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2020-04-05 thru 2020-06-28 Cert PayrolleCPR Online Confirmation _Your payroll submission request has been processed. 'lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 8645398 This certified payroll will be treated as an amendment #: 1 Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-06-28 Payroll Number: 52 Amendment Number: 1 2 employee payroll record(s) processed Your Transaction ID is: 10840644 Print this Page iew your submission Adobe 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 2020-06-28 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-04-08." Contractor Name: PWLC Il, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92262 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA Contract With: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 County: RIVERSIDE Location Description: Payroll #: 52 - 1 Ctr Payroll #: 52-1 Week Ending: 06/28/2020 ❑ Statement of Non -Performance? ❑ Final payroll for this project? Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 06/22 06123 06/24 06/25 06/26 06127 06128 Hours Base Hourly Fringe Holiday & Welf. Pension Other Training Hourly Rate S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40 Qd Ttl 15.00 0.00 0.00 0.00 0.00 0.00 0.00 f,5.: -o" O LANDSCAPE MAINTENANCE LABORER 0.50 0.50 0.50 0.50 0.00 0.00 0.00'> TO„0 22.50 0.00 0.00 0.00 0.00 0.00 0.00ML __ NOTE: ORIGINAL PAYROLL NUMBER 47-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00 Travel & Subsistence 0.00 Total Deductions 64.33 Public works certified Payroll Reporting Form 04/08/2021 - Page 1 Public Works CertifiE ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Week Ending: 06/28/2020 Payroll Number:52-1 Employee: MARCELINO RAMIREZ 1500 E SAN RAFAEL DR #164, PALM SPRINGS, CA, 92262 Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 06122 06/23 06/24 06/25 06/26 06/27 06/28 Hours Base Hourly Fringe Holiday & Welf. Pension Other Training Hourly Rate S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00 �W�4:tl for? 13.80 0.00 0.00 0.00 0.00 0.00 0.00 1MMi NOTE: ORIGINAL PAYROLL NUMBER 47-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00, 13.88 WAS DEDUCTED FOR HEALTH INSURANCE Travel & Subsistence 0.00 Total Deductions 60.43 Public works Certified Payroll Reporting Form 04/08/2021 - Page 2 eCPR Online Confirmation Your payroll submission request has been processed. —Please review the results of your submission. Should you have any questions please contact the eCPR unit at blicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-06-28 Payroll Number. 52 Amendment Number. 0 10 employee payroll record(s) processed Your Transaction ID is: 8645398 Print J�lg egg View your submission Submit another set of payroll records Public Works Certified- yroll Reporting Form Certification under, ilty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-06-28 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2020-07-02." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 52- 0 For Week Ending: 06/28/2020 ❑ Is this a 'Statement of Non -Performance?' Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health 1 Date Earned Tax FICA Tax SDI Hollda y & Welf. Pension Net ALAN RAMIREZ RAYA Total Hourly Wage Check Work 06122 06/23 06/24 06/25 06/26 06/27 06/28 Hours Pay Rate This All 63.91 55.08 14.56 7.20 0.00 0.00 o.0o Paid For Number 84037 MAGNOLIA ST Classification Hours Worked Each Day Project Projects Week COACHELLA LANDSCAPE S 8.00 8.00 8.00 8.00 0.00 0.00 0.00 32.00 18.00 576.00 720.00 Fund Trav/Subs Total 579.25 30165 CA MAINTENANCE Training g Admin Dues Subs Savings g Other Deduct Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 140.75 92236 p 0.00 �00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State V3c1 Health Net Social SecurityNumber of Worker Withholding Total Hourly Earned Tax FICA Tax SDI Holiday & WeEf. Pension Wage Check 3 Date APOLINAR GONZALEZ MARTINEZ Hours Pay Rate Paid For Number Work 06/22 06123 06124 06/25 06126 06/27 06/28 This All 24.86 42.84 2.36 5.60 0.00 0.00 0.00 31325 AVE LA PALOMA Classification Project Projects Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Fund Trav/ Total 484.34 30160 CA MAINTENANCE Training g Admin Dues Subs Savings g Other Deduct 0.00 0.00 0.00 0.00 0.00 0.00 21.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 75.66 92234 [EO.00 0.00 0.00 0.00 E 0.00 0.00 0.00 28.00 NOTE: Number of Day Deductions, Contributions, and Payments Name, Address and Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac! Health Net Social SecurityNumber of Worker Withholding Total Hourly Earned Tax FICA Tax SDI Holiday & Welf. Pension Wage Check 3 Date ARMANDO RICO CHAVEZ Hours Pay Rate Paid For Number Work 06/22 06/23 06/24 06/25 06/26 06127 06/28 This All 68.06 70.38 22.58 9.20 0.00 0.00 0.00 2103 JACQUES DR Classification Project Projects Week Hours Worked Each Day PALM SPRINGS LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 920.00 920.00 Fund Trav/ Total 749.78 30157 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct Q 1.00 1.00 1.00 1.00 0.00 0.00 0.00 4.00 30.00 LABORER 0.00 0.00 0.00 0.00 0.00 0,00 170.22 92262 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.00 NOTE: Public Works certified Payroll Reporting Form 07/02/2020 - Page 1 Public Works Certifier-' lyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 06/28/2020 Payroll Number: 52-0 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 CARLOS I. ESPARZAALVAREZ 33822 SHIFTING SANDS #B Worst Classification 06/22 06/23 06/24 06/25 06126 06/27 06/28 This t Project j All Proj Projects 0.00 34.28 0.00 4.46 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 lmmmmmmmm6. LANDSCAPE MAINTENANCE LABORER S 8.00 0.00 8.00 8.00 8.00 0.00 0.00 32,00 14.00 448.00 448,00 Training Fund Admin Dues Trav/ Subs Savings Other Total 409.24 30159 0 0.00 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 38.76 D j 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac! Holiday& Health Welf. Pension Net Wage Paid For Week Check Number 5 Date GENARO VARGAS 69130 VICTORIA DR work Classification 06/22 06/23 06/24 06/25 06/26 06/27 06/28 Thls Project 1 All Pects ro 1 0.00 46.05 0.00 6.02 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 602.00 602,00 Training 9 Fund Admin Dues Trav/Subs Subs Savings 9 Other Total 549.93 30168 0 0.50 0.50 0.50 0.50 0.00 0.00 0.00 2.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 52.07 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 4 Date LETICIABONILLA 33477 NAVAJO TR #B Work Classification 06/22 06/23 06124 06/25 06126 06/27 06/28 This Project All Projects 8.54 49.34 0.00 6.45 0.00 47.39 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 645.00 645.00 Training 9 Fund Admin Dues Subs Subs Savings 9 Other Total 580.67 30156 0 0.50 0.50 0.50 0.50 0.00 0.00 0.00 2.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 84.33 D 1 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/ Ho liday Health & Welf. Pension Net Wage PFor We Week Check Number 4 Date MARCELINO RAMIREZ 1500 E SAN RAFAEL DR #164 Work Classification 06/22 06/23 06/24 06/25 06/26 06/27 06/28 This Project All Projects 0.00 41.17 0.00 5.38 0.00 47.39 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 13.80 552,00 552.00 Training Admin Dues Subs Savings Other Total 491.57 30164 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.70 0.00 0.00 0.00 0.00 0.00 13.88 60.43 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.60 NOTE: $13.88 OTHER = FH125 Public Works Certified Payroll Reporting Form 07/02/2020 - Page 2 Public Works Certifier'- iyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 06/28/2020 Payroll Number:52-0 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 PASTOR R. PEREZ NEGRON 67365 ONTINA RD 0 Date Work Ciasslflcatlon 06/22 06/23 06/24 06/25 06/26 06/27 06/28 This Project j All Projects Pro j 60.43 45.90 12.86 6.00 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 �� LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Training g Fund Admin Dues Subs Subs Savings g Other Total 474.81 30163 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 0.00 125,19 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Waif. Pension Net Wage Paid For Week Check Number 3 Date ROSARODRIGUEZ PO BOX 580332 Work Classification 06/22 06/23 06/24 06/25 06/26 06/27 06/28 This Project All Projects 24.86 42.84 7.52 5.60 224.00 0.00 0.00 Hours Worked Each Day N PALM SPRINGS CA 92258 dEppooppmopm LANDSCAPE MAINTENANCE LABORER S 0.00 0.00 8.00 0.00 0.00 0.00 0.00 8.00 14.00 112.00 560.00 Training g Fund Admin Dues Travl Subs Savings g Other Total 479.18 30166 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 80.82 D o.00 0.00 0.00 1 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Waif. Pension Net Wage Paid For Week Check Number 0 Date ERIK M VILLALOBOS VALDEZ 68060 ENCINITAS RD Work Classification 06/22 06/23 06/24 06/25 06/26 06/27 06/28 This Project All Projects 58.41 45.25 8.91 5.92 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 comemoom LANDSCAPE MAINTENANCE LABORER S 4.00 0.00 0.00 0.00 0.00 0.00 0.00 4.00 0.00 56.00 591.50 Trainin 9 Fund Admin Dues Trav/ Subs Savings 9 Other Total 473.01 30151 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 0.00 118.49 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: BASE HOURLY RATE = $14.00 Public works certified Payroll Reporting Form 07/02/2020 - Page 3 eCPR Online Confirmation Your payroll submission request has been processed. ?lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 8589001 This certified payroll will be treated as an amendment #: 1 Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-06-21 Payroll Number: 51 Amendment Number: 1 2 employee payroll record(s) processed Your Transaction ID is: 10840466 Print this Page iew your submission Adobe 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'.he week ending 2020-06-21 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-04-08." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92262 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: Payroll #: 51 - 1 Ctr Payroll #: 51-1 Week Ending: 06/21/2020 ❑ Statement of Non -Performance? ❑ Final payroll for this project? Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 S S 4joilownuft Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 06/15 06/16 06117 06118 06/19 06120 06/21 Hours Base Hourly Fringe Holiday & Welf. Pension Olher Training Hourly Rate S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00 x40"6tFT ! 15.00 0.00 0.00 0.00 0.00 0.00 0.00 f517om O LANDSCAPE MAINTENANCE LABORER 0.00 1.00 0.50 0.00 0.00 0.00 0.00 Gt'9`50?i, 22.50 0.00 0.00 0.00 0.00 0.00 0.00 j22?SO NOTE: ORIGINAL PAYROLL NUMBER 51-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00 Travel & Subsistence 0.00 Total Deductions 62.23 Public works certified Payroll Reporting Form 04/08/2021 - Page 1 Public Works Certifi( ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Week Ending: 06/21/2020 Payroll Number: 51-1 Employee: MARCELINO RAMIREZ 1500 E SAN RAFAEL DR #164, PALM SPRINGS, CA, 92262 Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 06/15 06/16 06117 06/16 06/19 06/20 06/21 Hours Base Hourly Fringe Holiday & Welt. Pension Other Training Hourly Rate S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 0.00 8.00 8.00 0.00 0.00 x'M1300! 13.80 0.00 0.00 0.00 0.00 0.00 0.00 %804p NOTE: ORIGINAL PAYROLL NUMBER 51-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = Travel & Subsistence 0.00 Total Deductions 60.41 0.00, 13.88 WAS DEDUCTED FOR HEALTH INSURANCE Public works certified Payroll Reporting Form 04/08/2021 - Page 2 eCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at iblicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-06-21 Payroll Number. 51 Amendment Number. 0 9 employee payroll record(s) processed Your Transaction ID is: 8589001 View your submission -R Submit another set of payroll records Public Works Certifie'� iyroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-06-21 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2020-06-25." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 51- 0 For Week Ending: 06/21/2020 Is this a 'Statement of Non -Performance?' Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Man Tue Wed Thu Fri Sat Sun Gross Amount Earned Total Hourly ! Hours Pay Rate This All Project Projects Federal Tax FICA State Tax SDI Vac/ Hollday Health & Welf. Pension Net Wage Paid For Week Check Number 1 Date ALAN RAMIREZ RAYA 84037 MAGNOLIA ST Work Classification 06/15 06/16 06/17 06/18 06/19 06/20 06/21 63.91 55.08 14.56 7.20 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 18.00 720.00 720,00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 579.25 30017 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 0.00 140.75 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Ne t Wage Paid For Week Check Number 3 Date APOLINAR GONZALEZ MARTINEZ 31325 AVE LA PALOMA Work Classification 06/16 06/16 06/17 06/18 06119 06/20 06/21 This Protect All Projects 24.86 42.84 2.36 5.60 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Training Fund Admin Dues Travl Subs Savings Other Total Deduct 484.34 30012 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 75.66 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf, Pension Net Wage Paid For Week Check Number 3 Date ARMANDO RICO CHAVEZ 2103 JACQUES DR Work Classification 06/15 06/16 06/17 06118 06119 06/20 06/21 This Project All Projects 62.66 66.94 19.61 8.75 0.00 0.00 0.00 Hours Worked Each Day PALM SPRINGS CA 92282 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 875.00 875,00 Training Fund Admin Dues Travl Subs Savings Other Total Deduct 717.04 30009 Q 1.00 0.00 0.50 1.00 0.00 0.00 1 0.00 2.50 30.00 0.00 0.00 1 0.00 0.00 0.00 0.00 157.96 D 0.00 0.00 0.00 0.00 0.00 1 0.00 0.00 0.00 40.00 NOTE: Public Works Certified Payroll Reporting Form 06/25/2020 - Page 1 Public Works Certifie iyroll Reporting Form 'Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 06/21/2020 Payroll Number: 51-0 i Number of Day Deductions, Contributions, and Payments Name, Address and Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Net FICA SDI Pension Earned Tax Tax Holiday & Waif. 0 Date Total Hourly Wage Check CARLOS I. ESPARZAALVAREZ 06/15 06/16 06/17 06/18 06119 06120 06/21 Hours Pay Rate This All 0.00 42.84 2.36 5.60 0.00 0.00 0.00 Paid For Number Work 33822 SHIFTING SANDS #B Classification Protect Protects Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 509.20 30011 CA MAINTENANCE Training Admin Dues Subs Savings Other Total Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 50.80 92234 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE; Number of Day Deductions, Contributions, and Payments Name, Address and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Pension Net Hourly Earned Tax FICA Tax SDI Holiday & Welf. Wage Check 5 Date Total GENARO VARGAS Pay Rate Paid For Number 06/15 06/16 06117 06118 06/19 06/20 06/21 Hours This All 0.00 45.26 0.00 5.92 0.00 0.00 0.00 69130 VICTORIA DR Work Classification Project Protects Week W Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 591.50 591.50 nd 540.32 30020 CA MAINTENANCE Tralning Adm n Dues Subs Savings Other Total Q 0.00 1.00 0.50 0.00 0.00 0.00 0.00 1.50 21.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 51.18 92234 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Number of Day Deductions, Contributions, and Payments Name, Address and Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Social Security Number of Worker Withholding Total Hours Hourly Pay Rate Earned Tax Tax Holiday & Welf. Wage Paid For Check Number 4 Date LETICIA BONILLA 06115 06116 06/17 06/18 06119 06/20 06/21 This All 7.41 48.48 0.00 6.34 0.00 47.39 0,00 33477 NAVAJO TR #B Work Classification Project Projects Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 Boo 8.00 0.00 0.00 40.00 15.00 633.75 633.75 Fund Trav/ 571.52 30007 CA MAINTENANCE Training Admin Dues Subs Savings Other Total Q 0.00 1.00 0.50 0.00 0.00 0.00 0.00 1.50 22.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 62.23 g2234 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE; Number of Day Deductions, Contributions, and Payments Name, Address and Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA I State SDI Vac/ Health Pension Net Social Security Number of Worker Withholding Total Hours Hourly Pay Rate Earned Tax Tax Holiday & Waif. Paid For NuWage meck ber 4 Date MARCELINO RAMIREZ 06/15 06/16 06/17 06/18 06/19 06/20 06/21 This All 0.00 41.15 0.00 5.38 0.00 47.39 0.00 1500 E SAN RAFAEL DR #164 Work Classification Project Projects Week Hours Worked Each Day PALM SPRINGS LANDSCAPE S 8.00 8.00 0.00 8.00 8.00 0.00 0.00 32.00 13.80 441.60 552.00 Fund Trav/ 491.59 30016 CA MAINTENANCE Training Admin Dues Subs Savings Other Total Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.70 LABORER 0.00 0.00 0.00 0.00 0.00 13.88 60.41 92462 D 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 0.00 27.60 NOTE; $13.86 THFP. = FH125 Public Works certified Payroll Reporting Form 06/25/2020 - Page 2 Public Works Certifierr ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 06/21/2020 Payroll Number: 51-0 i Number of Day Deductions, Contributions, and Payments Name, Address and Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health FICA SDI Pension Net Date Earned Tax Tax Holiday & Welf. � PASTOR R. PEREZ NEGRON 0 Total Hourly Wage Check Work 06/15 06116 06117 06/18 06119 06/20 06/21 Hours Pay Rate This All 60.43 45.90 12.86 6.00 0.00 0.00 0.00 Paid For Number 67365 ONTINA RD Classification Hours Worked Each Day Protect Projects Week CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Fund Trav/ 474.81 30015 CA MAINTENANCE Training Admin Dues Subs Savings Other Total Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 125.19 92234 p 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 30.00 � NOTE: i Number of Day Deductions, Contributions, and Payments Name, Address and Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Net Social SecurityNumber of Worker Withholding Total Hourly Earned Tax FICA Tax SDI Holiday & Welf. Pension Wage Check 3 Date ROSARODRIGUEZ Hours Pay Rate Paid For Number 06/15 06/16 06/17 06/18 06/19 06/20 06/21 This All 18.28 38.56 5.06 5.04 336.00 0.00 0.00 PO BOX 580332 Work Classification Project Projects Week Hours Worked Each Day N PALM SPRINGS LANDSCAPE S 8.00 4.00 0.00 0.00 0.00 0.00 0.00 12.00 14.00 168.00 504.00 437.06 30018 CA MAINTENANCE Training Admn Dues Subs Savings Other Total Q 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 21.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 66.94 92258 p 0.00 o.00 o.00 o.00 o.00 o.00 o.00 o.o0 28.00 � NDTE: Public Works certified Payroll Reporting Form 06/25/2020 - Page 3 eCPR Online Confirmation Your payroll submission request has been processed. .'lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 8555867 This certified payroll will be treated as an amendment #: 1 Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-06-14 Payroll Number: 50 Amendment Number: 1 2 employee payroll record(s) processed Your Transaction ID is: 10840311 Print this Page iew your submission Adobe Submit another set of payroll records 1_' Public Works Certifi ayroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-06-14 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-04-08." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92262 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA Contract With: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 County: RIVERSIDE Location Description: Payroll #: 50 - 1 Ctr Payroll #: 50-1 Week Ending: 06/14/2020 ❑ Statement of Non -Performance? ❑ Final payroll for this project? Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 SSNANNEINW Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 06/08 06/09 06110 06/11 06/12 06/13 06/14 Hours Base Hourly Fringe Holiday & Welf. Pension Other Training Hourly Rate S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 0.00 0.00 0.00 0.00 0.00 0.00 O LANDSCAPE MAINTENANCE LABORER 0.50 0.00 1.00 0.00 0.00 0.00 0.00 1.50 22.50 0.00 0.00 0.00 0.00 0.00 0.00 2�5 NOTE: ORIGINAL PAYROLL NUMBER 50-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00 Travel & Subsistence 0.00 Total Deductions 62.24 Public works certified Payroll Reporting Form 04/08/2021 - Page 1 Contractor Name: PWLC II, INC. Public Works CertifiE tyroll Reporting Form Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Week Ending: 06/14/2020 Payroll Number:50-1 Employee: MARCELINO RAMIREZ 1500 E SAN RAFAEL DR #164, PALM SPRINGS, CA, 92262 SSN:IllmlmmmL.. Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 06/08 06109 06110 06/11 06/12 06/13 06/14 Hours Base Hourly Fringe Holiday & Welf. Pension Other Training Hourly Rate S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00d{dOl00if 13.80 0.00 0.00 0.00 0.00 0.00 0.00 93!6U) 0 LANDSCAPE MAINTENANCE LABORER 0.50 0.00 0.00 0.00 0.00 0.00 0.00 11.6 20.70 0.00 0.00 0.00 0.00 0.00 0.00 ?PW2W NOTE: ORIGINAL PAYROLL NUMBER 50-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = Travel & Subsistence 0.00 Total Deductions 61.36 0.00, 13.88 WAS DEDUCTED FOR HEALTH INSURANCE Public Works certified Payroll Reporting Form 04/08/2021 - Page 2 eCPR Online Confirmation Your payroll submission request has been processed. __Please review the results of your submission. Should you have any questions please contact the eCPR unit at i blicworks@d irca.gov. Contractor Name: PWLC Il, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-06-14 Payroll Number: 50 Amendment Number. 0 9 employee payroll record(s) processed Your Transaction ID is: 8555867 Print 's P 9e View your submission "� r Submit another set of payroll records Public Works Certifie '- Tyroll Reporting Form Certification under, aity of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-06-14 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2020-06-19." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number,855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: WCV5504144 i Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 50- 0 For Week Ending: 06/14/2020 71Is this a'Statement of Non -Performance?' Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal Slate Vac/ Health 1 Data Earned Tax FICA Tax SDI Holiday ollda & Welf. y Penslon Net ALAN RAMIREZ RAYA Total Hourly Wage Check Work 06/08 06/09 06/10 06/11 06112 06/13 06/14 Hours Pay Rate This All 63.91 55.08 14.56 7.20 0.00 0.00 0.00 Paid For Number 84037 MAGNOLIA ST Classification Hours Worked Each Day Project Pro acts � j Week COACHELLA LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40,00 18.00 720.00 720.00 Fund Travl Total 579.25 29987 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 27.