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2019-07-07 thru 2019-09-29 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 blicwc rks(Dd Ir.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: 2019-09-29 Payroll Number. 13 Amendment Number. 0 11 employee payroll record(s) processed Your Transaction ID is: 6693517 Print this Pagg NOR - View your submission Public Works Certified' /roll Reporting Form Certification under p. _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 andlor contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2019-09-29 are the originals or true, full, and correct copies of the originals which depict the payroll records) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2019-10-02." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANIA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: WSD 5029463 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: 13- 0 - - For Week Ending: 09/29/2019 Is this a 'Statement of Non -Performance?' Name, Address and Social Securl Number of Worker tY Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Houdy Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Hollda y Health & Welf. Pension Net Wage Paid For Week Check Number 9 Date ALLEN R. FARIAS MONTANO 49968 AVENIDA DE ORO Work Classification 09/23 09/24 09/25 09/26 09/27 09/28 09/29 This Project J All I Projects 0.00 42.84 0.00 5.60 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA 92238 � 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 I 1 Training 9 Fund Admin Dues Trav/ Subs Savings 9 Other Total Deduct 511T 94 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 46.44 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2B.o0 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 Vao! Holiday Health & WelL Pension Net Wage Paid For Week Check Number 3 Date ARMANDO RICO CHAVEZ I 2103 JACQUES DR 1 Work Classification 09/23 09/24 09/25 09/26 09127 09/28 09/29 This Project All Protects 106.17 88.73 44.47 11.60 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 1,160.00 1,160.00 Training 9 Fund Admin Dues Travl Subs Savin s 9 Other Total Deduct 909.03 27093 0 1.00 1.00 1.00 1.00 0.00 B.00 0.00 12.00 30.00 0.00 0.00 0.00 0.00 0.00 0.00 250.97 p 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 40.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA Slate Tax I SDI I Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number q Date LETICIA BONILLA 33477 NAVAJO TR #B Work Classification 09/23 09/24 09/25 09/26 09/27 09/28 09/29 This Project All Projects 5.00 45.90 0.00 6.00 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Training Fund Admin Dues Trev/ Subs Savings Other Total Deduct 543.10 27091 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 56.90 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 10/02/2019 - Page Public Works Certified •troll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 09/29/2019 Payroll Number:13-0 Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours 1 Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Hollda y Health & Welf. Pension Net Wage Paid For Week Check Number 3 Date LUCIAGARCIA 64045 HARVEST MOON RD Work Classification 09/23 09/24 09/25 09/26 09/27 09/28 09129 This Project All Projects 45.78 55.70 11.07 7.28 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 728.00 728.00 Training Fund Admin Dues Travl Subs Savings Other Total 608.17 27095 Q 0.00 0.00 0.00 0.00 0.00 8.00 0.00 8.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 119.83 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 3 Date LUIS E. ALVAREZ SARABIA 45627 SENEGAL PL Work Classification 09/23 09/24 09/25 09/26 09/27 09/28 09/29 This Project All Projects 40.50 52.33 16.00 6.84 0.00 0.00 0.00 Hours Worked Each Day INDIO CA 92201 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 6.00 8.00 8.00 0.00 0.00 38.00 18.00 684.00 684.00 Training g Fund Admin Dues Su Subs Sevin s g Other Total 568.33 27089 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 0.00 115.67 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA Slate Tex SDI Vac/ Holiday Health $ Welf. Pension Net Wage Paid For Week Check Number 2 Date MARCELINO BRIONES 50700 CALLE MENDOZA Work Classification 09/23 09/24 09/25 09/26 09/27 09/28 09/29 This Protect All Projects 35.32 42.84 5.55 5.60 0.00 0.00 0.00 Hours Worked Each Day COACHELLA i 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 T Subs U s Savings Other Total 470.69 27092 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 89.31 p 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 Security Number of Worker Withholding 2 MARIO HERNANDEZ GARCIA Work PO BOX 745 Classification MECCA CA I92254 LANDSCAPE MAINTENANCE LABORER NOTE: Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Earned Federal Tax FICA State Tax SDI Vac/ H011day Health & Welf. Pension Net Paid For Week Check Number Date 09/23 09/24 09/25 09/26 09/27 09/28 09/29 This7A1'ct.31.35 53.70 3.11 7.02 0.00 0.00 0.00 Hours Worked Each DayProject 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 13.50 702.00 702.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 606.82 27091 0.00 0.00 0.00 0.00 0.00 8.00 0.00 8.00 20.25 0.00 0.00 0.00 0.00 0.00 0.00 95.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 1 27.00 Public works Certified Payroll Reporting Form 10/02/2019 - Page 2 Public Works Certified' yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 09/29/2019 Payroll Number:13-0 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 Vail Holiday Hoalih & Wolf. Pension Net Wage Paid For Week Check Number PASTOR R. PEREZ NEGRON 67365 ONTINA RD 0 Date Work Classification 09/23 09/24 09/25 09/26 09/27 09/28 09/29 This ro ect Project 1 All Projects 1 55.70 42.84 11.54 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 444.32 27098 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 0.00 115.68 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 ROSARODRIGUEZ PO BOX 580332 3 Date Work Classification 09/23 09/24 09/25 09/26 09/27 09/28 09/29 This Project roec � All Projects � 25.62 42.84 8.04 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 477.90 27099 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 82.10 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 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/ Hollda y Health & Welf. Pension Net Wage Paid For Week Check Number 5 Date SALVADOR AZA MARTINEZ 15225 PALM DR #1 DESERT HOT SPRINGS CA 92240 Work Classification 09/23 09124 09125 09/26 09/27 09/28 09/29 This Project / All Projects / 11.55 57.08 0.00 7.46 0.00 0.00 0.00 Hours Worked Each Day LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 4.50 8.00 8.00 3.50 0.00 40.00 15.00 746.25 746,25 Trainln 9 Fund Admin Dues Trav/ Subs Savings 9 Other Total 670.16 27090 Q 0.00 0.00 0.00 2.00 0.00 4.50 0.00 6.50 22.50 0.00 0.00 0.00 0.00 0.00qMw 0.00 76.09 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 I SDI Vac/ Holiday Health & Wolf. Pension Net Wage Paid For Week Check Number 6 Date SALVADOR MURILLO LANDEROS 48097 ESTRELLA TOMAS Work Classification 09123 09124 09125 09/26 09/27 09128 09/29 This Project All Projects 0.00 52.02 0.00 6.80 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 17.00 680.00 680.00 Training 9 Fund Admin Dues Trav/ Subs Savings g Other Total 621.16 27097 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.50 0.00 0.00 0.00 0.00 0.00 0.00 58.82 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.00 NOTE: Public Works certified Payroll Reporting Form 10/02/2019 - Page eCPR Online Confirmation - Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2019-09-22 Payroll Number: 12 Amendment Number: 0 11 employee payroll record(s) processed Your Transaction ID is: 6634150 Print this Page LUM 1 View your submission Adobe https:/Iefiling.dir.Ga.gov/eCPR/pages/eCPROnlineFormPreFill.jsp 1/1 Public Works Certifies ayroll Reporting Form Certification under , arty of perjury: 1, KRISTY SOUTH, the undersigned, am the CONTROLLER (positlon in buslness) with the authority to act for and on behalf of PWLC II, INC. (name of business andlor contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2019-09-22 are the originals or true, full, and correct copies of the originals which depict the payroll records) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2019-09-25." Contractor Name: PWLC 11, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: WSD 5029463 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: 12- 0 MAINTENANCE OF CITYWIDE MEDIANS For Week Ending: 09/22/2019 ❑ 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 ALLEN R. FARIAS MONTANO 49968 AVENIDA DE ORO 9 Date Work Classification 09/16 09/17 09/18 09/19 09/20 09/21 09/22 This Project All Projects 0.00 42.84 0.00 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 Deduct 511.56 26984 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 48.44 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number ARMANDO RICO CHAVEZ 2103 JACQUES DR 3 Date Work Classification 09/16 09/17 09118 09/19 09/20 09121 09/22 This Project All Projects 68.82 70.39 23.74 9.20 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 0.00 0.00 0.00 32.00 20.00 760.00 920.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 747.85 26983 O 1.00 1.00 1.00 1.00 0.00 0.00 0.00 4.00 30.00 0.00 0.00 0.00 0.00 0.00 0.00 172.15 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI I VarJ Holiday Health & Waif, Pension Net Wage Paid For Week Check Number LETICIA BONILLA 33477 NAVAJO TR #B 4 Date Work Classification 09/16 09117 09/18 09/19 09/20 09/21 09/22 This Project All Projects 5.00 45.90 0.00 6.00 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 0.00 0.00 0.00 32.00 15.00 480.00 600.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 543.10 26981 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 0.00 1 0.00 0.00 0.00 0.00 0.00 56.90 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 09/25/2019 - Page 1 Public Works Certifie'- -iyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 09/22/2019 Payroll Number:12-0 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 LUCIAGARCIA 64045 HARVEST MOON RD 3 Date Work Classification 09/16 09/17 09118 09/19 09/20 09/21 09/22 This Project 1 All Projects 1 25.62 42.84 3.05 5.60 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 482.89 26985 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 77.11 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.001-� NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI I Vac/ Holiday Health $ Welf. Pension Net Wage Paid For Week Check Number LUIS E. ALVAREZ SARABIA 45627 SENEGAL PL 3 Date Work Classification 09/16 09/17 09118 09/19 09120 09/21 09/22 This Project J All Projects 1 42.66 53.70 16.84 7.02 0.00 0.00 0.00 Hours Worked Each Day INDIO CA 92201 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 7.00 8.00 0.00 0.00 39.00 18.00 702.00 702.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 581.78 26979 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 0.00 120.22 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday$ Health Welf. Pension Net Wage Paid For Week Check Number MARCELINO BRIONES 50700 CALLE MENDOZA 2 Date Work Classification 09/16 09/17 09/18 09/19 09/20 09/21 09/22 This Project 1 All Pro ecls 1 35.32 42.84 5.55 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 470.69 26982 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 89.31 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 Pay Rate Gross Amount Earned Federal Tax FICA State I Tax SDI Vac/ Holiday Health $ Welf. Pension Net Wage Paid For Week Check Number 2 Date MARIO HERNANDEZ GARCIA PO BOX 745 Work Classification 09/16 09117 09/18 09/19 09120 09/21 09122 This Project All Projects 15.15 41.31 0.00 5.40 0.00 0.00 0.00 Hours Worked Each Day MECCA CA 92254 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 B.00 8.00 0.00 0.00 40.00 13.50 540.00 540.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 478.14 26986 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.25 0.00 0.00 0.00 0.00 0.00 0.00 61.86 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.00 NOTE: J. Public works certified Payroll Reporting Form 09/25/2019 - Page 2 Public Works Certific, ayroll Reporting Form /-*,%I Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 09/22/2019 Payroll Number:12-0 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 Vac/ Holiday Health i Welf. Pension Net Wage Paid For Week Check Number PASTOR R. PEREZ NEGRON 67365 ONTINA RD 0 Date Work Classification 09/16 09/17 09/18 09/19 09/20 09/21 09/22 This Project 1 All Projects 1 55.70 42.84 11.54 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 444.32 26988 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 0.00 115.68 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 Check Number ROSA RODRIGUEZ PO BOX 580332 3 Date Work Classification 09/16 09/17 09/18 09/19 09/20 09121 09/22 This Project 1 All Projects 1 25.62 42.83 8.04 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 I 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 477.91 26989 O 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 82.09 D 0.00 i�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/ Holida y Health 8& Wolf. Pension Net Wage Paid For Week Check Number SALVADOR AZA MARTINEZ 15225 PALM DR #1 5 Date Work Classification 09/16 09/17 09/18 09/19 09/20 09/21 09122 This Project 1 All Projects 1 1.42 49.35 0.00 6.45 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 645.00 645.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 587.78 26980 Cl 0.00 0.00 0.00 1.00 1.00 0.00 0.00 2.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 57.22 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 lax FICA State Tax SDI Vac/ Holiday Health 8, Waif. Pension Net Wage Paid For Week Check Number 6 Date SALVADOR MURILLO LANDEROS 48097 ESTRELLA TOMAS COACHELLA CA 92236 Work Classification 09/16 09/17 09118 09/19 09/20 09/21 09/22 This 1 Pro ect All Projects 0.00 50.72 0.00 6.63 0.00 0.00 0.00 Hours Worked Each Day LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 7.00 0.00 0.00 0.00 31.00 17.00 527.00 663.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 605.65 26987 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.50 0.00 0.00 0.00 0.00 0.00 0.00 57.35 D 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.00 NOTE: Public works certified Payroll Reporting Form 09/25/2019 - Page 3 J/ 1.7lFv 1.7 eCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2019-09-15 Payroll Number: 11 Amendment Number: 0 15 employee payroll record(s) processed Your Transaction ID is: 6602159 Print this Page View your submission https://efiling.dir.ca.gov/eCPR/pages/eCPROnlineFormPreFiii.jsp 1/1 Public Works Certifie - -iyroll 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 2019-09-15 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2019-09-19." 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: WSD 5029463 Awarding Body: CITY OF LA QUINTA Contract With: CITY OF LA QUINTA Payroll Number: 11- 0 DIR Project ID: 290440 County: RIVERSIDE For Week Ending: 09/15/2019 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE 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 I State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number AGUSTIN RUBIO PIEDRA 67321 MISSION DR 3 Date Work Classification 09/09 09110 09111 09/12 09/13 09/14 09/15 This Project 1 All Projects 1 10.86 44.21 0.00 5.78 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 0.00 0.00 0.00 2.00 0.00 0.00 0.00 2.00 12.36 43.26 577.83 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 516.98 26937 O 0.00 0.00 0.00 1.00 0.00 0.00 0.00 1.00 18.54 0.00 0.00 0.00 0.00 0.00 0.00 60.85 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.72 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vacf Holida y Health & WEIL Pension Net Wage Paid For Week Check Number ALLEN R. FARIAS MONTANO 49968 AVENIDA DE ORO 9 Date Work Classification 09/09 09/10 09/11 09/12 09/13 09/14 09/15 This Project All Projects 0.00 42.83 0.00 5.60 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA 92236 fro 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 511.57 26951 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 48.43 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 3 Date ARMANDO RICO CHAVEZ 2103 JACQUES DR Work Classification 09/09 09/10 09/11 09112 09/13 09114 09/15 This ro Pject 1 All Projects 1 68.82 70.37 23.74 9.20 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 20.00 920.00 920.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 747.87 26950 p 1.00 1.00 1.00 1.00 0.00 0.00 0.00 4.00 30.00 0.00 0.00 0.00 0.00 0.00 0.00 172.13 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 09/19/2019 - Page 1 Public Works Certified iyroll Reporting Form e-� Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 09/15/2019 Payroll Number: 11-0 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 8 Welf. Pension Net Wage Paid For Week Check Number CESAR TORRES 81720 AVE 46 #14-103 4 Date Work Classification 09/09 09/10 09/11 09/12 09113 09114 09/15 This This All Projects 6.13 46.76 0.00 6.11 0.00 0.00 0.00 Hours Worked Each Day INDIO CA � LANDSCAPEt MAINTENANCE LABORER0.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 611.25 611.25 Training Fund Admin Dues Trav/ Subs Savings Other Total 552.25 6031 0.00 0.50 0.00 0.00 0.00 0.50 22.5092201 0.00 0.00 0.00 0.00 0.00 59.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday& Health Welf. Pension Net Wage Paid For Week Check Number ERIC ALVAREZ 49132 LAS CRUCES ST COACHELLA CA 92236 0 Date Work Classification 09/09 09/10 09/11 09/12 09/13 09/14 09/15 This Project 1 All Projects 1 66.04 50.07 14.70 6.55 0.00 0.00 0.00 Hours Worked Each Day LANDSCAPE MAINTENANCE LABORER S 0.00 0.00 0.00 I 2.00 0.00 0.00 0.00 2.00 14.00 49.00 654.50 Training Fund Admin Dues Trav/ Subs Savings Other Total 517.14 26930 p 0.00 0.00 0.00 1.00 0.00 0.00 0.00 1.