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2019-10-06 thru 2019-12-29 Cert PayrolleCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at iblicworks@dirca.gov. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 7333968 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: 2019-12-29 Payroll Number: 26 Amendment Number. 1 10 employee payroll record(s) processed Your Transaction ID is: 7334008 View your submission Rt Public Works Certitie llyroll Repitttiuq l'okin Certification under,_ .,aity of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2019-12-29 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2020-01-02." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: 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: 26- 1 For Week Ending: 12/2912019 C Is this a 'Statement of Non -Performance?' Name, Address and Social SecurityNumber of Worker Number of Withholding Day i Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf- Pension Net Wage Paid For Week Check Number 9 Date ALLEN R. FARIAS MONTANO 49968 AVENIDA DE ORO Work Classification 12/23 12124 12/25 12/26 12/27 12/28 12129 This Project 1 All Pro ects j 0.00 25.70 0.00 3.36 56.00 0.00 0.00 Hours Worked Each Day COACHELLA CA 92236 LANDSCAPE MAINTENANCE LABORER S 8.00 4.00 0.00 0.00 8.00 0.00 0.00 20.00 14.00 280.00 336.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 306.94 28011 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 29.06 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 I Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 3 Date APOLINAR GONZALEZ MARTINEZ 31325 AVE LA PALOMA Work Classification 12/23 12124 12125 12/26 12/27 12/28 12/29 Thls Project � All Projects Pro j 1.48 25.70 0.00 3.36 56.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 4.00 0.00 0.00 8.00 0.00 0.00 20.00 14.00 280.00 336.00 Training g Fund Admin Dues Trav/Subs Subs Savings g Other Total Deduct 305.46 28013 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 30.54 p 0.00 0.00 0.00 1 0.00 0.00 0.00 0.00 0.00 ze.00 TE: F 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 Vacl Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 3 Date ARMANDO RICO CHAVEZ 2103 JACQUES DR Work Classification 12123 12/24 12/25 12/26 12/27 12128 12/29 This Project All Projects 15.88 36.72 0.00 4.80 80.00 0.00 0.00 Hours Worked Each Day PALM SPRINGS CA 92262 LANDSCAPE MAINTENANCE LABORER S 8.00 4.00 0.00 0.00 8.00 0.00 0.00 20.00 20.00 400.00 0.00 30.00 0.00 40.00 I 480.00 Train' g Fund Admin Dues Trav/Subs Subs Savin s g Other Total Deduct 422.60 28010 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 57.40 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Public Works Certified Payroll Reporting Form 01/02/2020 - Page Public Works Certifie iyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 12/29/2019 Payroll Number:26-1 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 Earned Tax FICA Tax SDI Holiday & Welf. Pension Net 4 Date y EMILIANO MEDINA Total Hourly Wege Check Work 12/23 12/24 12/25 12126 12/27 12/28 12/29 Hours Pay Rate This All 0.00 27.54 0.00 3,60 60.00 0.00 0.00 Paid For Number 34300 CORREGIDOR DR Classlflcalion Project Projects Week Hours Worked Each Day 1 1 CATHEDRAL CITY LANDSCAPE S 8.00 4.00 0.00 0.00 8.00 0.00 0.00 20.00 15.00 300.00 360.00 Fund Trav/ 328.86 28014 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 31.14 92234 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Social SecurityNumber of Worker Withholding Earned Tax FICA Tax SDI Holiday y & Welf. Pension Net 3 Date LUCIAGARCIA Total Hourly Wage Check Work 12/23 12/24 12/25 12126 12127 12/28 12/29 This All 1.48 25.70 0.00 3.36 56.00 0.00 0.00 Hours Pay Rate Paid For Number 64045 HARVEST MOON RD Classification Project Pro ls Week Hours Worked Each Day 1 1 ec DESERT HOT SPRINGS LANDSCAPE S 8.00 4.00 0.00 0.00 8.00 0.00 0.00 20.00 14.00 280.00 336.00 Fund Trav/ 305.46 28012 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 30.54 92240 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac! Health Social SecurityNumber of Worker Withholding Total Hourly Earned Tax FICA Tax SDI Hollda y & Welf. Pension Net Wage Check 3 Date LUIS E. ALVAREZ SARABIA Work 12/23 12/24 12125 12/26 12/27 12/28 12129 This All 11.08 33.04 5.72 4.32 72.00 0.00 0.00 Hours Pay Rate Paid For Number 45627 SENEGAL PL Classification Pro'ect 1 Pro acts 1 Week Hours Worked Each Day INDIO LANDSCAPE S 8.00 4.00 0.00 0.00 8.00 0.00 0.00 20.00 18.00 360.00 432,00 Trav/ 377.84 28007 CA MAINTENANCE TrainingFund Admin Dues Subs Savings 9 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 54.16 92201 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 I NOTE: Day Deductions, Contributions, and Payments I Name, Address and Number of Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Earned Tax FICA I Tax SDI Holiday & Welf. Pension Net MARCELINO BRIONES 2 Date Total Hourly Wage Check Work 12/23 12124 12/25 12/26 12/27 12/28 12/29 Hours Pay Rate This All 9.75 25.70 0.00 3.36 56.00 0.00 0.00 Paid For Number 50700 CALLE MENDOZA Classification Hours Worked Each Day P Project 1 Pro Projects 1 Week COACHELLA LANDSCAPE S 8.00 4.00 0.00 0.00 8.00 0.00 0.00 20.00 14.00 280.00 336.00 Fund Trav/ 297.19 28009 CA MAINTENANCE Tralnin 9 Admin Dues Subs Savings g Other Total LABORER 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 92236 0.00 0.00 0.00 0.00 0.00 0.00 38.81 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 01/02/2020 - Page Public Works Certifie ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 12/29/2019 Payroll Number:26-1 Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Set Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac! Hollds y Health & Welt. Pension Net Wage Paid For Week Check Number 0 Date PASTOR R. PEREZ NEGRON 67365 ONTINA RD Work Classification 12123 12/24 12/25 12/26 12/27 12/28 12/29 This j ro Project � All Projects ro j 31.63 27.54 5.14 3.60 60.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 4.00 0.00 0.00 8.00 0.00 0.00 20.00 1 15.00 300.00 360.00 Training 9 Fund Admin Dues Subs Subs Savings 9 Other Total 292.09 28016 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 67.91 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 I Health & Welf. Pension I Net Wage Paid For Week Check Number 3 Date ROSA RODRIGUEZ PO BOX 580332 Wort( Classification 12/23 12124 12125 12/26 12/27 12/28 12/29 This Project A[I Projects 1.48 25.70 1.03 3.36 56.00 0.00 0.00 Hours Worked Each Day N PALM SPRINGS CA 92258 LANDSCAPE MAINTENANCE LABORER 8.00 4.00 0.00 0.00 8.00 0.00 0,00TraviS 20.00 14.00 280.00 336.00 Trainin g Fund Admin Dues Subs Subs Savings Other Total 304.43 28017 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 I 0.00 11 0.00 0.00 0.00 0.00 31.57 p o.00 o.00 0.00 0.00 0.00 0.00 0.00 0.00 z6.00 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 N et Wage Paid For Week Check Number 6 Date SALVADOR MURILLO LANDEROS 48097 ESTRELLA TOMAS Work Classlflcalion 12/23 12/24 12/25 12126 12127 12128 12/29 This Project I All Projects I 0.00 31.22 0.00 4.08 68.00 0.00 0.00 Hours Worked Each Day COACHELLA CA 92236 111�p LANDSCAPE MAINTENANCE LABORER S 8.00 4.00 0.00 0.00 8.00 0.00 0.00 20.00 17.00 340.00 408.00 Training Fund Admin Dues Travl Subs Savings Other Total 372.70 28015 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 35.30 0.00 0.00 0.00 1 0.00 0.00 0.00 0.00 0.00 34.00 NOTE: Public Works certified Payroll Reporting Form 01/02/2020 - 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 �` bllr.'works®dlr.ca.go:. 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: 2019-12-22 Payroll Number. 25 Amendment Number. 0 11 employee payroll record(s) processed Your Transaction ID is: 7305645 Print thls Pane View your aubmL�u inn lrka Public Works Certifies yroll Repoi ring Foi Ill Certification under, city 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 2019-12-22 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2019-12-27." 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: 25- 0 For Week Ending: 12/22/2019 (-- Is this a 'Statement of Non -Performance?' Nance, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Gross Amount Earned Hourly Pay Rate This All Project Projects Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Check Paid For Number Week g Date ALLEN R. FARIAS MONTANO 49968 AVENIDA DE ORO Work Classification 12/16 12117 12/18 12/19 12/20 12121 12/22 0.00 42.84 0.00 5.60 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA 92236 lo� 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 Trainln g Fund Admin Dues Trav/ Subs Savings g Other Total Deduct 511.56 27897 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 48.44 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 3 Date APOLINAR GONZALEZ MARTINEZ 31325 AVE LA PALOMA Work Classification 12/16 12117 12/18 12/19 12/20 12/21 12/22 This P Project All ro Projects j 25.62 42.84 3.05 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 g Fund Admin Dues Trav/ Subs Savings g Other Total Deduct 482.89 27899 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 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 Holiday Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 3 Date ARMANDO RICO CHAVEZ 2103 JACQUES DR Work Classification 12/16 12117 12/18 12/19 12/20 12121 12/22 This Project All Projects 68.82 70.38 23.74 9.20 0.00 0.00 0.00 Hours Worked Each Day PALM SPRINGS CA 92262 41109001& 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 747.86 27896 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 0.00 172.14 p 0.00 0.00 0.00 1 0.00 0.00 0.00 0.00 0.00 40.00 NOTE: Public Works certified Payroll Reporting Form 12/27/2019 - Page I Public Works Certifier' yroll Repoi lhgj i'rll ltt Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 12/22/2019 Payroll Number:25-0 Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holida y I Health & Welf. Pension Net Wage Paid For Week Check Number 4 Date EMILIANO MEDINA 34300 CORREGIDOR DR CATHEDRAL CITY CA 92234 Work Classification 12/16 12117 12118 12/19 12/20 12121 12122 This Project All Projects 20.73 45.90 2.31 6.00 0.00 0.00 0.00 Hours Worked Each Day LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Training Fund Admin Dues Travl Subs Savings Other Total 525.06 27900 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 74.94 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 'A 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 Wag Paid For Week Check Number 4 Date LETICIA BONILLA 33477 NAVAJO TR #B Work Classification 12/16 12/17 12/18 12119 12/20 12121 12/22 This Project All Projects 0.00 36.72 0.00 4.80 0.00 0.00 0,00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE S 8.00 0.00 8.00 V 8.00 ! 8.00 0.00 0.00 32.00 15.00 480.00 480.00 Training gAdmin Fund Dues Trav/Subs SubsLABORER Other Total43B.48 27894 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 F 0.00 41.52 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 3 Date LUCIAGARCIA 64045 HARVEST MOON RD Work Classification 12116 12/17 12/18 12/19 12/20 12/21 12122 This Project All Projects 25.62 42.84 3.05 5.60 0.00 1 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 1 560.00 560.00 Training g Fund Admin Dues Travl Subs Savings g Other Total 482.89 27898 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 p o.00 0.00 0.00 0.00 0.00 0.00 o.00 o.o0 2B.ao NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac! Holiday Health & Well. Pension Net Wage Paid For Week Check Number 3 Date LUIS E. ALVAREZ SARABIA 45627 SENEGAL PL Work Classification 12/16 12117 12/18 12119 12/20 12/21 12/22 This Project All Projects 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 Tini ran g Fund Admin Dues Subs Subs Savin s g Other Total 594.87 27893 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 0.00 125.13 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: Public Works certified Payroll Reporting Form 12/27/2019 - Page 2 Public Works Certifier' yroll Repoi tiliq Foi ni Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 12/22/2019 Payroll Number:25-0 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 H011day Health & Wolf . Pension Net Wage Paid For Week Check Number I 2 Date MARCELINO BRIONES 50700 CALLE MENDOZA Work Classification 12/16 12/17 12/18 12119 12/20 12/21 12/22 This Pro j Project All Pro ects j 35.32 42.84 5.55 5.60 1 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 27895 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 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 Holiday& Health Welf. Pension Net Wage Paid For Week Check Number PASTOR R. PEREZ NEGRON 67365 ONTINA RD CATHEDRAL CITY CA 92234 0- Date Work Classification 12/16 12/17 12/18 12119 12/20 12/21 12/22 This Project All Projects 60.50 45.90 13.30 6.00 0.00 0.00 0.00 Hours Worked Each Day LANDSCAPE MAINTENANCE LABORER S 8.00 0.00 8.00 8.00 8.00 0.00 0.00 32.00 15.00 480.00 600.00 Trainin 9 Fund Admin Dues Trav/ Subs Savin gs Other Total 474.30 27902 Q 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 0.00 125.70 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 30.