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 140.75 92236 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: N: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Social SecurityNumber of Worker Withholding Total Hourly Earned lax FICA Tax SDI Holiday & Welf. Pension Net Wage Check 3 Date APOLINAR GONZALEZ MARTINEZ Work 06/08 06/09 06/10 06/11 06/12 06/13 06/14 This All 24.86 42.84 2.36 5.60 0.00 0.00 0.00 Hours Pay Rate Paid For Number 31325 AVE LA PALOMA Classification Project Projects I Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560,00 Total 484.34 29982 CA MAINTENANCE TrainingFund Admin Dues Subs Subs Savings 9 Other Deduct O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 75.66 92234 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Number of Day Deductions, Contributions, and Payments Name, Address and Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vacl Health Net Total Hourly Earned Tax FICA Tax SDI Hailday & Weif. Pension Wage Check 3 Date ARMANDO RICO CHAVEZ Hours Pay Rate Paid For Number Work 06/08 06/09 06/10 06/11 06/12 06/13 06114 This All 68.06 70.38 22.58 9.20 0.00 0.00 0.00 2103 JACQUES DR Classification Project Projects Week Hours Worked Each Day PALM SPRINGS LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 920.00 920,00 Fund Travl Total 749,78 29979 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct Q 1.00 1.00 1.00 1.00 0.00 0.00 0.00 4.00 30.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 170.22 922fi2 D 0.00 o.00 I 0.00 0.00 0.00 0.00 0.00 1 0.00 1 40.00 NOTE: Public works certified Payroll Reporting Form 06/19/2020 - Page 1 Public Works Certifie!' -tyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 06/14/2020 Payroll Number:50-0 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 & Waif. Pension Net Wage Paid For Week Check Number 0 Date CARLOS I. ESPARZAALVAREZ 33822 SHIFTING SANDS #B Work Classification 06/08 06/09 06110 06/11 06/12 06/13 06/14 This Project All Projects 0.00 43.64 2.82 5.71 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY • CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 570.50 570.50 Admin Dues Subs Savings Other Total 518.33 29981 Q 0.50 0.00 0.00 0.00 0.00 0.00 0.00 0.50 21.00 Elno'n 0.00 0.00 0.00 0.00 0.00 52.17 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pa Rate Y Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Waif. Pension Net Wage Paid For Week Check Number 5 Date GENARO VARGAS 69130 VICTORIA DR Work Classification 06/OB O6I09 06/10 06/11 06112 06113 O6/14 This Project All Projects 0.00 45.25 0.00 5.92 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY LANDSCAPE CA MAINTENANCE LABORER 92234 S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 591.50 591.50 Training Fund Admin Dues Trav/ Subs Savings Other Total 540.33 29990 Q 0.50 0.00 1.00 0.00 0.00 0.00 0.00 1.50 21.00 0.00 0.00 0.00 0.00 0.00 0.00 51.17 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Waif. Pension Net Wage Paid For Week Number 4 Date LETICIABONILLA 33477 NAVAJO TR #B Work Classification 06/08 06109 06/10 06/11 06/12 06/13 06/14 This Project All Protects 7.41 48.49 0.00 6.34 0.00 47.39 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 633.75 633.75 Training Admn Dues Subs Savings Other Total 571.51 29977 O I 0.50 0.00 1.00 0.00 0.00 0.00 0.00 1.50 22.50 0.00 0.00 0.00 0.00 0.00 0,00 62.24 D 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Waif. Pension Net Wage Paid For Week Check Number 4 Date MARCELINO RAMIREZ 1500 E SAN RAFAEL DR #164 Work Classification 06/08 06/09 06/10 06111 06112 06/13 06/14 This Project All Projects 0.00 42.00 0.00 5.48 0.00 47.39 0.00 Hours Worked Each Day PALM SPRINGS CA 92262 LANDSCAPE MAINTENANCE LABORER S 8.00 8A0 8.00 8.00 8.00 0.00 0.00 40.00 13.80 562.35 562.35 Training Fund Admin Dues Trav/ Subs Savings Other Total 500.99 299B6 Q 0.50 0.00 0.00 0.00 0.00 0.50 20.70 0.00 0.00 0.00 0.00 0.00 13.88 61.36 D 0.00 ig 0.00 0.00 0.00 0.00 0.00 27.60 NOTE: $13.88 OTHER = FH125 Public Works certified Payroll Reporting Form 06/19/2020 - Page 2 Public Works Certifier' ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 06/14/2020 Payroll Number:50-0 Number of Day Deductions, Contributions, and Payments Name, Address and Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Net FICA SDI Pension Earned Tax Tax Holiday & Welf. 0 Date Total I e Check PASTOR R. PEREZ NEGRON Work 06/08 06/09 06/10 06/11 06/12 06/13 06/14 Hours PHourly ay Rate This All 46.03 36.72 7.78 4.80 0.00 0.00 0.00 Paid For Number + 67365 ONTINA RD Classification Hours Worked Each Day Protect Protects Week 11 CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 0.00 8.00 0.00 0.00Fund 32.00 15.00 480.00 480.00 384.67 29985 CA MAINTENANCE Training Adm n Dues Subs Savings Other Total p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 95.33 92234 M D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 �� NOTE: Number of Day Deductions, Contributions, and Payments Name, Address and Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Social Security Number of Worker Withholding Total Hourly Earned Tax Tax Holiday & Welf. Wage Check 3 Date ROSARODRIGUEZ Hours Pa Rate y Paid For Number Wok 06108 O6I09 O6/10 06/11 O6/12 06113 06114 This All 15.48 36.41 4.11 4.76 0.00 0.00 0.00 PO BOX 580332 Classification Project Projects I Week Hours Worked Each Day N PALM SPRINGS LANDSCAPE S 8.00 2.00 8.00 8.00 8.00 0.00 0.00 34.00 14.00 476.00 476.00 415.24 29988 CA MAINTENANCE Training Admit Dues Subs Savings Other Total Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 60.76 92258 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 ! NOTE: Public Works certified Payroll Reporting Form 06/19/2020 - Page 3 eCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 8479668 This certified payroll will be treated as an amendment #: 1 Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-06-07 Payroll Number: 49 Amendment Number: 1 2 employee payroll record(s) processed Your Transaction ID is: 10839955 Print this Page iew your submission Adol)e Submit another set of payroll records Public Works Certifie iyroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-06-07 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-04-08." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92262 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: Payroll #: 49 - 1 Ctr Payroll #: 49-1 Week Ending: 06/07/2020 ❑ Statement of Non -Performance? Final payroll for this project? Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 SSN� Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 06/01 06/02 06/03 06/04 06/05 06/06 06/07 Hours Base Hourly Fringe Holiday & Welf. Pension, Other Training Hourly Rate S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00 0.00 15.00 0.00 0.00 0.00 0.00 0.00 0.00 1 5.00 O LANDSCAPE MAINTENANCE LABORER 0.50 0.00 0.00 0.00 0.50 0.00 0.00 1.00 20.70 0.00 0.00 0.00 0.00 0.00 0.00 20.70 NOTE: ORIGINAL PAYROLL NUMBER 49-0 SHOWS 47.39 IN HEALTH 8 WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00 Travel & Subsistence 0.00 Total Deductions 60.14 Public Works certified Payroll Reporting Form 04/08/2021 - Page 1 Public Works CertifiE Ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Week Ending: 06/07/2020 Payroll Number:49-1 Employee: MARCELINO RAMIREZ 1500 E SAN RAFAEL DR #164, PALM SPRINGS, CA, 92262 SSN� Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 06/01 06/02 06/03 06/04 06/05 06106 06/07 Hours Base Hourly Fringe Holiday & Welf. Pension Other Training Hourly Rate S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00 r{4.0 66 7{ 13.80 0.00 0.00 0.00 0.00 0.00 0.00 - it t _ O LANDSCAPE MAINTENANCE LABORER 0.50 0.00 0.00 0.00 0.00 0.00 0.00 0 $U 20,70 0.00 0.00 0.00 0.00 0.00 0.00 mn NOTE: ORIGINAL PAYROLL NUMBER 47-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00, 13.88 WAS DEDUCTED FOR HEALTH INSURANCE Travel & Subsistence 0.00 Total Deductions 61.32 Public Works certified Payroll Reporting Form 04/08/2021 - Page 2 eCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at bl c:woftQdlr.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-06-07 Payroll Number 49 Amendment Number. 0 9 employee payroll record(s) processed Your Transaction ID is: 8479668 PrEnt ihi; Pagg View your submission Submit another set of payroll records Public Works Certifier lyroll Reporting Foriii Certification under, .alty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-06-07 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2020-06-10." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE Payroll Number: 49- 0 For Week Ending: 06/07/2020 MAINTENANCE OF CITYWIDE MEDIANS ❑ Is this a 'Statement of Non -Performance?' Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA I State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 1 Date ALAN RAMIREZ RAYA 84037 MAGNOLIA ST Work Classification 06/01 06102 06103 06/04 06/05 06/06 06/07 This Project All Projects 63.91 55.08 14.56 7.20 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 18.00 720.00 720.00 Training g Fund Admin Dues Trav/ Subs Savings g Other Total Deduct 579.25 29841 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 0.00 140,75 p 0.00 0,00 0,00 0.00 0.00 0.00 0.00 1 0.00 36.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 3 Date APOLINAR GONZALEZ MARTINEZ 31325 AVE LA PALOMA Work Classification 06/01 06102 06/03 06/04 06/05 06/06 06/07 This Project All Projects 24.86 42.84 2.36 5.60 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Training Fund Admin Dues Trav! Subs Savings Other Total Deduct 484.34 29836 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 75.86 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Number of Social SecurityNumber of Worker Withholding ARMANDO RICO CHAVEZ 3 Work 2103 JACQUES DR Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number Date O6/01 O6IO2 O6/03 06l04 O6/OS O6I06 06107 This Project All Protects 69.86 71.53 23.57 9.35 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 20.00 935.00 935.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 760.69 29833 Q 1.00 1.00 1.00 1.00 0.50 0.00 0.00 4.50 30.00 0.00 0.00 0.00 0.00 0.00 0.00 174.31 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.00 NOTE: Public Works certified Payroll Reporting Form 06/10/2020 - Page 1 Public Works Certifier' )yroll Reporting Foi rn Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 06/07/2020 Payroll Number:49-0 Number of Day Deductions, Contributions, and Payments Name, Address and Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vacl Health Net Pe Date Earned Tax FICA Tax SDI Holiday & Welf. nsion 0 Total Hourly Wage Check CARLOSI.ESPARZAALVAREZ Work 06101 06/02 06/03 06104 06/05 06/06 06/07 Hours Pay Rate This All 0.00 42.84 2.36 5.60 0.00 0.00 0,00 Paid For Number 33822 SHIFTING SANDS #B Classification Hours Worked Each Day Project Projects Week CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Fund Trav/ 509.20 29835 CA MAINTENANCE Training Admin Dues Subs Savings Other Total Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 50.80 92234 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Number of Day Deductions, Contributions, and Payments Name, Address and Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State SDI Vac/ Health Pension Social Security Number of Worker Withholding Total Hourly Earned Tax FICA I Tax Holiday & Welf. Wage Check 5 Date GENARO VARGAS Hours Pay Rate This All PFor Number 06/01 06/02 06/03 06/04 06/05 06/06 06/07 0.00 44.44 0.00 5.81 0.00 0.00 0.00 69130 VICTORIA DR Work Classificatlon + Project I Projects Week We Hours Worked Each Day i CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 581.00 581.00 Fund Trav/ 530.75 29844 CA MAINTENANCE Training Admin Dues Subs Savings Other Total Q 0.50 0.00 0.00 0.00 0.50 0.00 0.00 1.00 21.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 50.25 92234 p o.00 o.oa o.00 o.00 o.00 o.00 O.00 0.00 28.00 NOTE: Number of Day Deductions, Contributions, and Payments Name, Address and Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Social Security Number of Worker Withholding Total Hourly Earned Tax Tax Holiday & Welf. Wage Check 4 Date LETICIABONILLA Hours Pay Rate This All Paid For Number 06/01 06/02 06/03 06/04 06/05 06/06 06/07 6.29 47.62 0.00 6.23 0.00 47.39 0.00 33477 NAVAJO TR #B Work Classification Project Projects Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 622.50 622,50 562.36 29831 CA MAINTENANCE Training Admin Dues Subs Savings Other Total Q 0.50 0.00 0.00 0.00 0.50 0.00 0.00 1.00 22.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 60,14 92234 p 0.00 0.00 1 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Number of Day Deductions, Contributions, and Payments Name, Address and Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Social Security Number of Worker Withholding Total Hours Hourly Pay Rate Earned This All Tax Tax Holiday & Welf. Wage Paid For Check Number 4 Date MARCELINO RAMIREZ 06/01 06/02 06/03 06104 06105 06/06 06/07 0.00 41.96 0.00 5.48 0.00 47.39 0.00 Work Week 1500 E SAN RAFAEL DR #164 Classlficatlon Project Projects Hours Worked Each Day PALM SPRINGS LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 13.80 562.35 562.35 Fund Trav/ 501.03 29840 CA MAINTENANCE Training Admin Dues Subs Savings Other Total Q 0.50 0.00 O.o0 0.00 0.00 0.00 0.00 0.50 20.70 LABORER 0.00 0.00 0.00 0.00 0.00 13.88 61.32 92262 p o.ao o.00 o.00 o.o0 0.00 0.00 0.00 0.00 27.60 NOTE: $13.88 OTHER = FH125 I Public works certified Payroll Reporting Form 06/10/2020 - Page 2 Public Works Certifie,- -iyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 06/07/2020 Payroll Number:49-0 Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments i Mon Tue Wed Thu Frl Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week i Check Number 0 Date PASTOR R. PEREZ NEGRON 67365 ONTINA RD Work Classification 06/01 06/02 06/03 06/04 06/05 06/06 06/07 This Project All Projects 61.78 46.76 13.36 6.11 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 B.00 8.00 B.00 8.00 0.00 0.00 40.00 15.00 611.25 611.25 Trainin 9 Fund Admin Dues Trav/Subs Subs Savings 9 Other Total 483.24 29839 p 0.00 0.00 0.00 0.00 0.50 0.00 0.00 0.50 22.50 0.00 0.00 0.00 0.00 0.00 0.00 126.01 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 Frl Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf, Pension Net Wage Paid For Week Check Number 3 Date ROSARODRIGUEZ PO BOX 580332 Work Classification 06/01 06102 06/03 06/04 06/05 06/06 06/07 This Protect All Protects 24.86 42.84 7.52 5.60 0.00 0.00 0.00 Hours Worked Each Day N PALM SPRINGS CA 92258 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 B.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Training 9 Fund Admin Dues Travl Subs Savin s 9 Other Total 479.18 29842 � Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 80.82 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Public works Certified Payroll Reporting Form 06/10/2020 - Page 3 eCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 8421445 This certified payroll will be treated as an amendment #: 1 Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-05-31 Payroll Number: 48 Amendment Number: 1 2 employee payroll record(s) processed Your Transaction ID is: 10839801 Print this Page r iew your submission I Submit another set of payroll records Public Works Certifi ayroll Reporting Form Certification uno., penalty of perjury: "I, KRiSTY SOUTH, the undersigned, am the CONTROLLER (posltlon In business) with the authority to act for and an behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-05-31 are the originals or true, full, and correct coples of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or indlviduals named. I certify this on 2021-04-08." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92262 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA Contract With: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 County: RIVERSIDE Location Description: Payroll #: 48 - 1 Ctr Payroll #: 48-1 Week Ending: 05/31/2020 Statement of Non -Performance? Final payroll for this project? Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 SSMINEW Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 05/25 05/26 05/27 05/28 05/29 05130 05/31 Hours Base Hourly Fringe Holiday & Welf. Pension Other Training Hourly Rate S LANDSCAPE MAINTENANCE LABORER 0.00 8.00 8.00 8.00 8.00 0.00 0.00 ""7 32 00 ! 15.00 0.00 0.00 0.00 0.00 0.00 0.00 lamf�>7 ; O LANDSCAPE MAINTENANCE LABORER 0.00 0.50 0.50 0.50 0.00 0.00 0.00 Fzi 5t' 22.50 0.00 0.00 0.00 0.00 0.00 0.00 5 NOTE: ORIGINAL PAYROLL NUMBER 48-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00 Travel & Subsistence 0.00 Total Deductions 44.44 Public works certified Payroll Reporting Form 04/08/2021 - Page 1 Public Works Certifies iyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Employee: MARCELINO RAMIREZ 1500 E SAN RAFAEL DR #164, PALM SPRINGS, CA, 92262 SS Mon Tue Wed Thu Fri Sat Sun Total Total 05/25 05/26 05/27 05/28 05/29 05/30 05/31 Hours Base Hourly Fringe S LANDSCAPE MAINTENANCE LABORER 0.00 8.00 8.00 8.00 8.00 0.00 0.00 '00 ? 13.80 0.00 O LANDSCAPE MAINTENANCE LABORER 0.00 0.50 0.50 0.50 0.00 0.00 0.00 ., 1i50 20.70 0.00 NOTE: ORIGINAL PAYROLL NUMBER 48-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00. 13.88 WAS DEDUCTED FOR HEALTH INSURANCE Week Ending: 05/31/2020 Vac/ Health Holiday Pension & Welt. 0.00 0.00 0.00 0.00 0.00 0.00 Travel & Subsistence 0.00 Payroll Number:48-1 Other Training Total Hourly Rate 0.00 0.00 T..!mwJ 0.00 0.003Z`!aD Total Deductions 53.56 Public works certified Payroll Reporting Form 04/08/2021 - Page 2 eCPR Online Confirmation Your payroll submission request has been processed. -Please review the results of your submission. Should you have any questions please contact the eCPR unit at blicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-05-31 Payroll Number: 48 Amendment Number. 0 11 employee payroll record(s) processed Your Transaction ID is: 8421445 Prini this page Elm - View your submission Qdab, Submit another set of payroll records Public Works Certifier- )yroll Reporting Form Certification under,. ,alty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-05-31 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2020-06-03." C tno rector Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA 92202 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA Contract With: CITY OF LA QUINTA Payroll Number: 48- 0 FEIN: 510532726 DIR Project ID: 290440 County: RIVERSIDE For Week Ending: 05/31/2020 Contractor Email: KRISTYS@PWLC2.COM Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 1 MAINTENANCE OF CITYWIDE MEDIANS �] Is this a 'Statement of Non -Performance?' Name, Address and Social SecurityNumber of Worker Number of Withholding Day i Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Federal Earned Tax FICA State Tax SDI Vac' Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 1 Date ALAN RAMIREZ RAYA 84037 MAGNOLIA ST Work Classification 05/25 05126 05/27 05/28 05/29 05/30 05/31 This Project All Projects 46.63 44.06 8.23 5.76 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 18.00 576.00 576.00 Training Fund Admin Dues Travl Subs Savings Other Total Deduct 471.32 29810 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 0.00 104.68 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE; Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State SDI Tax Vecl Holiday Health & Welf. Pension Net Wage Pa ld For Week Check Number 3 Date APOLINAR GONZALEZ MARTINEZ 31325 AVE LA PALOMA Work Classification 05/25 05/26 05/27 05128 05129 05/30 05/31 This Project All Projects 12.68 34.28 0.00 4.48 1 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 14.00 448.00 448.00 Training Fund Admin Dues Travl Subs Savings Other Total Deduct 396.56 29805 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 51.44 D 0.00 0.00 0.00 1 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 3 Date ARMANDO RICO CHAVEZ 2103 JACQUES DR yyo Classiflcatlon 05/25 05/26 05/27 05/28 05/29 05/30 05/31 This Project All Projects j 39.86 52.40 7.86 6.85 0.00 0.00 0.00 - Hours Worked Each Day PALM SPRINGS CA 92262 LANDSCAPE MAINTENANCE LABORER S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 20.00 685.00 685.00 Training Fund Admin Dues Travl Subs Savings Other Total Deduct 578.03 29802 Q 1 0.00 P 0.50 0.50 0.50 0.00 0.00 0.00 1.50 30.00 0.00 0.00 0.00 0.00 0.00 0.00 106.97 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.00 NOTE: Public works Certified Payroll Reporting Form 06/03/2020 - Page 1 Public Works Certifier' �yroll Reporting Forin Contractor Name: PWLC II, INC. I Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 05/31/2020 Payroll Number:48-0 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 CARLOS I. ESPARZAALVAREZ 33822 SHIFTING SANDS #B Work Classiflcatlon 05/25 05/26 05/27 05/28 05129 05/30 05/31 This Pro act J All Pro acts J 0.00 21.42 0.00 2.80 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA � LANDSCAPE MAINTENANCEAdmin S 0.00 4.00 0.00 8.00 8.00 0.00 0.00 20.00 14.00 280.00 280.00 Fund Dues Travl Subs Savin s gLABORER Other Total255.78 29804 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.0092234 La.in 0.00 0.00 0.00 0.00 0.00 24.22 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE' Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 5 Date GENARO VARGAS 69130 VICTORIA DR Work Classification 05/25 05/26 05/27 05/28 05/29 05/30 05/31 Thls Project All Protects 0.00 36.68 0.00 4.80 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 14.00 479.50 479.50 Training Fund Admin Dues Trav/ Subs Savings Other Total 438,02 29013 Q 0.00 0.50 0.50 0.50 0.00 0.00 0.00 1.50 21.00 0.00 0.00 0.00 0.00 0.00 0.00 41.48 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 4 Date LETICIABONILLA 33477 NAVAJO TR #B Work Classification 05/25 05/26 05/27 05/28 05/29 05/30 05/31 This Project All Projects 0.00 39.30 0.00 5.14 0.00 47.39 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 15.00 513,75 513.75 Training Fund Admin Dues Trav/ Subs Savings Other Total 469.31 29799 Q 0.00 0.50 0.50 0.50 0.00 0.00 0.00 1.50 22.50 0.00 0.00 0.00 0.00 0.00 0.00 44.44 D 0.00 I 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 3 Date LUIS E. ALVAREZ SARABIA 45627 SENEGAL PL Work Classification 05/25 05/26 05/27 05128 05/29 05130 05/31 This Project All Projects 26.78 44.06 10.81 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 18.00 576.00 576.00 Training Adm n Dues Subs Savings Other Total 488.59 29798 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 87.41 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 06/03/2020 - Page 2 '" Public Works Certifier' ),yroll Reporting Form •e-�\ tName:ctor PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 05/31/2020 Payroll Number:48-0 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. Penslon Net Wage Paid For Week Check Number 2 Date MARCELINO BRIONES 50700 CALLE MENDOZA Work Classification 05/25 05126 05/27 05I28 05129 05/30 05/31 Thls Protect All Protects 21.35 34.28 0.91 4.48 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 14.00 448,00 448,00 Training AdmI Dues Subs Savings Other Total 386.98 29800 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 61.02 p 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 28.