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 137.36 p 0.00 0.00 1 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 Slate Tax SDI Vac! Holiday Health & Well. Pension Net Wage Paid For Week Check Number ISAIAH A. RIOS 53740 EISENHOWER DR LA QUINTA CA 92253 loomomm 1 Date Work Classification 09/09 09110 09/11 09/12 09/13 09114 09/15 This Project 1 All Pro ects 1 10.29 19.64 0.00 2.57 0.00 0.00 0.00 Hours Worked Each Day LANDSCAPE MAINTENANCE LABORER S 0.00 0.00 0.00 2.00 0.00 0.00 0.00 2.00 13.00 45.50 256.75 Training g Fund Admin Dues Trav/ Subs Savings 9 Other Total 224.25 26936 O 0.00 0.00 0.00 1.00 0.00 0.00 0.00 1.00 19.50 0.00 0.00 0.00 0.00 0.00 0.00 32.50 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.00 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 4 Date JORGE CORONA VALDEZ 32555 WISHING WELL TR #A Work Classification 09/09 09/10 09/11 09112 09/13 09/14 09/15 This Project All Projects 4.80 45.75 0.00 5.98 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 0.00 0.00 0.00 2.00 0.00 0.00 0.00 2.00 13.00 45.50 598.00 Trainin 9 Fund Admin Dues Trav/ Subs Savin s 9 Other Total 541.47 26931 O 0.00 0.00 0.00 1.00 0.00 0.00 0.00 1.00 19.50 0.00 0.00 0.00 0.00 0.00 0.00 56.53 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.00 NOTE: Public Works certified Payroll Rerortinn Form 09/1.9/2019 7 Page 2 Public Works Certifie, iyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 09/15/2019 Payroll Number: 11-0 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 Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number LETICIABONILLA 33477 NAVAJO TR #B 4 Date Work Classification 09/09 09110 09/11 09/12 09/13 09/14 09/15 This Project All Projects 6.13 46.76 0.00 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 Training Fund Admin Dues Trav/ Subs Savings Other Total 552.25 26948 0 0.00 0.00 0.50 0.00 0.00 0.00 0.00 0.50 22.50 0.00 0.00 0.00 0.00 0.00 0.00 59.00 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and J 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 LUCIAGARCIA 64045 HARVEST MOON RD 3 Date Work Classification 09/09 09/10 09/11 09/12 09/13 09/14 09/15 This Project All Projects 25.62 42.84 3.05 5.60 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 482.89 26952 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 77.11 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 I Vac/ Holida y Health & Welf. Pension Net Wage Paid For Week Check Number LUIS E. ALVAREZ SARABIA 45627 SENEGAL PL 3 Date Work Classification 09109 09/10 09/11 09/12 09/13 09114 09/15 This 1 Pro ect All Projects 1 44.82 55.08 18.03 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 594.87 26946 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 125.13 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 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 & Wolf. Pension Net Wage Paid For Week Check Number MARCELINO BRIONES 50700 CALLE MENDOZA 2 Date Work Classification 09109 09/10 09/11 09/12 09/13 09/14 09/15 This Project All All 36.58 43.64 6.01 5.71 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 14.00 570.50 570.50 Training Fund Admin Dues Trav/ Subs Savings Other Total 478.56 26949 0 0.00 0.00 0.00 0.50 0.00 0.00 0.00 1 0.50 21.00 0.00 0.00 0.00 0.00 0.00 0.00 91.94 p 0.00 0.00 0.00 1 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Public works certified Payrn1,1..4eonrting Form 09/19/2..019 - Page c .rl-` Public Works Certifie•- iyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 09/15/2019 Payroll Number: 11-0 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 Vacl Holiday Health & Wolf. Pension Net Wage Paid For Week Check Number PASTOR R. PEREZ NEGRON 67365 ONTINA RD 0 Date Work Classification 09109 09/10 09/11 09/12 09/13 09114 09/15 This Project All Projects 55.70 42.84 11.54 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 Ttn, Fund Admin Dues Trav/ Subs Savings Other Total 444.32 26955 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 0.00 115.68 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI I Vac/ Holida y Health & Welf. Pension Net Wage Paid For Week Check Number 3 Date ROSA RODRIGUEZ PO BOX 580332 Work Classification 09/09 09/10 09111 09/12 09/13 09/14 09/15 This Project 1 All Projects 1 13.26 34.28 3.69 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 8.00 0.00 0.00 0.00 32.00 14.00 448.00 448.00 Training Fund Admin Dues Travl Subs Savings Other Total 392.29 26956 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 55.71 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social Securi Number of Worker Security ;Number of ithholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holida y Health & Wolf. Pension Net Wage Paid For Week Check Number 5 Date SALVADOR AZA MARTINEZ 15225 PALM DR #1 Work Classification 09/09 09/10 09111 09/12 09/13 09/14 09/15 This Project I All Projects I 0.00 45.89 0.00 6.00 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Training 9 Fund Admin Dues Trav/ Subs Savin s 9 Other Total 548.11 26947 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 51.89 ID 0.00 0.00 1 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social Securi Number of Worker Num9of Withh Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat SuntY Total Hours Hourly Pay Rate Gross Amount Federal Tax FICA State Tax SDI Vac! Holiday HealthEarned & Welf.Pension Net Wage Paid For Week Check Number 6Date SALVADOR MURILLO LANDEROS 48097 ESTRELLA TOMAS W09/09 Classif 09/10 09/11 09/12 09/13 09/14 09/15 This Project All Projects 0.00 52.01 0.00 6.80 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 17.00 680.00 680.00 Training 9 Fund Admin Dues Trav/ Subs Savin s 9 Other Total 621.19 26954 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.50 0.00 0.00 0.00 0.00 0.00 0.00 58.81 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.00 NOTE: Public Works Certified Payroll Re,-nrtinn Form 09/19/" 9 - Page 4 eCPR Online Confirmation Your payroll submission request has been processed. "ease review the results of your submission. Should you have any questions please contact the eCPR unit at i bl Icworks @ d Ir. ce.gnv. 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: 2019-09-08 Payroll Number 10 Amendment Number. 0 16 employee payroll record(s) processed Your Transaction ID is: 6536053 Print this Pagg Yew your submission Adobe Public Works Certified' yroll Reporting Form Certification under p -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 certified payroll records for the week ending 2019-09-08 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2019-09-11." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: WSD 5029463 Awarding Body: CITY OF LA QUINTA Contract With: CITY OF LA QUINTA Payroll Number: 10- 0 DIR Project ID: 290440 County: RIVERSIDE For Week Ending: 09/08/2019 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE 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 Vac! Holiday Health & Wolf. Pension Net Wage PW For Week Check Number 9 Date ALLEN R. FARIAS MONTANO 49968 AVENIDA DE ORO Work Classification 09102 09103 09/04 09/05 09/06 09/07 09/08 This Project All Projects .4......00 000 328 000 448 000 000 0 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 Fund Admin Dues Travl Subs Savings Other Total Deduct 409.24 26847 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 38.76 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 Tex FICA State Tax SDI Vac/ Holiday Health & Wolf. Pension Net Wage Paid For Week Check Number 3 Date ANGEL GONZALES 630 CALLE ROKA Work Classification 09/02 09103 09I04 09/OS 09I06 09107 09lOB This Project All Protects 17.35 49.17 0.00 6.43 0.00 0.00 0.00 Hours Worked Each Day PALM SPRINGS CA 92264 LANDSCAPE MAINTENANCE LABORER S 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.36 74.16 642.72 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 569.77 26828 o 0.00 0.00 0.00 0.00 4.00 0.00 0.00 4.00 18.54 0.00 0.00 0.00 0.00 0.00 0.00 72.95 p 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.72 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 OR Work Classification 09/02 09/03 09/04 09/05 09/06 09/07 09/08 This Protect I All Projects 65.22 68.06 21.76 8.90 0.00 0.00 0.00 Hours Worked Each Day PALM SPRINGS CA 92262 LANDSCAPE MAINTENANCE LABORER $ 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 20.00 890.00 890.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 726.06 26846 Q 0.00 1.00 1.00 1.00 0.00 0.00 0.00 3.00 30.00 0.00 0.00 0.00 0.00 0.00 0.00 163.94 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 09/11/2019 - Page 1 Public Works Certified''- lrroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 09/08/2019 Payroll Number:10-0 Name, Address and Social Security Number of Worker Number of Withholding Day I Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Waif. Pension Net Wage Paid For Week Check Number 4 Date CESAR TORRES 81720 AVE 46 #14-103 Work Classification 09/02 09/03 09/04 09/05 09/06 09107 09/08 This Project All Projects 5.00 45.90 0.00 6.00 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 8.00 0.00 40.00 15.00 600.00 600.00 Training Admd Dues Subs Savings Other Total 543.10 26852 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 56.90 p j 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: i Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Waif. Pension Net Wage Paid For Week Check Number 10 Date ELMER LOPEZ PEREZ 30-336 SAN LUIS REY DR. j Work Classification 09/02 09/03 09/04 09/05 09/06 09t07 09/o8 This Protect All Projects 0.00 49.87 0.00 6.52 0.00 0.00 0.00 Hours Worked Each Day 4 CATHEDRAL CITY CA 92234 °Nsook LANDSCAPE MAINTENANCE LABORER S 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.36 74.16 651.99 Training Admin Dues Subs Savings Other Total 595.60 26830 p 0.00 0.00 0.00 0.00 4.00 0.00 0.00 4.00 18.54 0.00 0.00 0.00 0.00 0.00 0.00 56.39 p 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 24.72 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 JORGE CORONA VALDEZ 32555 WISHING WELL TR#A Work Classification 09/02 09/03 09/04 09105 09/06 09/07 09/08 This Project All ProJact s 12.60 51.71 0.00 6.76 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.00 78.00 676.00 Training Fund Admin Dues Travl Subs Savings Other Total 604.93 26826 Q 0.00 0.00 0.00 0.00 4.00 0.00 0.00 4.00 19.50 0.00 0.00 0.00 0.00 0.00 0.00 71.07 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.00 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 LETICIA BONILLA 33477 NAVAJO TR #B Work Classification 09/02 09/03 09/04 09/05 09/06 09/07 09/0B Thls Project All ProJacts 5.00 45.90 0.00 6.00 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 0.00 8.00 6.00 8.00 8.00 8.00 0.00Fund 40.00 15.00 600.00 600.00 Training Adm n Dues Subs Savings Other Total 543.10 26844 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 0.00 0.00 0.00 0,00 0.00 0.00 56.90 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 09/11/2019 - Page 2 Public Works Certified,---rroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 09/08/2 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 y Health & Welf. Pension Net Wage Paid For Week Check Number 3 Date LUCIAGARCIA W45 HARVEST MOON RD Work � Classification 09/02 09/03 09/04 09/05 09/06 09/07 09/08 This Protect All Projects 25.62 42.84 3.05 5.60 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 LANDSCAPE MAINTENANCE LABORER S 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 14.00 560.00 580.00 Tralnln g Fund Admin Dues Subs Subs Savings g Other Total 482.89 26848 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 77.11 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Nat Wage Paid For Week Check Number 0 Date LUIS E. ALVAREZ SARABIA 45627 SENEGAL PL Work Classification 09/02 09/03 09/04 09/05 09/06 09/07 09/oB This Project All Projects 56.62 44.07 11.24 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 6.00 8.00 0.00 0.00 32.00 18.00 576.00 576.00 Training Fund Admin Dues Travl Subs Sevings Other Total 458.31 26842 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 0.00 117.69 p 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 0.00 36.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. pension Net Wage PeIdF or Week Numeck ber 2 Date MARCELINO BRIONES 50700 CALLE MENDOZA Work09IO2 Classification 09I03 09/04 09I05 09l06 09I07 09/08 This Project All Projects 35.32 42,84 5.55 5.60 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 8.00 0,00 40.00 14.00 560.00 560.00 Training Admin Dues Subs Savings Other Total 470.69 26845 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 89.31 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.700 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 0 Date OSCAR ORTEGA MONTES 1528 FILLMORE DR Work Classification 09/02 09/03 09/04 09/05 09/06 09/07 09/08 This Project All Projects 80.20 59.10 21.50 7.73 0.00 0.00 0.00 Hours Worked Each Day SALTON CITY CA 92274 LANDSCAPE MAINTENANCE LABORER S 0.00 0.00 0.00 0.00 2.00 0.00 0.00 2.00 15.00 30.00 772.50 Training Admin Dues Subs Savings Other Total 445.89 26824 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 0.00 158.08 326.61 p 0.00 0.00 0.00 1 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: $158.08 OTHER = CHILD SUPPORT 1 Public Works certified Payroll Reporting Form 09/11/2019 - Page 3 Public Works Certified - woll Reporting Form Contractor Name: PWLC II, INC. I Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 09/08/2019 Payroll Number: 10-0 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 0 Date PASTOR R. PEREZ NEGRON 67365 ONTINA RD Work Classification 09/02 09/03 09/04 09/05 09/06 09/07 09/08 This Project All Protects 28.82 25.70 4.72 3.36 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 0.00 8.00 0.00 8.00 8.00 0.00 0.00 24.00 14.00 336.00 336.00 Trainln 9 Fund Admin Dues Trav/ Subs Sevin s 9 Other Total 273.40 26850 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 62.60 p 0.00 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 Vacl H011day Heallh & Welr. Pension Net Wage Paid For Week Check Number 3 Date ROSARODRIGUEZ PO BOX 580332 Work Classification 09102 09/03 09/04 09/05 09106 09107 09/08 This Project All Projects 25.62 42.84 8.04 5.60 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 8.00 0.00 40.00 14.00 560.00 1 J_ 560.00 Training 9 Fund Admin Dues Subs Subs Savings 9 Other Total 477.90 --L--1 26851 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 1 0.00 I 0.00 I 0.00 0.00 0.00 0.00 I 82.10 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 I State Tax SDI Vacl Holiday Health & Waif. Pension Net Wage Paid For Week Check Number 5 Date SALVADORAZAMARTINEZ 15225 PALM DR #1 Work Classification 09/02 09/03 09/04 09/05 09/06 09/07 09/08 Thls Project All Projects 5.92 52.80 0.00 6.90 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 LANDSCAPE MAINTENANCE LABORER S 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 15.00 690.00 690.00 Training 9 Fund Admin Dues Trav/ Subs Savings Other Total 624.38 26843 0 0.00 0.00 0.00 0.00 4.00 0.00 0.00 4.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 65.62 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holldey Health & Welf. Pension Net Wage Pala For Week Check Number g Date SALVADOR MURILLO LANDEROS 48097 ESTRELLA TOMAS Work Classification 09/02 09/03 09/04 09/05 09/06 09/07 09/08 This Project All Projects 0.00 41.62 0.00 5.44 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 17.00 544.00 544.00 Training Adm n Dues Subs Savings Other Total 496.94 26849 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.50 0.00 0.00 0.00 0.00 0.00 0.00 47.06 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.00 NOTE: Public Works certified Payroll Reporting Form 09/11/2019 - Page 4 Public Works Certified,-yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 09/08/2019 Payroll Number:10-0 Name, Address and Number of Day r Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Frt Sat Sun Gross Amount FrcUral State Vac! Health 3 Date Earned Tar FICA Tax SDI Holiday & Welf. Penslon Net VICTOR MARTINEZ GARCIA Total Hourly Wage Check Work 09/02 09/03 09/04 09/05 09/06 09/07 09/08 Hours Pay Rate This All 35.55 49.18 6.69 6.43 0.00 0.00 0.00 Paid For Number 66389 DESERT VIEW #A Classification Hours Worked Each Day Pro act Pro acts I 1 Week DESERT HOT SPRINGS LANDSCAPE S 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.36 74.16 642.72 I Fund Travl 544.87 26831 CA MAINTENANCE I Training Admin Dues Subs Savings Other Total Q 0.00 0.00 0.00 0.00 4.00 0.00 0.00 4.00 18.54 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 97.85 92240 D 0.00 0.00 1 0.00 0.00 1 0.00 0.00 10.00 0.0o 12a.72 NOTE: Public works certified Payroll Reporting Form 09/11/2019 - 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 bll ny orks@d Ir. 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: 2019-09-01 Payroll Number. 9 Amendment Number: 0 17 employee payroll record(s) processed Your Transaction ID is: 6535024 Print this Pagg View your submission Public Works Certified' yroll Reporting Form Certification under i• -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 certified payroll records for the week ending 2019-09-01 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2019-09-11." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: WSD 5029463 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: 9- 0 For Week Ending: 09/01/2019 ElIs this a'Statement of Non -Performance?' Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax _ FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 3 Date AGUSTIN RUBIO PIEDRA 67321 MISSION DR Work Classification 08/26 08127 08/28 08/29 08/30 08/31 09/01 This Project All Projects 9.01 42.79 0.00 5.59 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 0.00 0.00 0.00 3.00 0.00 0.00 0.00 3.00 12.36 37.08 559.29 Tini rang Fund Admin Dues Subs Subs Savings Other Total Deduct 501.90 26801 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.54 0.00 0.00 0.00 0.00 0.00 0.00 57.39 p 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 24.72 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 g Date ALLEN R. FARIAS MONTANO 49968 AVENIDA DE ORO Work Classification 08/26 08/27 08/28 08/29 08/30 08/31 09/01 This Project All Projects 0.00 42.84 0.00 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 6.00 0.00 0.00 40.00 14.00 560.00 560.00 Tini rang Fund Admin Dues Trev! Subs Savings g Other Total Deduct 511.56 26815 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 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 Work Classification 08/26 08/27 08/28 08/29 08/30 08131 09/01 This I Project All Projects 65.22 68.08 21.76 8.90 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 20.00 890.00 890.00 Training Fund Admin Dues Trav! Subs Savings g Other Total Deduct 726.04 26814 0 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 0.00 163.96 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 09/11/2019 - Page 1 Public Works Certifiec+- yroll Reporting Form Contractor Name: PWLC II, INC. Name, Address and Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 09/01/2019 Payroll Number: 9-0 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 BENJAMIN SERRANO B3151 SONORAAVE #B Work Classification 06/26 08/27 08/28 08/29 08/30 08/31 09/01 This Project All Projects 3.13 38.29 0.00 5.01 0.00 0.00 0.00 Hours Worked Each Day INDIO CA 92201 LANDSCAPE MAINTENANCE LABORER S 0.00 0.00 0.00 3.00 0.00 0.00 0.00 3.00 14.00 42.00 1 500,50 Training g Fund Admin Dues Trav/ Subs Savings Other Total 454.07 26802 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 1 0.00 0.00 0.00 0.00 0.00 0.00 46.43 D 0.00 0.00 0.00 0.00 0.00 0.00 .000.00 1 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/ Hollday Health & Welf. Pension Net Wage Paid For Week Check Number 4 Date CESARTORRES 81720 AVE 46 #14-103 Work Classification 08/26 08/27 08/28 08/29 08/30 08/31 09/01 This Project All Projects 0.00 35.57 0.00 4.65 0.00 0.00 0,00 Hours Worked Each Day INDIO CA LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 4.00 0.00 8.00 0.00 0.00 28.00 15.00 465.00 465.