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI I Vac/ Holiday Health & Wolf. Pension Net Wage Paid For Week Check Number 3 Date ROSA RODRIGUEZ PO BOX 580332 Work Classification 12/16 12/17 12/18 12/19 12/20 12/21 12/22 This Project 1 All Pro ects j 25.62 42.84 8.04 5.60 0.00 0.00 0.00 Hours Worked Each Day N PALM SPRINGS CA 92258 doommo LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Training g Fund Admin Dues Subs Subs Savings g Other Total 477.90 27903 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 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 28.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Man Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holds Health & Waif. Pension Net Wage Paid For Week Check Number 6 Date SALVADOR MURILLO LANDEROS 48097 ESTRELLA TOMAS Work Classification 12/16 12/17 12/18 12/19 12/20 12/21 12122 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 Subs Savings g Other Total 621.18 27901 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 �354 0.00 0.00 0.00 0.00 0.00 0.00 58.82 p O.DO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Public Works certified Payroll Reporting Form 12/27/2019 - Page 3 eCPR Online Confirmation Your payroll submission request has been processed. OlEme review the results of your submission. Should you have any questions please contact the eCPR unit at 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: 2019-12-15 Payroll Number. 24 Amendment Number: 0 11 employee payroll record(s) processed Your Transaction ID is: 7305320 P—rIr�Pgg View your submissiQn kd �' Public Works Certified Payroll Reportiiiq Fottrt Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC 11, 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 2019-12-15 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 2019-12-27." 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: 24- 0 For Week Ending: 12/15/2019 �- Is this a 'Statement of Non -Performance?' Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State VIld Health 9 Date Earned Tax FICA Tax SDI Holiday & Welf. Pension Net ALLEN R. FARIAS MONTANO Total Hourly Wage Check Work 12/09 12/10 12/11 12112 12113 12/14 12/15 Hours Pay Rate This All 0.00 42.84 0.00 5.60 0.00 0.00 0,00 Paid For Number 49968 AVENIDA DE ORO Classification Hours Worked Each Day Project Projects Week COACHELLA LANDSCAPE S 8.00 8.00 B.00 8.00L-0 0.00 0.00 40.00 14.00 560.00 560.00 Fund Trav/Subs Total 511.56 27861 CA MAINTENANCE Training Dues 9 Admin Subs Savings 9 Other Deduct LABORER O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 92236 0.00 0.00 0.00 0.00 0.00 0.00donamm 48.44 D 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 Federal State Vac! Health Social SecurityNumber of Worker Withholding Total Hourly Earned Tax FICA Tax SDI Holiday & Welf, Pension Net Wage Check 3 Date APOLINAR GONZALEZ MARTINEZ Hours Pay Rate Paid For Number Work 12/09 12/10 12/11 12/12 12113 12/14 12/15 This All 25.62 42.83 3.05 5.60 0.00 0.00 0.00 31325 AVE LA PALOMA Classification Pro'ect / ro / Pects I Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 0.00 0.00 0.00 32.00 14.00 448.00 560'00 Fund Trav/Subs Total 482.90 27863 CA MAINTENANCE Trainin 9 Admin Dues Subs Savings 9 Other Deduct O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 77.10 92234 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Number of Day Deductions, Contributions, and Payments Name, Address and Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vacl Health Net Total Hourly Earned Tax FICA Tax SDI I HalEday & We If. Pension Wage Check 3 Date ARMANDO RICO CHAVEZ Hours Pay Rate Paid For Number Work 12109 12/10 12/11 12/12 12113 12114 12/15 This All 72.42 72.69 25.99 9.50 0.00 0.00 0.00 2103 JACQUES DR Classification Project Projects Week Hours Worked Each Day PALM SPRINGS LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 950.00 950.00 Fund Travl Total 769.40 27860 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct O 0.50 1.00 0.00 2.00 1.50 0.00 0.00 5.00 30.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 1e0.60 szzsz 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 :7/2019 - Page 1 Public Works Certified Payroll Repciiing hoitll Contractor Name: PWLC II, INC. Name, Address and Number of Social Security Number of Worker Withholding 4 EMILIANO MEDINA Work Classification 34300 CORREGIDOR DR CATHEDRAL CITY LANDSCAPE CA MAINTENANCE LABORER 92234 NOTE: Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 12/15/2019 Payroll Number:24-0 Deductions, 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 Date 12/09 12/10 12/11 12112 12113 12/14 12/15 This Project All Projects 8.38 36.72 0.00 4.80 0.00 0.00 0.00 Hours Worked Each Day 0.00 B.00 B.00 B.00 8.00 0.00 0.00 15.00480.00 480.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 430.10 27864 0.00 0.00 0.00 0.00 0.00 0.00 0.0022.50 L32.00 0.00 0.00 0.00 0.00 0.00 0.00 49.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.001 Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac! Holiday y Health & Welf. Pension Net Wage Paid For Week Check Number 4 Date LETICIA BONILLA 33477 NAVAJO TR #B Work Classification 12/09 12/10 12/11 12112 12113 12/14 12/15 This Project 1 All Projects 1 0.00 36.72 0.00 4.80 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 0.00 0.00 0.00 32.00 15.00 480.00 480.00 Training g Fund Admin Dues Trav/ Subs Savings 9 Other Total 438.48 27858 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 41.52 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holida y Health & Waif. Pension Net Wage Paid For Week Check Number 3 Date LUCIA GARCIA 64045 HARVEST MOON RD DESERT HOT SPRINGS CA 92240 Work Classification 12/09 12/10 12/11 12/12 12/13 12114 12/15 This Project / All Projects / 25.62 42.84 3.05 5.60 0.00 0.00 0.00 Hours Worked Each Day LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 B.00 0.00 8.00 0.00 0.00 32.00 14.00 448.00 560.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 482.89 27862 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 SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and 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 LUIS E. ALVAREZ SARABIA 45627 SENEGAL PL Work Classification 12/09 12110 12111 12/12 12/13 12/14 12/15 This Project All Projects 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 27857 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 0.00 125.13 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 _7/2019 - Page 2 Public Works Certified Payroll Reporting Fotm Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 12/15/2019 Payroll Number:24-0 Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Gross Amount Hour Earned y Pay Rate This All Project Pjects 1 ro1 Federal Tax FICA State Tax SDI Vac/ Holiday Health & Waif. pension Net Wage 9 Paid For Week Check Number MARCELINO BRIONES 50700 CALLE MENDOZA 2 Date Work Classification 12109 12/10 12/11 12/12 12/13 12/14 12/15 35.32 42.83 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 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 470.70 27859 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 89.30 p 0.00 0.00 0.00 0.00 0.00 0.00 10.00 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 & Welf. Pension Net Wage Paid For Week Check Number PASTOR R. PEREZ NEGRON 67365 ONTINA RD CATHEDRAL CITY CA 92234 0 Date Work Classification 12/09 12/10 12/11 12/12 12/13 12114 12115 This Project / All Projects � 60.50 45.90 13.30 6.00 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 15.00 480.00 600.00 Trainin 9 Fund Admin Dues Trav! Subs Savings 9 Other Total 474.30 27866 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 125.70 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 Vacl Holida y Health & Waif. Pension Net Wage Paid For Week Check Number 3 Date ROSA RODRIGUEZ PO BOX 580332 N PALM SPRINGS CA 92258 diono� Work Classification 12/09 12/10 12/11 12112 12113 12/14 12/15 This Pro act j All Pacts ro j 25.62 42.84 8.04 5.60 0.00 0.00 0.00 Hours Worked Each Day LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 0.00 8.00 0.00 0.00 32.00 14.00 448.00 560.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 477.90 27867 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 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 & Waif. Pension Net Wage Paid For Week Check Number 6 Date SALVADOR MURILLO LANDEROS 48097 ESTRELLA TOMAS Work Classification 12/09 12/10 12/11 12/12 12/13 12/14 12/15 This Project All Projects 0.00 52.99 0.00 6.93 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA 92236 4000 LANDSCAPE MAINTENANCE LABORER S 6.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 17.00 692.75 692.75 Training 9 Fund Admin Dues Trav/ Subs Savings g Other Total 632.83 27865 Q 0.00 0.00 0.00 0.50 0.00 0.00 0.00 0.50 25.50 0.00 0.00 0.00 0.00 0.00 0.00 59.92 p 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 !7/2019 - Page 3 eCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at lbllcworks®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: 2019-12-08 Payroll Number: 23 Amendment Number: 0 11 employee payroll record(s) processed Your Transaction ID is: 7225337 Print this Pag2 View your submission Public Works Certifier' wroll Reotitlbiq Ilttl Certification under, dlty 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 2019-12-08 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 2019-12-13." 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 MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 23- 0 For Week Ending: 12/0812019 Is this a'Statement of Non -Performance?' Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holida Y Health & Wolf. Pension Net Wage Paid For Week Check Number 9 Date ALLEN R. FARIAS MONTANO 49968 AVENIDA DE ORO Work Classification 12/02 12/03 12/04 12/05 12/06 12/07 12/08 This Project 1 All Projects 1 0.00 34.28 0.00 4.48 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA 92236 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 0.00 8.00 8.00 0.00 0.00 32.00 14.00 448.00 448.00 Training g Fund Admin Dues Trav/ Subs s Savings Other Total Deduct 409.24 27740 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 o.00 6.o0 0.00 0.00 0.00 0.00 0.00 0.00 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 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 APOLINAR GONZALEZ MARTINEZ 31325 AVE LA PALOMA Work Classification 12/02 12103 12/04 12105 12/06 12107 12/08 This Project 1 All Projects 13.26 34.29 0.00 4.48 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 0.00 8.00 8.00 0.00 0.00 32.00 14.00 448.00 448.00 Training g Fund Admin Dues Trav/ Subs Savings Other Total Deduct 395.97 27742 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 52.03 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vacl Holiday Health & Welf. Pension Net Wege Paid For Week Check Number ARMANDO RICO CHAVEZ 2103 JACQUES DR 3 Date Work Classification 12/02 12/03 12/04 12/05 12/06 12/07 12/08 This Project / All Projects Projects 46.02 55.84 11.20 7.30 0.00 0.00 0.00 Hours Worked Each PALM SPRINGS CA 922621. MAINTENANCE LABORER LANDSCAPEtDo. 8.00 0.00 8.00 8.00 0.00 0.00 32.00 20.00 730.00 730.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 609.64 27739 1.00 0.00 1.00 0.00 0.00 0.00 3.00 30.00 0.00 0.00 0.00 0.00 0.00 0.00 120.36 0.00 0.00 1 0.00 0.00 0.00 0.00 0.00 40.00 NOTE: Public works certified Payroll Reporting Form 12/13/2019 - Page 1 Public Works Certifier- 'yroll Repr•.,iit;rf f-Am Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 12/08/2019 Payroll Number:23-0 Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holida y Health & Wolf. Pension Net Wage Paid For Week Check Number 4 Date EMILIANO MEDINA 34300 CORREGIDOR DR Work Classification 12/02 12/03 12/04 12/05 12/06 12/07 12/08 Thls Project 1 All Pro acts 1 11.76 39.30 0.00 5.14 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 0.00 8.00 8.00 0.00 0.00 32.00 15.00 513.75 513.75 Training Fund Admin Dues Trav/ Subs Savings Other Toal 457.55 27743 Q 0.00 0.00 0.00 0.50 1.00 0.00 0.00 1.50 22.50 0.00 0.00 0.00 0.00 0.00 0.00 :56 20 p 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 Vacl Holida y Health & Waif. Pension Net Wage Paid For Week Check Number 4 Date LETICIA BONILLA 33477 NAVAJO TR #B Work Classification 12/02 12/03 12/04 12105 12/06 12/07 12/08 This jProect All Projects � 0.00 35.57 0.00 4.65 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 7.00 8.00 0.00 8.00 8.00 0.00 0.00 31.00 15.00 465.00 465.00 Trainin g Fund Admin Dues Trav/ Subs Savings Other Total 424.78 27737 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 40.22 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 Hourly Gross Amount Federal Earned 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 12102 12/03 12/04 12/05 12/06 12/07 12/08 Hours Pay Rate This Project 1 All Projects 1 14.31 35.08 0.00 4.59 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 0.00 8.00 8.00 0.00 0.00 32.00 14.00 458.50 458.50 Trainin Fund Admin Dues Trav/ Subs Savings Other Total 404.52 27741 O 0.00 0.00 0.00 0.50 0.00 0.00 0.00 0.50 21.00 0.00 0.00 0.00 0.00 0.00 0,00 53.98 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 I Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vacl Hollda Y Health & Walf. Pension Net Wage Paid For Week Check Number LUIS E. ALVAREZ SARABIA 45627 SENEGAL PL 3 Date Work Classification 12/02 12103 12/04 12/05 12/06 12107 12/08 This Project 1 All Projects 1 27.54 44.07 11.24 5.76 0.00 0.00 0.00 Hours Worked Each Day INDIO CA 92201 i LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 0.00 8.00 8.00 0.00 0.00 32.00 18.00 576.00 576.00 Training 9 Fund Admin Dues Trav/ Subs Savings g Other Total 487.39 27736 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 88.61 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: Public Works certified Payroll Reporting Form 12/13/2019 - Page 2 Contractor Name: PWLC II, INC. Public Works Certifier~ --iyroll Repnttiiiq Fomi Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 12/08/2019 Payroll Number:23-0 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 Tex FICA State Tax SDI Vac/ Hollda y Health & Welf. Pension Net Wage Paid For Week Check Number 2 Date MARCELINO BRIONES 50700 CALLE MENDOZA COACHELLA CA 92236 Work Classification 12/02 12/03 12/04 12/05 12/06 12107 12/08 This Project All Projects 21.88 34.29 1.19 4.48 0.00 0.00 0.00 Hours Worked Each Day LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 0.00 8.00 B.00 0.00 0.00 32.00 14.00 448.00 448.00 Training 9 Fund Admin Dues Subs Subs Savings 9 Other Total 386.16 27738 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 61.84 0.00 0.00 0.00 0.00 0.00 0.00 o.ao 2e.