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vacl Holiday Health & Welf. Pension Net Wage pal d For Week Check Number 4 Date MARCELINO RAMIREZ 1500 E SAN RAFAEL DR #164 Work Classification 05/25 05126 05/27 05128 05/29 05/30 05/31 This Project All Projects 0.00 35.09 0.00 4.59 0.00 47.39 0.00 Hours Worked Each Day PALM SPRINGS CA 92262 � LANDSCAPE MAINTENANCE LABORER S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 13.80 472.65 472.65 Training Fund Admin Dues Travl Subs Savings Other Total 419.09 29809 QPO00 0.50 0.50 0.50 0.00 0.00 0.00 1.50 20.70 0.00 0.00 0.00 0.00 0.00 13:88 53.56 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.60 NOTE: $13.88 OTHER = FH125 Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date PASTOR R. PEREZ NEGRON 67365 ONTINA RD Work Classlflcatlon 05/25 05/26 05/27 05128 05129 05/30 05/31 This Project A11 Projects 46.03 36.72 1 7.78 4.80 0.00 0.00 0.00 1 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 Admin Dues Subs Savings Other Total 384.67 29808 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 1 0.00 95.33 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 3 Date ROSA RODRIGUEZ PO BOX 580332 Work Classification 05/25 05/26 05/27 05/28 05/29 05/30 05/31 This Project All Projects 12.68 34.27 3.49 4.48 0.00 0.00 0.00 Hours Worked Each Day N PALM SPRINGS CA 92258 � LANDSCAPE MAINTENANCE LABORER S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 14.00 448.00 448.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 393.08 29811 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 54.92 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 Public works Certified Payroll Reporting Form 06/03/2020 - Page 3 eCPR Online Confirmation Your payroll submission request has been processed. ?lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 8377560 This certified payroll will be treated as an amendment #: 1 Contractor Name: PWLC Il, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-05-24 Payroll Number: 47 Amendment Number: 1 2 employee payroll record(s) processed Your Transaction ID is: 10839650 Prini this Page iew your submission Adobe Submit another set of payroll records Public Works Certifi( 'ayroll Reporting Form Certification under penalty of perjury: 1, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC Il, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-05-24 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-04-08." Contractor Name: PWLC ll, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92262 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: Payroll #: 47 - 1 Ctr Payroll #: 47-1 Week Ending: 05/24/2020 Statement of Non -Performance? Final payroll for this project? Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 SSA Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 05/18 05/19 05/20 05121 05/22 05/23 05/24 Hours Base Hourly Fringe Holiday & Welt. Pension Other Training Hourly Rate S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40;QO;ii! 15.00 0.00 0.00 0.00 0.00 0.00 0.00 M.5;U[Yy 0 LANDSCAPE MAINTENANCE LABORER 0.50 0.50 0.50 0.00 0.00 0.00 0.00 T50! t, 22.50 0.00 0.00 0.00 0.00 000 0.00 �Sb ; 4 NOTE: ORIGINAL PAYROLL NUMBER 47-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00 Travel & Subsistence 0.00 Total Deductions 62.23 Public works certified Payroll Reporting Form 04/08/2021 - Page 1 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 2020-06-21 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2020-06-25." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 51- 0 For Week Ending: 06/21/2020 Is this a 'Statement of Non -Performance?' Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Man Tue Wed Thu Fri Sat Sun Gross Amount Earned Total Hourly ! Hours Pay Rate This All Project Projects Federal Tax FICA State Tax SDI Vac/ Hollday Health & Welf. Pension Net Wage Paid For Week Check Number 1 Date ALAN RAMIREZ RAYA 84037 MAGNOLIA ST Work Classification 06/15 06/16 06/17 06/18 06/19 06/20 06/21 63.91 55.08 14.56 7.20 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 18.00 720.00 720,00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 579.25 30017 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 0.00 140.75 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Ne t Wage Paid For Week Check Number 3 Date APOLINAR GONZALEZ MARTINEZ 31325 AVE LA PALOMA Work Classification 06/16 06/16 06/17 06/18 06119 06/20 06/21 This Protect All Projects 24.86 42.84 2.36 5.60 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Training Fund Admin Dues Travl Subs Savings Other Total Deduct 484.34 30012 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 75.66 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf, Pension Net Wage Paid For Week Check Number 3 Date ARMANDO RICO CHAVEZ 2103 JACQUES DR Work Classification 06/15 06/16 06/17 06118 06119 06/20 06/21 This Project All Projects 62.66 66.94 19.61 8.75 0.00 0.00 0.00 Hours Worked Each Day PALM SPRINGS CA 92282 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 875.00 875,00 Training Fund Admin Dues Travl Subs Savings Other Total Deduct 717.04 30009 Q 1.00 0.00 0.50 1.00 0.00 0.00 1 0.00 2.50 30.00 0.00 0.00 1 0.00 0.00 0.00 0.00 157.96 D 0.00 0.00 0.00 0.00 0.00 1 0.00 0.00 0.00 40.00 NOTE: Public Works Certified Payroll Reporting Form 06/25/2020 - Page 1 Public Works Certifie iyroll Reporting Form 'Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 06/21/2020 Payroll Number: 51-0 i Number of Day Deductions, Contributions, and Payments Name, Address and Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Net FICA SDI Pension Earned Tax Tax Holiday & Waif. 0 Date Total Hourly Wage Check CARLOS I. ESPARZAALVAREZ 06/15 06/16 06/17 06/18 06119 06120 06/21 Hours Pay Rate This All 0.00 42.84 2.36 5.60 0.00 0.00 0.00 Paid For Number Work 33822 SHIFTING SANDS #B Classification Protect Protects Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 509.20 30011 CA MAINTENANCE Training Admin Dues Subs Savings Other Total Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 50.80 92234 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE; Number of Day Deductions, Contributions, and Payments Name, Address and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Pension Net Hourly Earned Tax FICA Tax SDI Holiday & Welf. Wage Check 5 Date Total GENARO VARGAS Pay Rate Paid For Number 06/15 06/16 06117 06118 06/19 06/20 06/21 Hours This All 0.00 45.26 0.00 5.92 0.00 0.00 0.00 69130 VICTORIA DR Work Classification Project Protects Week W Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 591.50 591.50 nd 540.32 30020 CA MAINTENANCE Tralning Adm n Dues Subs Savings Other Total Q 0.00 1.00 0.50 0.00 0.00 0.00 0.00 1.50 21.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 51.18 92234 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Number of Day Deductions, Contributions, and Payments Name, Address and Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Social Security Number of Worker Withholding Total Hours Hourly Pay Rate Earned Tax Tax Holiday & Welf. Wage Paid For Check Number 4 Date LETICIA BONILLA 06115 06116 06/17 06/18 06119 06/20 06/21 This All 7.41 48.48 0.00 6.34 0.00 47.39 0,00 33477 NAVAJO TR #B Work Classification Project Projects Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 Boo 8.00 0.00 0.00 40.00 15.00 633.75 633.75 Fund Trav/ 571.52 30007 CA MAINTENANCE Training Admin Dues Subs Savings Other Total Q 0.00 1.00 0.50 0.00 0.00 0.00 0.00 1.50 22.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 62.23 g2234 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE; Number of Day Deductions, Contributions, and Payments Name, Address and Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA I State SDI Vac/ Health Pension Net Social Security Number of Worker Withholding Total Hours Hourly Pay Rate Earned Tax Tax Holiday & Waif. Paid For NuWage meck ber 4 Date MARCELINO RAMIREZ 06/15 06/16 06/17 06/18 06/19 06/20 06/21 This All 0.00 41.15 0.00 5.38 0.00 47.39 0.00 1500 E SAN RAFAEL DR #164 Work Classification Project Projects Week Hours Worked Each Day PALM SPRINGS LANDSCAPE S 8.00 8.00 0.00 8.00 8.00 0.00 0.00 32.00 13.80 441.60 552.00 Fund Trav/ 491.59 30016 CA MAINTENANCE Training Admin Dues Subs Savings Other Total Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.70 LABORER 0.00 0.00 0.00 0.00 0.00 13.88 60.41 92462 D 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 0.00 27.60 NOTE; $13.86 THFP. = FH125 Public Works certified Payroll Reporting Form 06/25/2020 - Page 2 Public Works Certifierr ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 06/21/2020 Payroll Number: 51-0 i Number of Day Deductions, Contributions, and Payments Name, Address and Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health FICA SDI Pension Net Date Earned Tax Tax Holiday & Welf. � PASTOR R. PEREZ NEGRON 0 Total Hourly Wage Check Work 06/15 06116 06117 06/18 06119 06/20 06/21 Hours Pay Rate This All 60.43 45.90 12.86 6.00 0.00 0.00 0.00 Paid For Number 67365 ONTINA RD Classification Hours Worked Each Day Protect Projects Week CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Fund Trav/ 474.81 30015 CA MAINTENANCE Training Admin Dues Subs Savings Other Total Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 125.19 92234 p 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 30.00 � NOTE: i Number of Day Deductions, Contributions, and Payments Name, Address and Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Net Social SecurityNumber of Worker Withholding Total Hourly Earned Tax FICA Tax SDI Holiday & Welf. Pension Wage Check 3 Date ROSARODRIGUEZ Hours Pay Rate Paid For Number 06/15 06/16 06/17 06/18 06/19 06/20 06/21 This All 18.28 38.56 5.06 5.04 336.00 0.00 0.00 PO BOX 580332 Work Classification Project Projects Week Hours Worked Each Day N PALM SPRINGS LANDSCAPE S 8.00 4.00 0.00 0.00 0.00 0.00 0.00 12.00 14.00 168.00 504.00 437.06 30018 CA MAINTENANCE Training Admn Dues Subs Savings Other Total Q 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 21.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 66.94 92258 p 0.00 o.00 o.00 o.00 o.00 o.00 o.00 o.o0 28.00 � NDTE: Public Works certified Payroll Reporting Form 06/25/2020 - Page 3 1_' Public Works Certifi ayroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-06-14 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-04-08." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92262 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA Contract With: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 County: RIVERSIDE Location Description: Payroll #: 50 - 1 Ctr Payroll #: 50-1 Week Ending: 06/14/2020 ❑ Statement of Non -Performance? ❑ Final payroll for this project? Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 SSNANNEINW Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 06/08 06/09 06110 06/11 06/12 06/13 06/14 Hours Base Hourly Fringe Holiday & Welf. Pension Other Training Hourly Rate S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 0.00 0.00 0.00 0.00 0.00 0.00 O LANDSCAPE MAINTENANCE LABORER 0.50 0.00 1.00 0.00 0.00 0.00 0.00 1.50 22.50 0.00 0.00 0.00 0.00 0.00 0.00 2�5 NOTE: ORIGINAL PAYROLL NUMBER 50-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00 Travel & Subsistence 0.00 Total Deductions 62.24 Public works certified Payroll Reporting Form 04/08/2021 - Page 1 Contractor Name: PWLC II, INC. Public Works CertifiE tyroll Reporting Form Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Week Ending: 06/14/2020 Payroll Number:50-1 Employee: MARCELINO RAMIREZ 1500 E SAN RAFAEL DR #164, PALM SPRINGS, CA, 92262 SSN:IllmlmmmL.. Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 06/08 06109 06110 06/11 06/12 06/13 06/14 Hours Base Hourly Fringe Holiday & Welf. Pension Other Training Hourly Rate S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00d{dOl00if 13.80 0.00 0.00 0.00 0.00 0.00 0.00 93!6U) 0 LANDSCAPE MAINTENANCE LABORER 0.50 0.00 0.00 0.00 0.00 0.00 0.00 11.6 20.70 0.00 0.00 0.00 0.00 0.00 0.00 ?PW2W NOTE: ORIGINAL PAYROLL NUMBER 50-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = Travel & Subsistence 0.00 Total Deductions 61.36 0.00, 13.88 WAS DEDUCTED FOR HEALTH INSURANCE Public Works certified Payroll Reporting Form 04/08/2021 - Page 2 Public Works Certifie '- Tyroll Reporting Form Certification under, aity of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-06-14 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2020-06-19." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number,855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: WCV5504144 i Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 50- 0 For Week Ending: 06/14/2020 71Is this a'Statement of Non -Performance?' Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal Slate Vac/ Health 1 Data Earned Tax FICA Tax SDI Holiday ollda & Welf. y Penslon Net ALAN RAMIREZ RAYA Total Hourly Wage Check Work 06/08 06/09 06/10 06/11 06112 06/13 06/14 Hours Pay Rate This All 63.91 55.08 14.56 7.20 0.00 0.00 0.00 Paid For Number 84037 MAGNOLIA ST Classification Hours Worked Each Day Project Pro acts � j Week COACHELLA LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40,00 18.00 720.00 720.00 Fund Travl Total 579.25 29987 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 27.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 140.75 92236 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: N: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Social SecurityNumber of Worker Withholding Total Hourly Earned lax FICA Tax SDI Holiday & Welf. Pension Net Wage Check 3 Date APOLINAR GONZALEZ MARTINEZ Work 06/08 06/09 06/10 06/11 06/12 06/13 06/14 This All 24.86 42.84 2.36 5.60 0.00 0.00 0.00 Hours Pay Rate Paid For Number 31325 AVE LA PALOMA Classification Project Projects I Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560,00 Total 484.34 29982 CA MAINTENANCE TrainingFund Admin Dues Subs Subs Savings 9 Other Deduct O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 75.66 92234 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Number of Day Deductions, Contributions, and Payments Name, Address and Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vacl Health Net Total Hourly Earned Tax FICA Tax SDI Hailday & Weif. Pension Wage Check 3 Date ARMANDO RICO CHAVEZ Hours Pay Rate Paid For Number Work 06/08 06/09 06/10 06/11 06/12 06/13 06114 This All 68.06 70.38 22.58 9.20 0.00 0.00 0.00 2103 JACQUES DR Classification Project Projects Week Hours Worked Each Day PALM SPRINGS LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 920.00 920,00 Fund Travl Total 749,78 29979 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct Q 1.00 1.00 1.00 1.00 0.00 0.00 0.00 4.00 30.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 170.22 922fi2 D 0.00 o.00 I 0.00 0.00 0.00 0.00 0.00 1 0.00 1 40.00 NOTE: Public works certified Payroll Reporting Form 06/19/2020 - Page 1 Public Works Certifie!' -tyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 06/14/2020 Payroll Number:50-0 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 & Waif. Pension Net Wage Paid For Week Check Number 0 Date CARLOS I. ESPARZAALVAREZ 33822 SHIFTING SANDS #B Work Classification 06/08 06/09 06110 06/11 06/12 06/13 06/14 This Project All Projects 0.00 43.64 2.82 5.71 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY • CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 570.50 570.50 Admin Dues Subs Savings Other Total 518.33 29981 Q 0.50 0.00 0.00 0.00 0.00 0.00 0.00 0.50 21.00 Elno'n 0.00 0.00 0.00 0.00 0.00 52.17 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pa Rate Y Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Waif. Pension Net Wage Paid For Week Check Number 5 Date GENARO VARGAS 69130 VICTORIA DR Work Classification 06/OB O6I09 06/10 06/11 06112 06113 O6/14 This Project All Projects 0.00 45.25 0.00 5.92 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY LANDSCAPE CA MAINTENANCE LABORER 92234 S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 591.50 591.50 Training Fund Admin Dues Trav/ Subs Savings Other Total 540.33 29990 Q 0.50 0.00 1.00 0.00 0.00 0.00 0.00 1.50 21.00 0.00 0.00 0.00 0.00 0.00 0.00 51.17 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Waif. Pension Net Wage Paid For Week Number 4 Date LETICIABONILLA 33477 NAVAJO TR #B Work Classification 06/08 06109 06/10 06/11 06/12 06/13 06/14 This Project All Protects 7.41 48.49 0.00 6.34 0.00 47.39 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 633.75 633.75 Training Admn Dues Subs Savings Other Total 571.51 29977 O I 0.50 0.00 1.00 0.00 0.00 0.00 0.00 1.50 22.50 0.00 0.00 0.00 0.00 0.00 0,00 62.24 D 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Waif. Pension Net Wage Paid For Week Check Number 4 Date MARCELINO RAMIREZ 1500 E SAN RAFAEL DR #164 Work Classification 06/08 06/09 06/10 06111 06112 06/13 06/14 This Project All Projects 0.00 42.00 0.00 5.48 0.00 47.39 0.00 Hours Worked Each Day PALM SPRINGS CA 92262 LANDSCAPE MAINTENANCE LABORER S 8.00 8A0 8.00 8.00 8.00 0.00 0.00 40.00 13.80 562.35 562.35 Training Fund Admin Dues Trav/ Subs Savings Other Total 500.99 299B6 Q 0.50 0.00 0.00 0.00 0.00 0.50 20.70 0.00 0.00 0.00 0.00 0.00 13.88 61.36 D 0.00 ig 0.00 0.00 0.00 0.00 0.00 27.60 NOTE: $13.88 OTHER = FH125 Public Works certified Payroll Reporting Form 06/19/2020 - Page 2 Public Works Certifier' ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 06/14/2020 Payroll Number:50-0 Number of Day Deductions, Contributions, and Payments Name, Address and Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Net FICA SDI Pension Earned Tax Tax Holiday & Welf. 0 Date Total I e Check PASTOR R. PEREZ NEGRON Work 06/08 06/09 06/10 06/11 06/12 06/13 06/14 Hours PHourly ay Rate This All 46.03 36.72 7.78 4.80 0.00 0.00 0.00 Paid For Number + 67365 ONTINA RD Classification Hours Worked Each Day Protect Protects Week 11 CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 0.00 8.00 0.00 0.00Fund 32.00 15.00 480.00 480.00 384.67 29985 CA MAINTENANCE Training Adm n Dues Subs Savings Other Total p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 95.33 92234 M D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 �� NOTE: Number of Day Deductions, Contributions, and Payments Name, Address and Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Social Security Number of Worker Withholding Total Hourly Earned Tax Tax Holiday & Welf. Wage Check 3 Date ROSARODRIGUEZ Hours Pa Rate y Paid For Number Wok 06108 O6I09 O6/10 06/11 O6/12 06113 06114 This All 15.48 36.41 4.11 4.76 0.00 0.00 0.00 PO BOX 580332 Classification Project Projects I Week Hours Worked Each Day N PALM SPRINGS LANDSCAPE S 8.00 2.00 8.00 8.00 8.00 0.00 0.00 34.00 14.00 476.00 476.00 415.24 29988 CA MAINTENANCE Training Admit Dues Subs Savings Other Total Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 60.76 92258 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 ! NOTE: Public Works certified Payroll Reporting Form 06/19/2020 - Page 3 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 2020-06-07 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-04-08." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92262 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: Payroll #: 49 - 1 Ctr Payroll #: 49-1 Week Ending: 06/07/2020 ❑ Statement of Non -Performance? Final payroll for this project? Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 SSN� Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 06/01 06/02 06/03 06/04 06/05 06/06 06/07 Hours Base Hourly Fringe Holiday & Welf. Pension, Other Training Hourly Rate S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00 0.00 15.00 0.00 0.00 0.00 0.00 0.00 0.00 1 5.00 O LANDSCAPE MAINTENANCE LABORER 0.50 0.00 0.00 0.00 0.50 0.00 0.00 1.00 20.70 0.00 0.00 0.00 0.00 0.00 0.00 20.70 NOTE: ORIGINAL PAYROLL NUMBER 49-0 SHOWS 47.39 IN HEALTH 8 WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00 Travel & Subsistence 0.00 Total Deductions 60.14 Public Works certified Payroll Reporting Form 04/08/2021 - Page 1 Public Works CertifiE Ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Week Ending: 06/07/2020 Payroll Number:49-1 Employee: MARCELINO RAMIREZ 1500 E SAN RAFAEL DR #164, PALM SPRINGS, CA, 92262 SSN� Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 06/01 06/02 06/03 06/04 06/05 06106 06/07 Hours Base Hourly Fringe Holiday & Welf. Pension Other Training Hourly Rate S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00 r{4.0 66 7{ 13.80 0.00 0.00 0.00 0.00 0.00 0.00 - it t _ O LANDSCAPE MAINTENANCE LABORER 0.50 0.00 0.00 0.00 0.00 0.00 0.00 0 $U 20,70 0.00 0.00 0.00 0.00 0.00 0.00 mn NOTE: ORIGINAL PAYROLL NUMBER 47-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00, 13.88 WAS DEDUCTED FOR HEALTH INSURANCE Travel & Subsistence 0.00 Total Deductions 61.32 Public Works certified Payroll Reporting Form 04/08/2021 - Page 2 Public Works Certifier lyroll Reporting Foriii Certification under, .alty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-06-07 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2020-06-10." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE Payroll Number: 49- 0 For Week Ending: 06/07/2020 MAINTENANCE OF CITYWIDE MEDIANS ❑ Is this a 'Statement of Non -Performance?' Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA I State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 1 Date ALAN RAMIREZ RAYA 84037 MAGNOLIA ST Work Classification 06/01 06102 06103 06/04 06/05 06/06 06/07 This Project All Projects 63.91 55.08 14.56 7.20 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 18.00 720.00 720.00 Training g Fund Admin Dues Trav/ Subs Savings g Other Total Deduct 579.25 29841 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 0.00 140,75 p 0.00 0,00 0,00 0.00 0.00 0.00 0.00 1 0.00 36.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 3 Date APOLINAR GONZALEZ MARTINEZ 31325 AVE LA PALOMA Work Classification 06/01 06102 06/03 06/04 06/05 06/06 06/07 This Project All Projects 24.86 42.84 2.36 5.60 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Training Fund Admin Dues Trav! Subs Savings Other Total Deduct 484.34 29836 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 75.86 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Number of Social SecurityNumber of Worker Withholding ARMANDO RICO CHAVEZ 3 Work 2103 JACQUES DR Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number Date O6/01 O6IO2 O6/03 06l04 O6/OS O6I06 06107 This Project All Protects 69.86 71.53 23.57 9.35 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 20.00 935.00 935.