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 424.78 26820 Q�2O 0.00 0.00 0.00 0.00 0.00 0.00 2.00 22.5092201 0.00 0.00 0.00 0.00 0.00 0.00 40.22 D 0.00 0.00 1 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Federal Tax FICA State Tax SDI Vacly Halide Health & Welf.y Pension Net Wage Paid For Week Check Number 0 Date ERIC ALVAREZ 49132 LAS CRUCES ST Work Classification 08/26 08/27 08/28 08/29 08/30 08131 09/01 This Project All All 63.52 48.47 13.77 6.34 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA 92236 LANDSCAPE MAINTENANCE LABORER S 0.00 0.00 0.00 3.00 0.00 0.00 0.00 3.00 14.00 42.00 633.50 Training Fund Dues Dues Subs Savings Other Total 501.40 26793 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 0.00 132.10 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 Security Number of Worker Withholding 0 JORGE FUENTES Work 33345 PUEBLO TR Classification CATHEDRAL CITY LANDSCAPE CA MAINTENANCE LABORER 92234 NOTE: Day Deductions, 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 Date 08/26 08/27 08/28 08/29 08/30 08131 09/01 This Project All Projects 43.27 35.55 6.56 4.65 0.00 0.00 0.00 Hours Worked Each Day 0.00 0.00 0.00 3.00 0.00 0.00 0.00 3.00 13.00 39.00 464.75 Training Fund Admin Dues Trav/ Subs Savings Other Total 374.72 26795 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.50 0.00 0.00 0.00 0.00 0.00 0.00 90.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.00 Public Works Certified Payroll Reporting Form 09/11/2019 - Page 2 Public Works Certified' yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 09/01/2019 Payroll Number: 9-0 Name, Address and Social SecurityNumber of Worker Number of Withholding pay Deductions, 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 08/26 08127 08/28 08/29 08/30 08/31 09/01 This P roject All Protects 5.00 45.90 0.00 6.00 0.00 0.00 0.00 Hours Worked Each Day H CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 543.10 26812 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 56.90 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 LUCIAGARCIA 64045 HARVEST MOON RD Work Classification 08/26 08127 08/28 08/29 08/30 08/31 09/01 This Project I All Projects 28.14 44.44 3.97 5.81 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 581.00 581.00 Training Admin Dues Subs Savings Other Total 498.64 26816 Q 0.00 1.00 0.00 0.00 0.00 0.00 0.00 1.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 82.36 p o.00 o.00 o.00 o.00 o.oa o.00 o.00 0.00 26.00 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 0 Date LUIS E. ALVAREZ SARABIA 45627 SENEGAL PL Work Classification 08/26 08/27 08128 08/29 08/30 08/31 09/01 This Project All Projects 67.42 50.95 15.20 6.66 0.00 0.00 0.00 Hours Worked Each Day INDIO CA 92201 LANDSCAPE MAINTENANCE LABORER $ 8.00 8.00 5.00 8.00 8.00 0.00 0.00 37.00 18.00 668.00 666.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 525.77 26810 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 0.00 140.23 p 0.00 0.00 0.00 1 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 Holldey olld Health & WeIF. Pension Net Wage Pa ld For Week Check Number 2 Date MARCELINO BRIONES 50700 CALLE MENDOZA Work Classification 08/26 08127 08/28 08/29 08/30 06/31 09/01 This Project All Projects 35.32 42.85 5.55 5.60 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA 92236 i LANDSCAPE MAINTENANCE LABORER $ 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 470.68 26813 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 89.32 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 zfi.00 NOTE: Public Works Certified Payroll Reporting Form 09/11/2019 - Page 3 Public Works Certified froll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 09/01/2019 Payroll Number: 9-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State I Vac/ Health Earned Tax FICA Tax SDI Holida & Welf. Penslon Net OSCAR ORTEGA MONTES 0 Date Total Hourly y Wage Check Work 08/26 08/27 08/28 08/29 08/30 08/31 09/01 Hours Pay Rate Thls All 113.00 72.57 33.37 9.49 0.00 0.00 0.00 Paid For Number 1528 FILLMORE DR Classification Pro act acts Week Hours Worked Each Day J Pro J SALTON CITY CA LANDSCAPE MAINTENANCE S 0.00 0.00 0.00 2.00 0.00 0.00 0.00 2.00 15.00 30.00 948.75 Training 9 Fund Admin Dues Travl Subs Savings 9 Other Total 562.24 26792 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 92274 LABORER 0.00 0.00 0.00 0.00 0,00 158.08 386.51 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: $158.08 OTHER = CHILD SUPPORT 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/ Holds Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date PASTOR R. PEREZ NEGRON 67365 ONTINA RD Work Classification 08/26 08/27 08/28 08/29 08/30 08/31 09/01 This Project All Projects 55.70 42.84 11.54 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 9 Fund Admin Dues Trav/Subs Subs Savings 9 Other Total 444.32 26818 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 0.00 115.68 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 lsmom� 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 arned Federal Tex FICA State Tax SDI I Vac! Holiday Health & Welf. Pension Net Wage Paid For Week Check Number ROSARODRIGUEZ PO BOX 580332 Work Classification 08/26 08127 08/28 08/29 08/30 08/31 09/01 Thls PraJect All Projects 25.62 42.84 8.04 1 5.60 0.00 0.00 0.00 Hours Worked Each Day N PALM SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 8,00 8.00 8.00 B.00 0.00 0.00 40.00 14.00 560.00 560.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 477.90 26819 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 92258 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 82.10 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: 771 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 SALVADORAZAMARTINEZ 15225 PALM DR #1 Work Classification 08/26 08127 08/28 08/29 08/30 08/31 09/01 This Project All Projects 0.00 47.62 0.00 6.23 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00Fund 40.00 15.00 622.50 622.50 Training Adm n Dues Trav/ Subs Savings Other Total 568.65 26811 Q 1.00 0.00 0.00 0.00 0.00 0.00 1.00 22.50 92240 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 53.85 D EOO 0.00 0.00 1 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Public Works Certified Payroll Reporting Form 09/11/2019 - Page 4 Public Works Certified,"- woll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 09/01/2019 Payroll Number: 9-0 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 Nat Earned Tax FICA Tax SDI Hnllday & Welf. Pension 6 Date Total Hourly Wage Check SALVADOR MURILLO LANDEROS 08/26 08/27 08/28 08/29 08/30 08/31 09/01 Hours Pay Rate This All 0.00 52.02 0.00 6.80 0.00 0.00 0.00 Paid For Number Work 48097 ESTRELLA TOMAS Classification Hours Worked Each Day Project Projects Week COACHELLA LANDSCAPE S 8.00 8.00 8.00 8.00 6.00 0.00 0.00 40.00 17.00 660.00 680.00 Fund Travl 621.18 26817 CA MAINTENANCE Training Admin Dues Subs Savings I Other Total Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 58.82 92236 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.00 NOTE: Number of Day Deductions, Contributions, and Payments Name, Address and Mon Tue Wed Thu I'd Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Social SecurityNumber of Worker Withholding Total Hours Hourly Pay Rate Earned Tax Tax Holiday & Welf. Wage Paid For Check Number 0 Date SAMUEL IBARRAJIMENEZ 08/26 08/27 08/28 08129 08/30 08131 09101 This All 54.61 42.80 10.51 5.59 0.00 0.00 0.00 257 SARATOGA ST Work Classification Project Projects Week Hours Worked Each Day RANCHO MIRAGE LANDSCAPE S 0.00 0.00 0.00 3.00 0.00 0.00 0.00 3.00 12.36 37.08 559.29 445.78 26797 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 18.54 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 113.51 g2270 D 0.00 0.00 0.00 1 0.00 0.00 0.00 1 0.00 0.00 24.72 NOTE: Public Works Certified Payroll Reporting Form 09/11/2019 - Page 5 CA.gov I Contact DIR I Press Room Search{' Th!s Sdo Cai:( Mama i"W LMW Cd*WA- iwwr / MVft 1 Um &W iM@Wv Jw 11mpapp4aa+as U&MAN4 Oar t#tiwik Public Works eCPR System - Online Form 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: 6445924 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: 2019-08-25 Payroll Number: 8 Amendment Number: 1 16 employee payroll record(s) processed Your Transaction ID is: 7120258 Print this Page l� View your submission r Adobe Public Works Certifiecl`---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 certified payroll records for the week ending 2019-08-25 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2019-11-30." 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 92202 Insurance Number: WSD 5029463 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: 8- 1 For Week Ending: 08/25/2019 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 State Tax SDI Vac/ Holiday Health & Welf. pension Net Wage Paid For Week Check Number 3 Date AGUSTIN RUBIO PIEDRA 67321 MISSION DR Work Classification 08/19 08/20 08/21 08/22 08/23 08124 08125 This Project All Projects 4.37 39.24 0.00 5.13 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 0.00 0.00 0.00 3.00 0.00 0.00 0.00 3.00 12.36 37.08 512.94 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 464.20 26696 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.54 0.00 0.00 0.00 0.00 0.00 0.00 48.74 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.72 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 Paidge For Week Check Number 9 Date ALLEN R. FARIAS MONTANO 49968 AVENIDA DE ORO Work Classification 08119 08/20 08121 08/22 08123 08124 08l25 This Project All Projects 0.00 42.84 0.00 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 Tini rang Fund Admin Dues Trav/ Subs Savinga Other Total Deduct 511.56 26709 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 Number of Social Security Number of Worker Withholding ARMANDO RICO CHAVEZ 3 Work 2103 JACQUES DR Classification Ray Deductions, 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 08119 08/20 08/21 08/22 08/23 08124 08125 This Project All Projects 68.82 70.39 23.74 9.20 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 20.00 920.00 920.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 747.85 26708 p 1.00 1.00 1.00 1.00 0.00 0.00 0.00 4.00 30.00 0.00 0.00 0.00 0.00 0.00 0.00 172.15 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 11/30/2019 - Page 1 Public Works Certifies"""-yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/25/2019 Payroll Number: 8-1 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 Slate Tax SDI I Vac! Hollday Health & Welf. Pension Net Wage Paid For Week Check Number 3 Date BENJAMIN SERRANO 83151 SONORAAVE #B Work Classification 08119 08/20 08/21 08/22 08/23 08/24 08/25 This Project All Projects 11.18 44.44 0.00 5.81 0.00 0.00 0.00 Hours Worked Each Day INDIO CA 92201 LANDSCAPE MAINTENANCE LABORER S 0.00 0.00 0.00 3.00 0.00 0.00 0.00 3.00 14.00 42.00 581.00 Training Admi Dues Subs Savings Other Total 519.57 26697 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 61.43 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 4 Date CESAR TORRES 81720 AVE 46 #14-103 Work Classiflcatlon 08/19 08/20 08/21 08/22 08/23 08/24 08125 Thls Project All Protects 7.25 47.63 0.00 6.23 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 15.00 622.50 622.50 Training Fund min Dues Subs Savings Other Total 561.39 26714 0.50 0.00 0.00 0.50 0.00 0.00 0.00 1.00 22.50 0.00 0.00 0.00 0.00 0,00 0.00 61.11 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date ERIC ALVAREZ 80159 GOLDEN GATE DR Work Classification 08119 O8I20 08121 08/22 O8/23 O8l24 O8I25 This Protect All Projects 52.24 44.44 9.64 5.82 0.00 0.00 0.00 Hours Worked Each Day INDIO CA 92201 LANDSCAPE MAINTENANCE LABORER S 0.00 0.00 0.00 3.00 0.00 0.00 0.00 3.00 14.00 42.00 581.00 Training Fund Admin Dues Travl Subs Savings Other Total 468.86 26688/6 052 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 0.00 112.14 p 1 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 PWeaid For Week Check Number 0 Date JORGE FUENTES 33345 PUEBLO TR Work Classification 08/19 08/20 08/21 08122 08/23 08124 08/25 This Project All Projects 52.24 41.27 9.64 5.40 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 0.00 0.00 0.00 3.00 0.00 0.00 0.00Fund 3.00 13.00 39.00 539.50 Training Adm n Dues Subs Savings Other Total 430.95 26690 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.50 0.00 0.00 0.00 0.00 0.00 0.00 108.55 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 26.00 NOTE: Public works certified Payroll Reporting Form 11/30/2019 - Page 2 Contractor Name: PWLC II, INC. Name, Address and Social Security Number of Worker LUCIA GARCIA 64045 HARVEST MOON RD DESERT HOT SPRINGS CA 92240 NOTE: Name, Address and Social Security Number of Worker LUIS E. ALVAREZ SARABIA 45627 SENEGAL PL INDIO CA 92201 NOTE: Number of Withholding 3 Worst Classification LANDSCAPE MAINTENANCE LABORER Number of Withholding 0 Warts Classification LANDSCAPE MAINTENANCE LABORER Public Works Certified",lyroll Reporting Form Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/25/2019 Payroll Number: 8-1 Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health $ Welf. Pension Net Wag Paid For Week Check Number Date O8/19 08/20 08/21 08/22 08/23 08/24 08125 This Project All Projects 25.62 42.84 3.05 5.60 0.00 0.00 0.00 Hours Worked Each Day 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 482.69 26710 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 77.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax Dale 08/19 08/20 08/21 O8/22 08/23 08/24 08/25 This Project All Projects 73.90 55.08 18.03 Hours Worked Each Day 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 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 0.00 0.00 0.00 0.00 0.00 36.00 tbutions, and Payments SDI Vac! Health pension Pension Net Holiday $ Wait Paid For Check Number 7.20 0.00 0.00 0.00 Week Trav/ 565.79 26705 Subs Savings Other Total 0.00 1 0.00 1 0.00 1 154.21 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 Tex FICA State Tax SDI Vac/ Holldey I Health $ WeIF. Pension Net Wage Paid For Week Check Number 2 Date MARCELINO BRIONES 50700 CALLE MENDOZA Work Classification 08/19 08/20 08/21 08/22 08123 08124 08125 This Project All Projects 37.84 44.43 6.47 5.81 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA 92236 nommow LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 581.00 581.00 raining 9 Fund Admin Dues Trav/ Subs Savin s 9 Other Total 486.45 26707 O 0.50 0.00 0.00 0.50 0.00 0.00 0.00 1.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 94.55 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 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 OSCAR ORTEGA MONTES 1528 FILLMORE DR work Classification 08/19 08/20 08/21 08/22 08/23 08/24 08/25 This Protect All Projects 117.95 74.30 35.35 9.71 0.00 0.00 0.00 Hours Worked Each Day SALTON CITY CA 92274 LANDSCAPE MAINTENANCE LABORER S 0.00 0.00 0.00 2.00 0.00 0.00 0.00 2.00 15.00 30.00 971.25 Training Fund Admin Dues Trav/ Subs Savings Other Total 575.86 26683 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 0.00 158.08 395.39 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: $158.08 OTHER = CHILD SUPPORT 1 Public Works certified Payroll Reporting Form 11/30/2019 - Page 3 Public Works Certifier' -,yroll Reporting Form /-I- Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/25/2019 Payroll Number: 8-1 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 0 Date PASTOR R. PEREZ NEGRON 67365 ONTINA RD Work Classification 08/19 08120 08/21 08/22 08/23 08124 08/25 Thls Pro ect � All Pro ec[s � 55.70 42.84 11.54 5.60 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 14.00 560.00 560.00 Training 9 Fund Admin Dues Trav/ Subs Savin s 9 Other Total 444.32 26712 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 0.00 115.68 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 3 Date ROSARODRIGUEZ PO BOX 580332 Work Classification 08/19 08/20 08/21 08/22 08123 08/24 08/25 This ro1ec Project All ro Projects � 25.62 42.84 8.04 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 B.00 0.00 0.00 40.00 14.00 560.00 560.00 Training 9 Fund Admin Dues Subs Subs Savings 9 Other Total 477.90 26713 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 82.10 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 Slate Tax SDI Vacl Holiday Health & Waif. Pension Net Wage Paid For Week Check Number 5 Date SALVADOR AZA MARTINEZ 15225 PALM DR #1 Work Classification 08/19 08/20 08/21 08/22 08/23 08124 08/25 This Pro ect All Projects 0.00 45.90 0.00 6.00 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600,00 600.00 Trainin 9 Fund Admin Dues Trav/ Subs Savings 9 Other Total 548.10 26706 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 51.90 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hou ly Hours Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 6 Date SALVADOR MURILLO LANDEROS 48097 ESTRELLATOMAS Work lassifiatlon r 08/19 08/20 08/21 08122 08123 08/24 08/25 This Project All Projects 0.00 52.02 0.00 6.80 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 17.00 680.00 680.00 Training 9 Fund Admin Dues Trav/ Subs Savings 9 Other Total 621.18 26711 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.50 0.00 0.00 0.00 0.00 0.00 0.00 58.82 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.00 NOTE: Public works Certified Payroll Reporting Form 11/30/2019 - Page 4 Public Works Certified-,,yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/25/2019 Payroll Number: 8-1 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 State Vacf Heailh 0 Date ar Earned Tax FICA Tax SDI Holiday& Waif. Penslon Net SAMUEL IBARRA JIMENEZ Total Hourly Wage Check Work 08/19 08/20 08/21 08122 08/23 08/24 08/25 Hours Pay Rate This All 49.05 39.24 8.47 5.13 0.00 0.00 0.00 Paid For Number 257 SARATOGA ST Classification Hours Worked Each Day Project Projects Week RANCHO MIRAGE LANDSCAPE S 0.00 0.00 0.00 3.00 0.00 0.00 0.00 3.00 12.36 37.08 512.94 Fund Trav/ 411.05 26692 CA MAINTENANCE Training g Admin Dues Subs Savin s g Other Total 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.54 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 101.89 92270 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.72 NOTE: Public works Certified Payroll Reporting Form 11/30/2019 - Page 5 eCPR Online Confirmation - Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2019-08-25 Payroll Number: 8 Amendment Number: 0 16 employee payroll record(s) processed Your Transaction ID is: 6445924 Print thIs Page View your submission f Adobe Public Works Certifie/ iyroll Reporting Form Certification under , .,ralfy 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 2019-08-25 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2019-08-29." Contractor Name: PWLC 11, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: WSD 5029463 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: 8- 0 For Week Ending: 08/25/2019 E Is this a 'Statement of Non -Performance?' Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. pension Net PaidForNumber Week Check Nu 3 Date AGUSTIN RUBIO PIEDRA 67321 MISSION DR Work Classification 08/19 08120 08121 08/22 08l23 08l24 08125 This Project All Projects 4.37 39.24 0.00 5.13 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 4 LANDSCAPE MAINTENANCE LABORER $ 0.00 0.00 0.00 3.00 0.00 0.00 0.00 3.00 12.36 37.08 512.94 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 464.20 26696 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.54 0.00 0.00 0.00 0.00 0.00 0.00 48.74 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.72 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 & We If. Pension Net Wage Paid For Week Check Number 9 Date ALLEN R. FARIAS MONTANO 49968 AVENIDA DE ORO Work Classification 08/19 08/20 08/21 08122 08/23 08/24 08/25 This Project All Projects 0.00 42.84 0.00 5.60 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA 92236 LANDSCAPE MAINTENANCE LABORER $ 8.00 8.00 8.00 B-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 511.56 26709 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 48.44 D 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social 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 Taz FICA State Tax SDI Vac! Hopday Health & weir. q0.00Paid et age For Check Number 3 Date ARMANDO RICO CHAVEZ 2103 JACQUES DR Work Classification 08/19 08/20 08/21 08/22 08/23 08124 08/25 This rojecrojecseek All 68.82 70.39 23.74 9.20 0.00 0.00 Hours Worked Each Day PALM SPRINGS CA s22s2 LANDSCAPE MAINTENANCE LABORER S B.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 920.00 920.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 747.85 26708 O 1.00 1.00 1.00 1.00 0.00 0.00 0.00 4.00 30.00 0.00 0.00 1 0.00 0.00 - - 0.00 0.00 172.15 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 08/29/2019 - Page 1 Public Works Certifiel yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/25/2019 Payroll Number: 8-0 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 FICA State SDI Vac' Health Pension Net Earned Tax Tax Holiday & Welt. BENJAMIN SERRANO 3 Date Total Wage Check Work 08/19 08/20 08/21 08/22 08/23 08/24 08/25 Hours PHourly ay Rate This All 11.18 44.44 0.00 5.81 0.00 0.00 0.00 Paid For Number 83151 SONORAAVE #B Classirication Hours Worked Each Day Project Projects Week INDIO CA LANDSCAPE MAINTENANCE S 0.00 0.00 0.00 3.00 0.00 0.00 0.00 3.00 14.00 42.00 581.00 Tini rang Fund Admin Dues Trav/ Subs Savings Other Total 519.57 26697 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 61.43 92201 p o.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 "Mos� NOTE: Name, Address and Social Security Number of Worker y _ CESARTORRES 81720 AVE 46 #14-103 Number of Withholding Day Deductions, 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 I Number 4 Date Work Classification O8/19 O8/20 08/21 O8/22 08l23 08/24 08125 PThis roject All Projects 7.25 47.63 0.00 6.23 0.00 0.00 0.00 Hours Worked Each Day INDIO CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 622.50 622.50 Training Fund Admin Dues Trav/ Subs Savings Other Total 561.39 26714 Q 0.50 0.00 0.00 0.50 0.00 0.00 0.00 1.00 22.50 92201 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 61.11 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac! Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date ERICALVAREZ 80159 GOLDEN GATE DR Work Classification 08/19 08/20 08/21 08/22 08/23 08124 08/25 This Project Alt Projects 52.24 41.27 9.64 5.40 0.00 0.00 0.00 Hours Worked Each Day INDIO CA LANDSCAPE MAINTENANCE S 0.00 0.00 0.00 3.00 0.00 0.00 0.00 3.00 13.00 39.00 539.50 Training Fund Admin Dues Trav/ Subs Savings Other Total 430.95 26688 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.50 92201 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 108.55 p o.ao 0.00 0.00 0.00 0.00 0.00 0.00 1 0.0o zs.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 Tax State SDI ac/ VHoliday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date JORGE FUENTES 33345 PUEBLO TR Work Classification 08/19 08/20 08/21 08/22 08/23 08124 08/25 This Project All Projects 52.24 41.27 9.64 5.40 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA LANDSCAPE MAINTENANCE S 0.00 0.00 0.00 3.00 0.00 0.00 0.00 3.00 13.00 39.00 539.50 Training Fund Admin Dues Trav/ Subs Savings Other Total 430.95 26690 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.50 92234 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 108.55 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.00 NOTE: Public works certified Payroll Reporting Form 08/29/2019 - Page 2 Public Works Certifie% iyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/25/2019 Payroll Number: 8-0 Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Federal State I Vac! Health Tax FICA Tax SDI Holiday & Welf. Pension Net Wage Check Paid For Number Week Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned LUCIAGARCIA 64045 HARVEST MOON RD 3 Date Work Classification 08/19 08120 08/21 08/22 08/23 08/24 08/25 This Pro ect 1 All Projects 1 25.62 42.84 3.05 5.60 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 482.89 26710 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 77.11 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday y Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date LUIS E. ALVAREZ SARABIA 45627 SENEGAL PL Work Classification 08/19 08/20 08/21 08/22 08/23 08/24 08/25 This Project 1 All Projects 1 73.90 55.08 18.03 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 16.00 720.00 720.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 565.79 26705 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 0.00 154.21 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI I Vacl Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 2 Date _ MARCELINO BRIONES 50700 CALLE MENDOZA COACHELLA CA 92236 Allow Work Classification 08/19 08/20 08/21 08122 08123 08/24 08/25 This Project All Projects 37.84 44.43 6.47 5.81 0.00 0.00 0.00 Hours Worked Each Day LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 581.00 581.00 TrainingFund Admin Dues Subs Subs Savings 9 Other Total 486.45 26707 0 0.50 0.00 0.00 0.50 0.00 0.00 0.00 1.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 94.55 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date OSCAR ORTEGA MONTES 1528 FILLMORE DR Work Classification 08/19 08/20 08121 08/22 08/23 08/24 08/25 This Pro ect 1 All Projects 1 117.95 74.30 35.35 9.71 0.00 0.00 0.00 Hours Worked Each Day SALTON CITY CA 92274 LANDSCAPE MAINTENANCE LABORER S 0.00 0.00 0.00 2.00 0.00 0.00 0.00 2.00 15.00 30.00 971.25 Training Fund Admin Dues Trav/ Subs Savings Other Total 575.86 26683 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 0.00 1 0.00 0.00 0.00 0.00 158.08 395.39 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 30.00 NOTE: $158.08 OTHER = CHILD SUPPORT 1 Public Works certified Payroll Reporting Form 08/29/2019 - Page 3 Public Works Certifie!'-- iyroll Reporting Form I Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/25/2019 Payroll Number: 8-0 Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vacl Holiday Health & well- Pension Net Wage Paid For Week Check Number 0 Date PASTOR R. PEREZ NEGRON 67365 ONTINA RD Work Classification 08/19 08/20 08/21 08/22 08/23 08/24 08125 This Project All Projects 55.70 42.84 11.54 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 444.32 26712 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 0.00 115.68 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 3 Date ROSA RODRIGUEZ PO BOX 580332 Work Classification 08/19 OB/20 OB/21 08/22 OB/23 08/24 08/25 This Project All Projects 25.62 42.84 8.04 5.60 0.00 0.00 0.00 Hours Worked Each Day N PALM SPRINGS CA 92258 LANDSCAPE MAINTENANCE LABORER $ 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 477.90 26713 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 82.10 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 SALVADOR AZA MARTINEZ 15225 PALM DR #1 Work Classification 08/19 08120 08121 08/22 08/23 08124 08/25 This Project I All Projects 0.00 45.90 0.00 6.00 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 548.10 26706 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 51.90 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social 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 & Wetf. Pension Net Wage Paid For Week Check Number 6 Date SALVADOR MURILLO LANDEROS 48097 ESTRELLA TOMAS Work Classification 08/19 08/20 08/21 08/22 08/23 08/24 08/25 This Project All Projects 0.00 52.02 0.00 6,80 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 17.00 680.00 680.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 621.18 26711 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.50 0.00 0.00 0.00 0.00 0.00 0.00 58.82 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.00 NOTE: Public Works Certifie iyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/2512019 Payroll Number: 8-0 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 i 0 Date Earned Tax FICA Tax SDI Holida y & WeIF. Pension Net SAMUEL IBARRA JIMENEZ Total Hourly Wage Check Work 08/19 08/20 08/21 08/22 08/23 08/24 08/25 Hours Pay Rate This All 49.05 39.24 8.47 5.13 0.00 0.00 0.00 Paid For Number 257 SARATOGA ST Classification Hours Worked Each Day Project Projects Week RANCHO MIRAGE LANDSCAPE S 0.00 0.00 0.00 3.00 0.00 0.00 0.00 3.00 12.36 37.08 512.94 Fund Trav/Subs 411.05 26692 CA MAINTENANCE Training 9 Admin Dues Subs Savings 9 Other Total p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.54 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 101.89 92270 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.72 NOTE: Public works Certified Payroll Reporting Form 08/29/2019 - Page 5 eCPR Online Confirmation Your payroll submission request has been processed. Dlease 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: 6380730 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: 2019-08-18 Payroll Number: 7 Amendment Number: 1 13 employee payroll record(s) processed Your Transaction ID is: 7120229 Print this Page b View your submission — 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 2019-08-18 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2019-11-30." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: WSD 5029463 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: 7- 1 For Week Ending: 08/18/2019 ❑ 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 I Total Hourly Hours 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 AGUSTIN RUBIO PIEDRA 67321 MISSION DR Work Classification 08/12 08113 08/14 08/15 08/16 08/17 08118 This Project All Projects 8.08 42.08 0.00 5.50 0.00 0.00 0,00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 0.00 0.00 0.00 2.00 0.00 0.00 0.00 2.00 12.36 24.72 550.02 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 494.36 26662 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.54 0.00 0.00 0.00 0.00 0.00 0.00 55.66 D 0.00 0.00 0.00 1 0.00 0.00 0.00 0.00 0.00 24.72 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 9 Date ALLEN R. FARIAS MONTANO 49968 AVENIDA DE ORO Work Classification 08112 08/13 08/14 08/15 08/16 08/17 08/18 This Protect All Projects 0.00 42.84 0.00 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 Deduct 511.56 26675 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 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 oily 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 Vacl Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 3 Date ARMANDO RICO CHAVEZ 2103 JACQUES DR Work Classlficatlon 08112 08/13 08/14 08115 08/16 08117 08/18 This Project All All 72.42 72.67 25.99 9.50 0.00 0.00 0.00 Hours Worked Each Day PALM SPRINGS CA 92Ygp LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 950.00 950.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 769.42 26674 Q 1.00 1.00 1.00 1.00 1.00 0.00 0.00 5.00 30.00 0.00 0.00 1 0.00 0.00 0,00 0.00 180.58 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 11/30/2019 - Page 1 Public Works Certifier'- lyroll Reporting Form ,e'�111 'ontractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/18/2019 Payroll Number: 7-1 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 State Vac/Health FICA SDI Pension Net 3 Date Earned Tax Tax Holiday & Welf. BENJAMIN SERRANO Total Hourly Wage Check Work 08/12 08113 08114 08115 08/16 08/17 08118 Hours Pay Rate Thls All 13.28 46.05 0.00 6.02 0.00 0.00 0.00 Paid For Number 83151 SONORAAVE #B Classification Protect Protects Week Hours Worked Each Day INDIO CA LANDSCAPE MAINTENANCE S 0.00 0.00 0.00 2.00 0.00 0.00 0.00 2.00 14.00 28.00 602.00 Training Admit Dues Subs Savings Other Total 536.65 26663 10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 92201 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 65.35 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 1 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 0 Date ERIC ALVAREZ 80159 GOLDEN GATE OR Work Classification 08/12 08/13 08/14 08/15 08/16 08/17 08/18 This Project All Projects 54.58 46.06 10.50 6.02 0.00 0.00 0.00 Hours Worked Each Day INDIO CA LANDSCAPE MAINTENANCE S 0.00 0.00 0.00 2.00 0.00 0.00 0.00 2.00 14.00 28.00 602.00 Training Fund Admin Dues Travl Subs Savings Other Total 484.84 2665416 051 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 92201 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 117.16 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 0 Date JORGE FUENTES 33345 PUEBLO TR Work Classification 08/12 08/13 08/14 08/15 08/16 08/17 08/18 This Project All Projects 24.94 23.86 3.19 3.12 _ 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA LANDSCAPE MAINTENANCE S 8.00 8.00 0.00 8.00 0.00 0.00 0.00 24.00 13.00 312.00 312.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 256.89 6027 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.50 92234 LABORER 0.00 0.00 0.00 0.00 0.00 55.11 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 o.o0 2s.00 � F0.00 L--� 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 & WeIF. Pension Net Wage Paid For Week Check Number 3 Date LUCIAGARCIA 64045 HARVEST MOON RD Work Classification 08/12 08113 08114 O8/15 O8/16 08117 O8/16 This Project All Protects 13.26 34.27 0,00 4.48 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 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 395.99 26676 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 52.01 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 11/30/2019 - Page 2 !-' Public Works Certifier--yroll Reporting Form /--%• I Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/18/2019 Payroll Number: 7-1 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 State Vacl Health Earned Tax FICA Tax SDI Holiday & Welf. Pension Net LUIS E. ALVAREZ SARABIA 0 Data Total Hourly y Wage Check Work 08/12 08/13 08/14 08/15 08116 08/17 08/18 Hours Pay Rate This All 56.62 44.06 11.24 5.76 0.00 0.00 0.00 Paid For Number 45627 SENEGAL PL Classification Protect Protects Week Hours Worked Each Day INDIO CA LANDSCAPE MAINTENANCE S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 18.00 576.00 576.00 Training g Fund Admin Dues Trav! Subs Savings g Other Total 458.32 26671 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 0.00 117.68 92201 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac! Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date OSCAR ORTEGA MONTES 1528 FILLMORE DR Work Classification 08/12 08/13 08/14 08/15 06/16 08/17 08/18 This Project All Projects 115.48 73.44 34.36 9.60 0.00 0.00 0.00 Hours Worked Each Day SALTON CITY CA LANDSCAPE MAINTENANCE S 0.00 0.00 0.00 1.00 0.00 0.00 0.00 1.00 15.00 15.00 960.00 Training Fund Admin Dues Travl Subs Savings Other Total 569.04 26653 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 92274 LABORER 0.00 0.00 0.00 0.00 0.00 158.08 390.96 D 0.00 11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: $158.08 OTHER = CHILD SUPPORT 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 Health & Welf. Pension Net Wage Paid For Week Check Number 3 Date RICHARDABLEAQUINO 31713 ROSEMARY LN #B Work Classification 08/12 08/13 08/14 08115 08/16 08/17 08/18 This Project All Projects 21.09 39.94 1.39 5.22 0.00 0.00 0.00 Hours Worked Each Day THOUSAND PALMS CA LANDSCAPE MAINTENANCE 0.00 0.00 0.00 3.00 0.00 0.00 0.00Trav/S 3.00 12.36 37.08 522,21 Training Fund Admin Dues Subs Subs Savings Other Total 454.57 6020 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.54 92276 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 67.64 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.72 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 i 3 Date ROSA RODRIGUEZ PO BOX 580332 Work Classification 08/12 08113 08114 08/15 08/16 08117 08l18 This Project All Projects 25.62 42.84 6.04 5.60 0.00 0.00 0.00 Hours Worked Each Day N PALM SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 477.90 26678 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 92258 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 82.10 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 28.00 I NOTE: Public Works Certified Payroll Reporting Form 11/30/2019 - Page Public Works Certifier--iyroll Reporting Form Contractor Name: PWLC II, INC.: Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/18/2019 Payroll Number: 7-1 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 5 Date Total Hourly Earned Tax FICA Tax SDI Holiday & Welf. Penslon Wage Check SALVADOR AZA MARTINEZ Work 08/12 08/13 08114 08/15 08/16 06/17 08/18 Hours Pay Rate This All 0.00 45.90 0.00 6.00 0.00 0.00 0.00 Paid For Number 15225 PALM DR #1 Classification Hours Worked Each Day Protect Projects I Week DESERT HOT SPRINGS LANDSCAPE S 8.00 8.00 8.00 8.00 B.00 0.00 0.00 40.00 15.00 600.00 600.00 Fund Travl 548.10 26672 CA MAINTENANCE Training Admin Dues Subs Savings Other Total 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 51.90 92240 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 30.00 NOTE: Number of Day Deductions, Contributions, and Payments Name, Address and Mon Tue Wed Thu Fri Set Sun Gross Amount Federal FICA State I SDI Vac/ I Health Pension Net Social SecurityNumber of Worker Withholding Total Hourly Earned Tax Tax Holiday & Welf. Wage Check 6 Date SALVADOR MURILLO LANDEROS Hours Pay Rate Paid For Number OB112 08113 08114 OB115 OB/16 08117 08118 This All 0.00 32.51 0.00 4.25 0.00 0.00 0.00 48097 ESTRELLA TOMAS Work Classification Project Projects Week Hours Worked Each Day COACHELLA LANDSCAPE S 8.00 0.00 8.00 1.00 8.00 0.00 0.00Fund 25.00 17.00 425.00 425.00 380.24 26677 CA MAINTENANCE Training Adm n Dues Subs Savings Other Total 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 36.76 92236 D 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 34.00 NOTE: Public works certified Payroll Reporting Form 11/30/2019 - Page 4 eCPR Online Confirmation (- Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2019-08-18 Payroll Number: 7 Amendment Number: 0 13 employee payroll record(s) processed Your Transaction ID is: 6380730 Print this Page SEA i. View your submission hftps:Hefiiling.dir.ca.gov/eCPR/pages/eCPROnlineForrnPreFill.jsp 1/1 Public Works Certifie("_ .yroll Reporting Form Certification under ,.._salty 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 2019-08-18 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2019-08-22." 