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vacl Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date PASTOR R. PEREZ NEGRON 67365 ONTINA RD Work Classification 12/02 12/03 12/04 12/05 12/06 12107 12/08 This Project All Projects 46.10 36.72 8.02 4.80 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 0.00 8.00 8.00 0.00 0.00 32.00 15.00 480.00 480.00 Training 9 Fund Admin Dues Subs Subs Savin s g Other Total 384.36 27745 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 95.64 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 Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 3 Date ROSARODRIGUEZ PO BOX 580332 Work Classification 12/02 12/03 12/04 12/05 12/06 12/07 12/08 This Project All Projects 13.26 34.28 3.69 4.48 0.00 0.00 0.00 Hours Worked Each Day N PALM SPRINGS CA 92258 LANDSCAPEt MAINTENANCE LABORER 6.00 0,00 8.00 8.00 0.00 0.00 32.00 14.00 448.00 448.00 Training g Fund Admin Dues Travl Subs Savin s g Other Total 392.29 27746 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 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vacl Holiday Health & Welf. Pension Net Wage Paid For Week Numeck ber g Date SALVADOR MURILLO LANDEROS 48097 ESTRELLA TOMAS Work Classification 12/02 12/03 12/04 12/05 12/06 12/07 12/08 This Project All Projects 0.00 31.21 0.00 4.08 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA 92236 mossoft LANDSCAPE MAINTENANCE LABORER S 0.00 8.00 0.00 8.00 8.00 0.00 0.00 24.00 17.00 408.00 408.00 Training Admin Dues Subs Savings Other Total 372.71 27744 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 35.29 p 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 12/13/2019 - Page 3 eCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2019-12-01 Payroll Number: 22 Amendment Number: 0 11 employee payroll record(s) processed Your Transaction ID is: 7148647 Print this Page View your submission Adobe Public Works Certifie, yroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC Il, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2019-12-01 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 2019-12-04." 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: 22- 0 For Week Ending: 12/01/2019 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 Pa Rate Y 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 11/25 11126 11/27 11/28 11/29 11I30 12/01 ThisF Project 0.00 25.70 0.00 3.36 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA 92236 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 0.00 0.00 0.00 0.00 24.00 14.00 336.00 336.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 306.94 27705 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 29.06 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac! Holiday Health & Welf. I Pension Net Wage Paid For Week Check Number 3 Date APOLINAR GONZALEZ MARTINEZ 31325 AVE LA PALOMA Work Classification 11/25 11/26 11/27 11/28 11/29 11/30 12/01 This Project All Projects 0.00 23.86 0.00 3.12 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 0.00 0.00 0.00 0.00 24.00 13.00 312,00 312.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 285.02 27707 D 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 26.98 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 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 Neeck Wage Paid For Week Number 3 Date ARMANDO RICO CHAVEZ 2103 JACQUES DR Wok Classification 11125 11/26 11/27 11/28 11/29 11/30 12/01 This Project All Projects 34.02 48.21 6.13 6.30 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 4.50 0.00 0.00 28.50 20.00 630.00 630.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 1 Deduct 535.34 27704 D 1.00 1.00 0.00 0.00 0.00 0.00 0.00 2.00 30.00 0.00 0.00 0.00 0.00 0.00 0.00 94.66 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 12/04/2019 - Page 1 Public Works Certified yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 12/01/2019 Payroll Number:22-0 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 Hea€lh &Welt. Pension Net Wage Paid For Week Check Number EMILIANO MEDINA 34300 CORREGIDOR DR 4 Date Work Classification 11/25 11/26 11/27 11/28 11/29 11/30 12/01 This Project All Projects 0.00 27.54 0.00 3.60 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 0.00 0.00 0.00 0.00 24.00 15.00 360.00 360.00 Training 9 Fund Admin TravtDues Subs Subs Savings 9 Other Total 328.86 27708 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 31.14 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 4 Date LETICIA BONILLA 33477 NAVAJO TR #B Work Classification 11/25 11/26 11/27 11/28 11129 11/30 12/01 This Project All Projects 0.00 32.70 0.00 4.28 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER $ 8.00 8.00 8.00 0.00 4.50 0.00 0.00 28.50 15.00 427.50 427.50 Training Fund Admin Dues Trav/ Subs Savings Other Total 390.52 27702 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 36.98 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 & We If. Pension Net Wage Paid For Week Check Number 3 Date LUCIAGARCIA 64045 HARVEST MOON RD Work Classification 11/25 11/26 11/27 11/28 11/29 11/30 12/01 This Project AI[ Projects 2.06 25.70 0.00 3.36 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 0.00 0.00 0.00 0.00 16:00 14.00 224.00 336.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 304.88 27706 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 11 0.00 31.12 p 0.00 o.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 11/25 11/26 11/27 11128 11/29 11/30 12/01 This Project I All Projects 11.66 33.04 5.83 4.32 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 0.00 0.00 0.00 24.00 18.00 432.00 432.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 377.15 27701 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 54.85 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: Public Works certified Payroll (reporting Form 12/04/2019 - Page 2 Public Works Certifie yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 ! For Week Ending: 12/01/2019 Payroll Number:22-0 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 2 Date MARCELINO BRIONES 50700 CALLE MENDOZA Work Classification 11/25 11/26 11/27 11/28 11/29 11130 12/01 This Project All Projects 10.14 25.69 0.00 3.36 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA 92236 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 0.00 0.00 0.00 0.00 24.00 14.00 336.00 336.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 296.61 27703 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.007 0.00 0.00 0.00 0.00 0.00 39.19 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 Pa Rate y Gross Amount Earned Federal Tax FICA State Tax SDI Vac! Holiday Health & Welf. pension Net Wage Paid For Week Check Number 0 Date PASTOR R. PEREZ NEGRON 67365 ONTINA RD Work Classification 11/25 11/26 11/27 11/28 11/29 11/30 12/01 This Project All Projects 31.70 27.54 5.25 3.60 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 0.00 0.00 0.00 0.00 24.00 15.00 360.00 360.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 291.91 27710 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 68.09 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 I State Tax SDI I Vae/y Hallda Health &Welt. Pension Net Wage Paid For Week Check Number 3 Date ROSARODRIGUEZ PO BOX 580332 Work Classification 11/25 11/26 11/27 11/28 11129 11/30 12/01 This Project All Projects 2.06 25.70 1.23 3.36 0.00 0.00 0.00 Hours Worked Each Day N PALM SPRINGS CA 92258 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 0.00 0.00 0.00 0.00 24.00 14.00 336.00 336.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 303.65 27711 t 0.000.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 32.35 0.00 0.00 1 0.00 0.00 0.00 0.00 0.0o zs.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health 8 Welf. Pension Net Wage Paid For Week Check Number 6 Date SALVADOR MURILLO LANDEROS 48097 ESTRELLA TOMAS Work Classification 11/25 11/26 11/27 11/28 11/29 11/30 12/01 This Project Alt Projects 0.00 31.22 0.00 4.08 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA 92236 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 0.00 0.00 0.00 0.00 24.00 17.00 408.00 408.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 372.70 27709 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 35.30 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 34.00 NOTE: Public Works certified Payroll Reporting Form 12/04/2019 - Page 3 eCPR Online Confirmation Your payroll submission request has been processed. Olease review the results of your submission. Should you have any questions please contact the eCPR unit at bi[r,Norks@dlr.ra.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: 2019-11-24 Payroll Number. 21 Amendment Number. 0 11 employee payroll record(s) processed Your Transaction ID is: 7119641 PrInt This Pegg 97-.- View your submission 7 Public Works Certifies' yroll Repoilinq Votiu 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 2019-11-24 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2019-11-29." Contractor Name: PWLC ll, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: WSD 5029463 Awarding Body: CITY OF LA QUINTA Contract With: CITY OF LA QUINTA Payroll Number: 21- 0 DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS For Week Ending: 11/24/2019 n Is this a 'Statement of Non -Performance?' Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vacl Holiday Health & Welf. Pension Net Wage Paid For Week Check Number g Date ALLEN R. FARIAS MONTANO 49968 AVENIDA DE 0RO Work Classification 11/18 11/19 11120 11121 11/22 11/23 11/24 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 g Fund Admin Dues Trav/ Subs Savin g s Other Total Deduct 511.56 27592 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 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vacl Holiday Health $ WeIF. Pension Net Wage Paid For Week Check Number 3 Date APOLINAR GONZALEZ MARTINEZ 31325 AVE LA PALOMA Work Classification 11/18 11/19 11/20 11/21 11/22 11123 11/24 This Project All Projects 0.00 15.92 0.00 2.08 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 8.00 0.00 0.00 16.00 13.00 208.00 208.00 Training Fund Admin Dues Trav! Subs Savings Other Total Deduct 190.00 27594 O 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 18.00 p 1 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 Vac/ Holiday I Health & Welf. pension I Net Wage Paid For Week Check Number 3 Date ARMANDO RICO CHAVEZ 2103 JACQUES DR Work Classification 11/18 11/19 11/20 11/21 11/22 11/23 11/24 This Protect All Projects 70.62 71.52 24.73 9.35 0.00 0.00 0.00 Hours Worked Each Day PALM SPRINGS LANDSCAPE CA MAINTENANCE LABORER 92262 S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 935.00 935.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 758.78 27591 Q 1.00 1.00 1.00 1.00 0.50 0.00 0.00 4.50 30.00 0.00 0.00 0.00 0.00 0.00 0.00 176.22 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 11/29/2019 - Page 1 Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 11/24/2019 Payroll Number: 21-0 Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vacl Holiday Health & Wolf. Pension Net Wage Paid For Week Check Number 4 Date EMILIANO MEDINA 34300 CORREGIDOR DR Work Classification 11/18 11119 11120 11121 11/22 11/23 11/24 This Project All Projects 20.73 45.90 2.31 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 raining g Fund Admin Dues Trav/Subs Subs Savings 9 Other Total 525.06 27595 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 74.94 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: I Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SD! Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 4 Date LETICIABONILLA 33477 NAVAJO TR #B Work Classification 11/18 11/19 11/20 11/21 11/22 11/23 11/24 This Project All Projects 0.00 36.72 0.00 4.80 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 0.00 0.00 0.00 32.00 15.00 480.00 480.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 438.48 27589 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 41.52 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vacly Holida Health & Well, Pension Net Wage Paid For Week Check Number 3 Date LUCIA GARCIA 64045 HARVEST MOON RD Work Classification 11/18 11/19 11120 11/21 11/22 11/23 11/24 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 0.00Fund 40.00 14.00 560.00 560.00 Training Admin Dues Subs Savings Other Total 482.89 27593 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 28.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Hollday Health & Welf. Pension Net Wage Paid For Week Check Number 3 Date LUIS E. ALVAREZ SARABIA 45627 SENEGAL PL Work Classification 11/18 11119 11/20 11/21 11/22 11/23 11/24 This Project All Projects 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 8.00 7.00 0.00 0.00 39.00 18.00 702.00 702.00 Training Admit Dues Subs Savings Other Total 581.78 27588 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: Public works certified Payroll Reporting Form 11/29/2019 - Page 2 Public Works Certifier' ,yroll Reporting Forrli Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 11/24/2019 Payroll Number: 21-0 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 Hri.,cla & Welf. Pension Net 2 Date y MARCELINO BRIONES Total Hourly Wage Check Work 11118 11/19 11120 11121 11/22 11/23 11/24 Hours Pay Rate This All 26.08 36.95 2.16 4.83 0.00 0.00 Paid For Number 50700 CALLE MENDOZA Classification - Pro ect Pro ects Week Hours Worked Each Day 1 1 7 COACHELLA LANDSCAPE S 2.50 8.00 8.00 8.00 8.00 0.00 0.00 34.50 14.00 483.00 483.00 1 Fund 1 Trav/ 412.98 27590 CA MAINTENANCE Training 9 Admin Dues Subs Savings 9 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 70.02 92236 0.00 0.00 0.00 0.00 0.00 o.00 0.00 2e.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Social SecurityNumber of Worker Withholding Total Hourly Earned Tax FICA Tax I SDI Holiday I & Wolf. Pension Net Wage Check 0 Date PASTOR R. PEREZ NEGRON Work 11/18 11/19 11120 11/21 11/22 11/23 11/24 This All 60.50 45.90 13.30 6.00 0.00 0.00 0.00 Hours Pay Rate Paid For Number 67365 ONTINA RD Classification Project Protects Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Fund 474.30 27597 CA MAINTENANCE Trainln 9 Admin Dues Subs Subs Savin s 9 Other Total Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 125.70 92234 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Social Security Number of Worker tY Withholding Total Hourly Earned Tax FICA Tax SDI Holiday & Welf. Pension Net Wage Check 3 Date ROSARODRIGUEZ Work 11/18 11/19 11120 11/21 11/22 11/23 11/24 This All 25.62 42.83 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/ 477.91 27598 CA MAINTENANCE Training 9 Admin Dues Subs Savin s 9 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 82.09 92258 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 Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal Slate Vac/ Health Net Total Hourly Earned Tax FICA Tax SDI Holiday 8 Welf. Pension Wage Check 6 Date SALVADOR MURILLO LANDEROS Work 11/18 11119 11/20 11/21 11/22 11/23 11/24 This All 0.00 50.08 0.00 6.55 0.00 0.00 0.00 Hours Pay Rate Paid For Number 48097 ESTRELLA TOMAS ClasslFlcation Project Projects Week Hours Worked Each Day COACHELLA LANDSCAPE S 8.00 8.00 8.00 8.00 6.50 0.00 0.00 38.50 17.00 654.50 654.50 Fund Trav/ 597.87 27596 CA MAINTENANCE Training 9 Admin Dues Subs Savin s g Other Total Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 56.63 92236 p 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 11/29/2019 - Page .,.,......�... err..,,.....,.. 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: 2019-11-17 Payroll Number: 20 Amendment Number: 0 16 employee payroll record(s) processed Your Transaction ID is: 7053939 Print this Page View your submission Adobe https://efiling.dir.ca.gov/eCPR/pages/eCPROnlineFormPreFill.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 Il, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2019-11-17 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. 1 certify this on 2019-11-19." 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: 20- 0 - For Week Ending: 11/17/2019 - Is this a 'Statement of Non -Performance?' Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Social Security Number of Worker Withholding 3 Date AGUSTIN RUBIO PIEDRA Total Hourly Wage Check Work 11/11 11/12 11/13 11/14 11/15 11/16 11117 This All 2.52 37.82 0.00 4.94 0.00 0.00 0.00 Hours Pay Rate Paid For Number 67321 MISSION DR CATHEDRAL CITY Classification Project Projects Week Hours Worked Each Day LANDSCAPE S 0.00 0.00 0.00 3.00 0.00 0.00 0.00 3.00 12.36 37.08 494.40 Fund Trav/ Total 449.12 27546 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduc t O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.54 18 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 45.28 92234 .00 p 0.00 0.00 0.00 0.0o 0.00 1 0.00 0.00 0.00 24.72 1 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 9 Date ALLEN R. FARIAS MONTANO Total Hourly Wage Check Work 11/11 11/12 11/13 11/14 11/15 11116 11/17 This All 0.00 34.28 0.00 4.48 0.00 0.00 0.00 Hours Pay Rate Paid For Number 49968 AVENIDA DE ORO COACHELLA Classification Project 1 Projects 1 Week Hours Worked Each Day 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/ Total 409.24 27558 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 38.76 92236 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: �7q Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Earned Federal Tax FICA I State Tax SDI Vac/ Holiday Health & Welf. Pension Net Social Security Number of Worker Withholding 3 Dale ARMANDO RICO CHAVEZ Total Hourly Wage Check Work 11/11 11/12 11/13 11/14 11/15 11/16 11/17 This All 46.02 55.86 11.20 7.30 0.00 0.00 0.00 Hours Pay Rate Paid For Number 2103 JACQUES DR Classification Project Projects Week Hours Worked Each Day PALM SPRINGS LANDSCAPE S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 20.00 730.00 730.00 Fund Trav/ Total 609.62 27557 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct O 0.00 1.00 1.00 1.00 0.00 0.00 0.00 3.00 30.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 120.38 92262 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.00 NOTE: Public works certified Payroll Reporting Form 11/19/2019 - Page 1 Public Works Certifie yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 11/17/2019 Payroll Number:20-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Earned Federal Tax FICA State Tax SDI Vaul Holiday Health & Welf. Pension Net 1 Date EDUARDO VAZOUEZ BECERRA Total Hourly Wage Check Work 11/11 11M2 11/13 11/14 11/15 11/16 11/17 This All 10.83 31.82 1.18 4.16 0.00 0.00 0.00 Hours Pay Rate Paid For Number 48605 EL CASTILLO RD COACHELLA Classification Project Projects Week Hours Worked Each Day LANDSCAPE S 0.00 0.00 0.00 3.00 0.00 0.00 0.00 3.00 13.00 39.00 416.00 Fund Trav/ 368.01 27547 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 19.50 LABORER 0.00 0.00 0.00 1 0.o0 0.00 0.00 47.99 92236 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.00 quo� 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 I Vac/ Holiday Health & Welf. Pension Net Social Security Number of Worker Withholding 4 Date EMILIANO MEDINA Total Hourly Wage Check Work 11/11 11/12 11/13 11114 11/15 11116 11/17 This All 8.38 36.72 0.00 4.80 0.00 0.00 0.00 Hours Pay Rate Paid For Number 34300 CORREGIDOR DR CATHEDRAL CITY Classification Project Projects Week Hours Worked Each Day LANDSCAPE S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 15.00 480.00 480.00 Fund Trav/ 430.10 27560 CA MAINTENANCE Training Admin Dues Subs Savings Other Total Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 49.90 92234 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Social Security Number of Worker Withholding 0 Date ERICALVAREZ Total Hourly Wage Check Work 11/11 11/12 11/13 11/14 11/15 11/16 11/17 This All 45.10 36.72 7.02 4.80 0.00 0.00 0.00 Hours Pay Rate Paid For Number 49132 LAS CRUCES ST COACHELLA Classification Project Projects Week Hours Worked Each Day LANDSCAPE S 0.00 0.00 0.00 3.00 0.00 0.00 0.00 3.00 15.00 45.00 480.00 Fund Trav/ 386.36 27538 CA MAINTENANCE Training Admin Dues Subs Savings Other Total Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 93.64 92236 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Social Security Number of Worker Withholding Ea armed Tax FICA Tax SDI Holiday & Welf. Pension Net 8 Date EZEQUIELCORTEZ Total Hourly Wage Check Work 11/11 11/12 11/13 11/14 11/15 11/16 11/17 This All 0.00 31.82 0.00 4.16 0.00 0.00 0.00 Hours Pay Rate Paid For Number 31390 SAN ANTONIO DR Classification Project 1 Projects 1 Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 0.00 0.00 0.00 3.00 0.00 0.00 0.00 3.00 13.00 39.00 416.00 Fund Trav/ 380.02 27540 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 19.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 35.98 92234 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 11/19/2019 - Page 2 Public Works Certifie yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 11/17/2019 Payroll Number:20-0 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 ISAIAHA.RIOS 53740 EISENHOWER DR LA QUINTA 1 Date Work Classification 11/11 11/12 11/13 11/14 11/15 11/16 11/17 This Project All Projects 27.73 31.82 2.99 4.16 0.00 0.00 0.00 Hours Worked Each Day CA 92253 LANDSCAPE MAINTENANCE LABORER S 0.00 0.00 0.00 3.00 0.00 0.00 0.00 3.00 13.00 39.00 416.00 Training Fund Admin Dues Trav! Subs Savings Other Total 349.30 27545 0 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 66.70 D 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 Wlthholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number LETICIA BONILLA 33477 NAVAJO TR #B 4 Date Work Classification 11/11 11112 11/13 11/14 11/15 11/16 11/17 This Project All Projects 0.00 36.73 0.00 4.80 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 15.00 480.00 480.00 Training Fund gdmin Dues Trav/ Subs Savings Other Total 438.47 27555 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 41.53 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun To tal Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & We If. Pension Ne t Wage Paid For Week Check Number LUCIAGARCIA 64045 HARVEST MOON RD 3 Date Work Classification 11/11 11/12 11/13 11/14 11/15 11/16 11117 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 4 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 27559 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 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 Federal FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number LUIS E.ALVAREZ SARABIA 45627 SENEGAL PL Work Classification 11/11 11/12 11/13 11/14 11115 11/16 11/17 This Project All Projects 27.54 44.07 11.24 5.76 1 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 I 8.00 0.00 0.00 32.00 18.00 576.00 576.00 Training Fund gdmin Dues Trav/ Subs Savings Other Total 487.39 27554 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 88.61 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: Public works certified Payroll Reporting Form 11/19/2019 - Page 3 Public Works Certifie, yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 11/17/2019 Payroll Number:20-0 Name, Address and Number ofJO-OO Day Deductions, Contributions, and Payments Social Security Number of Worker Withholdinge Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health MARCELINO BRIONES 2 Date Total Hourly Earned Tax FICA Tax SDI Holiday & Welf. Pension Wa to 50700 CALLE MENDOZA Work 12 11/13 11/14 11/15 11/16 11/17 Hours Pa Rate y This All 21.88 34.28 1.19 4.48 0.00 0.00 0.00 9 Check Paid For Number ClassificationHours Worked Each Day Project Projects Week COACHELLA LANDSCAPE 0 8.00 6.00 8.00 0.00 0.00 24.00 14.00 336.00 448.00 Fund Trav/ 386.17 27556 CA MAINTENANCE Training Admin Dues Subs Savings Other Total 92236 LABORER 0 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 0 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 Federal State Vac/ Health OSCAR ORTEGA MONTES 0 Date Total Hourly Earned Tax FICA Tax SDI Holiday & Welf. Pension Net Wage Check 1528 DR Work 11/11 11/12 11/13 11/14 11/15 11/16 11/17 Hours PayRate This All 61.30 47.06 12.96 6.15 0.00 0.00 0.00 9 Paid For Number Classification Hours Worked Each Day a Project ct Projects Week LTONFILLMORE SALTON CITY IT LANDSCAPE S 0.00 0.00 0.00 2.00 0.00 0.00 0.00 2.00 15.00 30.00 615.00 Fund Trav/ 329.45 27537 CA MAINTENANCE Training Dues Subs Savings Other Total LABORER 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 92274 0.00 tAdmin 0.00 0.00 0.00 158.08 285.55 