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 760.69 29833 Q 1.00 1.00 1.00 1.00 0.50 0.00 0.00 4.50 30.00 0.00 0.00 0.00 0.00 0.00 0.00 174.31 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.00 NOTE: Public Works certified Payroll Reporting Form 06/10/2020 - Page 1 Public Works Certifier' )yroll Reporting Foi rn Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 06/07/2020 Payroll Number:49-0 Number of Day Deductions, Contributions, and Payments Name, Address and Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vacl Health Net Pe Date Earned Tax FICA Tax SDI Holiday & Welf. nsion 0 Total Hourly Wage Check CARLOSI.ESPARZAALVAREZ Work 06101 06/02 06/03 06104 06/05 06/06 06/07 Hours Pay Rate This All 0.00 42.84 2.36 5.60 0.00 0.00 0,00 Paid For Number 33822 SHIFTING SANDS #B Classification Hours Worked Each Day Project Projects Week CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Fund Trav/ 509.20 29835 CA MAINTENANCE Training Admin Dues Subs Savings Other Total Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 50.80 92234 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Number of Day Deductions, Contributions, and Payments Name, Address and Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State SDI Vac/ Health Pension Social Security Number of Worker Withholding Total Hourly Earned Tax FICA I Tax Holiday & Welf. Wage Check 5 Date GENARO VARGAS Hours Pay Rate This All PFor Number 06/01 06/02 06/03 06/04 06/05 06/06 06/07 0.00 44.44 0.00 5.81 0.00 0.00 0.00 69130 VICTORIA DR Work Classificatlon + Project I Projects Week We Hours Worked Each Day i CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 581.00 581.00 Fund Trav/ 530.75 29844 CA MAINTENANCE Training Admin Dues Subs Savings Other Total Q 0.50 0.00 0.00 0.00 0.50 0.00 0.00 1.00 21.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 50.25 92234 p o.00 o.oa o.00 o.00 o.00 o.00 O.00 0.00 28.00 NOTE: Number of Day Deductions, Contributions, and Payments Name, Address and Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Social Security Number of Worker Withholding Total Hourly Earned Tax Tax Holiday & Welf. Wage Check 4 Date LETICIABONILLA Hours Pay Rate This All Paid For Number 06/01 06/02 06/03 06/04 06/05 06/06 06/07 6.29 47.62 0.00 6.23 0.00 47.39 0.00 33477 NAVAJO TR #B Work Classification Project Projects Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 622.50 622,50 562.36 29831 CA MAINTENANCE Training Admin Dues Subs Savings Other Total Q 0.50 0.00 0.00 0.00 0.50 0.00 0.00 1.00 22.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 60,14 92234 p 0.00 0.00 1 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Number of Day Deductions, Contributions, and Payments Name, Address and Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Social Security Number of Worker Withholding Total Hours Hourly Pay Rate Earned This All Tax Tax Holiday & Welf. Wage Paid For Check Number 4 Date MARCELINO RAMIREZ 06/01 06/02 06/03 06104 06105 06/06 06/07 0.00 41.96 0.00 5.48 0.00 47.39 0.00 Work Week 1500 E SAN RAFAEL DR #164 Classlficatlon Project Projects Hours Worked Each Day PALM SPRINGS LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 13.80 562.35 562.35 Fund Trav/ 501.03 29840 CA MAINTENANCE Training Admin Dues Subs Savings Other Total Q 0.50 0.00 O.o0 0.00 0.00 0.00 0.00 0.50 20.70 LABORER 0.00 0.00 0.00 0.00 0.00 13.88 61.32 92262 p o.ao o.00 o.00 o.o0 0.00 0.00 0.00 0.00 27.60 NOTE: $13.88 OTHER = FH125 I Public works certified Payroll Reporting Form 06/10/2020 - Page 2 Public Works Certifie,- -iyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 06/07/2020 Payroll Number:49-0 Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments i Mon Tue Wed Thu Frl Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week i Check Number 0 Date PASTOR R. PEREZ NEGRON 67365 ONTINA RD Work Classification 06/01 06/02 06/03 06/04 06/05 06/06 06/07 This Project All Projects 61.78 46.76 13.36 6.11 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 B.00 8.00 B.00 8.00 0.00 0.00 40.00 15.00 611.25 611.25 Trainin 9 Fund Admin Dues Trav/Subs Subs Savings 9 Other Total 483.24 29839 p 0.00 0.00 0.00 0.00 0.50 0.00 0.00 0.50 22.50 0.00 0.00 0.00 0.00 0.00 0.00 126.01 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 Frl Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf, Pension Net Wage Paid For Week Check Number 3 Date ROSARODRIGUEZ PO BOX 580332 Work Classification 06/01 06102 06/03 06/04 06/05 06/06 06/07 This Protect All Protects 24.86 42.84 7.52 5.60 0.00 0.00 0.00 Hours Worked Each Day N PALM SPRINGS CA 92258 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 B.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Training 9 Fund Admin Dues Travl Subs Savin s 9 Other Total 479.18 29842 � Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 80.82 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Public works Certified Payroll Reporting Form 06/10/2020 - Page 3 Public Works Certifi ayroll Reporting Form Certification uno., penalty of perjury: "I, KRiSTY SOUTH, the undersigned, am the CONTROLLER (posltlon In business) with the authority to act for and an behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-05-31 are the originals or true, full, and correct coples of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or indlviduals named. I certify this on 2021-04-08." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92262 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA Contract With: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 County: RIVERSIDE Location Description: Payroll #: 48 - 1 Ctr Payroll #: 48-1 Week Ending: 05/31/2020 Statement of Non -Performance? Final payroll for this project? Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 SSMINEW Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 05/25 05/26 05/27 05/28 05/29 05130 05/31 Hours Base Hourly Fringe Holiday & Welf. Pension Other Training Hourly Rate S LANDSCAPE MAINTENANCE LABORER 0.00 8.00 8.00 8.00 8.00 0.00 0.00 ""7 32 00 ! 15.00 0.00 0.00 0.00 0.00 0.00 0.00 lamf�>7 ; O LANDSCAPE MAINTENANCE LABORER 0.00 0.50 0.50 0.50 0.00 0.00 0.00 Fzi 5t' 22.50 0.00 0.00 0.00 0.00 0.00 0.00 5 NOTE: ORIGINAL PAYROLL NUMBER 48-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00 Travel & Subsistence 0.00 Total Deductions 44.44 Public works certified Payroll Reporting Form 04/08/2021 - Page 1 Public Works Certifies iyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Employee: MARCELINO RAMIREZ 1500 E SAN RAFAEL DR #164, PALM SPRINGS, CA, 92262 SS Mon Tue Wed Thu Fri Sat Sun Total Total 05/25 05/26 05/27 05/28 05/29 05/30 05/31 Hours Base Hourly Fringe S LANDSCAPE MAINTENANCE LABORER 0.00 8.00 8.00 8.00 8.00 0.00 0.00 '00 ? 13.80 0.00 O LANDSCAPE MAINTENANCE LABORER 0.00 0.50 0.50 0.50 0.00 0.00 0.00 ., 1i50 20.70 0.00 NOTE: ORIGINAL PAYROLL NUMBER 48-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00. 13.88 WAS DEDUCTED FOR HEALTH INSURANCE Week Ending: 05/31/2020 Vac/ Health Holiday Pension & Welt. 0.00 0.00 0.00 0.00 0.00 0.00 Travel & Subsistence 0.00 Payroll Number:48-1 Other Training Total Hourly Rate 0.00 0.00 T..!mwJ 0.00 0.003Z`!aD Total Deductions 53.56 Public works certified Payroll Reporting Form 04/08/2021 - Page 2 Public Works Certifier- )yroll Reporting Form Certification under,. ,alty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-05-31 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2020-06-03." C tno rector Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA 92202 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA Contract With: CITY OF LA QUINTA Payroll Number: 48- 0 FEIN: 510532726 DIR Project ID: 290440 County: RIVERSIDE For Week Ending: 05/31/2020 Contractor Email: KRISTYS@PWLC2.COM Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 1 MAINTENANCE OF CITYWIDE MEDIANS �] Is this a 'Statement of Non -Performance?' Name, Address and Social SecurityNumber of Worker Number of Withholding Day i Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Federal Earned Tax FICA State Tax SDI Vac' Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 1 Date ALAN RAMIREZ RAYA 84037 MAGNOLIA ST Work Classification 05/25 05126 05/27 05/28 05/29 05/30 05/31 This Project All Projects 46.63 44.06 8.23 5.76 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 18.00 576.00 576.00 Training Fund Admin Dues Travl Subs Savings Other Total Deduct 471.32 29810 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 0.00 104.68 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE; Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State SDI Tax Vecl Holiday Health & Welf. Pension Net Wage Pa ld For Week Check Number 3 Date APOLINAR GONZALEZ MARTINEZ 31325 AVE LA PALOMA Work Classification 05/25 05/26 05/27 05128 05129 05/30 05/31 This Project All Projects 12.68 34.28 0.00 4.48 1 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 14.00 448.00 448.00 Training Fund Admin Dues Travl Subs Savings Other Total Deduct 396.56 29805 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 51.44 D 0.00 0.00 0.00 1 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 3 Date ARMANDO RICO CHAVEZ 2103 JACQUES DR yyo Classiflcatlon 05/25 05/26 05/27 05/28 05/29 05/30 05/31 This Project All Projects j 39.86 52.40 7.86 6.85 0.00 0.00 0.00 - Hours Worked Each Day PALM SPRINGS CA 92262 LANDSCAPE MAINTENANCE LABORER S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 20.00 685.00 685.00 Training Fund Admin Dues Travl Subs Savings Other Total Deduct 578.03 29802 Q 1 0.00 P 0.50 0.50 0.50 0.00 0.00 0.00 1.50 30.00 0.00 0.00 0.00 0.00 0.00 0.00 106.97 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.00 NOTE: Public works Certified Payroll Reporting Form 06/03/2020 - Page 1 Public Works Certifier' �yroll Reporting Forin Contractor Name: PWLC II, INC. I Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 05/31/2020 Payroll Number:48-0 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 CARLOS I. ESPARZAALVAREZ 33822 SHIFTING SANDS #B Work Classiflcatlon 05/25 05/26 05/27 05/28 05129 05/30 05/31 This Pro act J All Pro acts J 0.00 21.42 0.00 2.80 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA � LANDSCAPE MAINTENANCEAdmin S 0.00 4.00 0.00 8.00 8.00 0.00 0.00 20.00 14.00 280.00 280.00 Fund Dues Travl Subs Savin s gLABORER Other Total255.78 29804 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.0092234 La.in 0.00 0.00 0.00 0.00 0.00 24.22 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE' Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 5 Date GENARO VARGAS 69130 VICTORIA DR Work Classification 05/25 05/26 05/27 05/28 05/29 05/30 05/31 Thls Project All Protects 0.00 36.68 0.00 4.80 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 14.00 479.50 479.50 Training Fund Admin Dues Trav/ Subs Savings Other Total 438,02 29013 Q 0.00 0.50 0.50 0.50 0.00 0.00 0.00 1.50 21.00 0.00 0.00 0.00 0.00 0.00 0.00 41.48 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 4 Date LETICIABONILLA 33477 NAVAJO TR #B Work Classification 05/25 05/26 05/27 05/28 05/29 05/30 05/31 This Project All Projects 0.00 39.30 0.00 5.14 0.00 47.39 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 15.00 513,75 513.75 Training Fund Admin Dues Trav/ Subs Savings Other Total 469.31 29799 Q 0.00 0.50 0.50 0.50 0.00 0.00 0.00 1.50 22.50 0.00 0.00 0.00 0.00 0.00 0.00 44.44 D 0.00 I 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 3 Date LUIS E. ALVAREZ SARABIA 45627 SENEGAL PL Work Classification 05/25 05/26 05/27 05128 05/29 05130 05/31 This Project All Projects 26.78 44.06 10.81 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 18.00 576.00 576.00 Training Adm n Dues Subs Savings Other Total 488.59 29798 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 87.41 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 06/03/2020 - Page 2 '" Public Works Certifier' ),yroll Reporting Form •e-�\ tName:ctor PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 05/31/2020 Payroll Number:48-0 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. Penslon Net Wage Paid For Week Check Number 2 Date MARCELINO BRIONES 50700 CALLE MENDOZA Work Classification 05/25 05126 05/27 05I28 05129 05/30 05/31 Thls Protect All Protects 21.35 34.28 0.91 4.48 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 14.00 448,00 448,00 Training AdmI Dues Subs Savings Other Total 386.98 29800 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 61.02 p 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 28.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vacl Holiday Health & Welf. Pension Net Wage pal d For Week Check Number 4 Date MARCELINO RAMIREZ 1500 E SAN RAFAEL DR #164 Work Classification 05/25 05126 05/27 05128 05/29 05/30 05/31 This Project All Projects 0.00 35.09 0.00 4.59 0.00 47.39 0.00 Hours Worked Each Day PALM SPRINGS CA 92262 � LANDSCAPE MAINTENANCE LABORER S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 13.80 472.65 472.65 Training Fund Admin Dues Travl Subs Savings Other Total 419.09 29809 QPO00 0.50 0.50 0.50 0.00 0.00 0.00 1.50 20.70 0.00 0.00 0.00 0.00 0.00 13:88 53.56 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.60 NOTE: $13.88 OTHER = FH125 Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date PASTOR R. PEREZ NEGRON 67365 ONTINA RD Work Classlflcatlon 05/25 05/26 05/27 05128 05129 05/30 05/31 This Project A11 Projects 46.03 36.72 1 7.78 4.80 0.00 0.00 0.00 1 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 Admin Dues Subs Savings Other Total 384.67 29808 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 1 0.00 95.33 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 3 Date ROSA RODRIGUEZ PO BOX 580332 Work Classification 05/25 05/26 05/27 05/28 05/29 05/30 05/31 This Project All Projects 12.68 34.27 3.49 4.48 0.00 0.00 0.00 Hours Worked Each Day N PALM SPRINGS CA 92258 � LANDSCAPE MAINTENANCE LABORER S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 14.00 448.00 448.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 393.08 29811 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 54.92 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 Public works Certified Payroll Reporting Form 06/03/2020 - Page 3 Public Works Certifi( 'ayroll Reporting Form Certification under penalty of perjury: 1, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC Il, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-05-24 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-04-08." Contractor Name: PWLC ll, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92262 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: Payroll #: 47 - 1 Ctr Payroll #: 47-1 Week Ending: 05/24/2020 Statement of Non -Performance? Final payroll for this project? Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 SSA Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 05/18 05/19 05/20 05121 05/22 05/23 05/24 Hours Base Hourly Fringe Holiday & Welt. Pension Other Training Hourly Rate S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40;QO;ii! 15.00 0.00 0.00 0.00 0.00 0.00 0.00 M.5;U[Yy 0 LANDSCAPE MAINTENANCE LABORER 0.50 0.50 0.50 0.00 0.00 0.00 0.00 T50! t, 22.50 0.00 0.00 0.00 0.00 000 0.00 �Sb ; 4 NOTE: ORIGINAL PAYROLL NUMBER 47-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00 Travel & Subsistence 0.00 Total Deductions 62.23 Public works certified Payroll Reporting Form 04/08/2021 - Page 1 Public Works Certifi ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Week Ending: 05/24/2020 Employee: MARCELINO RAMIREZ 1500 E SAN RAFAEL DR #164, PALM SPRINGS, CA, 92262 Ssvml�ii: Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health 05/18 05/19 05/20 05/21 05/22 05/23 05/24 Hours Base Hourly Fringe Holiday & Welf. Pensio S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00 ;,;�d0 00zE'y"; 13.80 0.00 0.00 0.00 0.00 O LANDSCAPE MAINTENANCE 0.50 0.50 0.50 0.00 0.00 0.00 0.00 ?y Ff50,Mi 20.70 0.00 0.00 0.00 0.00 NOTE: ORIGINAL PAYROLL NUMBER 47-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00 AND 13.88 WAS DEDUCTED FOR HEALTH INSURANCE Travel & Subsistence 0.00 Payroll Number:47-1 J Other Training Total Hourly Rate i 0.00 0.00 ,�'3t90 0.00 0.00 prsi Total Deductions 64.07 Public Works certified Payroll deporting Form 04/08/2021 - Page 2 Public Works Certifi ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Week Ending: 05/24/2020 Employee: MARCELINO RAMIREZ 1500 E SAN RAFAEL DR #164, PALM SPRINGS, CA, 92262 Ssvml�ii: Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health 05/18 05/19 05/20 05/21 05/22 05/23 05/24 Hours Base Hourly Fringe Holiday & Welf. Pensio S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00 ;,;�d0 00zE'y"; 13.80 0.00 0.00 0.00 0.00 O LANDSCAPE MAINTENANCE 0.50 0.50 0.50 0.00 0.00 0.00 0.00 ?y Ff50,Mi 20.70 0.00 0.00 0.00 0.00 NOTE: ORIGINAL PAYROLL NUMBER 47-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00 AND 13.88 WAS DEDUCTED FOR HEALTH INSURANCE Travel & Subsistence 0.00 Payroll Number:47-1 J Other Training Total Hourly Rate i 0.00 0.00 ,�'3t90 0.00 0.00 prsi Total Deductions 64.07 Public Works certified Payroll deporting Form 04/08/2021 - Page 2 eCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at bl icworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-05-24 Payroll Number. 47 Amendment Number. 0 11 employee payroll record(s) processed Your Transaction ID is: 8377560 ant this Pagg View your submission* Submit another set of payroll records Public Works Certifier' - iyroll Reporting Form Certification under, .aity of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-05-24 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2020-05-28." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE Payroll Number: 47- 0 For Week Ending: 05/24/2020 MAINTENANCE OF CITYWIDE MEDIANS Is this a 'Statement of Non -Performance?' Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vaday cl Holi Health & Wolf . Pension Net Wage Paid For Week Check Number 1 Date ALAN RAMIREZ RAYA 84037 MAGNOLIA ST Work Classification 05/18 05119 05/20 05/21 05/22 05/23 05/24 This Project All Protects 63.91 55.08 14.56 7.20 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA 92236 LANDSCAPE MAINTENANCE LABORER S B.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 Deduct 579.25 29665 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 0.00 140.75 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Waif. Pension Net Wage Paid For Week Check Number 3 Date APOLINAR GONZALEZ MARTINEZ 31325 AVE LA PALOMA Work Classification OSl18 05/19 OSI20 O5121 O5122 OSl23 05124 This Project All Projects 24.86 42.84 2.36 5.60 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560,00 Training Fund Admin Dues Travl Subs Savings Other Total Deduct 484.34 29660 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 75.66 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly 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 05/18 05/19 05/20 05/21 05/22 05123 05/24 This Project All Projects 58.46 64.64 17.30 8.45 0.00 0.00 0.00 Hours Worked Each Day PALM SPRINGS CA g22g2 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 845.00 845.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 696.15 29657/6 134 Q 0.50 0.50 0.50 0.00 0.00 0.00 0.00 1.50 30.00 0.00 0.00 0.00 0.00 0.00 0.00 148.85 D 0.00 0.00 0.00 1 0.00 0.00 0.00 0.00 0.00 40.00 NOTE: Public works certified Payroll Reporting Form 05/28/2020 - Page 1 Public Works Certifier``--,yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 05/24/2020 Payroll Number:47-0 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 0 Date CARLOS I. ESPARZAALVAREZ 33822 SHIFTING SANDS #B Work Classification 05/18 05/19 05/20 05121 05/22 05123 05/24 This Project All Projects 0.00 42.84 2.36 5.60 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 509.20 29659 Q 0.00 0.00 0.00 0.Oo 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 50.80 D o.00 0.00 0.00 0.00 0.00 D.00 0.00 0.00 28.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Earned Total Hourly Hours Pa Rate This All Y Project Projects Federal Tax FICA State Tax SDI Vac! Hollday Health & Welf. Pension Net Wage Paid For Week Check Number 5 Date GENARO VARGAS 69130 VICTORIA DR Worts Classification 05I18 05119 05I20 05121 05(22 05123 05/24 0.00 45.25 0.00 5.92 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 �Nll LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 591.50 591.50 Training Fund Admin Dues Trav/ Subs Savings Other Total 540.33 29668 Q 0.50 0.50 0.50 0.00 0.00 0.00 0.00 1.50 21.00 0.00 0.00 0.00 0.00 0.00 0.00 51.17 D 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly 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 05/18 05119 05120 05/21 05/22 05123 05124 This Project All Projects 7.41 48.48 0.00 6.34 0.00 47.39 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 mommom LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 0.00 0.00 40.00 15.00 633.75 633.75 Training Fund Admin Dues Trav/ Subs Savings Other Total 571.52 29654 Q 0.50 to-00 0.00 0.00 0.00 0.00 1.50 22.50 0.00 0.00 0.00 0.00 0.00 0.00 62.23 D 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 blaY Deductions, Contributions, and Payments Man Tue Wed Thu Fri Sat Sun Total Hours Hourly Pa Rate Y Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Hollday Health & Welf. Pension Net Wage Paid For Week Check Number 3 Date LUIS E. ALVAREZ SARABIA 45627 SENEGAL PL INDIO CA 92201 Work Classification 05/18 05/19 05/20 05/21 05/22 05/23 05124 This Project All Projects 44.06 55.08 17.14 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 0.00 0.00 18,00 27.00 36.00 720.00 720.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 596.52 29653 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 0.00 123.48 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Public Works certified Payroll Reporting Form 05/28/2020 - Page 2 Public Works Certifie-- -tyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 f For Week Ending: 05/24/2020 Payroll Number:47-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vacl Health 2 Date Earned Tax FICA Tax SDI Hollda y I $ Welf. Pension Net MARCELINO BRIONES Total Hourly Wage Check Work 05/18 05119 05/20 05/21 05122 05/23 05/24 Hours Pay Rate This All 34.79 42.84 4.94 5.60 0.00 0.00 0.00 Paid For Number 50700 CALLE MENDOZA Classlflcatlon Hours Worked Each Day Project Projects Week COACHELLA LANDSCAPE S 8.00 8.00 8.00 B.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Fund Travl 471.83 29655 CA MAINTENANCE Training Admin Dues Subs Savings Other Total LABORER Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 92236 0.00 0.00 0.00 0.00 0.00 0.00 88.17 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE; Number of Day Deductions, Contributions, and Payments Name, Address and Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vecl Health Net Social SecurityNumber of Worker Withholding Total Hourly Earned Tax FICA Tax SDI Holiday $ Welf. Pension Wage 4 Date MARCELINO RAMIREZ Hours Pay Rate Paid For NuCheck mber O5/18 0S119 0SI20 0Sl21 0S122 0Sl23 05124 0.96 43.54 0.00 5.69 0.00 47.39 0.00 1500 E SAN RAFAEL DR #164 Work Classification This All Project Projects Week Hours Worked Each Day PALM SPRINGS LANDSCAPELO.50 8.00 8.00 8.00 8.00 0.00 0.00Trav/ 40.00 13.80 583.05 583.05 Fund 518.98 29664 CA MAINTENANCE Training Admin Dues Subs Subs Savings Other Total 0.50 0.50 0.00 0.00 0.00 0.0092262 1.50 20.70 LABORER 0.00 0.00 0.00 0.00 0.00 13.88 84.