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: WSD 5029463 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: 7- 0 For Week Ending: 08/18/2019 - Is this a 'Statement of Non -Performance?' Number Day Deductions, Contributions, and Payments Name, Address and of Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vacly Health Net FICA Tax SDI Hof€da& Welf. Pension Earned Tax AGUSTIN RUBIO PIEDRA 3 Date Total Hourly Wage Check Work 08/12 08/13 08/14 08/15 08116 08117 08/18 Hours Pay Rate This Ali 8.08 42.08 0.00 5.50 0.00 0.00 0.00 Paid For Number 67321 MISSION DR Classification Hours Worked Each Day Project Projects Week CATHEDRAL CITY LANDSCAPE S 0.00 0.00 I 0.00 2.00 0.00 0.00 0.00 2.00 12.36 24.72 550.02 Fund Trav/ Total 494.36 26662 CA MAINTENANCE I I I Training Admin Dues Subs Savings Other Deduct Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.54 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 55.66 92234 p 0.00 0.00 1 0.00 0.00 0.00 0.00 0.00 0.00 24.72 NOTE: Number Day Deductions, Contributions, and Payments Name, Address and of 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 g Date ALLEN R. FARIAS MONTANO Hours Pa Rate y Paid For Number OB/12 08/13 08/14 08/15 OB/16 OB/17 08/18 This All 0.00 42.84 0.00 5.60 0.00 0.00 0.00 49968 AVENIDA DE ORO Wok 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 14.00 560.00 560.00 Fund Trav/ Total 511.56 26675 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 48.44 92236 I p 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Number Day Deductions, Contributions, and Payments Name, Address and of Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State SDI Vac! Health Pension Net Social SecurityNumber of Worker Withholding Total Hourly Earned Tax FICA Tax Holiday & Welf. Wage Check 3 Date ARMANDO RICO CHAVEZ Hours Pay Rate Paid For Number 08/12 08113 08/14 08/15 08/16 08/17 08/18 This All 72.42 72.67 25.99 9.50 0.00 0.00 0.00 2103 JACQUES DR Work Classification Project Projects Week Hours Worked Each Day PALM SPRINGS LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 950.00 950.00 Fund Trav/ Total 769.42 26674 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct Q 1.00 1.00 1.00 1.00 1.00 0.00 0.00 5.00 30.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 180.58 92262 F 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.00 don�p 'NOTE: Public Works Certified Payroll Reporting Form 08/22/2019 - Page 1 r^ Public Works Certifie,� iyroll Reporting Form For Week Ending: 08/18/2019 Payroll Number: 7-0 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 RateAll Federal Tax FICA State Tax SDI Vac! Holida yWageCheck Healthed & Welf. Pension NetBENJAMIN For Week Number SERRANO 83151 SONORAAVE#B 3 Date Work Classification 08/12 08/13 08114 08/15 08116 08/17 08/18 HGrossmount Projecls 13.28 46.05 0.00 6.02 0.00 0.00 0.00Paid Hours Worked Each Day INDIO CA 92201 LANDSCAPE MAINTENANCE LABORER S 0.00 0.00 0.00 2.00 0.00 0.00 0.00 2.00 14.00 28.00 602.00 Training g Fund Admin Dues Subs Subs Savings 9 Other Total 536.65 26663 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 65.35 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 Wlthholding Day Deductions, Contributions, and Payments Man Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax I SDI Vac/ Holiday I Health & Welf. Pension I Net Wage Paid For Week Check Number 0 Date ERICALVAREZ 80159 GOLDEN GATE DR Work Classification 08/12 08/13 08/14 08/15 08116 08/17 08118 This Project All Projecls 54.58 42.77 10.50 5.59 0.00 0.00 0.00 Hours Worked Each Day INDIO CA 92201 LANDSCAPE MAINTENANCE LABORER S 0.00 0.00 0.00 2.00 0.00 0.00 0.00 2.00 13.00 26.00 559.00 Training g Fund Admin Dues Trav/ Subs Savings 9 Other Total 445.56 26654 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.50 0.00 0.00 0.00 0.00 0.00 0.00 744 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Man Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned I Federal Tax FICA State Tax SDI Vacl Holiday Hcailli & Welt. Pension Net Wage Paid For Week Check Number 3 Date LUCIAGARCIA 64045 HARVEST MOON RD Work Classification 08/12 08/13 08/14 08/15 08/16 08/17 08/18 This Project All Projects 13.26 34.27 0.00 4.48 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 qfmolow 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 Traii nn 9 Fund Admin Dues Trav/ Subs Savin s 9 Other Total 395.99 26676 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 52.01 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health FICA SDI Pension Net Earned Tax Tax Holiday & Welf. LUIS E. ALVAREZ SARABIA 0 Dale Total Hourly I Wage Check Work 08/12 08/13 08/14 08/15 08/16 08117 08/18 Hours Pay Rate This All 56.62 44.06 11.24 5.76 0.00 0.00 0.00 Paid For Number 45627 SENEGAL PL Classification Hours Worked Each Day Project Projects Week 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 Training1 Fund Admin Dues Trav/ Subs Savings Other Total 458.32 26671 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 0.00 117.68 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: Public works certified Payroll Reporting Form 08/22/2019 - Page 2 r� Public Works Certifie;� yroll Reporting Form �` Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/18/2019 Payroll Number: 7-0 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 0 Dale Earned Tax FICA Tax SDI Holiday& We IC Pension Net OSCAR ORTEGA MONTES Total Hourly Wage Check Work 08/12 08/13 08114 08/15 08/16 08/17 08118 Hours Pay Rate This All 115.48 73.44 34.36 9.60 0.00 0.00 0.00 Paid For Number 1526 FILLMORE DR Classification Hours Worked Each Day Project Projects Week SALTON CITY LANDSCAPE S 0.00 0.00 0.00 1.00 0.00 0.00 0.00 1.00 15.00 15.00 960.00 Fund Travl 569.04 26653 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 0.00 158.08 390.96 92274 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 MEW NOTE: $158.08 OTHER = CHILD SUPPORT 1 Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Social SecurityNumber of Worker Withholding Total Hourly Earned Tax FICA Tax $DI Holiday & Welf. Pension Net Wage Check 3 Date RICHARDABLEAQUINO Work 08/12 08113 08/14 08/15 08/16 08/17 08/18 This All 21.09 39.94 1.39 5.22 0.00 0.00 0.00 Hours Pay Rate Paid For Number 31713 ROSEMARY LN #B Classification Project 1 Projects 1 Week Hours Worked Each Day THOUSAND PALMS LANDSCAPE S 0.00 0.00 0.00 3.00 0.00 0.00 0.00 3.00 12.36 37.08 522.21 Fund Travl 454.57 6020 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 18.54 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 67.64 92276 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.72 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Social SecurityNumber of Worker Withholding Total Hourly Earned Tax FICA Tax SDI Holiday & Welf. Pension Net Wage Check 3 Date ROSARODRIGUEZ Work 08/12 08/13 08114 08115 08/16 08/17 08/18 This All 25.62 42.84 8.04 5.60 0.00 0.00 0.00 Hours Pay Rate Paid For Number PO BOX 580332 Classification Project Projects Week Hours Worked Each Day N PALM SPRINGS 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/ 477.90 26678 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 82.10 92258 p 0.00 0.00 0.00 0.00 0.00 0.00 D.00 0.00 28.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac! Health Social SecurityNumber of Worker Withholding Total Hourly Earned Tax FICA I Tax SDI Holiday & Welf, Pension Net Wage Check SALVADOR AZA MARTINEZ 5 Date Work 08/12 OB/13 08/14 08/15 08/16 OB/17 OB/18 This All 0.00 45.90 0.00 6.00 0.00 0.00 0.00 Hours Pa Rate Y Paid For Number 15225 PALM DR #1 Classification Project Projects Week Hours Worked Each Day DESERT HOT SPRINGS 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/Dues 548.10 26672 CA MAINTENANCE Training g Admin Subs Subs Savings Other Total Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 51.90 92240 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 08/22/2019 - Page 3 Public Works Certifie iyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/18/2019 Payroll Number: 7-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun I Gross Amount Federal State Vac/ Health 6 Date Earned Tax FICA I Tax SDI I Holiday & Welf. Pension Net SALVADOR MURILLO LANDEROS Total Hourly Wage Check Work 08/12 08/13 08/14 08/15 08/16 08/17 08/18 Hours Pay Rate This All 0.00 32.51 0.00 4.25 0.00 0.00 0.00 Paid For Number 48097 LA TOMAS OACHELLA COACH Classification Hours Worked Each Day Projects Project Pro i Pro 1 1 Week LANDSCAPE S 8.00 0.00 8.00 1.00 8.00 0.00 0.00 25.00 17.00 425.00 425.00 Fund Trav/ 388.24 26677 CA MAINTENANCE Training Admin Dues Subs Savings Other Total p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 36.76 92236 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Earned Federal Tax FICA State Tax SDI Vacl Holiday Health & WeIF. Pension Net Social Security Number of Worker Withholding 2 Date HARBEY Z SANCHEZ Total Hourly Wage Check Work 08/12 08/13 08114 08/15 08/16 08/17 08/18 This All 10.14 25.71 0.00 3.36 0.00 0.00 0.00 Hours Pay Rate Paid For Number 66900 IRONWOOD DR Classification Project 1 Projects 1 Week Hours Worked Each Day DESERT HOT SPRINGS LANDSCAPE S 8.00 8.00 0.00 8.00 0.00 0.00 0.00 24.00 0.00 336.00 336.00 Fund Trav/ 296.79 6027 CA MAINTENANCE Training Admin Dues Subs Savings Other Total 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 39.21 92240 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 dolow NOTE: BASE HOURLY RATE = $14.00 Public works certified Payroll Reporting Form 08/22/2019 - Page 4 eCPR Online Confirmation (-"our payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2019-08-11 Payroll Number: 6 Amendment Number: 0 15 employee payroll record(s) processed Your Transaction ID is: 6336617 Print this Page C• ; View your submission �t'�t Public Works Certified, Vroll Reporting Form Certification under p .ty 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 2019-08-11 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2019-08-16." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 92202 Insurance Number: WSD 5029463 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: 6- 0 For Week Ending: 08/11/2019 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 & Welr. Date Wage Check 3 Total Hourly AGUSTIN RUBIO PIEDRA Paid For Number OW05 08/06 08107 08108 08/09 08/10 08/11 Hours Pay Rate This All 0.00 35.23 0.00 4.60 0.00 0.00 0.00 Work 67321 MISSION DR Classification Hours Worked Each Day Project Projects Week CATHEDRAL CITY LANDSCAPE S 0.00 0.00 0.00 + 3.00 0.00 0.00 0.00 3.00 12.36 37.08 460.41 Fund Trav/ Total 420.58 26632 CA MAINTENANCE 1 Training Admin Dues Subs Savings Other Deduct 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.54 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 39.83 92234 EOO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.72 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 Security Number of Worker Withholding Total Hourly Earned T;)x FICA Tax SDI Holiday & Wolf. Pension Wage Check 3 Date ARMANDO RICO CHAVEZ Hours Pay Rate Paid For Number 08/05 08/06 08107 08108 08/09 08/10 08/11 This All 72.42 72.69 25.99 9.50 0.00 0.00 0.00 2103 JACQUES DR Work Classification Project Projects Week Hours Worked Each Day PALM SPRINGS LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 950.00 950.00 Fund Trav/ Total 769.40 26644 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct O 1.00 1.00 2.00 1.00 0.00 0.00 0.00 5.00 30.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 180.60 92262 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.0 440.00 NOTE: fName, Number of Day Deductions, Contributions, and Payments 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 BENJAMIN SERRANO Hours Pay Rate Paid For Number 08/OS 08/06 08/07 08/08 08/09 08110 08/11 This All 17.48 49.27 0.00 6.44 0.00 0.00 0.00 83151 SONORAAVE #B Work Classification Project Projects I Week Hours Worked Each Day INDIO LANDSCAPE $ 0.00 0.00 0.00 3.00 0.00 0.00 0.00 3.00 14.00 42.00 644.00 Fund Trav/ Total 570.81 26633 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 73.19 92201 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 08/16/2019 - Page 1 Public Works Certified,,�-"vroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/11/2019 Payroll Number: 6-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount ,Federal State Vacl Health FICA SDI Pension Net 4 Date Earned Tex Tax Holiday & Welf. CESARTORRES Total Hourly Wage Check Work 08/05 08/06 08/07 08/08 08/09 08/10 08/11 Hours Pay Rate This All 6.13 46.77 0.00 6.11 0.00 0.00 0,00 Paid For Number 81720 AVE 46 #14-103 Classification Project Projects Week Hours Worked Each Day INDIO CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 B.00 B.00 0.00 0.00 40.00 15.00 611.25 611.25 Training Fund Admin Dues Trav/ Subs Savings Other Total 552.24 26649 O 0.00 0.00 0.00 0.00 0.50 0.00 0.00 0.50 22.50 92201 LABORER 0.00 0.00 0.00 0.00F00 0.00 59.01 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.O0 NOTE: Name, Address and Social Security Number of Worker IWithholding Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 3 Date DIEGO J. HENRIQUEZ 15687 PALM DR #83 Worst Classification 08/05 08/06 08107 08108 08/09 08/10 08/11 This Project All Projects 15.43 35.93 0.00 4.70 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 LANDSCAPE MAINTENANCE LABORER S 0.00 0.00 0.00 3.00 0.00 0.00 0.00 3.00 12.36 37.08 469.68 Training Admi Dues Subs Savings Other Total 340.64 26627 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.54 0.00 0.00 0.00 0.00 0.00 72.98 129.04 p 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 24.72 NOTE: $72.98 OTHER = CHILD SUPPORT 1 Name, Address and Social SecurityNumber of Worker Number of Withholding Oay Deductions, 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 2 Date HARBEYZ. SANCHEZ 66900 IRONWOOD DR Work Classification 08/05 08/06 08/07 08/08 O8/09 08/10 O8111 This Project All Projects 31.96 40.69 4.31 5.32 0.00 0.000.00 Hours Worked Each Day DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 8.00 6.00 8.00 8.00 0.00 0.00 38.00 14.00 532.00 532.00 Training Fund Dues Dues Subs Savings Other Total 449.72 26648 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 92240 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 82.28 p o.00 0.00 O.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 8 Welf. Pension Net Wage Paid For Week Check Number 3 Date LUCIAGARCIA 64045 HARVEST MOON RD Work Classification 08/05 08106 08/07 08/08 08/09 08/10 08111 This Project All Projects 13.26 34.28 0.00 4.48 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 8.00 0.00 8.00 8.00 0.00 0.00Fund 32.00 14.00 448.00 448.00 Training Admin Dues Subs Savings Other Total 395.98 26645 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 92240 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 52.02 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.00 NOTE: Public Works Certified Payroll Reporting Farm 08/16/2019 - Page 2 Public Works Certified/' ,yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/11/2019 Payroll Number: 6-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal Slate Vac/ Health Earned Tex FICA Tax SDI Hollday & Welf. Pension Net 0 Date LUIS E. ALVAREZ SARABIA Total Hourly Wage Check Work 08/05 08106 08107 08/08 08/09 08110 08/11 Hours Pay Rate This F All 73.90 55.08 18.03 7.20 0.00 0.00 0.00 Paid For Number 45627 SENEGAL PL Classification Hours Worked Each Day Project Projects Week INDIO LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 18.00 720.00 720.00 Fund Trav/ 565.79 26641 CA MAINTENANCE Training g Admin Dues Subs Sevin s g Other Total 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 154.21 92201 p 0.00 0.00 1 0.00 0.00 0.00 0.00 0.00 0.00 36,00 innompow 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 Hollday & Welf. Pension Wage Check 2 Date MARCELINO BRIONES Hours Pay Rate Paid For Number 08/05 08106 08107 08/08 08/09 08/10 08/11 Thls All 36.58 43.64 6.01 5.71 0.00 0.00 0.00 50700 CALLE MENDOZA Work Classification Protect Projects Week Hours Worked Each Day COACHELLA LANDSCAPE S 8.00 8.00 8.00 B.00 B.00 0.00 0.00 40.00 14.00 570.50 570.50 Fund Trav/Subs 478.56 26643 CA MAINTENANCE Training Admin Dues Subs Savings Other Total 0 0.00 0.00 0.00 0.00 0.50 0.00 0.00 0.50 21.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 91.94 92236 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 Vac/ Health Net Social SecurityNumber of Worker Withholding Total Hourly Earned Tax FICA Tax SDI Holiday & We If. Pension Wage Check 3 Date RICHARD ABLE AQUINO Hours Pay Rate Paid For Number 08/05 08/06 08/07 08/08 08/09 08/10 08/11 This All 26.65 43.49 3.43 5.69 0.00 0.00 0.00 31713 ROSEMARY LN #B Work Classification Project Projects Week Hours Worked Each Day THOUSAND PALMS LANDSCAPE S 0.00 0.00 0.00 3.00 0.00 0.00 0.00 3.00 12.36 37.08 568.56 Fund Travl 489.30 26624 CA MAINTENANCE Training Admin Dues Subs Savings Other Total 0 0.00 0.00 0.00 0.00 0.00 0.00 18.54 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 79.26 92276 �0-000-'000 p 0.00 0.00 0.00 0.00 0.00 0.00 24.72 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 3 Date ROSA RODRIGUEZ PO BOX 580332 Work Classification 08/05 08/06 08/07 08/08 08/09 08/10 08/11 This Project All Protects 45.01 42.84 8.04 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 0.00Fund 40.00 14.00 560.00 560.00 Training Admin Dues Subs Savings Other Total 458.51 26847 0 0.00 0.00 1 0.00 0.00 0.00 0.00 0.00 0.00 21.00 1 0.00 0.00 0.00 0.00 0.00 0.00 101.49 p 0.00 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 28.00 NOTE: Public works certified Payroll Reporting Form 08/16/2019 - Page 3 Public Works Certified,-,yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/11/2019 Payroll Number: 6-0 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 Earned Tax FICA Tax SDI Holiday & Welf. Pension Net SALVADOR AZA MARTINEZ 5 Date Total Hourly y Wage Check Work 08105 08/06 08/07 08/08 08/09 08/10 O8111 Hours Pay Rate This All 0.00 45.91 0.00 6.00 0.00 0.00 0.00 Paid For Number 15225 PALM DR #1 Classification Pro act Prc'ects Week Hours Worked Each Day j / DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 B.00 0.00 0.00 40.00 15.00 600.00 600.00 Training 9 Fund Admin Dues Trav/Subs Subs Savings 9 Other Total 548.09 26642 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 92240 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 51.91 D 0.00 0.00 0.00 1 0.00 0.00 0.00 0.00 0.00 30.00 r NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & WeIF. Pension Net Wage Paid For Week Check Number 6 Date SALVADOR MURILLO LANDEROS 48097 ESTRELLA TOMAS work Classification 08/05 08/O6 08107 08/08 08/09 08/10 08/11 This Project All Projects 0.00 52.02 0.00 6.80 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0,00 0.00 40.00 17.00 680.00 680.00 Training 9 Fund Admin Dues Trav/ Subs Savings 9 Other Total 621.18 26646 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.50 92236 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 58.82 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 34.00 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 9 Date ALLEN R FARIAS MONTANO 49968 AVENIDA DE ORO Work Classification 08105 08/06 08/07 08/08 08109 08/10 08/11 Thls Project All Projects 0.00 42.84 0.00 5.60 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA LANDSCAPE MAINTENANCE S 8.00 6.00 8.00 8.00 8.00 0.00 0.00 40.00 0.00 560.00 560.