 0.00 0.00 0.00 0.00 14.44 NOTE: Public works certified Payroll Reporting Form 04/06/2021 - Page 1 Public Works Cert; Payroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 04/04/2021 Payroll Number:92-0 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 Health & Wolf, Pension Net Wage Paid For Week Check Number 0 Date ELIZABETH OJEDA 67145 SAN GABRIEL CIR E Work Classification 03/29 03/30 03131 04/01 04/02 04/03 04/04 This Project 1 All Projects 1 0.00 45.90 1.17 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 545.73 33475 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 54.27 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 Fedoral Tax FICA State Tax SDI Vecl Holiday& Health Well. Pension Net Wage Paid For Week Check Number GENARO VARGAS 69130 VICTORIA DR 5 Date Work Classification 03/29 03/30 03/31 04/01 04/02 04/03 04/04 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 9 Fund Admin Dues Trav/ Subs Savings 9 Other Total 578.52 33476 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 Vail Hollda y Health & Welf. Pension Net Wage Paid For Week Check Number GUSTAVO HERRERA 32250 AURORA VISTA RD 0 Date Work Classification 03/29 03/30 03/31 04/01 04/02 04103 04104 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 8.00 8.00 0.00 0.00 0.00 32.00 15.00 480.00 480.00 TrainingFund Admin Dues Trav/ Subs Savings 9 Other Total 437.52 33474 E10 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 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 DESERT HOT SPRINGS CA 92240 Work Classification 03/29 03130 03/31 04/01 04/02 04/03 04/04 This Project All Projects 114.57 74.08 30.46 11.62 0.00 0.00 0.00 Hours Worked Each Day 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 TrainingFund Admin Trav/Dues Subs Subs Savings g Other Total 737.64 6347 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 4.43 235.16 D 0.00 0.00 0.00 0.00 0.00 1 0.00 0.00 0.00 48.64 NOTE: $4.43 OTHER = FH125D Public works certified Payroll Reporting Form 04/06/2021 - Page 2 Public Works Cert' Payroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 04/04/2021 Payroll Number: 92-0 Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holida y Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date JASSAN J. JAMAND 51963 CALLE AVILA Work Classification 03/29 03130 03131 04/01 04/02 04/03 04/04 This Project 1 All Projects 1 45.49 74.43 30.75 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 g Fund Admin Dues Trav/ Subs Savings g Other Total 810.46 33480 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 0.00 162.34 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.6a 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 4 Date LETICIA BONILLA 33477 NAVAJO TR #B Work Classification 03/29 03/30 03/31 04/01 04/02 04/03 04/04 This Project All Projects 7.46 48.97 0.00 7.68 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 B.00 0.00 0.00 40.00 16.00 640.00 640.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 575.89 33470 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 64.11 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 & Weif. Pension Net Wage Paid For Week Check Number 4 Date MARCELINO RAMIREZ 1500 E SAN RAFAEL DR #164 PALM SPRINGS CA 92262 Work Classification 03/29 03/30 03/31 04/01 04/02 04/03 04/04 This Project 1 All Projects 1 63.41 88.57 10.96 13.89 0.00 0.00 0.00 Hours Worked Each Day 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 980.78 33482 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 19.19 196.02 D 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 CATHEDRAL CITY CA 92234 Work Classification 03/29 03/30 03/31 04/01 04/02 04/03 04/04 This Project i All Pro ects � 0.00 45.90 0.00 7.20 0.00 0.00 0.00 Hours Worked Each Day LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 TrainingFund Admin Dues Travl Subs Savings g Other Total 546.90 33477 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: Public works certified Payroll Reporting Form 04/06/2021 - Page 3 Public Works Cert Payroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 04/04/2021 Payroll Number:92-0 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 Hourl y Pay Rate Gross Amount Earned Federal Tax FICA State i Tax SDI Vac/ Holiday Health & Welf. pension Net Wage 9 Paid For Week Check Number NOE M. JACINTO 73332 GUADALUPE AVE 0 Date Work Classification 03129 03/30 03/31 04/01 04102 04/03 04/04 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 Admin Dues Trav/ Subs Savings Other Total 1,032.00 33479 O 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 0.00 144.60 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 58.84 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 RAMON A. CASTILLO VIGIL 27335 HOPPER RD 0 Date Work Classification 03/29 03/30 03/31 04/01 04/02 04/03 04104 This Project j All Projects j 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 0.00 0.00 0.00 32.00 18.00 576.00 720.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 585.73 33471 � 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 D 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 State Tax SDI Vac/ Holiday& Health Welf. Pension Net Wage Paid For Week Check Number 0 Dale RUBEN F. HENRIQUEZ 15687 PALM DR #83 DESERT HOT SPRINGS CA 92240 � Work Classification 03/29 03/30 03/31 04/01 04/02 04/03 04/04 This Pro ect j All Projects I 79.81 59.13 20.19 9.28 0.00 0.00 0.00 Hours Worked Each Day TREE MAINTENANCE LABORER 5 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 24.32 778.24 778.24 Training Fund Admin Dues Trav/ Subs Savings Other Total 565.61 33476 O 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 44.22 212.63 p o.00 o.oD o.00 o.00 o.oD o.00 0.00 0.00 48.64 NOTE: $38.91 OTHER = CAL SAVERS, $5.31 OTHER = FH125D Public works certified Payroll Reporting Form 04/06/2021 - Page 4