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 z7.60 NOTE: $13.88 OTHER = FH125 Number of Day Deductions, Contributions, and Payments Name, Address and Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State V13 Health Net Social SecurityNumber of Worker Withholding Total Hourly Earned Tax FICA Tax SDI Holds y & Welf. Pension Wage Check 0 Date PASTOR R. PEREZ NEGRON Hours Pay Rate Paid For Number 05118 05/19 05/20 05/21 05/22 05/23 05/24 This All 60.43 45.90 12.86 6.00 0.00 0.00 0.00 67365 ONTINA RD Work Classlflcatlon Project Protects 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 Travl 474.81 29663 CA MAINTENANCE Training Admin Dues Subs Savings Other Total Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.001 125.19 92234 p 0.00 0.00 0.00 0.00 0.00 1 0.00 0.00 0.00 30.00 imam 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 3 Date ROSARODRIGUEZ PO BOX 580332 Work Classification 05118 05119 05120 05/21 0S122 0S123 05/24 This Project All Projects 12.68 34.29 3.49 4.48 0.00 0.00 0.00 Hours Worked Each Day N PALM SPRINGS CA 92258 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 0.00 8.00 0.00 0.00 32.00 14.00 448.00 448.00 Tralning Fund Admin Dues Travl Subs Savings Other Total 393.06 29666 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 54.94 p 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 0.00 28.00 NOTE: Public works certified Payroll Reporting Form 05/29/2020 - Page 3 eCPR Online Confirmation Your payroll submission request has been processed. .'lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 10837547 This certified payroll will be treated as an amendment #: 2 Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-05-17 Payroll Number: 46 Amendment Number: 2 1 employee payroll record(s) processed Your Transaction ID is: 10839444 Print this Page iew your submission Adobe Submit another set of payroll records Public Works Certifil ayroll Reporting Form Certification unae. penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-05-17 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-04-08." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSL13 License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92262 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA Contract With: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 County: RIVERSIDE Location Description: Payroll #: 46 - 2 Ctr Payroll #: 46-2 Week Ending: 05/17/2020 ❑ Statement of Non -Performance? [-]Final payroll for this project? Employee: MARCELINO RAMIREZ 1500 E SAN RAFAEL DR #164, PALM SPRINGS, CA, 92262 SS Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 05/11 05/12 05/13 05/14 05/15 05/16 05/17 Hours Base Houdy Fringe Holiday & Welf. Pension Other Training Hourly Rate S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 13.80 0.00 0.00 0.00 0.00 0.00 0.00 "13:807 O LANDSCAPE MAINTENANCE LABORER 0.00 0.50 0.50 0.50 0.00 0.00 0.00 1.50 20.70 0.00 0.00 0.00 0.00 0.00 0.00 20.,70� ' NOTE: 13.88 DEDUCTION FOR HEALTH INSURANCE Travel & Subsistence 0.00 Total Deductions 64.07 Public Works certified Payroll Reporting Form 04/08/2021 - Page 1 eCPR Online Confirmation Your payroll submission request has been processed. 'lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 8349548 This certified payroll will be treated as an amendment #: 1 Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-05-17 Payroll Number: 46 Amendment Number: 1 2 employee payroll record(s) processed Your Transaction ID is: 10837547 Print this Page iew your submission ' Adohe Submit another set of payroll records Public Works Certifi( ayroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-05-17 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-04-07." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92262 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: Payroll #: 46 - 1 Ctr Payroll #: 46-1 Week Ending: 05/17/2020 Statement of Non -Performance? Final payroll for this project? Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 Sw Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health 05/11 05/12 05/13 05/14 05/15 05/16 05/17 Hours Base Hourly Fringe Holiday & Welf. S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00 jj"4;0{6 I 15.00 0.00 0.00 0.00 O LANDSCAPE MAINTENANCE LABORER 0.00 0.50 0.50 0.50 0.00 0.00 0.00 W60 22.50 0.00 0.00 0.00 NOTE: ORIGINAL PAYROLL NUMBER 46-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00 Travel & Subsistence Pension Other Training Total Hourly Rate 0.00 0.00 0.00 fa�t1l5�1 0.00 0.00 0.00 0.00 Total Deductions 62.24 Public works certified Payroll Reporting Form 04/07/2021 - Page 1 Contractor Name: PWLC II, INC. Public Works Certifi( ;ayroll Reporting Form Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Week Ending: 05/17/2020 Payroll Number:46-1 Employee: MARCELINO RAMIREZ 1500 E SAN RAFAEL DR #164, PALM SPRINGS, CA, 92262 SSN-61010M Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 05/11 OS/12 OSl13 05/14 OS/15 OS/16 OS/17 Hours Base Houdy Fringe 9 Holiday Y & Welt. Pension Other Training Hourly Rate Y S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 13.80 0.00 0.00 0.00 0.00 0.00 0.00 13.80 -' O LANDSCAPE MAINTENANCE LABORER 0.00 0.50 0.50 0.50 0.00 0.00 0.00 20.70 0.00 0.00 0.00 0.00 0.00 0.00 2010.. NOTE: ORIGINAL PAYROLL NUMBER 46-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00 Travel & Subsistence 0.00 Total Deductions 64.07 Public works Certified Payroll Reporting Form 04/07/2021 - Page 2 eCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at iblieworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-05-17 Payroll Number. 46 Amendment Number. 0 17 employee payroll record(s) processed Your Transaction ID is: 8349548 Print IN5 Page I .. View your submission Fd06C Submit another set of payroll records Public Works Certifies -iyroll Reporting Form Certification under. elty 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. (hams 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 2020.05-17 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2020-05-22." Contractor Name: PWLC ll, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 46- 0 For Week Ending: 05/17/2020 Is this a 'Statement of Non -Performance?' Number of Day Deductions, Contributions, and Payments Name, Address and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac! Health Pension Net Total Hours Hourly Pay Rate Earned Tax Tax Hollday & Welf. Wage PW For Check Number 1 Date ALAN RAMIREZ RAYA 05/11 05/12 05113 05114 05/15 05/16 05/17 This Ail 63.91 55.08 14.56 7.20 0.00 0.00 0.00 84037 MAGNOLIA ST Work Classification Project Projects Week Hours Worked Each Day COACHELLA LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 18.00 720.00 720.00 Fund Travl Total 579.25 29632 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 LABORER 0.00 27.00 0.00 0.00 0.00 0.00 0.00 0.00 140.75 92236 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Idd 0.00 36.00 NOTE: Day Deductions, Contributions, and Payments Name, Address and Number of Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Social Security Number of Worker Withholding Total Hours Hourly Pay Rate Earned Tax Tax Hollday & Welf. Wage Paid For Check Number p Date ALEJANDRO CHAVEZ 05/11 05112 05/13 05114 05115 05116 05117 This All 104.79 82.84 43.61 10.83 0.00 0.00 0.00 2103 JACQUES DRIVE Work Classification Project Projects Week Hours Worked Each Day PALM SPRINGS TREE g 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 27.07 1,082.80 1,082.80 Fund Travl Total 840.73 29623 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct LABORER Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.61 0.00 0.00 0.00 0.00 0,00 0.00 242.07 92262 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54.14 NOTE: Day Deductions, Contributions, and Payments Name, Address and Number of Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net 3 Date Total Hourly Earned Tax Tax Holiday & Welf. Wage Check APOLINAR GONZALEZ MARTINEZ 05/14 05/15 05116 05117 Hours Pay Rate 26.12 43,64 2.82 5.71 0.00 0.00 0.00 PWe For Number Work 05/11 05112 05/13 Thisaid I All Week 31325 AVE LA PALOMA Classification Hours Worked Each Day Project Projects CATHEDRAL CITY LANDSCAPE g 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 570.50 570.50 Fund Dues Travl Savings Other Total 92.2 CA MAINTENANCE Training Admin Subs Deduct LABORER Q 0.00 0,00 0.00 0.50 0.00 0.00 0.00 0.50 1 21.00 0.00 0.00 0.00 0.00 0.00 0.00 78.29 92234 p 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Public Works Certified Payroll Reporting Form 05/22/2020 - Page 1 Public Works Certifier- Zyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 05/17/2020 Payroll Number:46-0 Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Gross Amount Earned Hourly Pay Rate This All Project Projects Federal Tax FICA State Tax SDI Vac! Hollday Health & Well. Pension Net Wage Paid For Week Check Number 3 Date ARMANDO RICO CHAVEZ 2103 JACQUES DR Work Classification 05111 05/12 05/13 05114 05/15 05/16 05/17 59.06 64.64 17.63 8.45 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 20.00 845.00 845.00 Training Admix Dues Subs Savings Other Total 695.22 29624 Q 0.00 0.50 0.50 0.50 0.00 0.00 0.00 1.50 30.00 0.00 0.00 0.00 0.00 0.00 0.00 149.78 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac! Holiday Health & Welf. Pension Net Wage PW For Week Check Number 0 Date CARLOS I. ESPARZAALVAREZ 33822 SHIFTING SANDS #B Work Classification 05/11 05/12 05/13 05114 05/16 05/16 05/17 This All Projects 0.00 43.64 2.82 5.71 0.00 0.00 0.00 Hours Worked Each Day Hours CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER $ 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14,00 570.50 570.50 Training Fund Admin Dues Travl Subs Savings Other Total 518.33 29626 Q 0.00 0.00 0.00 0.50 0.00 0.00 0.00 0.50 21.00 0.00 0.00 0.00 0.00 0.00 0.00 52.17 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and ;Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pa Rate Y Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holl day Health & Welf. Pension Net Wage Paid For Week Check Number q Date CARLOS LUNAGONZALEZ 66145 7TH ST Work Classlflcatlon 05111 05112 05/13 05/14 05/15 05116 05117 This Project I All Projects 83.61 100.95 18.67 13.20 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 TREE MAINTENANCE LABORER $ B.00 8.00 8.00 B.00 8.00 0.00 0.00 40.00 24.87 994.80 1,319.64 Training Fund Admin Dues Trav/ Subs Savings Other Total 1,103.21 29629 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.31 0.00 0.00 0.00 0.00 0.00 0.00 216.43 p O.oO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 49.74 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 4 Date CARLOS LUNA GONZALEZ 66145 7TH ST Work Classlflcatlon 05/11 05112 05/13 05/14 05/15 05116 05/17 Thls Project All Projects 83.61 100.95 18.67 13.20 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS TREE CA MAINTENANCE LABORER 92240 $ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.07 324.84 1,319.64 Training Fund Admin Dues Trav/ Subs Savings Other Total 1,103.21 29629 Q 0.00 0.00 0.00 0.00 0.00 8.00 0.00 8.00 40.61 0.00 0.00 0.00 0.00 0.00 0.00 216.43 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54.14 NOTE: Public works certified Payroll Reporting Form 05/22/2020 - Page 2 Public Works Certifier' yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 05/17/2020 Payroll Number:46-0 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 Wege Pald For Week Check Number 0 Date EDUARDO ESCAMILLA MORENO 84039 LINGAYAN AVE Work Classification 05l11 05l12 OS/13 05/14 05/15 O5/16 05/17 This Project All Projects 0.00 98.93 55.73 12.93 0,00 0.00 0.00 Hours Worked Each Day INDIO CA 92201 TREE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 24.87 1,293.24 1,293.24 Training Admin Du Trav/es Subs Savings Other Total 1,125.65 29625 Q 0.00 0.00 0.00 0.00 0.00 8.00 0.00 8.00 37.31 0.00 0.00 0.00 0.00 0.00 0.00 167.59 D 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 49.74 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 Rale Gross Amount Earned Federal Tax FICA State I Tax SDI Vac! Holiday H6�1lh & Welf. Pension Net Wage PW For Week Check Number 5 Date GENARO VARGAS 69130 VICTORIA DR Work Classification 05/11 O5112 05/13 O5114 O5I15 05116 05117 ThIs Project All Projects 0.00 43.64 0.00 5.67 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER $ 8.00 8.00 8.00 0.00 8.00 0.00 0.00 32.00 14.00 458.50 570.50 Training Admin Dues Subs Savings Other Total 521.19 29635 Q 0.00 0.00 0.50 0.00 0.00 0.00 0.00 0.50 21.00 0.00 0.00 0.00 0.00 0,00 0.00 49.31 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pa Rate Y Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date HUMBERTO S. VALDEZ 12966 CACTUS DR #A Work Classification 05111 05112 O5113 O5l14 05115 05116 O5117 This Project All Projects 154.30 87.41 46.28 11.42 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 TREE MAINTENANCE LABORER $ 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 21.97 1.142,44 1,142.44 Training Fund Dues Dues Subs Savings Other Total 843.03 29634 Q 0.00 0.00 0.00 0,00 0.00 8.00 0.00 8.00 32.96 0.00 0.00 0,00 0.00 0.00 0.00 299.41 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 43.94 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 q Date LETICIABONILLA 33477 NAVAJO TR #B Work Classification 05/11 05/12 05/13 05/14 05/15 05/16 O5117 This Project All Projects 7.41 48.49 0.00 6.34 0,00 47.39 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER $ 8.00 8.00 8.00 8.00 8.00 D.00 0.00 40.00 15.00 633.75 633.75 Training Fund Admin Dues Trav! Subs Savings Other Total 571.51 29621 Q 0,00 0.50 0.50 0.50 0.00 0.00 0.00 1.50 22.50 0.00 0.00 0.00 0.00 0.00 0.00 62.24 D 0.00 0.00 0.00 0.00 0.00 10.00 0.00 0.00 30.00 NOTE; Public Works Certified Payroll Reporting Form 05/22/2020 - Page 3 Public Works Certifier" iyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 05/17/2020 Payroll Number:46-0 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 3 Date LUIS E. ALVAREZ SARABIA 45627 SENEGAL PL Work Classification 05111 05/12 05/13 05/14 05/15 05/16 05/17 This Project All Projects 45.68 56.12 18.01 7.34 0.00 0.00 0.00 Hours Worked Each Day INDIO LANDSCAPE CA MAINTENANCE LABORER 92201 S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40,00 18.00 733.50 733.50 Training Fund Admin Dues Travl Subs Savings Other Total 606.35 29620 0 0.00 0.00 0.00 0.50 0.00 0.00 0.00 0.50 27.00 0.00 0.00 0.00 0.00 0.00 0.00 127.15 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Waif. Pension Net Wage Paid For Week Check Number 2 Date MARCELINO BRIONES 50700 CALLE MENDOZA Work Classification 05/11 05/12 05/13 05/14 05/15 05/16 05/17 This Project All Projects 22.61 35.08 1.14 4.59 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 0.00Fund 32.00 14.00 458.50 458.50 Training Admin Dues Subs Savings Other Total 395.08 29622 0 0.00 0.00 0.00 0.50 0.00 0.00 0.00 0.50 21.00 0.00 0.00 0.00 0.00 0.00 0.00 63.42 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Waif. Pension Net Wage Paid For Week Check Number 4 Date MARCELINO RAMIREZ 1500 E SAN RAFAEL DR #164 Work Classification 05/11 05112 05113 05114 05115 05116 05/17 This Project All Projects 0.96 43.54 0.00 5.69 0.00 47.39 0.00 Hours Worked Each Day PALM SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 13.80 583,05 583.05 TralningLAdmIn Fund uesSubsTotalLABORER Trav/ 518.98 29631 0 0.00 0.50 0.50 0.50 0.00 0.00 0.00 1.50 20.7092262 0.00 L0.00 0.00 0.00 13.88 64.07 p o.00 o.00 o.00 o.00 o.00 o.00 o.00 0.00 27.so NOTE: $13.88 OTHER = FH125 Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pa Rate Y Gross Amount Earned Federal Tax FICA State Tax SDI Vac) Holiday Health & Wolf. Pension Net Wage Paid For Week Check Number 0 Date PASTOR R. PEREZ NEGRON 67365 ONTINA RD Work Classlflcatlon 05/11 O5112 05113 05114 O5/15 05l16 05117 This Project All Projects 61.78 46.76 j 13.36 6.11 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 15.00 611,25 611.25 Tralning Adrnin Dues Subs Savings Other Total 483.24 29630 0 0.00 0.00 0.00 0.50 0.00 0.00 0.00 0.50 22.50 0.00 0.00 0.00 1 0.00 1 0,00 0.00 128.01 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 05/22/2020 - Page 4 Public Works Certifie,--gyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 05/17/2020 Payroll Number:46-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health 3 Date Earned Tax FICA Tax SDI Holiday Y & Welf. Pension Net ROSA RODRIGUEZ Total Hourly Wage Check Work 05/11 05/12 05/13 05/14 05/15 05116 05/17 Hours Pay Rate This All 26.12 43.63 7.98 5.71 0.00 0.00 0.00 Paid For Number PO BOX 580332 Classlflcatlon Hours Worked Each Day Project ect Projects Week N PALM SPRINGS LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 570.50 570.50 Fund Travl 487.06 29833 CA MAINTENANCE Training Admin Dues Subs Savings Other Total Q 0.00 0.00 0.00 0.50 0.00 0.00 0.00 0.50 I 21.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 83.44 92258 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.0Usemb 0 NOTE: Number of Day Deductions, Contributions, and Payments I Name, Address and Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal . State Vac/ Health Net Social SecurityNumber of Worker Withholding Total Hourly Earned Tax FICA Tax SDI Holiday & Welf. Pension Wage Check 0 Date RUBEN F. HENRIOUFz Hours Pay Rate Paid For Number Work 05/11 05/12 05/13 05/14 05/15 05/16 05/17 This All 154.30 87.40 48.86 11.42 0.00 0.00 0.00 15687 PALM DR #83 Classlflcatlon Project Projects Week Hours Worked Each Day DESERT HOT SPRINGS TREE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 21.97 1,142.44 1,142.44 Fund Travl 840.46 29628 CA MAINTENANCE Training g Admin Dues Subs Savings g Other Total Q 0.00 0.00 0.00 0.00 0.00 8.00 0.00 8.00 32.96 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 301.98 92240 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 43.94 s�� NOTE: Public works certified Payroll Reporting Form 05/22/2020 - Page 5 eCPR Online Confirmation Your payroll submission request has been processed. .'lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 10837374 This certified payroll will be treated as an amendment #: 3 Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-05-10 Payroll Number: 45 Amendment Number: 3 1 employee payroll record(s) processed Your Transaction ID is: 10839309 Print this Page __J iew your submission Adobe Submit another set of payroll records Public Works Certifi, ayroll Reporting Form Certification under penalty of perjury: 1, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-05-10 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-04-08." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92262 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: Payroll #: 45 - 3 Ctr Payroll #: 45-3 Week Ending: 05/10/2020 ❑ Statement of Non -Performance? ❑ Final payroll for this project? Employee: MARCELINO RAMIREZ 1500 E SAN RAFAEL DR #164, PALM SPRINGS, CA, 92262 SSNIMM� Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 05/04 05/05 05/06 05/07 05/08 05/09 05/10 Hours Base Hourly Fringe Holiday & Welf. Pension Other Training Hourly Rate S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00 .10.00 13.80 0.00 0.00 0.00 0.00 0.00 0.00 M- W.- 0 LANDSCAPE MAINTENANCE LABORER 0.00 0.50 0.50 0.00 0.00 0.00 0.00 1.00 20.70 0.00 0.00 0.00 0.00 0.00 0.00 ;W'q O NOTE: 13.88 DEDUCTION FOR HEALTH INSURANCE Travel & Subsistence 0.00 Total Deductions 62.21 Public Works certified Payroll Reporting Form 04/08/2021 - Page 1 eCPR Online Confirmation Your payroll submission request has been processed. .-lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 10837280 This certified payroll will be treated as an amendment #: 2 Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-05-10 Payroll Number: 45 Amendment Number: 2 1 employee payroll record(s) processed Your Transaction ID is: 10837374 Print this Page t 'iew your submission AM)e Submit another set of payroll records Public Works Certifi ayroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-05-10 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-04-07." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92262 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA Contract With: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 County: RIVERSIDE Location Description: Payroll #: 45 - 2 Ctr Payroll #: 45-2 Week Ending: 05/10/2020 Statement of Non -Performance? FIFInal payroll for this project? Employee: MARCELINO RAMIREZ 1500 E SAN RAFAEL DR #164, PALM SPRINGS, CA, 92262 SSN Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 05/04 05/05 05/06 05107 05/08 05109 05/10 Hours Base Hourly Fringe Hollday & Welf. Pension Other Training Hourly Rate S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00 '40) OU I 13.80 0.00 0.00 0.00 0.00 0.00 0.00 summ O LANDSCAPE MAINTENANCE LABORER 0.00 0.50 0.50 0.00 0.00 0.00 0.00 I'0_0";. 20.70 0.00 0.00 0.00 0.00 0.00 0.00 b NOTE: ORIGINAL PAYROLL NUMBER 45-1 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00 Travel & Subsistence 0.00 Total Deductions 62.21 Public works Certified Payroll Reporting Form 04/07/2021 - Page 1 eCPR Online Confirmation Your payroll submission request has been processed. .Tease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 8282274 This certified payroll will be treated as an amendment #: 1 Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-05-10 Payroll Number: 45 Amendment Number: 1 1 employee payroll record(s) processed Your Transaction ID is: 10837280 Print this Page 'iew 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 ll, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-05-10 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-04-07." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92262 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA Contract With: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 County: RIVERSIDE Location Description: Payroll #: 45 - 1 Ctr Payroll #: 45-1 Week Ending: 05/10/2020 ❑ Statement of Non -Performance? Final payroll for this project? I Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 SSN:� Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 05/04 05/05 05/06 05107 05/08 05109 05/10 Hours Base Hourly Fringe Holiday & Welf. Pension Other Training Hourly Rate S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 0.00 0.00 0.00 rvla-m 15.00 0.00 0.00 0.00 0.00 0.00 0.00 15,00 O LANDSCAPE MAINTENANCE LABORER 0.00 0.50 0.50 0.00 0.00 0.00 0.00 DaWl. 22.50 0.00 0.00 0.00 0.00 0.00 0.00 22.50 NOTE: ORIGINAL PAYROLL NUMBER 45-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00 Travel & Subsistence 0.00 Total Deductions 60.14 Public works certified Payroll Reporting Form 04/07/2021 - Page 1 eCPR Online Confirmation Your payroll submission request has been processed. _ Please review the results of your submission. Should you have any questions please contact the eCPR unit at iblicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-05-10 Payroll Number 45 Amendment Number. 0 15 employee payroll record(s) processed Your Transaction ID is: 8282274 Print this Pa9e View your submission l•1n7r Submit another set of payroll records Public Works Certifier' iyroll Reporting Form Certification under, aity of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-05-10 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2020-05-14." Contractor Name: PWLC 11, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANIA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA Payroll Number: 45- 0 County: RIVERSIDE For Week Ending: 05/10/2020 Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS I Is this a 'Statement of Non -Performance?' Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 1 Date ALAN RAMIREZ RAYA 84037 MAGNOLIA ST Work Classification OSI04 05105 05/O6 OSl07 05I08 05/09 05/10 This Project All Protects 63.91 55.08 14.56 7.20 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 18.00 720.00 720.00 Training Fund Admin Dues Trav/Subs Subs Savings Other Total Deduct 579.25 29492 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 0.00 140.75 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 [NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Gross Amount Earned Hourly Pa Rate This All Y Project Projects Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number q Date ALEJANDRO CHAVEZ 2103 JACQUES DRIVE Work Classification OS/04 O5I05 O5I06 OS/07 OSI08 OS/09 05/10 104.54 82.74 43.51 10,82 0.00 0.00 0.00 Hours Worked Each Day PALM SPRINGS CA 9P282 TREE MAINTENANCE LABORER $ 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 27.07 866.24 1,081.64 Training Fund Admin Dues Travl Subs Savings Other Total Deduct 840.03 29483 Q 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 40.61 0.00 0.00 0.00 0.00 0.00 0.00 241.61 D 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 54.14 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 3 Date ARMANDO RICO CHAVEZ 2103 JACQUES DR Work Classification 05104 05105 05/06 05/07 05/08 05109 05/10 This Project All Projects 59.06 64.64 17.63 8.45 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 20.00 845.00 845.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 695.22 29484 Q 0.00 0.50 0.50 0.50 0.00 0,00 0.00 1.50 30.00 0.00 0.00 0.00 0.00 0.00 0.00 149.78 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.00 NOTE: Public works certified Payroll Reporting Form 05/14/2020 - Page 1 Public Works Certifier- yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 05/10/2020 Payroll Number:45-0 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 0 Date CARLOS I. ESPARZAALVAREZ 33822 SHIFTING SANDS #B Work Classification 05/04 05/05 05/06 05/07 05/08 05/09 05/10 This Project All Projects 0.00 42.84 2.36 5.60 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 14.00 560.00 560.00 Training Fund Dues Dues Sudhs Savings Other Total 509.20 29486 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0,00 0.00 50.80 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number d Date CARLOS LUNA GONZALEZ 66145 7TH ST Work Classlflcatlon 05/04 05/05 05/06 05/07 05/OB OSI09 OS/10 This Project All Projects 37.22 71.28 2.61 9.32 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 TREE MAINTENANCE LABORER $ 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 24.87 795.84 931.84 Training AFund dm n Dues Subs Savings Other Total 811.41 29488 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.31 0.00 0.00 0.00 0.00 0.00 0.00 120.43 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 49.74 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 RateThls Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date EDUARDO ESCAMILLA MORENO 84039 LINGAYAN AVE WorkWorkOS/04 Classification 05I05 05I06 O5I07 O5/08 05/09 O5/10 Project All Projects 0.00 71.90 23.89 9.40 0.00 0.00 0.00 Hours Worked Each Day INDIO CA 92201 VENOM TREE MAINTENANCE LABORER S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 24.87 795.84 939.84 Admin Dues Subs Savings Other Total 834.65 29485 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.31 Lain 0.00 0.00 0.00 0.00 0.00 105.19 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 49.74 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Penslon Net Wage Paid For Week Check Number 5 Date GENARO VARGAS 69130 VICTORIA DR Work Classification O5/04 05I05 05/06 05107 05/O8 05109 O5/10 This Project All Projects 0.00 44.44 0.00 5.81 1 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 6.00 8.00 B.00 8.00 0.00 0.00 40.00 14.00 581.00 581.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 530.75 29495 Q 0.00 0.50 0.50 0.00 0.00 0.00 0.00 1.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 50.25 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Public Works certified Payroll Reporting Form 05/14/2020 - Page 2 Public Works Certifie,-ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 05/10/2020 Payroll Number:45-0 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 0 Date HUMBERTO S. VALDEZ 12966 CACTUS DR #A Work Classification 05/04 05/05 05/06 05/07 05/08 05/09 05110 This Project All Projects 85.24 62.35 20.81 8.15 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 TREE MAINTENANCE LABORER S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 21.97 703.04 815.04 Training Adma Dues Subs Savings Other Total 638.49 29494 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.96 0.00 0.00 0.00 0.00 0.00 0.00 176.55 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 43.94 [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 LETICIABONILLA 33477 NAVAJO TR #B Work Classification 05/04 05/05 05/06 05/07 05/08 05/09 05/10 This Project All Projects 6.29 47.62 0.00 6.23 0.00 47.39 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 0.00 0.00 0.00 32.00 15.00 502.50 622.50 Training Admi Dues Subs Savings Other Total 562.36 29481 Q 0.00 0.50 0.50 0.00 0.00 0.00 0.00 1.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 60.14 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social 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 Wege Paid For Week Check Number 3 Date LUIS E. ALVAREZ SARABIA 45627 SENEGAL PL Work Classification 05/04 05/05 05/06 05107 05/08 05/09 05/10 This Protect All Protects 44.06 55.08 17.14 7.20 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 0.00 40.00 18.00 720,00 720.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 596.52 29480 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 0.00 123.48 D 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 0.00 36.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holldey Health & Welf. Pension Net Wage Paid For Week Check Number 2 Date MARCELINO BRIONES 50700 CALLE MENDOZA Work Classlflcatlon 05104 05/05 05/06 05/07 05106 05109 05/10 This Project All Projects 34.79 42.84 4.94 5.60 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 14.00 560,00 560.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 471.83 29482 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 88.17 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Public works certified Payroll Reporting Form 05/14/2020 - Page 3 Public Works Certifie' -ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 05/10/2020 Payroll Number:45-0 Name, Address and Social Security Number of Worker Number of Withholding DsY Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Gross Amount Earned Hourly Pay Rate This All Project Projects Federal Tax FICA State Tax SDI Vacl Hollday Health & Welf. Pension Ne t Wage PFor W Week Check Number 4 Date MARCELINO RAMIREZ 1500 E SAN RAFAEL DR #164 Work Classification 05/04 05105 05/06 05/07 05/08 05/09 05/10 0.00 42.74 0.00 5.59 0.00 47.39 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 13.80 572.70 572.70 Training Fund Admin Dues Travl Subs Savings Other Total 510.49 29491 0 0.00 0.50 0.50 0.00 0.00 0.00 0.00 1.00 20.70 0.00 0.00 0.00 0.00 0.00 13.88 62.21 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.60 NOTE: $13.88 OTHER = FH125 Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Waif. Pension Ne t Wage Paid For Week Check Number 0 Date PASTOR R. PEREZ NEGRON 67365 ONTINA RD Work Classification 05I04 05105 05I06 05107 05I08 05/09 05110 This Project All Projects 60.43 45.90 12.86 I 6.00 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 I 15.00 600.00 600.00 Training Fund Admin Dues Travl Subs Savings Other Total 474.81 29490 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 0.00 125.19 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 30.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Wolf. Pension Net Wage Paid For Week Check Number 3 Date ROSA RODRIGUEZ PO BOX 580332 Wok Classification 05/04 05/05 05/06 05/07 05/08 05/09 05110 This Project All Projects 12.68 34.28 3.49 4.48 0.00 0.00 0.00 Hours Worked Each Day N PALM SPRINGS CA 92258 LANDSCAPE MAINTENANCE LABORER $ 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 14.00 448.00 448,00 Training Fund Admin Dues Trav! Subs Savings Other Total 393.07 29493 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 54.93 p 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pa Rate Y Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date RUBEN F. HENRIOUEZ 15687 PALM DR #83 Work Classification 05/04 05105 05/06 05/07 05/08 05/09 05/10 This Project A[ Projects 86.20 62.96 23.92 8.23 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 TREE MAINTENANCE LABORER $ 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 21.97 703.04 823.04 Training Fund Admin Dues Travl Subs Savings Other Total 641.73 29488 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.96 0.00 0.00 0.00 0.00 0.00 0.00 181.31 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 43.94 NOTE: Public works certified Payroll Reporting Form 05/3-4/2020 - Page 4 eCPR Online Confirmation Your payroll submission request has been processed. 'lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 8236427 This certified payroll will be treated as an amendment #: 1 Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-05-03 Payroll Number: 44 Amendment Number: 1 1 employee payroll record(s) processed Your Transaction ID is: 10837199 Print this Page o 'iew your submission Adobe Submit another set of payroll records Public Works Certify ayroll Reporting Form Certification under penalty of perjury: 1, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-05-03 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 2021-04-07." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92262 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: Payroll #: 44 - 1 Ctr Payroll #: 44-1 Week Ending: 05/03/2020 Statement of Non -Performance? Final payroll for this project? Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 SSN� Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 04/27 04/28 04/29 04/30 05/01 05/02 05/03 Hours Base Hourly Fringe Holiday & Welf. Pension Other Training Hourly Rate S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00 &T46;(JORI 15.00 0.00 0.00 0.00 0.00 0.00 0.00 ggmrglam NOTE: ORIGINAL PAYROLL NUMBER 44-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00 Travel & Subsistence 0.00 Total Deductions 55.94 Public Works Certified Payroll Reporting Form 04/07/2021 - Page 1 eCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at j blicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-05-03 Payroll Number: 44 Amendment Number. 0 11 employee payroll record(s) processed Your Transaction ID is: 8236427 Print this Pag2 View your submission Submit another set of payroll records Public Works Certifier'- )yroll Reporting Form Certification under,. .alty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-05-03 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2020-05-07." [Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address. 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 44- 0 For Week Ending: 05/03/2020 u ❑ Is this a 'Statement of Non -Performance?' Number of Day Deductions, Contributions, and Payments Name, Address and Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Net FICA SDI Pension Earned Tax Tax Holiday & Welf. 1 Date Total Hourly Wage Check ALAN RAMIREZ RAYA r 04127 04I28 04129 04I30 05/01 05/02 05/03 Hours Pay Rate This All 63.91 55.08 14.56 7.20 0.00 0.00 0.00 Paid FoNumber Work 84037 MAGNOLIA ST Classification Hours Worked Each Day Project Projects Week COACHELLA LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 18.00 720.00 720.00 Fund Trav/ Total 579.25 29458 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 27.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 140.75 92236 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: Number of Day Deductions, Contributions, and Payments Name, Address and Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State SDI Vac! Health Pension Net Social Security Number of Worker Withholding Total Hourly Earned Tax FICA Tax Holiday & Welf. Wage Check 3 Date APOLINAR GONZALEZ MARTINEZ Hours Pay Rate Paid For Number 04/27 04/28 04/29 04/30 05/01 05/02 05/03 Thls All 24.86 42.84 2.36 5.60 0.00 0.00 0.00 31325 AVE LA PALOMA Work Classification Protect Projects Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE $ 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Fund Trav! Total 484.34 29453 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 21.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 75.66 92234 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Number of Day Deductions, Contributions, and Payments Name, Address and Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Pension Net Social Security Number of Worker Withholding Total Hourly Earned Tax FICA Tax SDI Hollday & Welf. Wage Check 3 Date ARMANDO RICO CHAVEZ Hours Pay Rate Paid For Number 04/27 04/28 04/29 04/30 05/01 05102 05/03 This All 59.06 64.64 17.63 8.45 0.00 0.00 0.00 2103 JACQUES DR Work Classlflcatlon Project Projects Week Hours Worked Each Day PALM SPRINGS LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 845.00 845.00 Fund Trav/ Total 695.22 29450 CA MAINTENANCE Training Ad.!. Dues Subs Savings Other Deduct Q 0.00 0.50 0.00 1.00 0.00 0.00 0.00 1.60 30.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 149.78 92262 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.00 NOTE: Public Works certified Payroll Reporting Form 05/07/2020 - Page 1 r-- Public Works Certifier-- yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 05/03/2020 Payroll Number:44-0 Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Waif. Pension Net Wage Paid For Week Numeck ber 0 Date CARLOS I. ESPARZAALVAREZ 33822 SHIFTING SANDS #B Work Classification 04/27 04/28 04/29 04/30 05/01 05/02 05103 This Project All Projects 0.00 42.84 2.36 5.60 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560,00 Training Fund Admin Dues Trav! Subs Savings Other Total 509.20 29452 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 50.80 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly 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 Classiflcatlon 04/27 04/28 04/29 04130 05/01 05102 05/03 This Project All Projects 0.00 42.84 0.00 5.60 0.00 0.00 0,00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Training Fund Admin Dues Travl Subs Savings Other Total 511.56 29461 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.0 0.00 0.00 0.00 0.00 0.00 0.00 48.44 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI I Vac/ Holiday Health & Waif. Pension Net Wage PW For Week Check Number 4 Date LETICIABONILLA 33477 NAVAJO TR #B Work Classification 04/27 04/28 04/29 04/30 05/01 05/02 05/03 This Project All Projects 4.04 45.90 0.00 6,00 0.00 47,39 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 544.06 29447 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 55.94 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pa Rate Y Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Waif. Pension N et Wage Paid For Week Check Number 3 Date LUIS E.ALVAREZ SARABIA 45627 SENEGAL PL Work Classification 04/27 04l2B 04/29 04/30 05I01 O5/02 05I03 This Project All Projects 69.98 71.60 31.37 9.36 0.00 0.00 0.00 Hours Worked Each Day INDIO CA 92201 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 B.00 8.00 0.00 0.00 40.00 18.00 720.00 936.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 753.69 29446 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 0.00 182.31 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: 71 Public Works Certified Payroll Reporting Form 05/07/2020 - Page 2 Public Works Certifie'- ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 05/03/2020 Payroll Number:44-0 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 State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 2 Date MARCELINO BRIONES 50700 CALLE MENDOZA Work Classification 04/27 04128 04/29 04/30 05/01 05/02 05/03 This Project All Projects 34.79 42.84 4.94 5.60 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 14.00 560.00 560.00 Training g Fund Admin Dues Trav/ Subs Savings 9 Other Total 471.83 29448 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 88.17 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac! Holiday Health & Welf. Pension Ne t Wag Paid For Week Number 4 Date MARCELINO RAMIREZ 1500 E SAN RAFAEL DR #164 Work Classification 04/27 04128 04/29 04I30 05I01 05/02 05/03 This Project All Projects 0.00 42.75 0.00 5.59 0.00 47.39 0.00 Hours Worked Each Day PALM SPRINGS CA g2262 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 13.80 572.70 572.70 Training Admin Dues Subs Savings Other Total 510.48 29457 Q 0.00 0.00 0.00 1.00 0.00 0.00 0.00 1.00 20.70 0.00 0.00 0.00 0.00 0.00 13.88 62.22 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 27.60 NOTE: $13.88 OTHER = FH125 Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net aid For P F Week W Check Number 0 Date PASTOR R. PEREZ NEGRON 67365 ONTINA RD Work Classification 04/27 04/28 04/29 04130 05/01 05102 05/03 This Project All Projects 60.43 45.90 12.86 6.00 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Training Admin Dues Subs Savings Other Total 474.81 29456 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 0.00 125.19 D 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly PayRate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Nat Wage Paid For Week Check Number 3 Date ROSA RODRIGUEZ PO BOX 580332 Work Classification 04127 04128 04/29 04l30 05I01 05IO2 05103 This Project All All 24.86 42.84 7.52 5.60 0.00 0.00 0.00 Hours Worked Each Day N PALM SPRINGS CA 92258 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Training Admin Dues Subs Savings Other Total 479.18 29459 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 80.82 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 28.00 NOTE: Public Works certified Payroll Reporting Form 05/07/2020 - Page 3 eCPR Online Confirmation Your payroll submission request has been processed. 'lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 8229127 This certified payroll will be treated as an amendment #: 1 Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-04-26 Payroll Number: 43 Amendment Number: 1 1 employee payroll record(s) processed Your Transaction ID is: 10837141 Print this Page iew your submission Submit another set of payroll records Public Works Certifi ayroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-04-26 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 2021-04-07." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92262 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Contract With: CITY OF LA QUINTA County: RIVERSIDE Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Location Description: Payroll #: 43 - 1 Ctr Payroll #: 43-1 Week Ending: 04/26/2020 Statement of Non -Performance? FIFinal payroll for this project? i Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 I SSN� Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 04/20 04/21 04122 04/23 04/24 04/25 04/26 Hours Base Hourly Fringe Holiday & Welf. Pension Other Training Hourly Rate S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00 " 4o[Q0 '; 15.00 0.00 0.00 0.00 0.00 0.00 0.00 Emsrgaf tj NOTE: ORIGINAL PAYROLL NUMBER 43-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00 Travel & Subsistence 0.00 Total Deductions 55.94 Public Works Certified Payroll Reporting Form 04/07/2021 - Page 1 eCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at blicworks@dir. ca. g av_ Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-04-26 Payroll Number. 43 Amendment Number. 0 11 employee payroll record(s) processed Your Transaction ID is: 8229127 Print this Pagg View your submission Submit another set of payroll records Public Works Certifier-iyroll Reporting Form Certification under . Aty of perjury: "I, KRISTY L SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC 11, INC. (name of business and/or contractor), certify under penalty of perjury that the records or collies thereof submitted and consisting of certified payroll records for the week ending 2020-04-26 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2020-05-06." 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: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE Payroll Number: 43- 0 MAINTENANCE OF CITYWIDE MEDIANS For Week Ending: 04/26/2020 Is this a 'Statement of Non -Performance?' Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vecl Hollday Health & Welf. Pension Net Wage Paid For Week Check Number 1 Date ALAN RAMIREZ RAYA 84037 MAGNOLIA ST Work Classification 04I20 04/21 04/22 04/23 04/24 04/25 04/26 This Project All Projects 63.91 55.08 14.56 7.20 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 18.00 720.00 720.00 Training Fund Admin Dues Travl Subs Savings Other Total Deduct 579.25 29313 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 0.00 140.75 D 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 36.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI I Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 3 Date APOLINAR GONZALEZ MARTINEZ 31325 AVE LA PALOMA Work Classification 04/20 04121 04122 04123 04/24 04/25 04/26 This Project A11 Projects 24.86 42.84 2.36 5.60 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 484.34 29307 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 75.66 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac! Hold Health Pension Net Wage Paid For Week Check Number 3 Date ARMANDO RICO CHAVEZ 2103 JACQUES DR Work Classification 04/20 04/21 04122 04/23 04124 04I25 04126 This Project All Projects 64.46 68.09 20.60 8.90 0.00 0.00 0.00 Hours Worked Each Day PALM SPRINGS CA 92262 LANDSCAPE MAINTENANCE LABORER S B.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 890.00 890.00 Training Fund Admin Dues Trav! Subs Savings Other Total Deduct 727.95 29304 Q 1.00 1.00 1.00 0.00 0.00 0.00 0.00 3.00 30.00 0.00 0.00 0.00 0.00 0.00 0.00 162.05 D 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 L0.00 40.00 NOTE: Public works certified Payroll Reporting Form 05/06/2020 - Page 1 Public Works Certifier-iyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 04/26/2020 Payroll Number:43-0 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 State Tax SDI Vac/ Holiday Health & W, Pension Net Wage Paid For Week Check Number 0 Date CARLOS I. ESPARZAALVAREZ 33822 SHIFTING SANDS #B Work Classification 04/20 04/21 04/22 04/23 04/24 04125 04/26 This Project All Projects 9.75 25.70 3.61 3.36 0.00 0.00 0,00 Hours Worked Each Day CATHEDRAL CITY LANDSCAPE CA MAINTENANCE LABORER 92234 $ 0.00 0.00 8.00 8.00 8.00 0.00 0.00 24.00 14.00 336.00 21.00 28.00 336.