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 511.56 6026 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92236 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 48.44 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 NOTE: BASE HOURLY RATE _ $14.00/HOUR 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 ROSENDO FLORES 15687 PALM DR #76 Work Classification 08/05 08/06 08107 08/08 08109 08/10 08/11 This Project All Projects 0.00 8.55 0.00 1.12 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 0.00 0.00 0.00 0.00 0.00 0.00 8.00 0.00 112.00 112.00 Trainin g Fund Admin Dues Trav/ Subs Savin s g Other Total 102.33 6012 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92240 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 9.67 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: BASE HOURLY RATE_ $14.00IHOUR Public Works Certified Payroll Reporting Form 08/16/2019 - Page 4 eCPR Online Confirmation `!our payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2019-08-04 Payroll Number: 5 Amendment Number: 0 16 employee payroll record(s) processed Your Transaction ID is: 6336327 Print this Page View your submission Adobe Public Works Certified/ - vroll Reporting Form Certification under!. ty 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 2019-08-04 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2019-08-16." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: WSD 5029463 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: 5- 0 For Week Ending: 08/04/2019 Is this a 'Statement of Non -Performance?' Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 3 Date AGUSTIN RUBIO PIEDRA 67321 MISSION DR Work Classification 07/29 07/30 07/31 08101 08102 08103 08104 This Protect I All Protects 18.28 49.87 0.00 6.52 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 MEOW LANDSCAPE MAINTENANCE LABORER S 0.00 0.00 0.00 8.00 0.00 0.00 0.00 8.00 12.36 108.15 651.99 Training Fund Admin Dues Travl Subs Savings Other Total Deduct 577.32 26530 0.00 0.00 0.00 0.50 0.00 0.00 0.00 0.50 18.54 0.00 0.00 0.00 0.00 0.00 0.00 74.67 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.72 NOTE; Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA I State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number g Date ALLEN R. FARIAS MONTANO 49968 AVENIDA DE ORO Work Classification 07/29 07130 07/31 08/01 08/02 08/03 08/04 This Project All Projects 0.00 42.84 1 0.00 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 Deduct 511,56 26543 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 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 Grass 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 07/29 07/30 07/31 08/01 08/02 08103 08/04 Thls Protect All Protects 68.82 70.37 23.74 9.20 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 20.00 920.00 920.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 747.87 26542 Q 1.00 1.00 1.00 1.00 0.00 0.00 0.00 4.00 30.00 0.00 0.00 0.00 0.00 0.00 0.00 172.13 p o.DO O.DO 0.00 0.00 0.00 D.00 0.00 D.DD 40.00 NOTE: Public Works certified Payroll Reporting Form 08/16/2019 - Page 1 Public Works Certified/ --{roll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/04/2019 Payroll Number: 5-0 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 y Health & Welf. Pension Net Wage Paid For Week Check Number BENJAMIN SERRANO 83151 SONORAAVE #B 3 Date Work Classification 07/29 07/30 07/31 08/01 08/02 08/03 08/04 This Protect All Projects 33.23 61.31 2.81 8.02 0.00 0.00 0.00 Hours Worked Each Day INDIO CA 92201 LANDSCAPE MAINTENANCE LABORER S 0.00 0.00 0.00 8.00 0.00 0.00 0.00 8.00 14.00 122.50 801.50 Training Fund Admin Dues Travl Subs Savings Other Total 696,13 26531 o 0.00 0.00 0.00 0.50 0.00 0.00 0.00 0.50 21.00 too 0.00 0.00 0.00 0.00 0.00 105.37 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 Slate Tax SDI Vac/ Hollda y Health & Welf. Pension Net Wage Paid For Week Check Number CESARTORRES 81720 AVE 46 #14-103 INDIO CA 92201 4 Date Work Classification 07/29 07/30 07131 08/01 08102 08/03 08/04 This 1 Project All Projects 5.00 45.89 0.00 6.00 0.00 0.00 0.00 Hours Worked Each Day LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Training 9 Fund Admin Dues Trav/Subs Subs Savings 9 Other Total 543.11 26549 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 56.89 D 0.00 0.00 0.00 1 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Hollda y Health & Welf. Pension Net Wage Paid For Week Check Number 3 Date DIEGO J. HENRIQUEZ 15687 PALM DR #83 Work Classification 07129 07/30 07/31 08/01 08/02 08/03 08/04 This Pro act J All Pects roj� 43.34 54.13 9.73 7.08 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 LANDSCAPE MAINTENANCE LABORER S 0.00 0.00 0.00 8.00 0.00 0.00 0.00 8.00 12.36 108.15 707.61 Training Fund Admin Dues Travl Subs Savings Other Total 520.35 26525 0 0.00 0.00 0.00 0.50 0.00 0.00 0.00 0.50 18.54 0.00 0.00 0.00 0.00 0.00 72.96 187.26 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.72 NOTE: $72.98 OTHER = CHILD SUPPORT 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 Slate Tax SDI Vacl Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 2 Date HARBEY Z. SANCHEZ 66900 IRONWOOD DR Work Classlflcatlon 07/29 07/30 07/31 08/01 08/02 08/03 08/04 This Protect All Projects 35.32 42.83 5.55 5.60 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Training 9 Fund Admin Dues Subs Subs Savings 9 Other Total 470.70 26548 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 89.30 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 Farm 08/16/2019 - Page 2 Public Works Certified^yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/04/2019 Payroll Number: 5-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health 3 Date Earned Tax FICA Tax SDI Holiday & Welf. Pension Net LUCIAGARCIA Total Hourly Wage Check Work 07/29 07130 07/31 08/01 08/02 08/03 08/04 Hours Pay Rate This All 25.62 42.84 3.05 5.60 0.00 0.00 0.00 Paid For Number 64045 HARVEST MOON RD Classification Project Projects Week Hours Worked Each Day Pro 1 1 DESERT HOT SPRINGS 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/ 482.89 26545 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 roo 0.00 0.00 0.00 0.00 0.00 77.11 92240 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11 0.00 28.00 � NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Social SecurityNumber of Worker Withholding Total Hourly Earned Tex FICA Tax SDI Hollda y & Welf. Pension Net Wage Check 0 Date LUIS E. ALVAREZ SARABIA Work 07129 07/30 07/31 08/01 08/02 O8/03 08/04 This All 73.90 55.08 18.03 7.20 0.00 0.00 0.00 Hours Pay Rate Paid For Number 45627 SENEGAL PL Classification Project 1 Pro 1 Projects Week Hours Worked Each Day INDIO LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 18.00 720.00 720.00 Fund Trav/ 565.79 26539 CA MAINTENANCE Training Admin Dues Subs Savings Other Total Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 154.21 92201 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Social SecurityNumber of Worker Withholding Earned Tax FICA Tax SDI Hollda y $ Welf. , Pension Net 2 Date MARCELINO BRIONES Total Hourly Wage Check Work 07/29 07/30 07/31 08/01 08/02 08/03 08/04 This All 35.32 42.84 5.55 5.60 0.00 0.00 0.00 Hours Pay Rate Paid For Number 50700 CALLE MENDOZA Classification Project 1 I Pro ects 1 Week Hours Worked Each Day COACHELLA 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 Travl 470.69 26541 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 89.31 92236 1 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 I I Vac/ Holiday Health & Wolf. Pension Net wage Paid For Week Check Number 3 Date RICHARD ABLE AQUINO 31713 ROSEMARY LN #B Work Classification 07/29 07/30 07/31 08101 08/02 08/03 08/04 This Project Pro 1 All Pro ects 1 5.54 28.37 0.00 3.71 1 0.00 0.00 0.00 Hours Worked Each Day HW THOUSAND PALMS CA 92276 LANDSCAPE MAINTENANCE LABORER S 0.00 0.00 0.00 B.00 0.00 0.00 0.00 8.00 12.36 108.15 370.80 Training Fund Admin Dues Tr Subs Savings Other Total 333.18 26522 Q 0.00 0.00 0.00 0.50 0.00 0.00 0.00 0.50 18.54 0.00 0.00 0.00 0.00 0.00 0.00 37.62 p 1 0.00 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.72 NOTE: Public Works certified Payroll Reporting Form 08/16/2019 - Page 3 Public Works Certifie&^yroll Reporting Form i Contractor Name: PWLC II, INC. i Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/04/2019 Payroll Number: 5-0 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 1 Vacl Holiday Health & Welf. Pension Net Wage Paid For Week Check Number ROSARODRIGUEZ PO BOX 580332 3 Date Work Classification 07/29 07/30 07/31 08/01 08/02 08/03 08/04 This Project All 1ect Pro ects 45.01 42.84 8.04 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 Savings g Other Total 458.51 26547 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 0.00 101.49 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 � Gross Amount Earned Hourly Pay Rate This All Protect Projects Federal Tax FICA State Tax SDI I Vac/ Holida y Health & Welf. Pension Net Wage Paid For Week Check Number 3 Date ROSENDO FLORES 15687 PALM OR #76 DESERT HOT SPRINGS CA 92240 Work Classification 07/29 07/30 07/31 08/01 08/02 08103 08/04 0.00 34.28 0.00 1 4.48 0.00 0.00 0.00 Hours Worked Each Day LANDSCAPE MAINTENANCE LABORER S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 14.00 21.00 28.00 448.00 448.00 Training 9 Fund Admin Dues Trav/ Subs Savings 9 Other Total 409.24 26544 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.76 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holida y Health & Welf- Pension Net Wage Paid For Week Check Number 5 Date SALVADOR AZA MARTINEZ 15225 PALM DR #1 DESERT HOT SPRINGS CA 92240 Work Classification 07/29 07/30 07/31 08/01 08/02 08/03 08/04 This Protect All Pro acts J 0.00 47.61 0.00 6.23 0.00 0.00 0.00 Hours Worked Each Day LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 622.50 622.50 Training g Fund Admin Dues Trav/ Subs Savings g Other Total 568.66 26540 0 0.00 1.00 0.00 0.00 0.00 0.00 22.50 0.00 0.00 0.00 0.00 0.00 0,00 53,84 D 0.00 0.00 0.00 0.00 0.00 0.00 ii[�� 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 d Federal Tax FICA State Tax SDI Vac/ Hollday Health & Welf. Pension Net Wage Paid For Week Check Number SALVADOR MURILLO LANDEROS 48097 ESTRELLATOMAS Work Classification 07/29 07/30 07/31 08/01 08/02 08103 08/04 This Project All Projects 0.00 52.02 0.00 6.80 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 17.00 680.00 680.00 Training g Fund Admin Dues Trav/ Subs Savings 9 Other Total 621.18 26546 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.50 0.00 0.00 0.00 0.00 0.00 0.00 58.82 D 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 34.00 NOTE: Public Works certified Payroll Reporting Form 08/16/2019 - Page 4 Public Works Certified 1,yroll Reporting Form Contractor Name: PWLC Il, INC. Name, Address and Social Security Number of Worker Number of Wlthholding 0 SAMUEL IBARRA JIMENEZ Work Classlflcatlon 257 SARATOGA ST RANCHO MIRAGE LANDSCAPE S CA MAINTENANCE Q 92270 LABORER D NOTE: Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/04/2019 Payroll Number: 5-0 Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number Date 07129 07/30 07/31 08/01 08/02 08/03 08/04 This Project All Projects 65.74 49.87 14.59 6.52 0.00 0.00 0.00 Hours Worked Each Day 0.00 0.00 0.00 8.00 0.00 0.00 0.00 8.00 12.36 108.15 651.99 Training Fund Admin Dues Trav/ Subs Savings Other Total 515.27 26528 0.00 0.00 0.00 0.50 0.00 0.00 0.00 0.50 18.54 0.00 0.00 0.00 0.00 0.00 0.00 136.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.72 Public works certified Payroll Reporting Form 08/16/2019 - Page 5 eCPR Online Confirmation — Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2019-07-28 Payroll Number: 4 Amendment Number: 0 17 employee payroll record(s) processed Your Transaction ID is: 6207822 Print this Page View your submission https://efiiling.dir.Ga.gov/eCPR/pages/eCPROnlineFormPreFill.jsp 1 /1 Public Works Certifier''- yroll Reporting Form Certification under H. elfy 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 certlfled payroll records for the week ending 2019-07-28 are the originals or true, full, and correct copies of the originals which deplct 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 2019-07-31." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 !Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: WSD 5029463 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: 4- 0 For Week Ending: 07/28/2019 Is this a'Statement of Non -Performance?' Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tex SDI Vacl Holiday I Health & Welf. Pension Net Wage Paid For Week Check Number 3 Date AGUSTIN RUBIO PIEDRA 67321 MISSION DR y/o* Classification 07/22 07/23 07124 07/25 07/26 07/27 07/28 This Protect All Projects 9.93 43.49 0.00 5.69 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 0.00 0.00 0.00 8.00 0.00 0.00 0.00 8.00 12.36 126.69 568.56 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 509.45 26498 Q 0.00 0.00 0.00 1.50 0.00 0.00 0.00 1.50 18.54 0.00 0.00 0.00 0.00 0.00 0.00 59.11 p 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 24.72 NOTE: I Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pens lan Net Wage Paid For Week Check Number 9 Date ALLEN R. FARIAS MONTANO AVENIDA DE ORO Work Classification 07/22 07/23 07124 07/25 07126 07/27 07/28 7Thlsct49968 All Projects 0.00 42.85 0.00 5.60 0.00 0.00 0,00 Hours Worked Each Day COACHELLA CA 92236 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 Tralning Fund Admin Dues Trav/ Subs Savings Other Total Deduct 511.55 26511 D 0.00 0.00 0.00 0.00 1 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 48.45 p o.00 o.00 o.00 o.00 o.00 o.00 o.00 o.00 zs.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 Tote Hours Hourly Pay Rate Gross Amount Earned Federal Tex FICA Slate Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 3 Date ARMANDO RICO CHAVEZ 2103 JACQUES DR Work Classification 07/22 07/23 07/24 07/25 07/26 07127 07/28 Thls Project All All 68.82 70.39 23.74 9.20 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 20.00 920.00 920.00 Tralning Fund Admin Dues Trav/ Subs Savings g Other Total Deduct 747.85 26510 Q 1.00 1.00 1.00 1.00 0.00 0.00 0.00 4.00 30.00 0.00 0.00 0.00 0.00 0.00 0.00 172.15 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 07/31/2019 - Page l Public Works Certifiee - -yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 07/28/2019 Payroll Number:4-0 Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pa Rate y Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 3 Date BENJAMIN SERRANO 83151 SONORA AVE #B Wok Classification 07122 07123 07124 07125 07126 07127 07I28 This Protect All Projects 17.48 49.27 0.00 6.44 0.00 0.00 0.00 Hours Worked Each Day INDIO I CA 92201 LANDSCAPE MAINTENANCE LABORER S 1 0.00 0.00 0.00 8.00 0.00 0.00 0.00 8.00 14.00 143.50 644.00 Training Fund Admin Dues Travl Subs Savings Other Total 570.81 26499 Q 0.00 0.00 0.00 1.50 0.00 0.00 0.00 1.50 21.00 0.00 0.00 0.00 0.00 0.00 0.00 73.19 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 4 Date CESARTORRES 81720 AVE 46 414-103 Wok Classification 07/22 07l23 07/24 07125 07126 07/27 07I28 This Protect All Projects 5.00 45.91 0100 6.00 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 15.00 600.00 600.00 Training Admin Dues Subs Savings Other Total 543.09 26517 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 0.00 0,00 0.00 0,00 0.00 0.00 56.91 p 0.00 0.00 0.00 1 0.00 0.00 0.00 0.00 1 0.00 30.00 NOTE: Name, Address and Social 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 DIEGO J. HENRIQUEZ 15687 PALM DR 03 Work Classification 07122 07/23 07/24 07/25 07I28 07127 07126 This Protect A!I Projects 26.65 43.49 3.43 5.69 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 LANDSCAPE MAINTENANCE LABORER S 0.00 0.00 0.00 8.00 0.00 0.00 0.00 8.00 12.36 126.69 568.56 Training Adm1n Dues Subs Savings Other Total 416.32 26493 Q 0.00 0.00 0.00 1.50 0.00 0.00 0.00 1.50 18.54 0.00 0.00 0.00 0.00 0.00 72.98 152.24 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.72 NOTE: $72.96 OTHER = CHILD SUPPORT 1 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 HARBEYZ.SANCHEZ 66900 IRONWOOD DR Work Classification 07/22 07/23 07/24 07/25 07126 07/27 07128 This Project All Projects 30.28 39.63 3.70 5.18 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 5.00 8.00 8.00 0.00 0.00 37.00 14.00 518.00 518.00 Training Fund Ad min Dues Trav/ Subs Savings Other Total 439.21 26516 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 78.79 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 28.00 NOTE: Public works certified Payroll Reporting Form 07/31/2019 - Page 2 Public Works Certifiee- yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 07/28/2019 Payroll Number: 4-0 Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vacl Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 3 Date LUCIAGARCIA 64045 HARVEST MOON RD Work Classification 07122 07/23 07/24 07/25 07126 07/27 07128 This Project All Projects 25.62 42.84 3.05 5.60 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 qsvomm LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00Fund 40.00 14.00 560.00 560.00 Training Adm n Dues Travi Subs Savings Other Total 482.89 26513 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 77.11 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 Tex FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date LUIS E. ALVAREZ SARABIA 45627 SENEGAL PL Work Classification 07/22 07123 07/24 07/25 07/26 07/27 07/28 This Project I All Projects 73.90 55.06 18.03 7.20 0.00 0.00 0.00 Hours Worked Each Day INDIO CA 92201 LANDSCAPE MAINTENANCE LABORER $ 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 18.00 720.00 720.00 Training Fund Admin Dues Travl Subs Savings Other Total 565.79 26507 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 0.00 154,21 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 Pe Rate Y Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Nat Wage Paid For Week Check Number 2 Date MARCELINO BRIONES 50700 CALLE MENDOZA Work Classification 07/22 07/23 07/24 07125 07/26 07/27 07/28 This Project All Projects 35.32 42.84 5.55 5.60 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA 92236 LANDSCAPE MAINTENANCE LABORER $ 8.00 8.00 8.00 8.00 8.00 0.00 0.00Fund 40.00 14.00 560.00 560,00 Training Adm n Dues Subs Savings Other Total 470.69 28509 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 89.31 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 9 Paid For Week Check Number 0 Date OSCAR ORTEGA MONTES 1528 FILLMORE DR Work Classification 07/22 07/23 07/24 07/25 07/26 07/27 07/28 This Project All Projects 117.95 74.29 35.35 9.71 0.00 0.00 0.00 Hours Worked Each Day SALTON CITY CA 92274 LANDSCAPE MAINTENANCE LABORER $ 0.00 0.00 0.00 2.00 0.00 0.00 0.00 2.00 15.00 30.00 971.25 Training Fund Admin Dues Trav/ Subs Savings Other Total 575.87 26489 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 0.00 158.08 395.38 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: $158.08 OTHER = CHILD SUPPORT 1 Public works certified Payroll Reporting Form 07/31/2019 - Page Public Works Certified yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 07/28/2019 Payroll Number: 4-0 Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Paymants 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 & Welr. Pension W 9e Paid For Week Check Number 3 Date RICHARD ABLE AQUINO 31713 ROSEMARY LN #B yyo� Classification 07/22 07123 07/24 07125 07126 07127 07/28 This Project All Projects 26.65 43.49 3.43 5.69 0.00 0.00 0.00 Hours Worked Each Day THOUSAND PALMS CA 92276 LANDSCAPE MAINTENANCE