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 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 PASTOR R. PEREZ NEGRON 0 Date Total Hourly Earned Tax FICA Tax SDI Holiday & Welf. Pension Net Wage Check Work 11/11 11/12 11/13 11/14 11115 11/16 11/17 Hours Pay Rate This All This 46.10 36.72 8.02 4.80 0.00 0.00 0.00 Paid For Number 67365 ONTINA RD CATHEDRAL CITY Classification Hours Worked Each Day Projects Week LANDSCAPE S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 15.00 480.00 480.00 Fund Trav/ 384.36 27562 CA MAINTENANCE Training Admin Dues Subs Savings Other Total 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 LABORER 0.00 22.50 92234 0.00 0.00 0.00 0.00 95.64 0.00 0.00 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sal Sun Gross Amount Earned Federal Tax FICA State I Tax SDI Vac/ Holiday Health & Welf. Pension Net 3 Date ROSA RODRIGUEZ Total Hourly Wage Check Work 11/11 11/12 11/13 11/14 11/15 11/16 11/17 This All 13.26 34.29 3.69 4.48 0.00 0.00 0.00 Hours Pay Rate Paid For Number PO BOX SB0332 N PALM SPRINGS Classification Pro ect 1 Pro acts j Week Hours Worked Each Day 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/ 392.28 27563 CA MAINTENANCE Training Dues Savings Other Total LABORER 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 Admin Subs 92258 0.00 0.00 0.00 0.00 0.00 0.00 55.72 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 11/19/2019 - Page 4 Public Works Certifies yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 11/17/2019 Payroll Number:20-0 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 SALVADOR MURILLO LANDEROS 6 Date Total Earned Hourly Tax FICA Tax SDI Holiday & Welt. Pension Net Wage Check Work 11/11 11/12 11/13 11/14 11/15 11/16 11/17 Hours Pay Rate This All 0.00 40.31 0.00 5.27 0.00 0.00 0.00 Paid For Number 48097 ESTRELLA TOMAS COACHELLA Classification Hours Worked Each Day Project Projects Week LANDSCAPE S 0.00 7.00 8.00 8.00 8.00 0.00 0.00 31.00 17.00 527.00 527.00 Fund Travl 481.42 27561 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 92236 0.00 0.00 0.00 0.00 0.00 0.00 45.58 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.00 1 NOTE: Public works certified Payroll Reporting Form 11/19/2019 - 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 bl1Lvarks%ad 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: 2019-11-10 Payroll Number. 19 Amendment Number. 0 15 employee payroll record(s) processed Your Transaction ID is: 7031176 Print this Pagt t View your submisslon Public Works Certifiec' yroll Reporting Foitti 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 2019-11-10 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2019-11-15." 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: 19- 0 For Week Ending: 11/10/2019 n 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 g Date Earned Tax Tax Holiday & Welf. Total Hourly Wage Check ALLEN R. FARIAS MONTANO 11/04 11/05 11/06 11/07 11/08 11/09 11/10 Hours Pay Rate This All 0.00 42.84 0.00 5.60 0.00 0.00 0.00 PFor Number Work W 49968 AVENIDA DE ORO Classification Hours Worked Each Day Project Projects Week COACHELLA LANDSCAPE S B.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 27450 CA MAINTENANCE Training Admin Dues Subs Savings gs 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 p o.o0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 1 NOTE: Number of Day Deductions, Contributions, and Payments Name, Address and Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal Slate Vecl Health Net Social SecurityNumber of Worker Withholding Total Hourly Earned Tax FICA Tax SDI Holiday & Welf. Pension Wage Check 3 Date ARMANDO RICO CHAVEZ Hours Pay Rate Paid For Number 11104 11/05 11/06 11/07 11/08 11/09 11/10 This All All 68.82 70.37 23.74 9.20 0.00 0.00 0.00 2103 JACQUES DR Work Classification Project Week Hours Worked Each Day PALM SPRINGS LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 920.00 920.00 Fund Trav/ Total 747.87 27449 CA MAINTENANCE Training gdmin Dues Subs Savings Other Deduct 0 1.00 1.00 1.00 1.00 0.00 0.00 0.00 4.00 30.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 1172.13 92262 p 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 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 Vacly Holida Health & Welf. Pension Net Wage aid For PWeek W Check Number 1 Date EDUARDO VAZQUEZ BECERRA 48605 EL CASTILLO RD Work Classification 11/04 11/05 11106 11/07 11/08 11/09 11110 This Project All Projects 36.83 51.71 6.90 6.76 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA LANDSCAPE MAINTENANCE S 3.00 0.00 0.00 0.00 0.00 0.00 0.00 3.00 13.00 39.00 676.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 573.80 27439 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.50 92236 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 102.20 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 11/15/2019 - Page 1 Public Works Certifiec+ yroll Reporling Foint Contractor Name: PWLC II, INC. Name, Address and Social Security Number of Worker EMILIANO MEDINA 34300 CORREGIDOR DR CATHEDRAL CITY CA 92234 NOTE: Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 11/10/2019 Payroll Number: 19-0 Number of Day Deductions, Contributions, and Payments Withholding Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac! Holida y Health & Welf. Pension Net Wage Paid For Week Check Number 4 Date Work Classification 11104 11/05 11/06 11/07 11/08 11/09 11/10 This Project All Projects 22.08 46.76 2.81 6.11 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 15.00 611.25 611.25 Training Fund Admin Dues Trav/ Subs Savings Other Total 533.49 27452 Q 0.00 0.50 0.00 0.00 0.00 0.00 0.00 0.50 22.50 0.00 0.00 0.00 1 0.00 0.00 0.00 77.76 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Fudaral Tax FICA I State Tax SDI Vac! H011day Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date ERICALVAREZ 49132 LAS CRUCES ST Work Classification 11104 11/05 11/06 11/07 11108 11/09 11/10 This Project / All Projects / 54.70 42.84 10.54 5.60 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA 92236 LANDSCAPE MAINTENANCE LABORER S 3.00 0.00 0.00 0.00 0.00 0.00 0.00 3.00 14.00 42,00 1 560.00 Training 9 Fund Admin Dues Trav/ Subs Savings 9 Other Total 446.32 27430 0. To 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 1 113.68 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 EZEQUIELCORTEZ 31390 SAN ANTONIO DR 8 Date Work Classification 11I04 11I05 11I06 11107 11I08 11/09 11/10 This ro/ All Pro Projects ects 0.00 39.78 0.00 5.20 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 r LANDSCAPE MAINTENANCE LABORER S 3.00 0.00 0.00 0.00 0.00 0.00 0.00 3.00 13.00 39.00 520.00 Training 9 Fund Admin Dues Trav/ Subs Savings 9 Other Total 475.02 27432 O 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 44.98 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 Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI I Vac/ Holiday Health $ Welf. Pension Net Wage Paid For Week Check Number 1 Date ISAIAH A. RIOS 53740 EISENHOWER DR Work Classification 11/04 11/05 11/06 11/07 11/08 11/09 11/10 This Project I All Projects 40.21 39.78 6.28 5.20 0.00 0.00 0.00 Hours Worked Each Day LAQUINTA CA 92253 LANDSCAPE MAINTENANCE LABORER 3.00 0.00 0.00 0.00 0.00 0.00 0.00Trav/S 3.00 13.00 39.00 520.00 Training Fund Admin Dues Subs Subs Savings Other Total 428.53 27437 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 91.47 p o.o0 0.00 0.00 0.00 0.00 0.00 0.00 0.0o zs.00 NOTE: Public works certified Payroll Reporting Form 11/15/2019 - Page 2 Public Works Certified - yroll Reporting Form Contractor Name: PWLC II. INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 11/10/2019 Payroll Number:19-0 Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday& Health Welf. Pension N at Wage Paid For Week Check Number 4 Date LETICIA BONILLA 33477 NAVAJO TR #B Work Classification 11104 11/05 11/06 11107 11/08 11/09 11110 This Pro'ect J All Projects 1 1.25 43.03 0.00 5.63 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 5.50 8.00 8.00 0.00 0.00 37.50 15.00 562.50 562.50 Training g Fund Admin Dues Trav/ Subs Savings 9 Other Total 512.59 27447 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 49.91 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 30.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wag Paid For Week Check Number 3 Date LUCIAGARCIA 64045 HARVEST MOON RD Work Classification 11104 11105 11/06 11107 11/08 11/09 11/10 This Project All Projects 25.62 42.85 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 g Fund Admin Dues Subs Subs Savings 9 Other Total 482.88 27451 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 77.12 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 Classlflcatlon 11104 11105 11/06 11/07 11/08 11/09 11/10 This Project All ProJecla 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 7.00 8.00 8.00 0.00 0.00 39.00 18.00 702.00 702.00 Tralnin 9 Fund Admin Dues Trav/ Subs Savings 9 Other Total 581.78 27446 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 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 ay Rat Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health 8 Welf. Pension Net Wage PaidForNumber Week Check 2 Date MARCELINO BRIONES 50700 CALLE MENDOZA Work Classification 11/04 11/05 11/06 11/07 11106 11/09 11I10 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 0.00Fund 40.00 14.00 560.00 560.00 Training Admin Dues Subs Savings Other Total 470.69 27448 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 o.o0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Public Works certified Payroll Reporting Form 11/15/2019 - Page 3 Public Works Certifier' 4yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 11/10/2019 Payroll Number:19-0 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 Vacl Health Earned Tax FICA Tax SDI Holida & Welf. Pension Net OSCAR ORTEGA MONTES 0 Date Total Hourly y Wage Check Work 11/04 11/05 11/06 11/07 11108 11I09 11/10 Hours Pay Rate Thls All 74.35 55.36 18.28 7.24 0.00 0.00 0.00 Paid For Number 152B FILLMORE DR Classification Pro ect acts Week Hours Worked Each Day j Pro j SALTON CITY CA LANDSCAPE MAINTENANCE S 2.00 0.00 0.00 0.00 0.00 0.00 0.00 2.00 15.00 30.00 723.75 Training 9 Fund Admin Dues Trav! Subs Savings g Other Total 410.44 27425 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 0.00 158.08 313.31 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 I 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 & Weif. Pension Net Wage Paid For Week Check Number 0 Date � PASTOR R. PEREZ NEGRON 67365 ONTINA RD I Work Classification 11/04 11/05 11/06 11/07 11/08 11/09 11/10 This Project All Projects 60.50 45.90 13.30 6.00 0.00 0.00 0.00 Hours Worked Each Day I CATHEDRAL CITY CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Training Fund Admin flues Trav/ Subs Savings Other Total 474.30 27454 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 125.70 92234 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun T otal 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 11/04 11/05 11/06 11/07 11/08 11/09 11/10 This Project All Projects 25.62 42.83 8.04 5.60 0.00 0.00 0.00 Hours Worked Each Day N PALM SPRINGS CA LANDSCAPE MAINTENANCE S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 14.00 448.00 560.00 Training 9 Fund Admin Dues Trav/ Subs Savings 9 Other Total 477.91 27455 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 82.09 9225E 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 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 6 Date SALVADOR MURILLO LANDEROS 48097 ESTRELLA TOMAS Work Classification 11/04 11/05 11I06 11/07 11/08 11/09 11/10 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 qmmommmo 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 621.19 27453 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 58.81 D 0.00 0.00 1 0.00 0.00 0.00 1 0.00 0.00 0.00 1 34.00 NOTE: Public works Certified Payroll Reporting Form 11/15/2019 - 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 CAM PANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2019-11-03 Payroll Number: 18 Amendment Number: 0 10 employee payroll record(s) processed Your Transaction ID is: 6953272 Print this Page View your submission Plow. https://efiiling.dir.ca.gov/eCPR/pages/eCPROnlineFormPreFill.jsp 1/1 Public Works Certifief yroll Reporting Form Certification under p-aalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC Il, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2019-11-03 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2019-11-06." 