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 293.58 29306 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 42.42 D 2fi 0.00 0.00 0.00 0.00 0.00 1 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/y Holida Health & Welf. Pension Net Wage Paid For Week Check Number 5 Date GENARO VARGAS 69130 VICTORIA DR Work Classlflcatlon 04I20 04121 04l22 04/23 04/24 04125 04/26 This Project All Projects 0.00 42.84 0.00 5.60 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40,00 14.00 560.00 560.00 Training Admin Dues Travt Subs Savings Other Total 511.56 29316 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 48.44 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Hollday Health & Welf. Pension Net Wage Paid For Week Check Number 4 Date LETICIABONILLA 33477 NAVAJO TR #B Work Classification 04/20 04/21 04/22 04/23 04/24 04/25 04/26 This Project All Projects 4.04 45.90 0.00 6.00 0.00 47.39 0,00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Training Fund Admin Dues Trav! Subs Savings Other Total 544.06 29301 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 55.94 D 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 30.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 3 Date LUIS E. ALVAREZ SARABIA 45627 SENEGAL PL Work Classification 04/20 04121 04l22 04123 04/24 04I25 04126 This Project All Projects 44.06 55.08 17.14 7.20 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.O0 0.00 0.00 40.00 18.00 720.00 720.00 Training Admin Dues Subs Savings Other Total 596.52 29300 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 0.00 123.48 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 05/06/2020 - Page 2 Public Works Certifie,- iyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 04/26/2020 Payroll Number:43-0 Pension Net Name, Address and Social Securit Number of Worker y Number of Withholding Dey 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. Wage Paid For Week Check Number 2 Date MARCELINO BRIONES 50700 CALLE MENDOZA Work Classification 04120 04/21 04/22 04/23 04/24 04/25 04/26 This Project All Projects 34.79 42.84 4.94 5.60 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 14.00 560.00 560.00 Training Fund Admin Dues Travl Subs Savings Other Total 471.83 29302 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 88.17 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wag Paid For Week Nuheck mber 4 Date MARCELINO RAMIREZ 1500 E SAN RAFAEL DR #164 Work Classification 04/20 04/21 04/22 04123 04/24 04/25 04/26 This Project All Projects 0.00 41.16 0.00 5.38 0.00 47.39 0.00 Hours Worked Each Day PALM SPRINGS CA g22g2 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 13.80 552.00 552.00 Training Admn Dues Subs Savings Other Total 491.58 29312 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.70 0.00 0.00 0.00 0.00 0.00 13.88 60.42 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.60 NOTE: $13.86 OTHER = FH125 Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Hollday Health & Welf. Pension Net wage Paid For Week Check Number 0 Date PASTOR R. PEREZ NEGRON 67365 ONTINA RD Work Classification 04/20 04/21 04/22 04/23 04/24 04/25 04/26 This Project All Projects 60.43 45.90 12.86 6.00 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40,00 15.00 600.00 600.00 Training Fund Dues Subs Savings Other Total 474.81 29311 i 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 0.00 125.19 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 3 Date ROSA RODRIGUEZ PO BOX 580332 Work Classlflcatlon 04/20 04/21 04/22 04/23 04/24 04/25 04/26 This Project All Projects 24.86 42.84 7.52 5.60 0.00 0.00 0.00 Hours Worked Each Day N PALM SPRINGS CA 92258 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40,00 14.00 560.00 560.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 479.18 29314 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 80.82 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Public works certified Payroll Reporting Form 05/06/2020 - Page 3 eCPR Online Confirmation Your payroll submission request has been processed. .'lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 8129397 This certified payroll will be treated as an amendment #: 1 Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-04-19 Payroll Number: 42 Amendment Number: 1 1 employee payroll record(s) processed Your Transaction ID is: 10837070 Print this Page .f 'iew your submission Adobe 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 ll, 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 2020-04-19 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 2021-04-07." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92262 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA Contract With: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 County: RIVERSIDE Location Description: Payroll #: 42 - 1 Ctr Payroll #: 42-1 Week Ending: 04/19/2020 ❑ Statement of Non -Performance? [—]Final payroll for this project? Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 S Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 04/13 04114 04115 04116 04/17 04/18 04/19 Hours Base Hourly Fringe Holiday & Welf. Pension Other Training Hourly Rate S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00 M4%Crfa l 15.00 0.00 0.00 0.00 0.00 0.00 0.00 IMMM NOTE: ORIGINAL PAYROLL NUMBER 42-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00 Travel & Subsistence 0.00 Total Deductions 55.94 Public Works Certified Payroll Reporting Form 04/07/2021 - Page 1 eCPR Online Confirmation Your payroll submission request has been processed. _Please review the results of your submission. Should you have any questions please contact the eCPR unit at blicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-04-19 Payroll Number: 42 Amendment Number. 0 17 employee payroll record(s) processed Your Transaction ID is: 8129397 Print this Page View your submission Submit another set of payroll records Public Works Certifief--yroll Reporting Form Certification under, -iIty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-04-19 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2020-04-22." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAF MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 42- 0 For Week Ending: 04/19/2020 Is this a 'Statement of Non -Performance?' Name, Address and Social SecurityNumber of Worker Number of Withholding Day I Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vacl Holiday Health & WeIF. Pension Net Pala FoWage r Week Check 0 Date ADAN DIAZ SIERRA 46725 CLINTON #79 Work Classification 04/13 04114 04/15 04/16 04/17 04/18 04/19 This Project All Projects 0.00 8.56 0.00 1.12 0.00 0.00 0.00 Hours Worked Each Day INDIO CA 92201 LANDSCAPE MAINTENANCE LABORER S 8.00 0.00 0.00 0.00 0.00 0.00 0.00 8.00 14.00 112.00 112,00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 102.32 6110 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 9.68 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 1 Date ALAN RAMIREZ RAYA 84037 MAGNOLIA ST Work Classification 04/13 04/14 04/15 04116 04/17 04/18 04/19 This Project All Projects 63.91 55.08 14.56 7.20 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 18.00 720.00 720.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 579.25 29276 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 0.00 140.75 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vacl Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 4 Date ALEJANDRO CHAVEZ 2103 JACQUES DRIVE Work Classification 04/13 04114 04/15 04116 04/17 04/18 04/19 This Project All Projects 52.01 80.81 7.08 10.56 0.00 0.00 0.00 Hours Worked Each Day PALM SPRINGS CA 92262 TREE MAINTENANCE LABORER 5 8.00 8.00 8.00 8,00 8.00 0.00 0.00 40.00 27.07 1,082.80 1,082.80 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 905.91 29268 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.61 0.00 0.00 0.00 0.00 0.00 26.43 176.89 p 0.00 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54.14 NOTE: $26.43 OTHER = FH125 Public works Certified Payroll Reporting Form 04/22/2020 - Page 1 Contractor Name: PWLC II, INC. Public Works Certifiee-,yroll Reporting Form Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 04/19/2020 Payroll Number:42-0 i Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI I Vacl Holiday Health & Welf. Pension Net Wage Paid For Week eck Nuhmber 3 Date APOLINAR GONZALEZ MARTINEZ 31325 AVE LA PALOMA Work04113 Classification 04114 04/15 04/16 04/17 04118 04119 This Project All Projects 24.86 42.84 2.36 5.60 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 484.34 29271 Q 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 75.66 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac! Holiday Health & Welf. Pension Net a Wage 9 Paid For Week Check Number 3 Date ARMANDO RICO CHAVEZ 2103 JACQUES DR Work Classification 04/13 04/14 04/15 04/16 04/17 04/18 04119 This Project All Projects 71.66 72.64 24.56 9.50 0.00 0.00 0.00 Hours Worked Each Day PALM SPRINGS CA g22g2 LANDSCAPE MAINTENANCE LABORER $8.00 8.00 8.00 8.00 I8.00 0.00 0.00 40.00 20.00 950.00 950.00 Training Fund Dues Dues Subs Savings Other Total 771.64 29269 Q 1.00 1.00 1.00 1.00 1.00 0.00 0.00 5.00 30.00 0.00 0.00 0.00 0.00 0.00 0.00 178.36 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date CANDELARIO MATA HERRERA 32615 AURORA VISTA #A Work Classification 04/13 04114 04/15 04116 04/17 04I18 04/19 This Project All Projects 0.00 76.10 22.96 9.95 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 TREE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 24.87 994.80 994.80 Training Admin Dues Subs Savings Other Total 885.79 29274 Q 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 37.31 0.00 0.00 0.00 0.00 0.00 0.00 109.01 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 49.74 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 Vacl Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 4 Date CARLOS LUNA GONZALEZ 66145 7TH ST Work Classification 04/13 04114 04115 04116 04117 04118 04/19 This Project All Projects 44.63 76.10 4.37 9.95 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA I 9P240 TREE MAINTENANCE LABORER $ 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 24.87 994.80 994.80 Training Fund Admin Dues Trav/ Subs Savings Other Total 859.75 29273 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.31 0.00 0.00 0.00 0.00 0.00 0.00 135.05 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 49.74 NOTE: Public works certified Payroll Reporting Form 04/22/2020 - Page 2 r" Public Works Certifies''-`-,yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 04/19/2020 Payroll Number:42-0 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 Slate Tax SDI Vacl Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date EDUARDO ESCAMILLA MORENO 84039 LINGAYAN AVE Work Classification 04/13 04114 04/15 04/16 04/17 04/18 04/19 This Project All Projects 0.00 76.09 28.12 9.95 0.00 0.00 0.00 Hours Worked Each Day INDIO CA 92201 TREE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 24.87 994.80 994.80 Training Fund Admin Dues Trav/ Subs f I Savings Other Total 880.64 29270 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.31 0.00 0.00 0.00 0.00 1 0.00 0.00 114.16 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 49.74 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 Paid For or Week eck Number 0 Date EUGFNIO COPENO IZOTECO 46299 ARABIA #C-13 Work Classification 04113 04114 04115 04116 04117 04I18 04/19 This Project All Protects 0.00 8.57 0.00 1.12 0,00 0.00 0.00 Hours Worked Each Day INDIO CA 92201 Opw LANDSCAPE MAINTENANCE LABORER $ 8.00 0.00 0.00 0.00 0.00 0.00 0.00 8,00 14.00 112,00 112.00 Training Fund Admin Dues Travl Subs Savings Other Total 102.31 6109 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 9.69 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly 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 04/13 04/14 04/15 04/16 04/17 04/18 04/19 This Project All Projects 0.00 42.85 0.00 5.60 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.O0 14.00 560.00 560.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 511.55 29279 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.01) 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 28.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date HUMBERTO S. VALDEZ 12966 CACTUS DR #A Work Classification 04/13 04114 04I15 04116 04/17 04l18 04119 This Project I All Projects 96.30 67.23 25.02 8.79 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 TREE MAINTENANCE LABORER S 8.00 8,00 8.00 8.00 8.00 0.00 0.00 40.00 21.97 878.80 878.80 Training Fund Admin Dues Travl Subs Savings Other Total 681.46 29278 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.96 0.00 0.00 0.00 0.00 0.00 0.00 197.34 D 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 43.94 NOTE: Public Works Certified Payroll Reporting Form 04/22/2020 - Page 3 Public Works Certifiee- ,yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 04/19/2020 Payroll Number:42-0 Name, Address and Social Security Number of Worker y Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Hollday Health & Welf. Pension Net Wage Paid For Week Check Number 4 Date LETICIA BONILLA 33477 NAVAJO TR #B Work Classification 04/13 04/14 04/15 04/16 04117 04/18 04/19 This Project Alt Projects 4.04 45.90 0.00 6.00 0.00 47.39 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Training Adman Dues Subs Savings Other Total 544.06 29266 Q 0.00 0.00 D.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 55.94 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/ olida Hy Health & Welf. Pension Net Wage Paid For Week Check Number 3 Date LUIS E. ALVAREZ SARABIA 45627 SENEGAL PL Work Classification 04/13 04/14 04/15 04116 04117 04/18 04119 This Project All Projects 44.06 55.09 17.14 7.20 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 0.00 40.00 18.00 720.00 720.00 Training Adman Dues Subs Savings Other Total 596.51 29265 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 0.00 123.49 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 2 Date MARCELINO BRIONES 50700 CALLE MENDOZA Work Classification 04/13 04/14 04/15 04/16 04/17 04/18 04119 This Project All Projects 34.79 42.84 4.94 5.60 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 I 14.00 560.00 560.00 Training Fund Admin Dues Travl Subs Savings Other Total 471.83 29267 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 88.17 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly 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 PASTOR R. PEREZ NEGRON 67365 ONTINA RD Wok Classification 04113 04114 04/15 04116 04/17 04118 04/19 This Project All Projects 60.43 45.90 12.86 6.00 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 B.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 474.81 29275 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 0.00 711 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 04/22/2020 - Page 4 Public Works Certifier-iyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 04/19/2020 Payroll Number:42-0 Number of Day Deductions, Contributions, and Payments Name, Address and Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Date Earned Tax FICA Tax SDI Holiday& Welf. Pension Net ROSARODRIGUEZ 3 Total Hourly Wage Check Work 04113 04/14 04/15 04/16 04/17 04/18 04/19 Hours Pay Rate This All 24.86 42.84 7.52 5.60 0.00 0.00 0.00 Paid For Number PO BOX 580332 Classification Hours Worked Each Day Project Projects Week N PALM SPRINGS LANDSCAPE 8.00 8.00 8.00 8.00 8.00 0.00 0.00Trav/S 40.00 14.00 560.00 560.00 Fund 479.18 29277 CA MAINTENANCE Training 9 Admin Dues Subs Subs Savings 9 Other Total 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 • LABORER 0.00 0.00 0.00 0.00 0.00 0.00 80.82 92258 p o.00 o.00 o.00 o.00 o.00 o.00 o.00 o.o0 26.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day IDeductions, 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 RUBEN F. HENRIOUEZ 15687 PALM DR #83 Work Classification 04/13 04/14 04/15 04/16 04/17 04118 04119 _ This Protect All Protects 93.77 66.34 26.84 8.67 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA TREE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 21.97 878.80 878.80 Training Fund Admin Dues Travl Subs Savings Other Total 671.68 29272 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.96 92240 LABORER 0.00 0.00 0.00 0.00 0.00 11.50 207.12 p 0.00 0.00 0.00 0.00 1 0.00 0.00 0.00 0.00 43.94 NOTE: $11.50 OTHER = FH125D Public Works certified Payroll Reporting Form 04/22/2020 - Page 5 eCPR Online Confirmation Your payroll submission request has been processed. 'lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 8101815 This certified payroll will be treated as an amendment #: 1 Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-04-12 Payroll Number: 41 Amendment Number: 1 1 employee payroll record(s) processed Your Transaction ID is: 10836900 Print this Page iew your submission Atlal�e Submit another set of payroll records Public Works Certifi ayroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-04-12 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 2021-04-07." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92262 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: Payroll #: 41 - 1 Ctr Payroll #: 41-1 Week Ending: 04/12/2020 Statement of Non -Performance? FIFInal payroll for this project? Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 SSI1VMNN� Mon Tue Wt.d Thu Fri Sat Sun Total Total Vac/ Health Total 04/06 04/07 04r08 04/09 04/10 04111 Hours Base Hourly Fringe Holiday & Welf. 04112 9 y Pension Other Training Hour Rate y S LANDSCAPE MAINTENANCE LABORER 0.00 8.00 0.00 8.00 0.00 0.00 0.00 ,Wf8(Q0l1, 15.00 0.00 0.00 0.00 0.00 0.00 0.00 g NOTE: ORIGINAL PAYROLL NUMBER 41-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00 Travel & Subsistence 0.00 Total Deductions 20.76 Public works certified Payroll Reporting Form 04/07/2021 - Page 1 eCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at Cublicworks@dir,ca_gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-04-12 Payroll Number: 41 Amendment Number. 0 17 employee payroll record(s) processed Your Transaction ID is: 8101815 Print this Pa9e View your submission ASlC6f Submit another set of payroll records Public Works Certifiee' yroll Reporting Form Certification under r. Aty of perjury: "I, KRI STY 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 anWor contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-04-12 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2020-04-17." 'ontractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 4ddress: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 nsurance Number: WCV5504144 4warding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 'ontract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 41- 0 For Week Ending: 04/12/2020 Is this a 'Statement of Non -Performance?' Number of Day Deductions, Contributions, and Payments Name, Address and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State FICA SDI Vac/ Health Pension Net 0 Date Total Earned Hourly Tax Tax Holiday & Welf. Wage Check ADAN DIAZ SIERRA 04/06 04107 04I08 04/09 04I10 04111 04112 Hours PaY Rate This All 0.00 25.70 0.00 3.36 0.00 0.00 0.00 Paid For Number 46725 CLINTON #79 Work Classification Hours Worked Each Day Project Projects Week INDIO LANDSCAPE S 8.00 8.00 0.00 8.00 0.00 0.00 0.00 24.00 14.00 336.00 336.00 Fund Trav/ Total 306.94 29234 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 21.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 29.06 92201 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: i Number of Day Deductions, Contributions, and Payments Name, Address and Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Slate SDI Vacl Health Pension Net Social Security Number of Worker Withholding Total Hours Hourly Pay Rate Earned Tax Tax Holiday & Welf- Wage Paid For Check Number 1 Date ALAN RAMIREZ RAYA 04/06 04/07 04I08 04109 04l10 04111 04112 This All 29.35 33.04 3.14 4.32 0.00 0.00 0.00 84037 MAGNOLIA ST Work Classlflcation Project Projects Week Hours Worked Each Day COACHELLA LANDSCAPE $ 8.00 8.00 0.00 8.00 0.00 0.00 0.00 24.00 18.00 432,00 432.00 Fund Travl Total 362.15 29241 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 27.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 69.85 92236 D 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 1 0.00 36.00 NOTE: Number of Day Deductions, Contributions, and Payments Name, Address and Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State I SDI Vac/ I Health Pension N at Social Security Number of Worker Withholding Total Hours Hourly Pay Rate Earned Tax Tax Holiday & Welf. Wage Paid For Check Number 4 Date ALEJANDRO CHAVEZ 04l06 04I07 04I08 04/09 04/10 04111 04112 This All 51.74 80.62 6.98 10.54 0.00 0.00 0.00 Work 1 Week 2103 JACQUES DRIVE Classification Project Pro acts j Hours Worked Each Day PALM SPRINGS TREE S 8.00 8.00 0.00 8.00 0.00 0.00 0.00 24.00 27.07 649.68 1,080.48 Fund Travl Total 904.17 29231 i CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct O 0.00 0.00 0.00 0.00 10.00 0.00gl�� 40.61 LABORER 0.00 0.00 0.00 0.00 0.00 26.43 176.31 92262 D 0.00 0.00 0.00 0.00 0.00 0.0054.14 NOTE: $26.43 OTHER = FH125 Public Works certified Payroll Reporting Form 04/17/2020 - Page 1 Public Works Certifies'--yroll Reporting Forin 'Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 04/12/2020 Payroll Number: 41-0 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 3 Date APOLINAR GONZALEZ MARTINEZ 31325 AVE LA PALOMA Work Classification 04/06 04107 04108 04/09 04/10 04/11 04/12 This Project All Projects 1.48 25.70 0.00 3.36 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 0.00 8.00 0.00 0.00 0.00Fund 24.00 14.00 336.00 336,00 Training Adm n Dues Subs Savings Other Total 305.46 29236 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 30.54 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 28.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Waif, Pension Net PaidF or Week Check 3 Date ARMANDO RICO CHAVEZ 2103 JACQUES DR Work Classification 04/06 04/07 04/08 04/09 04/10 04/11 04/12 This Project All Projects 15.88 36.72 0.00 4.80 0.00 0.00 0.00 Hours Worked Each Day PALM SPRINGS CA 92262 LANDSCAPE MAINTENANCE LABORER $ 8.00 8.00 0.00 8.00 0.00 0.00 0.00 24.00 20.00 480.00 480.