LABORER S 0.00 0.00 0.00 8.00 0.00 0.00 0.00Fund 8.00 12.36 126.69 568.56 Tralning Adm n Dues Subs Savings Other Total 489.30 26490 Q 0.00 0.00 0.00 1.50 0.00 0.00 0.00 1.50 18.54 0.00 0.00 0.00 0,00 0.00 0.00 79.26 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.72 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 1 Date ROSA RODRIGUEZ PO BOX 580332 Work Classification 07/22 07/23 07/24 07/25 07/26 07127 07/28 This Project All Projects 45,01 42.84 8.04 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 0.00Fund 40.00 14.00 560,00 560.00 Training Adm n Dues Subs Savings Other Total 458.51 26515 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 0.00 101.49 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 3 Date ROSENDO FLORES 15687 PALM DR #76 Work Classification 07122 07/23 07/24 07/25 07/26 07/27 07128 This Project All Projects 9.08 42.84 0.00 5.60 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 LANDSCAPE MAINTENANCE LABORER $ 8.00 8.00 8.00 8.00 8.00 0.00 0,00 40.00 14.00 580.00 560.00 Training AFund dml Dues Trev/ Subs Savings Other Total 502.48 26512 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 57.52 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 Wags Paid For Week Check Number 5 Date SALVADOR AZA MARTINEZ 15225 PALM DR #1 Work07122 Classification 07123 07/24 07/25 07126 07127 07/28 This Project All Projects 0.00 45.91 0.00 6.00 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Training Fund Admin Dues Trav/ Subs Sevings Other Total 548.09 26508 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 51.91 p 0.00 0.00 0.00 0.00 0.00 1 0.00 0.00 0.00 I 30.0o NOTE: Public Works Certified Payroll Reporting Form 07/31/2019 - Page 4 Public Works Certifie'yroll Reporting Foray Contractor Name: PWLC Ii, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 07/28/2019 Payroll Number: 4-0 Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac! Hollday Health & Waif. Pension Net Paid gFor Week Number Check 6 Date SALVADOR MURILLO LANDEROS 48097 ESTRELLATOMAS WorkWork07122 Classification 07123 07/24 07125 07126 07l27 07I28 Thls Protect All ProJecls 0.00 48.12 0.00 6.29 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA 92236 LANDSCAPE MAINTENANCE LABORER S 8.00 5.00 8.00 8.00 8.00 0.00 0.00 37.00 17.00 829.00 629.00 Training Fund Admin Dues Travl Subs Savings Other Total 574.59 26514 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.50 0.00 0.00 0.00 0.00 0.00 1 0.00 54.41 D 0.00 0.00 0.00 O.DO 0.00 0.00 0.00 0.00 34.00 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 Tex SDI Vac! Holiday Health & Waif. Pension Net Wage PW For Week Check Number 0 Date SAMUEL IBARRAJIMENEZ 257 SARATOGA ST Work Classification 07/22 07/23 07/24 07/25 07126 07/27 07/28 This Project All Projects 55.73 3 4.48 10.92 5.69 0.00 0.00 0.00 Hours Worked Each Day RANCHO MIRAGE CA 92270 LANDSCAPE MAINTENANCE LABORER S 0.00 0.00 0.00 8.00 0.00 0.00 0.00 8.00 12.36 126.69 568.56 Training AFund dm n Dues Sutis Savings Other Total 452.74 28494 Q 0.00 0.00 0.00 1.50 0.00 0.00 0.00 1.50 1 18.54 0.00 0.00 0.00 0.00 0.00 0.00 115.82 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.72 NOTE: Public works certified Payroll Reporting Form 07/31/2019 - Page eCPR Online Confirmation ,-Your payroll submission request: has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2019-07-21 Payroll Number: 3 Amendment Number: 0 10 employee payroll record(s) processed Your Transaction ID is: 6163364 Print this Page Adze View your submission Public Works Certifie lyroll Reporting Form Certification under r_nalty 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 2019-07-21 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 2019-07-24." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: WSD 5029463 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: 3- 0 For Week Ending: 07/21/2019 MAINTENANCE OF CITYWIDE MEDIANS F_ Is this a 'Statement of Non -Performance?' Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number ARMANDO RICO CHAVEZ 2103 JACQUES DR 3 Date Work Classification 07115 07/16 07/17 07/18 07/19 07120 07121 This ro Pject � All Projects P � 65.22 68.08 21.76 8.90 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 20.00 890.00 890.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 726.04 26407 0 0.50 0.50 1.00 0.50 0.50 0.00 0.00 3.00 30.00 0.00 0.00 0.00 0.00 0.00 0.00 163.96 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vacl H.olida y Health & Wolf. Pension Net Wage Paid For Week Check Number 4 Date CESAR TORRES 81720 AVE 46 #14-103 Work Classification 07/15 07/16 07/17 07/18 07119 07/20 07/21 This Project 1 All Projects 1 7.25 47.62 0.00 6.23 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 15.00 622.50 622.50 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 561.40 26413 0 0.00 0.00 0.50 0.50 0.00 0.00 0.00 1.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 61.10 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day I Deductions, Contributions, and Payments Man Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vacl Holiday Health & Wolf. Pension Net Wage Paid For Week Check Number HARBEYZ. SANCHEZ 66900 IRONWOOD DR I DESERT HOT SPRINGS CA 92240 2 Date Work Classification 07/15 07/16 07117 07118 07/19 07120 07/21 This Pro ect / All Projects / 35.32 42.84 5.55 5.60 0.00 0.00 0.00 Hours Worked Each Day LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 1 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 470.69 26412 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 89.31 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 07/24/2019 - Page 1 Public Works Certifie!' lyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 07/21/2019 Payroll Number: 3-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Net Mon Tue Wed Thu Fri Sat Sun Gross Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welh Pension 3 Date LUCIAGARCIA Total Hourly WageLN.-ber, Work 07115 07/16 07/17 07118 07/19 07120 07/21 This All 28.14 44.44 3.97 5.81 0.00 0.00 0.00 Hours Pay Rate Paid For 64045 HARVEST MOON RD DESERT HOT SPRINGS Classification Pro ect 1 Projects j cts Week Hours Worked Each Day 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! 498 64 26409 CA MAINTENANCE Training Admin Dues Subs Savings Other Total 0 0.00 0,50 0.50 0.00 0.00 0.00 0.00 1.00 21.00 LABORER 92240 0.00 0.00 0.00 0.00 0.00 0.00 82.36 p 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health 8 Welf. Pension Net 0 Date LUIS E. ALVAREZ SARABIA Total Hourly Wage Check Work 07/15 07/16 07/17 07/18 07/19 07/20 07/21 This All 73.90 55.08 18.03 7.20 0.00 0.00 0.00 Hours Pay Rate Paid For Number 45627 SE O PL INDI Classification Project Projects Week Hours Worked Each Day 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/ 565.79 26404 CA MAINTENANCE Training Admin Dues Subs Savings Other Total O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 154.21 92201 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Social Security Number of Worker Withholding 2 Date MARCELINO BRIONES Total Hourly Wage Check Work 07/15 07/16 07/17 07118 07/19 07/20 07/21 This Ail 37.84 44.44 6.47 5.81 0.00 0.00 0.00 Hours Pay Rate Paid For Number 50700 CALLE MENDOZA COACHELLA Classification Project Projects Week Hours Worked Each Day 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/ 486.44 26406 CA MAINTENANCE Training Admin Dues Subs Savings Other Total iJ 0.00 0.00 0.50 0.50 0.00 0.00 0.00 1.00 21.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 94.56 92236 p 0.00 0.00 0.00 0.0o 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health 8 We . Pension Net Social Security Number of Worker Withholding 1 Date ROSARODRIGUEZ Total Hourly Wage Check Work 07/15 07/16 07/17 07/18 07/19 07120 07/21 This All 45.01 42.85 8.04 5.60 0.00 0.00 0.00 Hours Pay Rate Paid For Number PO BOX 580332 N PALM SPRINGS Classification Project 1 Projects J Week Hours Worked Each Day 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/ 458.50 26411 CA MAINTENANCE Training Admin Dues Subs Savings Other Total O 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 21.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 101.50 92258 p o.00 o.o0 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: I Public works Certified Payroll Reporting Form 07/24/2019 - Page 2 Public Works Certifie;� .yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 07/21/2019 Payroll Number: 3-0 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 Vac1 Health 3 Date Earned Tax FICA Tax SDi Holiday & Welf. Pension Net I ROSENDO FLORES Total Hourly Wage Check Work 07/15 07/16 07/17 07/18 07/19 07/20 07/21 Hours Pay Rate This All 9.08 42.84 0.00 5.60 0.00 0.00 0.00 Paid For Number 15687 PALM DR #76 Classification Project Projects Week i Hours Worked Each Day DESERT HOT SPRINGS 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/ 502.48 26408 CA MAINTENANCE Training Admin Dues Subs Savings Other Total 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 57.52 92240 p o.00 o.00 o.00 0.00 1 0.00 0.00 1 0.00 0.00 28.00 � NOTE: Number Day Deductions, Contributions, and Payments Name, Address and of Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vacly Health Social SecurityNumber of Worker Withholding Total Hourly Earned Tax FICA Tax SDI Holida & Welf. Pension Net Wage Check 5 Date SALVADOR AZA MARTINEZ Hours Pay Rate Paid For Number 07/15 07116 07/17 07/18 07/19 07/20 07/21 This All 0.00 47.62 0.00 6.23 0.00 0.00 0.00 15225 PALM DR #1 Work Classification Project Projects Week Hours Worked Each Day DESERT HOT SPRINGS LANDSCAPE S B.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 622.50 622.50 Fund Trav/ 568.65 26405 CA MAINTENANCE I Admin Dues Subs Savings Other Total 0 0.00 0.50 0.50 0.00 0.00 0.00 0.00 1.00 22.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 53.85 92240 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 30.00 NOTE: Number Day Deductions, Contributions, and Payments Name, Address and of Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/y Health Ne[ Social SecurityNumber of Worker Withholding Total Hours Hourly Pay Rate Earned Tax FICA Tax SDI Holida & Welf. Pension Paid For eck mber Nuh 6 Date SALVADOR MURILLO LANDEROS 07/15 07/16 07/17 07/18 07/19 07/20 07/21 0.00 52.02 0.00 6.80 0.00 0.00 0.00 48097 ESTRELLATOMAS Work Classification This Project All Projects Week Hours Worked Each Day COACHELLA LANDSCAPE 8.00 8.00 8.00 0.00 0.00S40.00 17.00 680.00 680.00 Travl 621.18 26410 CA MAINTENANCE rannFund 9 Admin Dues Subs9LABORER Savin s Other Total 0 0.00 0.00 0.00 tO8,. 0.00 0.00 0.00 25.5092236 0.00 0.00 0.00 0.00 0.00 0.00 58.82 p 0.00 0.00 0.00 0.00 0.00 0.00 1 34.00 2EwE&%w NOTE: Public Works Certified Payroll Reporting Form 07/24/2019 - Page 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: 6108145 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: 2019-07-14 Payroll Number: 2 Amendment Number: 1 13 employee payroll record(s) processed Your Transaction ID is: 6129224 Print this Page .# liew your submission ACW https:Hefiling.dir.ca.gov/eCPR/pages/eCPROnIineFormPreFill.jsp 1/1 Certification unde. relty of perjury: Public Works Certifie/_ llyroll Reporting Form "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 retards for the week ending 2019-07-14 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 farm to the individual or individuals named. I certify this on 2019-07-19." 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: WSD 5029463 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: 2- 1 For Week Ending: 07/14/2019 - Is this a 'Statement of Non -Performance?' Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Wlthholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health ARMANDO RICO CHAVEZ 3 Date Total Hourly Earned Tax FICA Tax SDI Holiday & Welf. Pension Net 2103 JACQUES DR Work 07/08 07/09 07/10 07/11 07/12 07/13 07/14 Hours Pay Rate This All 61.62 65.79 19.78 8.60 0.00 0.00 0.00 Wage Paid For Check Number Classification Hours Worked Each Day Project Projects Week PALM SPRINGS LANDSCAPE g 8.00 8,00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 860.00 860.00 Fund Trav/ CA MAINTENANCE Training Dues Savings Other Total 704.21 26376 92262 LABORER 0.00 0.00 0.00 2.00 0.00 0.00 0.00 2.00 30.00 Admin Subs Deduct p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 155.79 1 0.00 40.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun oss Amount Federal State Vac/ Health CESARTORRES 4 Date Total Hourly Earned Tax FICA Tax SDI Holida y 8 Welf. Pension Net 81720 AVE 46 #14-103 Work 07I08 07/09 07/10 07/11 07/12 07113 07/14 Hours Pay Rateis All k600.00 5.00 45.90 0.00 6.00 0.00 0.00 0.00 Wage Paid For Check Number Classification Hours Worked Each Day ect Projects Week INDIO CA LANDSCAPE MAINTENANCETraining g 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 Fund Trav/ Total 543.10 26382 LABORER U 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Admin Dues Subs Savings Other Deduct 92201 0.00 22.50 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 56.90 0.00 30.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State FICA SDI Vac/ Health Pension Net DIEGO J. HENRIQUEZ 3 Date Total Hourly Earned Tax Tax Holiday & Welf. Wage Check 15687 PALM DR #83 Work 07/08 07/09 07/10 07/11 07/12 07/13 07/14 Hours Pay Rate This All 28.88 44.91 4.24 5.87 0.00 0.00 0.00 9 Paid For Number Classification Hours Worked Each Day Project Projects Week DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.36 37.08 687.10 Fund Trav/ Total 430.22 26360 LABORER p 0.00 0.00 0.00 2.00 0.00 0.00HOO2.00 Training Admin Dues Subs Savings Other Deduct 92240 16.54 p 0.00 0.00 0.00 0.00 0.00 0.000.00 0.00 0.00 0.00 0.00 0.00 72.98 156.88 24.72 NOTE: $72.98 OTHER = CHILD SUPPORT 1 Public works Certified Payroll Reporting Form 07/19/2019 - Page 1 Public Works Certifie/--tyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 07/14/2019 Payroll Number: 2-1 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Earned Federal Tax FICA State Tax SDI I Vac/ Holiday Health & Welf. Pension Net 2 Date HARBEYZ.SANCHEZ Total Hourly Wage Check Work 07/08 07/09 07/10 07/11 07/12 07/13 07/14 This All 35.32 42.84 5.55 5.60 0.00 0.00 0.00 Hours Pay Rate Paid For Number 66900 IRONWOOD DR DESERT HOT SPRINGS Classification Project Projects Week Hours Worked Each Day LANDSCAPE S 8.00 8.00 6.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Fund Trav/ 470.69 26381 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 89.31 92240 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 28.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Social Security Number of Worker Withholding 3 Date LUCIAGARCIA Total Hourly Wage Check Work 07/08 07/09 07/10 07/11 07112 07113 07114 This All 25.62 42.84 3.05 5.60 0.00 0.00 0.00 Hours Pay Rate Paid For Number 64045 HARVEST MOON RD DESERT Classification Project Projects Week Hours Worked Each Day HOT SPRINGS 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/ 482.89 26378 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 D.00 77.11 92240 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Wolf. Pension Net Social Security Number of Worker Withholding 0 Date LUIS E. ALVAREZ SARABIA Total l Houry Wage Check Work 07/08 07/09 07/10 07/11 07/12 07/13 07/14 This A11 73.90 55.08 18.03 7.20 0.00 0.00 0.00 Hours Pay Rate Paid For Number 45627 SENEGAL PL Classification Project Projects Week Hours Worked Each Day INDIO LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 18.00 720.00 720.00 Fund Trav/ 565.79 26373 CA MAINTENANCE Training Dues Subs Savings Other Total Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.00 LABORER 0.00 tdm, 0.00 0.00 0.00 0.00 154.21 92201 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 36.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Social Security Number of Worker Withholding Earned Tax FICA Tax SDI Holiday & Welf. Pension Net 2 Date MARCELINO BRIONES Total Hourly Wage Check Work 07/08 07/09 07/10 07/11 07/12 07/13 07/14 This All 35.32 42.84 5.55 5.60 0.00 0.00 0.00 Hours Pay Rate Paid For Number 50700 CALLE MENDOZA Classification Project Projects Week Hours Worked Each Day COACHELLA LANDSCAPE S 8.00 8.00 I 8.00 8.00 8.00 0.00 0.00 40.00 14.00 I 560.00 560.00 Fund Trav/ 470.69 26375 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 D.00 89.31 92236 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 M NOTE: Public works Certified Payroll Reporting Form 07/19/2019 - Page 2 Public Works Certifie,"iyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 07/14/2019 Payroll Number: 2-1 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health RICHARD ABLE AQUINO 3 Date Total HourlyEarned Tax FICA SDI Tax Holiday & Welf. Pension Net Wage Check 31713 ROSEMARY LN #B Work 07/08 07/09 07/10 07/11 07/12 07/13 07/14 Hours Pay Rate This All 28.88 44.91 4.24 5.87 0.00 0.00 0.00 Paid For Number assification Cl Hours Worked Each Day Pro a j ct Projects Week THOUSAND PALMS LANDSCAPE S 0.00 0.00 0.00 8.00 0.00 0.00 0.00 8.00 12.36 98.88 587.10 Fund Trav/ 503.20 26357 CA MAINTENANCE Training Admin Dues Subs Savings Other Total LABORER 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.54 92276 0.00 0.00 0.00 0.00 0.00 0.00 83.90 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.72 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net 1 Date ROSARODRIGUEZ Total Hourly Wage Check Work 07/08 07/09 07110 07/11 07/12 07/13 07114 This All 45.01 42.84 8.04 5.60 0.00 0.00 0.00 Hours Pay Rate Paid For Number PO BOX 580332 N PALM SPRINGS Classification Pro ecl 1 Pro ec Projects Week Hours Worked Each Day 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/ 458.51 26380 CA MAINTENANCE Training Admin Dues Subs Savings Other Total 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 LABORER 92256 0.00 0.00 0.00 0.00 0.00 0.00 101.49 p 1 0.00 1 0.00 0.00 1 0.00 1 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Total Hourly Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Healtfi & Welf. Pension Net Wage Check ROSENDO FLORES 3 Date Work 07/08 07/09 07/10 07/11 07/12 07/13 07/14 This All 0.00 34.28 0.00 4.48 0.00 0.00 0.00 Hours Pay Rate Paid For Number 15687 PALM DR #76 DESERT HOT SPRINGS Classification Project Projects Week Hours Worked Each Day LANDSCAPE S 0.00 8.00 8.00 0.00 0.0032.00 14.00 448.00 448.00 Fund Trav/ 409.24 26377 CA MAINTENANCE DuesSubs Savings Other Total 0 0.00 0.00 0.00 J8.008.00 0.00 0.00 0.00 0.00 21.0092240 LABORER Admin 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun ned Federal Tax FICA State Tax SDI Vac/ Holiday Health5 & Welf. Pension NetSALVADORAZAMARTINEZ Dale Total Hourly Wage Check Work 07I08 07I09 07/10 07/11 07/12 07/13 07114 hGssAmount AI{ 0.00 45.90 0.00 6.00 0.00 0.00 0.00 Hours Pay Rate Paid For Number 15225 PALM DR #1 DESERT HOT SPRINGS Classification Projects Week Hours Worked Each Day 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/ 548.10 26374 CA MAINTENANCE Training Admin Dues Subs Savings Other Total 0 D.