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: 18- 0 For Week Ending: 11/03/2019 - Is this a 'Statement of Non -Performance?' Name, Address and Social SecurityNumber of Worker Number of Withholding Day i Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number ALLEN R. FARIAS MONTANO 49968 AVENIDA DE ORO 9 Date Work Classification 10/28 10/29 10/30 10/31 11/01 11102 11/03 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 MAINTENANCE LANDSCAPEtDO-O LABORER 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 27417 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 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 lax FICA State Tax SDI I Vac/ Holida y Health & Welf. Pension Net Wage Paid For Week Check Number ARMANDO RICO CHAVEZ 2103 JACQUES DR 3 Date Work Classification 10/28 10/29 10/30 10/31 11/01 11/02 11/03 This Pro is 1 All Projects 1 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 27416 0 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 SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and 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 10/28 10/29 10/30 10/31 11/01 11/02 11/03 This Project / All Projects / 0.00 36.72 0.00 4.80 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 6.00 0.00 0.00 0.00 32.00 15.00 480.00 480.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 438.48 27414 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 41.52 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: ` Public Works Certified Payroll Reporting Form 11/06/2019 - Page 1 Public Works Certifier yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 11/03/2019 Payroll Number:18-0 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 Houdy Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI 10 Holida y Health & Well. Pension Net Wage Paid For Week Check Number LUCIAGARCIA 64045 HARVEST MOON RD 3 Date Work Classification 10/28 10/29 10/30 10/31 11/01 11/02 11/03 ThisF Project 1 25.62 42.83 3.05 5.60 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 w LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00EFund Admin DuesSubsSavings Trav/ Other TotalLABORER 482.90 27418 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 77.10 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 LUIS E. ALVAREZ SARABIA 45627 SENEGAL PL 3 Date Work Classification 10/28 10/29 10130 10/31 11101 11/02 11/03 This Project j All Projects 1 43.74 54.39 17.44 7.11 0.00 0.00 0.00 Hours Worked Each Day INDIO CA 92201 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 7.50 8.00 8.00 0.00 0.00 39.50 18.00 711.00 711.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 588.32 27413 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 0.00 122.68 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 Vac/ Holiday& Health Welf. Pension Net Wage Paid For Week Check Number 2 Date MARCELINO BRIONES 50700 CALLE MENDOZA COACHELLA CA Work Classification 10/28 10/29 10/30 10/31 11/01 11/02 11/03 This Project 1 All Projects 1 35.32 42.84 5.55 5.60 0.00 0.00 0.00 Hours Worked Each Day LANDSCAPE MAINTENANCE LABORER S40.00 8.00 8.00 8.00 0.00 0.00 14.00 560.00 560.00 Training 9 Fund Admin Dues Trav/ Subs Savin s 9 Other Total 470.69 27415 p 0.00 AOO8.00 0.00 0.00 0.00 0.00 0.00 0.00 21.0092236 0.00 0.00p 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 PASTOR R. PEREZ NEGRON 67365 ONTINA RD 0 Date Work Classification 10/28 10/29 10/30 10/31 11101 11/02 11/03 This Project All Projects 60.50 45.90 13.30 6.00 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Training 9 Fund Admin Dues Subs Subs Savings g Other Total 474.30 27420 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 0.00 125.70 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 11/06/2019 - Paae 2 Public Works Certifier yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 11/03/2019 Payroll Number:18-0 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 ROSA RODRIGUEZ Total Hourly Wage Check Work 10128 10/29 10/30 10/31 11/01 11/02 11/03 This All 25.62 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 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 Travl 477.89 27421 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 82.11 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 5 Date SALVADOR AZA MARTINEZ Total Hourly Wage Check Work 10/28 10/29 10/30 10/31 11/01 11/02 11/03 All All 0.00 19.22 0.00 2.51 0.00 0.00 0.00 Hours Pay Rate7Pr.ject Paid For Number 15225 PALM DR #1 Classification Week Hours Worked Each Day1 DESERT HOT SPRINGS LANDSCAPE S 8.00 0.00 0.00 0.00 0.00 0.00 0.00 8.00 15.00 131.25 251.25 Fund Trav/ 229.52 6042 CA MAINTENANCE Training Admin Dues Subs Savings Other Total O 0.50 0.00 0.00 0.00 0.00 0.00 0.00 0.50 22.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 21.73 92240 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Social Security Number of Worker Withholding Earned Tax FICA Tax SDI Holiday & Waif. Pension Net 6 Date SALVADOR MURILLO LANDEROS Total Hourly Wage Check Work 10/28 10/29 10/30 10/31 11/01 11/02 11/03 This All 0.00 41.62 0.00 5.44 0.00 0.00 0.00 Hours Pay Rate Paid For Number 48097 LA TOMAS Classification Project 1 Projects 1 Week Hours Worked Each Day COACHESTRE COACHELLA LANDSCAPE S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 17.00 544.00 544.00 Fund Trav/ 496.94 27419 CA MAINTENANCE DuesSubs Savings Other p 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 25.50 Lano'nAdmin 0.00 0.00 0.00 0.00 0.00 47.06 92236 D 0.00 0.00 0.00 1 0.00 0.00 0.00 0.00 0.00 34.00 l 7TotalLABORER NOTE: Public works certified Payroll Reporting Form 11/06/2019 - Page 3 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 l ,blicworksLgd 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: 2019-10-27 Payroll Number. 17 Amendment Number. 0 11 employee payroll record(s) processed Your Transaction ID is: 6908817 Print this Pagg •s View your submission �`� Public Works Certified rroll Reporting Form Certification under p. .ty of perjury: "I, KRISTY SOUTH, the undersigned, aril the CONTROLLER (positlon 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 2019-10-27 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named, I certify this on 2019-10-30." Contractor Name: PWLC 11, INC. Contractor PWCR: 1000037373 License Type: CSLEI 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: 17- 0 For Week Ending: 10/27/2019 Is this a 'Statement of Non -Performance?' 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/ Hollday Health & Welf. Pension Net 9 Date ALLEN R. FARIAS MONTANO Wage Check Work 10/21 10122 10/23 10/24 10125 10/26 10/27 Hours Pay Rate This All 0.00 42.84 0.00 5.60 0.00 0.00 0.00 Paid For Number 49968 AVENIDA DE ORO Classification Week Hours Worked Each Day COACHELLA act Pro Project Projects 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 Total 511.56 27385 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 LABORER 92236 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 Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Total Hourly y Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health e. & Wlf. Pension Net Wage Check ARMANDO RICO CHAVEZ 3 Date Work 10/21 10/22 10/23 10/24 10/25 10/26 10/27 This All 109.47 89.88 45.96 11.75 0.00 0.00 0.00 Hours Pay Rate Paid For Number 2103 JACQUES DR PALM SPRINGS Classification Project Pro 1 Projects 1 Week Hours Worked Each Day LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 1,175.00 1,175.00 Fund Travl Total 917.94 27384 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct 0 0.50 1.00 1.50 1.00 0.50 8.00 0.00 12.50 30.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 257.06 92262 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments 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 4 Date LETICIA BONILLA Total Hourly Wage Check Work 10/21 10/22 10/23 10/24 10/25 10/26 10/27 This All 29.75 64.83 1.32 8.48 0.00 0.00 0.00 Hours Pay Rate Paid For Number 33477 NAVAJO TR #B CATHEDRAL CITY Classlflcatlon Pro J Project Projects 1 Week Hours Worked Each Day LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0,00 0.00 40.00 15.0 8847.50 847.50 Fund Trav/ Total 743.12 27382 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct 0 0.50 1.00 1.50 0.00 0.00 8.00 0.00 11.00 22.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 104.38 92234 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 r j NOTE: Public works certified Payroll Reporting Form 10/30/2019 - Page 1 Public Works Certified ' 'troll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 10/27/2019 Payroll Number:17-0 Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Hollda y Health 8 Welf. Pension Net Wage Paid For Week Check Number LUCIA GARCIA 64045 HARVEST MOON RD 3 Date Work Classification 10121 10/22 10/23 10/24 10/25 10/26 10/27 Thls Project 1 All Pro acts 1 25.62 42.85 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 0.00 8.00 8.00 0.00 0.00 32.00 14.00 448.00 560.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 482.88 27386 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 77.12 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/ Holida y Health & Welf. Pension Net Wage Paid For Week Check Number LUIS E. ALVAREZ SARABIA 45627 SENEGAL PL 3 Date Work Classification 10/21 10/22 10/23 10/24 10/25 10/26 10127 This Project All Projects Projects 46.44 56.12 18.92 7.34 0.00 0.00 0.00 H Hours Worked Each Day INDIO CA 92201 LANDSCAPE � MAINTENANCE LABORER S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 18.00 589.50 733.50 Trainin 9 Fund Admin Dues Trav/ Subs Savin s 9 Other Total 604.68 27380 0 0.00 0.50 0.00 0.00 0.00 0.00 0.00 0.50 27.00 0.00 0.00 0.00 0.00 0.00 0.00 128.82 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 Tex SDI I Vac/ Hollday Health & Welf. Pension Net Wage Paid For Week Check Number 2 Date MARCELINO BRIONES 50700 CALLE MENDOZA Work Classification 10/21 10/22 10/23 10/24 10/25 10/26 10127 Thls Project 1 All Projects 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 9 Fund Admin Dues Trav/ Subs Savings 9 Other Total 470.69 27383 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 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! Hollda y Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date PASTOR R. PEREZ NEGRON 67365 ONTINA RD Work Classification 10/21 10/22 10/23 10/24 10/25 10/26 10/27 This Protect All Projects 46.10 36.72 8.02 4.80 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 0.00 8.00 0.00 0.00 32.00 15.00 480.00 480.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 384.36 27388 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 95.64 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 10/30/2019 - Page 2 Public Works Certifiec Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 10/27/2019 Payroll Number: 17-0 Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Frl Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number ROSARODRIGUEZ PO BOX 580332 3 Date Work Classification 10/21 10/22 10/23 10/24 10/25 10/26 10127 This Project All Projects 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 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 27389 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 82.09 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.00 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 SDl Vac! Halida y Health & Welf. Pension Net Wage Paid For Week Check Number SALVADOR AZA MARTINEZ 15225 PALM DR #1 5 Date Work Classification 10/21 10122 10/23 10/24 10/25 10/26 10/27 This Project 1 All Projects 1 18.30 62.25 0.00 8.14 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 qmmmmmo LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 813.75 813.75 Training Fund Admin Dues Trav/ Subs Savings Other Total 725.06 27381 0.00 0.00 1.50 0.00 0.00 8.00 0.00 9.50 22.50 0.00 0.00 0.00 0.00 0.00 0.00 88.69 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 _ nay Deductions, 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/ Hollda Y Health & Welf. Pension Net Wage Paid For Week Check Number SALVADOR MURILLO LANDEROS 48097 ESTRELLA TOMAS 6 Date Work ClassificationHours 10/21 10/22 10/23 10/24 10/25 10/26 10/27 This Project All Projects 0.00 50.72 0.00 6.63 0.00 0.00 0.00 Worked Each Day COACHELLA CA 92236 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 7.00 8.00 8.00 0.00 0.00 39.00 17.00 663.00 663.00 TrainingFund Admin Dues Trav/ Subs Savings Other Total 605.65 27387 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 57.35 p 0.00 0.00 0.00 0.00 0.00 0.00 11 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 Earned Federal Tax FICA State Tax SDI Vac/ Holiday& Health Welf. Pension Net Wage Paid For Week Check Number SAUL GUERRERO SANCHEZ 68-200 33RD AVE #120 CATHEDRAL CITY CA 92234 1 Date Work Classification 10/21 10/22 10/23 10/24 10125 10/26 10/27 This I Project 1 All Pro ects 1 0.00 11.35 0.00 1.48 0.00 0.00 0.00 Hours Worked Each Day LANDSCAPE MAINTENANCE LABORER S 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.36 148.32 148.32 Training g Fund Admin Dues Trav/ Subs Savings g Other Total 135.49 27373 U 0.00 0.00 0.00 0.00 0.00 8.00 0.00 8.00 18.54 0.00 0.00 0.00 0.00 0.00 0.00 12.83 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 10/30/2019 - Page 3 eCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2019-10-20 Payroll Number: 16 Amendment Number: 0 16 employee payroll record(s) processed Your Transaction ID is: 6858562 Print this Page View your submission hftps:HefiIing.dir.ca.gov/eCPR/pages/eCPROnI!neFormPreFiII.jsp 1/1 Certification under penalty of perjury: Public Works Certifie yroll Reporting Form 'I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC 11. INC. (name of business 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 2019-10-20 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements byway of cash, check, or whatever form to the individual or individuals named. I certify this on 2019-10-24." 