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 422.60 29232 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 57.40 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hourly Gross Amount Federal Earned Tax FICA State Tax SDI Vac! Hollday Health & Waif. Pension Net Wage Paid For Week Check Number 0 Date CANDELARIO MATA HERRERA 32615 AURORA VISTA #A Work Classification 04106 04I07 04/OB 04I09 04l10 04111 04/12 Hours Pa Rate Y This Project All 0.00 Projects 45.66 0.00 5.97 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 TREE MAINTENANCE LABORER 5 8.00 8.00 0.00 8.00 0.00 0.00 0.00 24.00 24.87 596.88 596.88 Training Fund Admin Dues Trav/ Subs Savings Other Total 545.25 29239 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.31 0.00 0.00 0.00 0.00 0.00 0.00 51.63 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 49.74 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( Hollday Health & Waif. Pension Net Wage Paid For Week Check Number q Date CARLOS LUNA GONZALEZ 66145 7TH ST Work Classlflcatlon 04/06 04/07 04/08 04/09 04110 04/11 04/12 This Project All Projects 3.73 45.65 0.00 5.97 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 TREE MAINTENANCE LABORER $ 8.00 8.00 0.00 8.00 0.00 0.00 0.00 24.00 24.87 596.88 596.88 Training Fund Admin Dues Travl Subs Savings Other Total 541.53 29238 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.31 0.00 0.00 0.00 0.00 0.00 0.00 55.35 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 49.74 NOTE: Public Works certified Payroll Reporting Form 04/17/2020 - Page 2 Contractor Name: PWLC II, INC. Public Works Certified- -yroll Reporting Form Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 04/12/2020 Payroll Number: 41-0 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 & Weif. Pension Net Wage Paid For Week Check Number 0 Date EDUARDO ESCAMILLA MORENO 84039 LINGAYAN AVE Work Classification 04/06 04/07 04/08 04/09 04110 04/11 04/12 This Project All Projects 0.00 45.67 3.98 5.97 0.00 0.00 0.00 Hours Worked Each Day INDIO CA 92201 TREE MAINTENANCE LABORER S 8.00 8.00 0.00 8.00 0.00 0.00 0.00 24.00 24.87 596.88 596.88 Training Admin Dues Subs Savings Other Total 541,26 29235 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.31 0.00 0.00 0.00 0.00 0.00 0.00 55.62 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 49.74 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day j 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 EUGENIO COPENO IZOTECO 46299 ARABIA #C-13 Work Classification 04I06 04/07 04I08 04/09 04I10 04111 04/12 This Project All Projects 0.00 25.70 0.00 3.36 0.00 0.00 0.00 Hours Worked Each Day INDIO CA LANDSCAPE MAINTENANCELABORER 8.00 8.00 0.00 8.00 0.00 0.00LO.0024.00S 14.00 336.00 336.00 Training Admin Dues Subs Savings Other Total 306.94 29233 Q 0.00 0.00 0.00 0.00 0.00 0.00 21.0092201 0.00 0.00 0.00 0.00 0.00 0.00 29.06 D 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE; Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax I FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Pa ld For Week Check Number 5 Date GENARO VARGAS 69130 VICTORIA DR Work Classification 04/06 04/07 04/08 04/09 04/10 04/11 04/12 This Project All Projects 0.00 25.70 0.00 3.36 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 somp LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 0.00 8.00 0.00 0.00 0.00 24.00 14.00 336.00 336.00 Training Admn Dues Subs Savings Other Total 306.94 29244 Q 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 29.06 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours HourlyWag Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net a Paid For Week Check Number 0 Date HUMBERTO S. VALDEZ 12966 CACTUS DR #A Work Classification 04/06 04107 04108 04/09 04/10 04/11 04/12 This Project All Projects 50.71 40.34 6.08 5.27 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 TREE MAINTENANCE LABORER S 8.00 8.00 0.00 8.00 0.00 0.00 0.00 24.00 21.97 527.28 527.28 Training Fund Admin Dues Trav/ Subs Savings Other Total 424.88 29243 Q 0.00 O.DO 0.00 0.00 0.00 0.00 0.00 0.00 32.96 0,00 0.00 0.00 0.00 0.00 0.00 102.40 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 43.94 NOTE; I Public Works certified Payroll Reporting Form 04/17/2020 - Page 3 Contractor Name: PWLC II, INC. Public Works Certifiec",yroll Reporting Form Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 04/12/2020 Payroll Number: 41-0 Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Waif. Pension Net Wage Paid For Week Check Number 4 Date LETICIA BONILLA 33477 NAVAJO TR #B Work Classification 04/06 04/07 04/08 04109 04/10 04/11 04/12 This Project All Projects 0.00 18.36 0.00 2.40 0.00 47.39 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 law LANDSCAPE MAINTENANCE LABORER S 0.00 8.00 0.00 8.00 0.00 0.00 0.00 16.00 15.00 240.00 240.00 Training Admin Dues Subs Savings Other Total 219.24 29229 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 20.76 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 Man Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA Slate Tax SDI Vac/ Holiday Health & Waif. Pension Net Wag Paid For Week Check Number 3 Date LUIS E. ALVAREZ SARABIA 45627 SENEGAL PL Work Classification 04I06 04107 04I08 04/09 04I10 04111 04112 This Project All Projects 11.08 33,04 5.72 4.32 0.00 0.00 0.00 Hours Worked Each Day INDIO CA 92201 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 0.00 8.00 0.00 0.00 0.00 24.00 18.00 432.00 432.00 Training Fund Admin Dues Travl Subs Savings Other Total 377.84 29228 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 54.16 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI I Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 2 Date MARCELINO BRIONES 50700 CALLE MENDOZA Work Classification 04/06 04/07 04/08 04/09 04/10 04/11 04112 This Project All Projects 9.75 25.70 0.00 3.36 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA 92236 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 0.00 8.00 0.00 0.00 0.00 24.00 14.00 336.00 336.00 Training Admin Dues Subs Savings Other Total 297,19 29230 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 38.81 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding oily Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Waif. Pension Net Wage Paid For Week Check Number 0 Date PASTOR R. PEREZ NEGRON 67365 ONTINA RD Work Classification 04/06 04/07 04/08 04109 04/10 04111 04/12 This Project All Projects 31.63 27.54 5.14 3.60 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 0.00 8.00 0.00 0.00 0.00 24.00 15.00 360.00 360.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 292.09 29240 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 0.00slow 67.91 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 04/17/2020 - Page 4 Public Works Certifier'"- yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 04/12/2020 Payroll Number:41-0 Number of Day Deductions, Contributions, and Payments Name, Address and Social Securlt Number of Worker Y Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Date Earned Tax FICA Tax SDI Holiday & Welf. Pension Net ROSARODRIGUEZ 3 Total Hourly Wage Check Work 04/06 04/07 04/08 04/09 04/10 04/11 04/12 Hours Pay Rate This All 1.48 25.70 1.03 3.36 0.00 0.00 0.00 Paid For Number PO BOX 580332 Classification Hours Worked Each Day Project Projects Week N PALM SPRINGS LANDSCAPE S 8.00 8.00 0.00 8.00 0.00 0.00 0.00 24.00 14.00 336.00 336.00 Fund Trav/ 304.43 29242 CA MAINTENANCE Training Admin Dues Subs Savings Other Total Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 31.57 92258 1 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Number of Day Deductions, Contributions, and Payments Name, Address and Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Net Social SecurityNumber of Worker Withholding Total Hourly Earned Tax FICA Tax SDI Holiday & Welf. Pension Wag Check 0 Date RUBEN F. HENRIOUEZ Hours Pay Rate Paid For Number 04/06 04/07 04/08 04/09 04/10 04/11 04/12 This All 49.33 39.46 8.16 5.16 0.00 0.00 0.00 15687 PALM DR #83 Work Classification Project Projects Week Hours Worked Each Day DESERT HOT SPRINGS TREE S 8.00 8.00 0.00 8.00 0.00 0.00 0.00 24.00 21.97 527.28 527.28 413.67 29237 CA MAINTENANCE Training Admin Dues Subs Savings Other Total Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.96 LABORER 0.00 0.00 0.00 0.00 0.00 11.50 113.61 92240 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 43.94 [NOTE, $11.50 OTHER = FH125D Public Works certified Payroll Reporting Form 04/17/2020 - Page 5 eCPR Online Confirmation Your payroll submission request has been processed. ?lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 8101332 This certified payroll will be treated as an amendment #: 2 Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-04-05 Payroll Number: 40 Amendment Number: 2 1 employee payroll record(s) processed Your Transaction ID is: 10836754 Print this Page 'iew your submission f Submit another set of payroll records Public Works Certifi, ayroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-04-05 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 2021-04-07." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92262 i Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: Payroll #: 40 - 2 Ctr Payroll #: 40-2 Week Ending: 04/05/2020 ❑ Statement of Non -Performance? Final payroll for this project? Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 SShMENINEW Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 03/30 03131 04101 04102 04/03 04104 04/05 Hours Base Hourly Fringe Holiday & Welf. Pension Other Training Hourly Rate S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40!60"1 15.00 0.00 0.00 0.00 0.00 0.00 0.00 1M.Mm NOTE: ORIGINAL PAYROLL NUMBER 40-1 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00 Travel & Subsistence 0.00 Total Deductions 55.94 Public works certified Payroll Reporting Form 04/07/2021 - Page 1 eCPR Online Confirmation Your payroll submission request has been processed. °lease review the results of your submission. Should you have any questions please contact the eCPR unit at blicworks@dir.ca.gov. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 8101149 This certified payroll will be treated as an amendment #: 1 Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-04-05 Payroll Number. 40 Amendment Number. 1 20 employee payroll record(s) processed Your Transaction ID is: 8101332 Print this Fagg View your submission f dr n Submit another set of payroll records Public Works Certifies'- yroll Reporting Form Certification under, .Ity 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 certifled payroll records for the week ending 2020-04-05 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2020-04-17." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 40- 1 For Week Ending: 04/05/2020 Is this a 'Statement of Non -Performance?' - I Name, Address and Social Security Number of Worker Number of Withholding V 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 VELCi Holioay Health & Wekf. Pension Net Wage Paid For Week C eck Nuhmber 0 Date ADAN DIAZ SIERRA 46725 CLINTON #79 Work Classification 03130 03131 04/01 04102 04I03 04I04 04/05 This Project All Projects 0.00 42.84 0.00 5.60 0.00 0,00 0.00 Hours Worked Each Day INDIO CA 92201 LANDSCAPE MAINTENANCE LABORER S B.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 511.56 29080 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 48.44 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI I Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 1 Date ALAN RAMIREZ RAYA 84037 MAGNOLIA ST Work Classification 03/30 03/31 04/01 04/02 04/03 04/04 04/05 This Project All Projects 63.91 55.08 14.56 7.20 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 18.00 720.00 720.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 579.25 29087 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 0.00 140.75 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pa Rate Y Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & WeIF. Pension Net Wage Paid For Week Check Number 4 Date ALEJANDRO CHAVEZ 2103 JACQUES DRIVE Work Classification 03/30 03/31 04/01 04/02 04/03 04/04 04/05 Thls Project All Projects 51.88 80.72 7.03 10.55 0.00 0.00 0.00 Hours Worked Each Day PALM SPRINGS CA 92262 TREE MAINTENANCE LABORER $ 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 27.07 866.24 1,081.64 Dues Trav/ Subs Savings Other Total Deduct 905.03 29076 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.61 EamE 0.00 0.00 0.00 26.43 176.61 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54.14 NOTE: $26.43 OTHER = FH125 Public Works certified Payroll Reporting Form 04/17/2020 - Page 1 Public Works Certifies, yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 04/05/2020 Payroll Number:40-1 I Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health pension Net ! Earned Tax Tax Holiday & Welf. ALEJANDRO CHAVEZ JR. 0 Date Total Hourly Wage Check Work 03/30 03/31 04/01 04/02 04/03 04/04 04/05 Hours Pay Rate This All 50.09 52.60 15.71 6.88 0.00 0.00 0.00 Paid For Number 2103 JACQUES DR Classification Hours Worked Each Day Project Projects Week PALM SPRINGS CA TREE MAINTENANCE S 0.00 8.00 8.00 0.00 0.00 0.00 0.00 16.00 21.97 351.52 687.52 Training Fund Admin Dues Travl Subs Savings Other Total 562.24 29078 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.96 92262 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 125.28 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 43.94 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 This All Protect Protects Federal Tax FICA State Tax SDI Vac/ Hollday Health & Welf. Pension Net Wage Paid For Week eck Number 3 Date APOLINAR GONZALEZ MARTINEZ 31325 AVE LA PALOMA Work Classification 03130 03/31 04/01 04/02 04103 04/04 04/05 24.86 42.84 2.36 5.60 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8,00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Training Admin Dues Subs Savings Other Total 484.34 29082 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 92234 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 D 0.00 0.00 a.00 o.o0 0.00 0.00 0.00 0.00 28.00 :75.66 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 Thls All Project Projects Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 3 Date ARMANDO RICO CHAVEZ 2103 JACQUES DR Work Classification 03/30 03/31 04/01 04/02 04103 04/04 04/05 57.2fi 63.50 16.64 8.30 0.00 0.00 0.00 Hours Worked Each Day PALM SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40,00 20.00 830.00 830.00 Training Admin Dues Subs Savings Other Total 684.30 29077 Q 0.00 0.00 0.00 1.00 0.00 0.00 0.00 1.00 30.00 92262 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 145.70 D 0.00 0.00 0.00 O.Oo 0.00 0.00 0.00 0.00 40.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pa Rate Y Gross Amount Earned This All Project Projects Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number p Date CANDELARIO MATA HERRERA 32615 AURORA VISTA #A Work Classification 03/30 03/31 04/01 04/02 04/03 04/04 04105 0.00 71.91 18.72 9.40 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 TREE MAINTENANCE LABORER S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 24.87 795.84 939.84 Training Fund Admin Dues Trav/ Subs Savings Other Total 839.81 29085 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.31 0.00 0.00 0.00 0.00 0.00 0.00 100.03 D 0.00 1 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 49.74 NOTE Public works certified Payroll Reporting Form 04/17/2020 - Page 2 Public Works Certifier'-yroll Reporting Form r Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 04/05/2020 Payroll Number:40-1 Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Y Health & Welf. Pension Net Wage Paid For Week Check Number 4 Date CARLOSLUNAGONZALEZ 66145 7TH ST Work Classification 03/30 03/31 04/01 04/02 04/03 04/04 04/05 This Pro act j All Projects 1 37.22 71.28 2.61 9.32 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 qwmw TREE MAINTENANCE LABORER S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 24.87 795.84 931.84 Trainin 9 Fund Admin Dues Travl Subs Savings 9 Other Total 811.41 29084 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.31 0.00 0.00 0.00 0.00 0.00 0.00 120.43 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 49.74 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 EDUARDO ESCAMILLA MORENO 84039 LINGAYAN AVE Work Classification 03/30 03131 04/01 04102 04/03 04104 04I05 This Protect All Projects 0.00 71.90 23.89 9.40 0.00 0.00 0.00 Hours Worked Each Day INDIO CA 92201 TREE MAINTENANCE LABORER 0.00 8.00 8.00 8.00 8.00 0.00 0.00Trav/S 32.00 24.87 795.84 939.84 Trainin g Fund Admin Dues Subs Subs Savings 9 Other Total 834.65 29081 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37.31 0.00 0.00 0.00 0.00 0.00 0.00 105.19 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 49.74 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 EUGENIO COPENO IZOTECO 46299ARABIA#C-13 Work Classification 03/30 03/31 04/01 04/02 04/03 04/04 04/05 This Project All Projects 0.00 42.84 0.00 5.60 0.00 0.00 0.00 Hours Worked Each Day INDIO CA 92201 LANDSCAPE MAINTENANCE LABORER S 8.00 6.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Training Fund Admin Dues Travl Subs Savings Other Total 511.56 29079 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 48.44 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social 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 p Date HUMBERTO S. VALDEZ 12966 CACTUS DR #A Work Classification 03/30 03/31 04/01 04/02 04/03 04104 04/05 This Project All Projects 85.24 62.35 20.81 8.15 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA TREE MAINTENANCE S 0.00 8.00 6.00 8.00 8.00 0.00 0.00 32.00 21.97 703.04 815.04 Fund Admin Dues Travl Subs9LABORER Savin s Other Total 638.49 29089 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.9692240 Lan 0.00 0.00 0.00 0.00 0.00 �,55 p 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 0.00 1 43.94 NOTE: Public works certified Payroll Reporting Form 04/17/2020 - Page 3 Public Works Certified- yroll Reporting Form f Contractor Name: PWLC II, INC. Name, Address and Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 04/05/2020 Payroll Number:40-1 Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Man Tue Wed Thu Fri Sat Sun Total Hours Hourly j Pay Rate I i Gross Amount Earned _ Federal Tax FICA State Tax SDI Vac/ Holida Y Health & Waif. Pension Net Wage Paid For Week Check Number 4 Date LETICIABONILLA 33477 NAVAJO TR #B Work Classification 03/30 03131 04/01 04/02 04/03 04/04 04/05 This Pro ect 1 All Pro acts 1 4.04 45.90 0.00 6.00 0.00 47.39 0.00 W Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S B.00 8.00 B.00 8.00 B.00 0.00 0.00 40.00 15.00 600.00 600.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 544.06 29074 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 55.94 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 I Ha;fl[li & Well. Pension Net Wage Paid For Week Check Number 3 Date LUIS E. ALVAREZ SARABIA 45627 SENEGAL PL Work Classification 03/30 03/31 04/01 04/02 04/03 04/04 04/05 This Project All Projects 44.06 55.08 17.14 7.20 0.00 0.00 0.00 Hours Worked Each Day INDIO CA 92201 LANDSCAPE MAINTENANCE LABORER S 8.00 6.00 8.00 8.00 8.00 0.00 0.00 40.00 1 18.00 720.00 720.00 Training 9 Fund Admin Dues TravtSubs Subs Savin s 9 Other Total 596.52 29073 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 0.00 123.48 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 Slate Tax SDI Vac/ Holiday Health & Wolf. Pension Net Wag Paid For Week Check Number 2 Date MARCELINO BRIONES 50700 CALLE MENDOZA Work Classification 03/30 03/31 04/01 04/02 04/03 04/04 04/05 Thls Project All Projects 34.79 42.84 4.94 5.60 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 14.00 560.00 560.00 Training 9 Fund Admin Dues Trav! Subs Savings 9 Other Total 471.83 29075 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 88.17 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Waif. pension Net Wage Paid For Week Check Number 0 Date PASTOR R. PEREZ NEGRON 67365 ONTINA RD Work Classification 03/30 03/31 04/01 04/02 04/03 04/04 04/05 This Project All Protects 60.43 45.90 12.86 6.00 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S B.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Training 9 Fund Admin Dues Trav/ Subs Savings 9 Other Total 474.81 29086 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 0.00 125.19 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 04/17/2020 - Page 4 Public Works Certifiee- yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 04/05/2020 Payroll Number:40-1 Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vacl Holiday& Health Welf. Pension Net Wage Paid For Week Check Number 2 Date RAFAEL M. VERA 13040 CACTUS Work Classification 03/30 03/31 04/01 04/02 04103 04/04 04/05 This Project All Protects 29.33 52.60 2.40 6.88 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 TREE MAINTENANCE LABORER S 0.00 8.00 8.00 0.00 0.00 0.00 0.00 16.00 21.97 351.52 687.52 Training 9 Fund Admin Dues Trav/ Subs Savings 9 Other Total 596.31 29091 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.96 0.00 0.00 0.00 0.00 0.00 0.00 91.21 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 43.94 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 3 Date ROSARODRIGUEZ PO BOX 580332 Work Classification 03130 03131 04/01 04/02 04/03 04/04 04/05 This Project All Projects 24.86 42.84 7.52 5.60 0.00 0.00 0.00 Hours Worked Each Day N PALM SPRINGS CA 92258 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Training 9 Fund Admin Dues Trav/ Subs Savin s 9 Other Total 479.18 29088 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 80.82 D 0,00 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 28.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date RUBEN F. HENRIOUEZ 15687 PALM DR #83 Work Classification 03/30 03/31 04/01 04/02 04/03 04/04 04/05 This Project All Projects 84.82 62.09 23.16 8.12 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 TREE MAINTENANCE LABORER S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 21.97 703.04 823.04 Training 9 Fund Admin Dues Trav/ Subs Savin 9 s Other Total 633.35 29083 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.96 0.00 0.00 0.00 0.00 0.00 11.50 189.69 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 43.94 NOTE: $11.50 OTHER = FH125D Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date SALVADOR VALDEZ CISNEROS 12966 CACTUS DR Work Classification 03/30 03131 04/01 04/02 04/03 04104 04/05 This Project All Protects 50.32 54.43 10.01 7.12 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 TREE MAINTENANCE LABORER S 0.00 8.00 8.00 0.00 0.00 0.00 0.00 16.00 21.97 351.52 711.52 Trainin 9 Fund Admin Dues Subs Subs Savin s g Other Total 589.64 29090 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.96 0.00 0.00 0.00 0.00 0.00 0.00 121.88 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 43.94 NOTE: I Public works Certified Payroll Reporting Form 04/17/2020 - Page 5 Public Works Certifier" ._yroll Reporting Form Contractor Name: PWLC II, INC. I Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 04/05/2020 Payroll Number:40-1 Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal 1 State Vacl Health 1 5 Date Earned Tax FICA Tax SDI Holiday & Welf. Pension i Net GENARO VARGAS Total Hourly Wage Check Work 03/30 03/31 04/01 04102 04/03 04/04 04/05 Hours Pay Rate This I All 0.00 42.84 0.00 5.60 0.00 0.00 0,00 Feld For Number 69130 VICTORIA DR Classification Hours Worked Each Day Project Projects 1 1 Week CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 0.00 560.00 560.00 Fund Travl 511.56 8107 CA MAINTENANC I I Training Admin Dues Subs Savings Other Total O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 LABORER 0.00 0.00 0.00 0.00 0.00 0,00 48.44 92234 D 0.00 0.00 0.00-1 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: BASE HOURLY RATE _ $14.00 Public works Certified Payroll Reporting Form 04/17/2020 - Page 6