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 LABORER 92240 0.00 0.00 0.00 0.00 0.00 0.00 51.90 p 0.00 0.00 0.00 0.00 0.00 1 0.00 1 0.00 0.00 30.00 I NOTE: Public Works Certified Payroll Reporting Form 07/19/2019 - Page 3 Public Works Certifie,',tyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 07/14/2019 Payroll Number: 2-1 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health 6 Date Earned Tax FICA Tax SDI Holiday & Welf. Pension Net SALVADOR MURILLO LANDEROS Total Hourly Wage Check Work 07/08 07/09 07/10 07/11 07/12 07/13 07114 Hours Pay Rate This All 0.00 52.02 0.00 6.80 0.00 0.00 0.00 Paid For Number 48097 ESTRELLATOMAS 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 17.00 680.00 680.00 Fund Trav/ 621.18 26379 CA MAINTENANCE Training Admin Dues Subs Savings Other Total p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 58.82 92236 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Social Security Number of Worker Withholding rned Tax FICA Tax SDI I Holiday & Welf. Pension Net BENJAMIN SERRANO Total Hourly Wage Check Work 07/08 07/09 07/10 07/11 07/12 07/13 07/14 This All 19.58 50.87 0.00 6.65 0.00 0.00 0.00 Hours Pay Rate Paid For Number 83151 SONORAAVE #B Classification Project Projects Week Hours Worked Each Day INDIO LANDSCAPE S 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 42.00 665.00 Fund Trav/ 487.90 6011 CA MAINTENANCE Training Admin Dues Subs Savings Other Total Q 0.00 0.00 0.00 2.00 0.00 0.00 0.00 2.00 0.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 77.10 92201 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: BASE HOURLY RATE IS $14.00 AND OT RATE IF $21.00 Public works certified Payroll Reporting Form 07/19/2019 - Page eCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2019-07-14 Payroll Number: 2 Amendment Number: 0 12 employee payroll record(s) processed Your Transaction ID is: 6108145 Print this Page i View your submission A(10c, https://efiIing.dir.ca.gov/eCPR/pages/eCPROnlineFormPreFill.jsp 1/1 Public Works Certifie'-'3yroll Reporting Form Certification unde ,tatty 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 2019-07-14 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 2019-07-17." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LACAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 �Insumnce Number: WSD 5029463 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: 2- 0 For Week Ending: 07/14/2019 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 Vacl Holida y Health & Welf. Pension Net Wage Paid For Week Check Number ARMANDO RICO CHAVEZ 2103 JACQUES DR 3 Date Work Classification 07/08 07/09 07/10 07/11 07112 07/13 07/14 This Project AI! Projects 61.62 65.79 19.78 8.60 0.00 0.00 0.00 Hours Worked Each Day PALM SPRINGS CA 92262 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 860.00 860.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 704.21 26376 Q 0.00 0.00 0.00 2.00 0.00 0.00 0.00 2.00 30.00 0.00 0.00 0.00 0.00 0.00 0.00 155.79 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number CESARTORRES 81720 AVE 46 #14-103 4 Date Work Classification 07/08 07/09 07/10 07/11 07112 07/13 07/14 This Project All Projects 5.00 45.90 0.00 6.00 0.00 0.00 0.00 Hours Worked Each Day INDIO CA 92201 LANDSCAPE MAINTENANCE LABORER S I 8.00 8.00 8.00 I 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 543.10 26382 p 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 22.50 roo 0.00 0.00 0.00 0.00 0.00 56.90 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ H olida y Health & Welf. Pension Net Wage Paid For Week Check Number DIEGO J. HENRIQUEZ 15687 PALM DR #83 3 Date Work Classification 07/08 07/09 07/10 07/11 07/12 07/13 07/14 This I Project / All Projects / 28.88 44.91 4.24 5.87 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 LANDSCAPE MAINTENANCE LABORER S 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.36 37.08 587.10 Training 9 Fund Admin Dues Trav/ Subs Savings 9 Other Total Deduct 430.22 26360 Q 0.00 0.00 0.00 2.00 0.00 0.00 0.00 2.00 18.54 0.00 0.00 0.00 0.00 0.00 72.98 156.88 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.72 NOTE: $72.98 OTHER = CHILD SUPPORT 1 Public Works Certified Payroll Reporting Form 07/17/2019 - Page I Public Works Certifie ,-- yroll Reporting Form 1 Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 07/14/2019 Payroll Number: 2-0 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 HARBEYZ.SANCHEZ 66900IRONWOOD DR DESERT HOT SPRINGS 2 Date Work Classification 07/08 07/09 07/10 07/11 07/12 07/13 07/14 This Project All Projects 35.32 42.84 5.55 5.60 0.00 0.00 0.00 Hours Worked Each Day CA 92240 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 470.69 26381 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 89.31 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 Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number LUCIAGARCIA 64045 HARVEST MOON RD 3 Date Work Classification 07/08 07/09 07/10 07/11 07/12 07/13 07/14 This Project 1 All Projects 1 25.62 42.84 3.05 5.60 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 482.89 26378 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 77.11 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 Paymonts Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA I State Tax SDI Vac/ Hollday Health & Welf. Pension Net Wage Paid For Week Check Number LUIS E. ALVAREZ SARABIA 45627 SENEGAL PL 0 Date Work Classification 07/08 07/09 07/10 07/11 07/12 07/13 07/14 This Project All Projects 73.90 55.08 18.03 7.20 0.00 0.00 0.00 Hours Worked Each Day INDIO CA 92201 qommmmw 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 565.79 26373 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 0.00 154.21 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/ Holida y Health & Welf. Pension Net Wage Paid For Week Check Number MARCELINO BRIONES 50700 CALLE MENDOZA 2 Dale Work Classification 07108 07/09 07/10 07/11 07/12 07/13 07/14 This Project All Projects 35.32 42.84 5.55 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 470.69 26375 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 89.31 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 Farm 07/17/2019 - Page 2 Public Works Certifier' yroll Reporting Form Contractor Name: PWLC II, INC. Name, Address and Number of Social Security Number of Worker Withholding 3 RICHARD ABLE AQUINO Work 31713 ROSEMARY LN #B Classification THOUSAND PALMS LANDSCAPE CA MAINTENANCE LABORER 92276 NOTE: Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 07/14/2019 Payroll Number: 2-0 Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax Sot Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number Date 07/08 07/09 07/10 07/11 07/12 07/13 07/14 This Project I All Projects 28.88 44.91 4.24 5.87 0.00 0.00 0.00 Hours Worked Each Day 0.00 0.00 0.00 8.00 0.00 0.00 0.00 8.00 12.36 98.88 587.10 Training Fund Admin Dues Trav/ Subs Savings Other Total 503.20 26357 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.54 0.00 0.00 0.00 0.00 0.00 0.00 83.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.72 Name, Address and Number of uay Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Social Security Number of Worker Withholding 1 Date ROSARODRIGUEZ Total Hourly Wage Check work 07/08 07/09 07/10 07/11 07/12 07113 07/14 This All 45.01 42.84 8.04 5.60 0.00 0.00 0.00 Hours Pay Rate Paid For Number PO BOX 580332 N 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 14.00 560.00 560.00 Fund Trav/ 458.51 26380 CA MAINTENANCE Training Admin Dues Subs Savings Other Total p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 101.49 92258 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Social Security Number of Worker Withholding 3 Date ROSENDO FLORES Total Hourly Wage Check Work 07/08 07/09 07/10 07/11 07/12 07/13 07114 This All 0.00 34.28 0.00 4.48 0.00 0.00 0.00 Hours Pay Rate Paid For Number 15687 PALM DR #76 Classification Pro'ect 1 Projects 1 Week Hours Worked Each Day DESERT HOT SPRINGS LANDSCAPE S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 14.00 448.00 448.00 Fund Trav/ 409.24 26377 CA MAINTENANCE Training Admin Dues Subs Savings Other Total p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 38.76 92240 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 28.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hourly Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holida y Health & Welf. Pension Net Wage Check Social Security Number of Worker Withholding SALVADOR AZA MARTINEZ 5 Date Work Classification 07/08 07/09 07/10 07/11 07/12 07/13 07/14 This Project All Projects 0.00 45.90 0.00 6.00 0.00 0.00 0.00 15225 PALM DR #1 Hours Pay Rate Paid For Week Number Hours Worked Each Day DESERT HOT SPRINGS CA 92240 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 548.10 26374 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 22.50 0.00 0.00 0.00 0.00 0.00 0.00 51.90 p 0.00 0.00 0.00 0.00 0.00 1 0.00 0.00 0.00 30.00 I NOTE: Public works Certified Payroll Reporting Form 07/17/2019 - Page Public Works Certifie,'-�yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 07/14/2019 Payroll Number: 2-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health 6 Date Earned Tax FICA Tax SDI Holiday I & Welf. [Pension Net SALVADOR MURILLO LANDEROS Total Hourly Wage Check Work 07/08 07/09 07/ 10 07/11 07/12 07/13 07/14 Hours Pay Rate This Aq 0.00 52.02 0.00 6.80 0.00 0.00 0.00 Paid For Number 48097 ESTRELLA TOMAS COACHELLA Classification Hours Worked Each Day Project Projects Week LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 17.00 680.00 680.00 Fund Trav/ 621.18 26379 CA MAINTENANCE Training Admin Dues Subs Savings Other Total p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 58.82 92236 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.00 NOTE: Public Works certified Payroll Reporting Form 07/17/2019 - Page A 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 biicworks@dlr.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: 2019-07-07 Payroll Number. 1 Amendment Number. 0 11 employee payroll record(s) processed Your Transaction ID is: 6074856 Print this Pag2 View your submission `- Public Works Certified" yroll Reporting Form Certification under h Jty 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 2019-07-07 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 2019-07-12." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LACAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: WSD 5029463 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 - Il MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 1-0 For Week Ending: 07/07/2019 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 Pa Rate Y Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Waif. Pension Net Wege Paid For Week Check Number 3 Date ARMANDO RICO CHAVEZ 2103 JACQUES DR Wok Classification 07/01 07102 07I03 07/04 07I05 07I06 07/07 This Project All Projects 16.46 48.98 0.00 6.40 0.00 0.00 0.00 Hours Worked Each Day PALM SPRINGS CA 92262 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 0.00 8.00 0.00 0.00 32.00 20.00 640.00 640.00 Tralning Fund Admin Dues Travl Subs Savings Other Total Deduct 568.16 2627016 008 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 1 71.84 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 I State Tax SDI Vac/ Hollday Health & Waif. Pension Net Wage Paid For Week Check Number q Date CESARTORRES 81720 AVE 46 #14-103 Work Classification 07/01 07/02 07/03 07/04 07/05 07/06 07107 This Project All Projects 0.00 36.72 0.00 4.80 0.00 0.00 0.00 Hours Worked Each Day INDIO CA 92201 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 0.00 8.00 0.00 0.00 32.00 15.00 480.00 480.00 rang Tlni Fund Admin Dues Trav/ Subs Savins g Other Total Deduct 438.48 26277 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 41.52 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 Slate Tax SDI Vac/ Holiday Health & Waif. Pension Net Wage PW For Week Check Number 2 Date HARBEY Z. SANCHEZ 66900 IRONWOOD DR Work Classification 07/01 07/02 07/03 07/04 07/05 07106 07/07 Thls Protect All Projects 21.88 34.28 1.19 4.48 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA g2240 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 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 386.17 26276 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 61.83 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 07/12/2019 - Page Public Works Certified^ yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 - For Week Ending: 07/07l2019 Payroll Number: 1-0 Name, Address and Number of Day - - - - Social Security Number of Worker Withholding Mon Tue Wed Deductions, Contributions, and Payments Thu Fri Sat Sun LUCIA GARCIA FDESERT 3 Date Gross Amount Earned Federal Tax FICA State SDI Vac/ Health Pension Net 64045 HARVEST MOON RD Work 07/01 07/02 07/03 07/04 07/05 07/06 07/07 Total Hours Hourly Pay Rate Tax Holiday & Welf. Wage Check HOT SPRINGS Classlfcation Hours Worked Each Day This All 13.26 Project Projects 34.28 0.00 4.48 0.00 0.00 0.00 Paid For Number LANDSCAPE $ 8.00 8.00 8.00 0.00 8.00 0.00 0.00 Week CA MAINTENANCE 32.00 14.00 448.00 448.00 Fund Travl 92240 LABORER p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Tralning Admin Dues Subs Savings Other Total 395.98 26273 0.00 21.00 i p o.o0 0.00 0.00 0.00 0.00 o.ao o.00 o.00 o.00 o.00 o.00 o.00 o.00 sz.oz 0.00 28.00 NOTE: Name, Address and Number of Day Social Security Number of Worker Withholding Man Tue Wed Thu Deductions, Contributions, and Payments LUIS E. ALVAREZ SARABIA 0 Fri Date Sat Sun Gross Amount Earned Federal Tax FICA State SDI Vac/ Health Pension Net Total Hourly Tax Holiday 45627 SENEGAL PL Work 07/01 07102 07/03 07/04 07/05 07/06 07/07 Hours Pa Rate y 56.62 Wags Check Classification This All 44.06 11.24 5.76 0.00 0.00 0.00 Paid For Number INDIO Hours Worked Each Day Project Projects Week LANDSCAPE $ 8.00 8.00 8.00 0.00 8.00 0.00 0.00 CA MAINTENANCE 32.00 18.00 576.00 576.00 Fund Travl 92201 LABORER 0.00 0.00 0.00 0.Oo 0.00 0.00 0.00 Tralning Admin Dues Subs Savings Other Total 458.32 26267 0.00 27.00 p o.00 o.00 o.00 o.Do o.00 o.00 o.00 o.00 o.00 o.00 o.00 o.00 o.o0 117.se 0.00 36.00 NOTE: Name, Address and Number of Day Social Security Number of Worker Withholding Mon Tue Wed Deductions, Contributions, and Payments MARCELINO BRIONES 2 Thu Fri Date Sat Sun Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Health Pension Net Total Hourly Holiday & Welf. CALLE MENDOZA Work 07/01 07/02 07/03 07/04 07105 07/06 07/07 Hours Pay Rate 21.88 W age Check Classification This All 34.28 1.19 4.48 0,00 0.00 0.00 PFor Number COACHELLA Hours Worked Each Day Project Projects Weak LANDSCAPE $ 8.00 8.00 8.00 0.00 8.00 0.00 0.00 CA MAINTENANCE 32.00 14.00 448.00 448.00 Fund Trav/ 92236 LABORER O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Tralning Admin Dues Subs Savings Other Total 386.17 26269 0.00 21.00 p o.00 o.00 o.00 o.00 o.00 o.00 o.00 0.00 0.00 0.00 0.00 0.00 0.00 61.83 o.oa zs.00 [NOTE. Name, Address and Number of Day Social Security Number of Worker Withholding Mon Tue Wed Thu Deductions, Contributions, and Payments 1 Fri Sat Sun Gross Amount Federal FICA State Vac/ Health ROSA RODRIGUEZ Date Total Hourly Earned Tax Tax SDI Holiday & Welf. Pension Net PO BOX 580332 Work 07/01 07/02 07/03 07/04 07/05 07/O6 07/07 Hours Pa Rate y This 27.73 34.26 2.99 Wage Check N PALM Classification Hours Worked Each Day All Project Projects 4.48 0.00 0.00 0.00 Paid For Week Number SPRINGS LANDS $ 8.00 8.00 8.00 0.00 8.00 0.00 0.00 CA MAINTENANCE 32.00 14.00 448.00 448.00 Trav/ 92258 LABORER O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 TrainingFund Admin Dues Subs Savings Other Total 378.54 26275/6 0.00 21.00 009 i D 0.00 0.00 0.00 o.00 000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 69.46 o.00 ze.00 NOTE: Public Works certified Payroll Reporting Form 07/12/2019 - Page 2 Public Works Certifiecfl,yroll Reporting Form Contractor Name: PWLC II, INC. I - Project Name: LANDSCAPE &LIGHTING DISTRICT 89-1 - - - -- - - - - -- - - - - For Week Ending: 07/07/2019 � - - Payroll Number:1-0 Name, Address and Number of Social5ecurlty Number of Worker Withholding Day - - - -- Mon Tun Wed Thu Frl it Sun Deductions, Contributions, and Payments ROSENDO FLORES 3 Date Gross Amount Federal State 15687 PALM DR #76 Work Total Hourly Earned Tax 07/01 07/02 07/03 07/04 07/05 07/06 07/07 Hours FICA Vac/ Health Tax SDI Holiday 8, Welf. Pension Net DESERT HOT SPRINGS Classification Pay Rate This Ali 0.00 Hours Worked Each Day 25.70 0.00 3.36 0,00 Wage Check LANDSCAPE Project Projects S 0.00 8.00 0.00 0.00 Paid For Number CA MAINTENANCE 8.00 0.00 8.00 0.00 0.00 24.00 14.00 336.00 Week 92240 LABORER 336.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Training Fund Dues Trav/ 306.94 0.00 21.00 Admin Subs Savings Other Total 26271 NOTE: p 0.00 0,00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 28.00 0.00 0.00 0.00 0.00 0.00 29.08 Name, Address and Number of Day Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Deductions, Contributions, and Payments SALVADOR AZA MARTINEZ 5 Dale Gross Amount Federal State 15225 PALM DR #1 Work Total Earned Tax 07/01 07/02 07/03 07/04 07/05 07/06 FICA Vac/ Health Tax SDI Holiday $ Welf. Pension Net DESERT HOT SPRINGS Classification 07/07 Hours Pay R to This All 0.00 Hours Worked Each Day 36.72 0.00 4.80 0.00 0.00 Wage Check PW For CA Project Projects LANDSCAPE S 8.00 8.00 8.00 0.00 8.00 0.00 0.00 Number Week MAINTENANCE 0.00 32.00 15.00 480.00 480.00 92240 LABORER O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Training �AdrninDues Trav/ Savings Other 438.48 26268 0.00 22.50 Subs Total NOTE: I 00 0.00 0.00 0.00 0.00 p 0.00 0.00 0.00 0.0.00 30.00 0.00 0.00 0.00 0.00 0.00 41.52 Name, Address and Number of pay Social Security Number of Worker Withholding J Mon Tue Wed Thu Fri Sat Sun Deductions, Contributions, and Payments SALVADOR MURILLO LANDEROS 6 Gross Amount Federal Date State 48097 ESTRELLATOMAS Work Total HourlyEarned Tax 07/01 07/02 07/03 07/04 07/05 07/05 FICA Vac/ Health Tax SDI Holiday & Welf. Pension Net COACHELLA Classification 07/07 Hours Pay Rate This All 0.00 Hours Worked Each Day 41.62 0,00 5.44 0.00 0.00 Waga Check D.00 Pald For CA LANDSCAPE S Protect Protects 8.00 8.00 8.00 0.00 8.00 Number Week MAINTENANCE 0.00 0.00 32.00 17.00 544.00 544.00 92236 LABORER U 0.00 0.00 0.00 0.00 0.00 0.00 O.oO Training Fund Dues Trav/ Admin Savings 496,94 26274 0.00 25.50 Subs Other Total NOTE: p o.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.00 0.00 0.00 0.00 0,00 0.00 47,06 Name, Address and Number of Day Social Security Number Of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Deductions, Contributions, and Payments ULLISES FLORES GARCIA 4 Gross Amount Federal Date State 15687 PALM DR #76 Work Earned Total Hourly Tax Ead 07/01 07/02 07/03 07/04 07/05 07/06 Hours 07I07 Vac/ Health FICA Tax SDI Holiday $ Welf. Pension Net DESERT HOT SPRINGS Classification LANDSCAPE oursPay Rale This Ail 5.18 Hours Worked Each Day Project Projects 34.28 0.00 Wage Check For 0.00 0.00 0.00 Paid Number CA S MAINTENANCE 8.00 8.0o 8.00 0.00 8.00 0.00 0.00 Week 92240 LABORER p 32.00 14.00 448.00 448.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Training Fund Dues Trav/ Savings 404.08 26272 0.00 21.00 Admin Subs Other Total NOTE; I p LIM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28,00 0.00 0.00 0.00 0.00 0.00 0.00 43.94 i Public Works certified Payroll Reporting Form 07/12/2019 - Page 31