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 MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 16- 0 For Week Ending: 10/20/2019 - Is this a 'Statement of Non -Performance?' Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Total Hourl Y Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Wait. Pension Net Wage Check AGUSTIN RUBIO PIEDRA 3 Dale Work 10/14 10/15 10/16 10/17 10/18 10/19 10/20 2.52 37.81 0.00 4.94 0.00 _ 0.00 0.00 Hours Pay Rate This All Paid For Number CAT MISSION DR CATHEDRAL CITY Classification Project / j Projects Week Hours Worked Each Day LANDSCAPE g 0.00 0.00 0.00 0.00 3.00 12.36 37.08 494.40 Fund Trav/ Total 449.13 27258 CA MAINTENANCE Training Admin Dues Subs Savings OtherDeduct D 0.00 0.00 *03.,0.00 0.00 0.00 0.00 LABORER 18.5492234 0.00 0.00 0.00 0.00p 0.00 0.00 0.00 0.00 0.00 0.00 24.72 fI NOTE: I 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 ALLEN R. FARIAS MONTANO 9 Date Total Hourly Earned Tax FICA Tax SDI I Holiday & Welf. Pension Net Wage Check 10/14 10/15 10/16 10/17 10/16 10/19 10120 0.00 42.84 0.00 5.60 0.00 0.00 0.00 Work Hours Pay Rate This All Paid For Number 49968 AVENIDA DE ORO COACHELLA Classification Pro a j ct Projects Week Hours Worked Each Day LANDSCAPE g 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 27273 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct LABORER D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 92236 0.00 0.00 0.00 0.00 0.00 0.00 48.44 - p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 I 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 3 Date ARMANDO RICO CHAVEZ Total Hourly Wage Check Work 10/14 10/15 10/16 10/17 10/18 10/19 10120 106.17 88.75 44.47 11.60 0.00 0.00 0.00 Hours Pay Rate This All Paid For Number 2103 JACQUES DR PALM SPRINGS Classification Project Projects 1 1 Week Hours Worked Each Day LANDSCAPE g 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 1.160.00 1,160.00 Fund Trav/ Total 909.01 27272 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct O 1.00 1.00 1.00 1.00 0.00 8.00 0.00 12.00 30.00 LABORER 92262 0.00 0.00 0.00 0.00 0.00 0.00 250.99 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 10/24/2019 - Page 1 Public Works Certifies yroil Keportin�, Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 10/20/2019 Payroll Number:16-0 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 BENJAMIN SERRANO 83151 SONORAAVE #B INDIO 3 Date Work Classification 10/14 10/15 10/16 10/17 10/18 10/19 10120 This Pro ect 1 All Pro 1 ects 0.00 34.28 0.00 4.48 1 0.00 0.00 0.00 Hours Worked Each Day CA 92201 amin�. LANDSCAPE MAINTENANCE LABORER S 0.00 0.00 0.00 3.00 - 0.00 0.00 0.00 3.00 14.00 42.00 448.00 Training Fund Admin Dues Travl Subs Savings Other Total 409.24 27259 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 38.76 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 I SDI Vac/ Holiday Health & Welf. Pension I Net Wage Paid For Week Check Number ERIC ALVAREZ 49132 LAS CRUCES ST 0 Date Work Classification 10/14 10/15 10/16 10/17 10118 10/19 10120 This Project 1 All Projects 1 54.70 42.84 10.54 5.60 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 42.00 560.00 Training Fund Admin Dues Travl Subs Savings Other Total 446.32 27249 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 0.00 113.68 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: F 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 ISAIAH A. RIOS 53740 EISENHOWER DR 1 Date Work Classification 10/14 10/15 10116 10/17 10/18 10/19 10/20 This Project All Projects 40.21 39.78 6.28 5.20 0.00 0.00 0.00 Hours Worked Each Day LAQUINTA CA 92253 LANDSCAPE MAINTENANCE LABORER S 0.00 0.00 I 0.00 3.00 0.00 0.00 0.00 3.00 13.00 39.00 520.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 428.53 27257 0 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 91.47 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 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 LETICIABONILLA 33477 NAVAJO TR #B 4 Date Work Classification 10/14 10/15 10116 10/17 10/18 10/19 10120 This I Project All Projects 28.63 63.98 1.07 8.36 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA LANDSCAPE MAINTENANCE 8.00 8.00 8.00 0.00 0.00S40.00 15.00 836.25 836.25 Trainin 9 Fund Admin Dues Trav/ SubsLABORER Savin s Other Total734.21 27270 0 0.00 0.50 J8.008.00 1.00 0.00 B.00 0.00 10.50 22.5092234 0.000.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Public works certified Payroll Reporting Form 10/24/2019 - Page 2 Public Works Certifie( yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 10/20/2019 Payroll Number:16-0 Name, Address and Number of Day I 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 Vacf Holiday Health & Wolf. Pension Net 3 Dale LUCIAGARCIA Total Hourly Wage Check Work 10/14 10/15 10/16 10/17 10118 10119 10/20 This All 26.88 43.63 3.51 5.71 0.00 0.00 0.00 Hours Pay Rate Paid For Number 64045 HARVEST MOON RD Classification Pro ect Pro ects Week DESERT HOT SPRINGS Hours Worked Each Day 1 1 LANDSCAPE S 8.00 8.00 8.00EOO 8.00 0.00 0.00 40.00 14.00 570.50 570.50 Fund Trav/ 490.77 27274 CA MAINTENANCE Training Admin Dues Subs Savings Other Total p 0.00 0.50 0.00 0.00 0.00 0.00 0.50 21.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 79.73 92240 p 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 Federal FICA State Tax SDI Vac/ Holiday Health & Welf. Pension N et Social Security Number of Worker Withholding LUIS E. ALVAREZ SARABIA Total Hourly Wage Check Work 10/14 10/15 10116 10/17 10118 10/19 10120 This All 44.82 55.08 18.03 7.20 0.00 0.00 0.00 Hours Pay Rate Paid For Number 45627 SENEGAL PL INDIO Classification Project Projects Week Hours Worked Each Day LANDSCAPE S 8.00 8.00 0.00 8.00 8.00 0.00 0.00 32.00 18.00 576.00 720.00 Fund Trav/ 594.87 27268 CA MAINTENANCE Training Admin Dues Subs Savings Other Total 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 0.00 125.13 92201 D 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 10/14 10/15 10/16 10/17 10118 10/19 10120 This All 50.02 52.21 10.94 6.83 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 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 14.00 570.50 682.50 Fund Trav/ 562.50 27271 CA MAINTENANCE Training Admin Dues Subs Savings Other Total p 0.00 0.50 0.00 0.00 0.00 0.00 0.00 0.50 21.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 120.00 92236 D 0.00 0.00 0.00 o.ao o.o0 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 0 Date OSCAR ORTEGA MONTES Total Hourly Wage Check Work 10/14 10/15 10/16 10/17 10/18 10/19 10/20 All 110.53 71.71 32.39 9.38 0.00 0.00 D.00 Hours Pay Rate7This Paid For Number 1528 FILLMORE DR Classification ProjectsWeek 1 Hours Worked Each Day SALTON CITY LANDSCAPE S 0.00 0.00 0.00 2.00 0.00 0.00 0.00 I 2.00 15.00 30.00 1 937.50 Fund Trav/ 555.41 27245 CA MAINTENANCE 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 O.DD 0.00 0.00 0.00 158.08 382.09 92274 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 10/24/2019 - Page 3 Public Works Certifier yroll Reporting Form Contractor Name: PWLC II, INC. Name, Address and Social Security Number of Worker PASTOR R. PEREZ NEGRON 67365 ONTINA RD CATHEDRAL CITY CA 92234 NOTE: Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 10/20/2019 Payroll Number:16-0 Number of Day Deductions, Contributions, and Payments Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net 0 Date Total Hours Hourly Pay Rate Wage Paid For Check Number Work 10/14 10/15 10/16 10/17 10/18 10119 10/20 ThisFA'60.50 45.90 13.30 6.00 0.00 0.00 0.00 Classification Project 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/ 474.30 27276 MAINTENANCE Training Admin Dues Subs Savings Other Total U 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 125.70 D 0.00 0.00 0.00 0.00 0.00 1 0.00 0.00 0.00 30.00 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 3 Dale ROSA RODRIGUEZ Total Hourly Wage Check Work 10/14 10/15 10/16 10/17 10118 10/19 10/20 This All 25.62 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 Projecls 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/ 477.89 27277 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 82.11 92258 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 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 & Welt. Pension Net 5 Date SALVADORAZAMARTINEZ Total Hourly Wage Check Work 10/14 10/15 10/16 10/17 10/18 10/19 10/20 This All 11.17 56.81 0.00 7.43 0.00 0.00 0.00 Hours Pay Rate Paid For Number 15225 PALM DR #1 DESERT HOT SPRINGS Classification Pro ect 1 Projects 1 Week Hours Worked Each Day LANDSCAPE S 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 15.00 622.50 742.50 Fund Trav/ 667.09 27269 CA MAINTENANCE Training Admin Dues Subs Savings Other Total O 0.00 1.00 0.00 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 75.41 92240 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Earned Federal Tax FICA State I Tax SDI Vac/ Holiday Health 8 Welf. Pension Net Social Security Number of Worker Withholding 6 Date SALVADOR MURILLO LANDEROS Total Hourly Wage Check Work 10/14 10/15 10/16 10/17 10/18 10/19 10/20 This All 0.00 52.02 0.00 6.80 0.00 0.00 0.00 Hours Pay Rate Paid For Number 48097 ESTRELLA TOMAS Classification Pro ect 1 Projects Week COACHELLA Hours Worked Each Day 1 LANDSCAPE S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 17.00 544.00 680.00 Fund Trav/ 621.18 27275 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 m NOTE: Public works Certified Payroll Reporting Form 10/24/2019 - Page 4 Public Works Certifier yroll Reporting Form Contractor Name: PWLC II, INC. Name, Address and Social Security Number of Worker SAUL GUERRERO SANCHEZ 68-200 33RD AVE #120 CATHEDRAL CITY CA 92234 NOTE: Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 10/20/2019 Payroll Number:16-0 Number of Day i Deductions, Contributions, and Payments Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health 8 Welf. Pension Ne t 1 Date Total Hours Hourly Pay Rate Wage Paid For Check Number Work 10114 10115 10l16 10117 10/18 10119 10120 This All 0.00 11.35 0.00 1.48 0.00 0.00 0.00 Classification Project Projects Week Hours Worked Each Day LANDSCAPE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.36 148.32 148.32 Fund Trav/ 135.49 27261 MAINTENANCE Training Admin Dues Subs Savings Other Total ID 0.00 0.00 0.00 0.00 0.00 8.00 0.00 8.00 18.54 LABORER 0.00 0.00 0.00 0.00 0:O 0.00 12.83 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.72 Public works Certified Payroll Reporting Form 10/24/2019 - 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 iblicworks@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: 6783108 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: 2019-10-13 Payroll Number. 15 Amendment Number: 1 13 employee payroll record(s) processed Your Transaction ID is: 6855161 Print this Pagg Kim - )I -,- View your submission Fdgbt Certification under f 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 2019-10-13 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 2019-10-23." 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: 15- 1 MAINTENANCE OF CITYWIDE MEDIANS For Week Ending: 10/13/2019 ❑ 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 V00 Holiday Hea[Ih & Welf. Pension Net Wage Paid For Week Check Number ALLEN R. FARIAS MONTANO 49968 AVENIDA DE ORO 9 Date Work Classification 10/07 10/08 10/09 10/10 10111 10/12 10113 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 i 0.00 40.00 14.00 560.00 560.00 Training Fund Admin Dues Travl Subs Savings Other Total Deduct 511.56 27237 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 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/ Hollda y Health & Welf. Pension Net Wage Paid For Week Check Number ARMANDO RICO CHAVEZ 2103 JACQUES DR 3 Date Work Classification 10/07 10/08 10/09 10/10 10/11 10/12 10/13 This Project / All Projects � 74.22 73.81 27.31 9.65 0.00 0.00 0.00 Hours Worked Each Day PALM SPRINGS CA 92262 "MINIVAN LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 965.00 965.00 Training Fund Admin Dues Travl Subs Savings Other Total Deduct 780.01 27236 1.00 1.00 2.50 0.50 0.50 0.00 0.00 5.50 30.00 0.00 0.00 0.00 0.00 0.00 0.00 184.99 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI I Vacl Holiday y Health & Waif. pension Net Wage Paid For Week Check Number BENJAMIN SERRANO 83151 SONORAAVE #B 3 Date Work Classification 10/07 10108 10/09 10/10 10111 10/12 10/13 This Project All Projects 9.08 42.83 0.00 5.60 0.00 0.00 0.00 Hours Worked Each Day INDIO CA 92201 LANDSCAPE MAINTENANCE LABORER S 3.00 0.00 0.00 0.00 0.00 0.00 0.00 3.00 14.00 42.00 560,00 Training 9 Fund Admin Dues Subs Subs Savings 9 Other Total Deduct 502.49 27223 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 57.51 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 10/23/2019 - Page 1 Public Works Certified " rroll Reporting Foilm Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 10/13/2019 Payroll Number:15-1 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 0 Date Earned Tax FICA Tax SDI Holiday & Welf. Pension Net ERICALVAREZ Total Hourly Wage Check Work 10l07 10/08 10/09 10/10 10/11 10/12 10/13 Hours Pay Rate This All 41.26 34.27 6.19 4.48 0.00 0.00 0.00 Paid For Number 49132 LAS CRUCES ST Classlflcallon Pro act Pro acts Week Hours Worked Each Day j j COACHELLA LANDSCAPE S 3.00 0.00 0.00 0.00 0.00 0.00 0.00 3.00 14.00 42.00 448.00 Fund Trav! 361.80 27214 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 86.20 92236 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 Federal State Vac/ Health Social SecurityNumber of Worker Withholding Earned Tax FICA Tax SDI I Hollda y & Welf. I Pension Net Wage 1 Date ISAIAHA. RIGS Total Hourly Check Work 10/07 10/08 10/09 10/10 10111 10/12 10/13 This All 27.73 31.82 2.99 4.16 0.00 0.00 0.00 Hours Pay Rate Paid For Number 53740 EISENHOWER DR Classification Project Projects Week Hours Worked Each Day LA QUINTA LANDSCAPE S 3.00 0.00 0.00 0.00 0.00 0.00 0.00 3.00 13.00 39.00 416.00 Fund Trav/ 349.30 27221 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 19.50 LABORER 0.00 0,00 0.00 0.00 0.00 0.00 66.70 92253 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.00 NOTE; 4 Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vacl Health Social SecurityNumber of Worker Withholding Total Hourly Earned Tax FICA Tex SDI I Holiday Y & Welf. Pension Net Wage Check 4 Date LETICIA BONILLA Work 10/07 10/08 10/09 10/10 10/11 10112 10/13 This All 6.00 45.90 0.00 6.00 0.00 0.00 0.00 Hours Pay Rate Paid For Number 33477 NAVAJO TR #B Classification Project 1 Pro j acts Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 8.00 0.00 8.00 8.00 0.00 0.00 32.00 15.00 480.00 600.00 Fund Trav/ 543.10 27234 CA MAINTENANCE Training 9 Admin Dues Subs Savings 9 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 56.90 92234 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac! Health Social SecurityNumber of Worker Withholding Total Hourly Earned Tax FICA Tex I SDI Holiday & Welf. Pension Net Wage Check 3 Date LUCIAGARCIA Work 10107 10/08 10/09 10/10 10/11 10112 10/13 This All 13.26 34.28 0.00 4.48 0.00 0.00 0.00 Hours Pay Rate Paid For Number 64045 HARVEST MOON RD Classification Project I Projects Week Hours Worked Each Day DESERT HOT SPRINGS LANDSCAPE S32.00 8.00 8.00 0.00 0.00 0.00 14.00 448.00 448.00 Fund Trav/ 395.98 27238 CA MAINTENANCE Training g Admin Dues Subs Savings 9 Other Total 0 0.00 0.00 0.00 JOO8.00 0.00 0.00 0.00 0.00 21.0092240 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 28.00 NOTE: Public works Certified Payroll Reporting Form 10/23/2019 - Page 2 Public Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 10/13/2019 Payroll Number:15-1 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 Slate Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number LUIS E. ALVAREZ SARABIA 45627 SENEGAL PL INDIO 3 Date Work Classification 10/07 10108 10/09 10/10 10/11 10/12 10/13 This Project All 1ect Pro ects 43.74 54.39 17.44 7.11 0.00 0.00 0.00 Hours Worked Each Day CA 92201 LANDSCAPE MAINTENANCE LABORER S 7.50 8.00 8.00 8.00 8.00 0.00 0.00 39.50 18.00 711.00 711,00 Training Fund Admin Dues Trav/ Subs Savings Other Total 588.32 27232 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 0.00 122.68 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number MARCELINO BRIONES 50700 CALLE MENDOZA 2 Date Work Classification 10107 10/08 10/09 10/10 10/11 10/12 10/13 This Project All Projects 35.32 42.84 5.55 5.60 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA LANDSCAPE MAINTENANCE LABORER 8.00 0.00 8.00 0.00 0.00S32.00 14.00 448.00 560.00 Training Fund Adi Dues Trav/ Subs Savings Other Total 470.69 27235 0.00 0.00 #8.008.00 00 0.00 0.00 O.DO 0.00 21.0092236 0.00 0.00 0.00 0.00 89.31 p 0.00 0.00 00 0.00 0.00 0.00 0.00 28.00 f 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 & Welf. Pension Net Wage Paid For Week Check Number PASTOR R. PEREZ NEGRON 67365 ONTINA RD 0 Date Work Classification 10/07 10/08 10/09 10/10 10/11 10/12 10/13 This Project 1 All Projects J 56.70 45.89 12.54 6.00 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANC LABORER S 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 478.87 27240/6 039 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 0.00 121.13 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 y Health & Wolf. Pension Net Wage Paid For Week Check Number ROSARODRIGUEZ PO BOX 580332 3 Date Work Classification 10/07 10/08 10/09 10/10 10111 10112 10/13 This Project All Protects 31.92 46.85 10.35 6.13 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 14.00 612.50 612.50 Training Fund Admin Dues Trav/ Subs Savings Other Total 517.25 27241 Q 0.00 0.00 2.50 0.00 0.00 0.00 0.00 2.50 21.00 0.00 0.00 0.00 0.00 0.00 0.00 95.25 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 10/23/2019 - Page 3 Public Works Certifier" yroll Reporting Form Contractor Name: PWLC II, INC. Name, Address and Social Security Number of Worker SALVADOR AZA MARTINEZ 15225 PALM DR #1 DESERT HOT SPRINGS CA 92240 NOTE: Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 10/13/2019 Payroll Number:15-1 Number of Day Deductions, Contributions, and Payments Withholding 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 5 Date Work Classification 10/07 10/08 10/09 10/10 10/11 10/12 10/13 This Project I All Projects 0.00 47.62 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 I 15.00 622.50 622.50 Training Fund Admin Dues Trav/ Subs Savings Other Total 568.65 27233 0 0.00 0.00 0.00 0.50 0.50 0.00 0.00 1.00 22.50 1 0.00 0.00 0.00 0.00 0.00 0.00 53.85 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 Name, Address and Number of Social Security Number of Worker Withholding 6 SALVADOR MURILLO LANDEROS Work Classification 48097 ESTRELLATOMAS COACHELLA LANDSCAPE CA MAINTENANCE LABORER 92236 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/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number Date 10/07 10/08 10/09 10/10 10/11 10/12 10113 This Project All Projects 0.00 52.02 0.00 6.80 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 17.00 680.00 680.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 621.18 27239 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 0.00 0.00 10.00 0.00 0.00 0.00 0.00 0.00 34.00 Public Works certified Payroll Reporting Form 10/23/2019 - 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: 2019-10-13 Payroll Number: 15 Amendment Number: 0 13 employee payroll record(s) processed Your Transaction ID is: 6783108 Print this Page View your submission https://efiling.dir.ca.gov/eCPR/pages/eCPROnlineFormPreFill.jsp 1/1 Certification unde, alty of perjury: Public Works Certifie lyroll Reporting Form , "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC 11, INC. (name of business 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 2019-10-13 are the originals or true, full, and correct copies of the originals which depict the payroll recard(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2019-10-15.,' 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: 15- 0 For Week Ending: 10/13/2019 - Is this a 'Statement of Non -Performance?' Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI I Vac/ Health Pension Net ALLEN R. FARIAS MONTANO 9 Date Total Hourly Earned Tax Tax Holiday & Welf. �/ya9 a Check 49968 AVENIDA DE ORO yyo 10I07 10/OB 10l09 10I10 10/11 10/12 10/13 Hours Pay Rate This All 0.00 42.84 0.00 5.60 0.00 0.00 0.00 Paid For Number Classification Hours Worked Each Day Project Projects Week COACHELLA CA LANDSCAPE MAINTENANCE g 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 27237 LABORER O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Training Admin Dues Subs Savings Other Deduct 92236 0.00 21.00 p o.00 o.00 o.00 o.00 o.o0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.44 0.00 28.00 NOTE: Name, Address and Number of Deductions, Contributions, and Payments Day Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health ARMANDO RICO CHAVEZ 3 Date Total HourlyrTh,!7; Earned Tax FICA Tax SDI Holiday & Welf. Pension Net Wage Check 2103 JACQUES DR Work 10/07 10/08 10109 10/10 10/11 10/12 10113 Hours Pay RateAll 74.22 73.81 27.31 9.65 0.00 0.00 0.00 9 Paid For Number Classification Hours Worked Each Day rojects Week PALM SPRINGS CA LANDSCAPE MAINTENANCE g 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 965.00 965.00 Fund Trav/ Total 780.01 27236 LABORER p 1.00 1.00 2.50 0.50 0.50 0.00 0.00 Training Admin Dues Subs Savings Other Deduct 92262 5.50 30.00 0.00 0.00 0.00 0.00 0.00 0.00 184.99 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.00 NOTE: Name, Address and Number ofg3.000.00 Deductions, Contributions, and Payments Day Social Security Number of Worker Withholdinged Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net BENJAMIN SERRANO 3Date Total Hourly Earned Tax Tax Holiday & Welf. Wage Check 83151 SONORAAVE#B Work /09 10/10 10/11 10/12 10/13 Hours Pay Rate This All 9.08 42.83 0.00 5.60 0.00 0.00 0.00 Paid For Number Classification urs Worked Each Day Project Projects Week INDIO LANDSCAPE .00 0.00 0.00 0.00 0.00 3.00 14.00 42.00 560.00 Fund Travl Total 502.49 27223 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct LABORER p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 92201 0.00 0.00 0.00 0.00 0.00 0.00 57.51 p 0.00 0.00 0.00 o.ao o.00 o.00 c.00 0.00 26.00 NOTE: Public Works certified Payroll Reporting Form 10/15/2019 - Page 1 Public Works Certifie lyroll Reporting Form Contractor Name: PWLC II, INC. S Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Gross Amount Earned Earned Federal Tax 41.26 Training For Week Deductions, FICA 34.27 Fund Admin Ending: Contributions, State Tax 6.19 Dues 10/13/2019 SDI 4.48 Trav/ Subs and Payments Vac/ Holida 0.00 Savings Health 8 Health 0.00 Other Payroll Pension 0.00 Total Number:15-0 Net Wage Paid For Week 361.80 Check Number 27214 Name, Address and Number of Social Security Number of Worker Withholding 0 ERICALVAREZ Work 49132 LAS CRUCES ST Classification COACHELLA LANDSCAPE CA MAINTENANCE LABORER 92236 Day Mon Tue Wed Thu Fri Sat Sun Total Hours 3.00 Hourly Pay Rate 14.00 Dale 10/07 10/O8 10/09 10/10 10/11 10/12 10/13 This All Project Projects 42.00 448.00 Hours Worked Each Day 3.00 0.00 0.00 0.00 0.00 0.00 0.00 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 86.20 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 ISAIAH A. RIOS 53740 EISENHOWER DR LAQUINTA CA 92253 Number of Withholding 1 Classification LANDSCAPE MAINTENANCE LABORER S l 3.00 HourlWork Pay Rate 13.00 Amount Earned Federal Tax 27.73 Training 0.00 Deductions, Contributions, and Payments StateVac/ Health FICA SDI Tax Holiday & Welf. 31.82 2.99 4.16 0.00 0.00 Fund Trav/ Admin Dues Subs Savings Other 0.00 0.00 0.00 0.00 0.00 Pension 0.00 Total 66.70 Net Wage Paid For Week 349.30 Check Number 27221 Day Mon Tue Wed Thu FriaSuGross Datey 10/07 10/08 10/09 10/10 10/11rs This 39.00 All Projects 416.00 Hours Worked Each DayProject 3.00 0.00 0.00 0.00 0.00 0.00 0.00 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.50 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.00 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 Healthy & Welf. Pension Net LETICIA BONILLA 4 Dale 33477 NAVAJO TR #B Hours Pay Rate Wage Paid For Check Number Work 10/07 10108 10/09 10/10 10/11 10/12 10/13 This All 5.00 45.90 0.00 6.00 o.0o 0.00 0.00 Classification Project Projects Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 8.00 0.00 8.00 8.00 O.DO 0.00 32.00 15.00 480.00 600.00 Fund Trav/ 543.10 27234 CA MAINTENANCE Training Admin Dues Subs Savings Other Total p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 92234 LABORER 0.00 0.00 0.00 0.00 0.00 0 .00 56.90 p 0.00 0.00 D.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health LUCIAGARCIA 3 Date Total Hourly Earned Tax FICA Tax SDI Holiday & Welf. Pension Net Wage 64045 HARVEST MOON RD Work 10/07 10/08 10/09 10/10 10/11 10112 10/13 Hours Pay Rate This All 13.26 34.28 0.00 4.48 0.00 0.00 0.00 Paid For Check Number Classification Hours Worked Each Day Project Projects Week DESERT HOT SPRINGS LANDSCAPE S 8.00 8.00 0.00 8.00 8.00 0.00 0.00 32.00 14.00 448.00 448.00 Fund Trav/ 395.98 27238 CA MAINTENANCE Training Admin Dues Subs Savings Other Total LABORER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 92240 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 28.00 1-0.00 NOTE: Public works Certified Payroll Reporting Form 10/15/2019 - Page 2 Public Works Certifie lyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 10/13/2019 Payroll Number:15-0 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 FICA State SDI Vac/ Health LUIS E. ALVAREZ SARABIA 3 Date Total Hourly Earned Tax Tax Holida y & Welf. Pension Net 45627 SENEGAL PL Work 10/07 10/08 10/09 10110 1o/11 10/12 10/13 Hours Pay Rate This All 43.74 54.39 17.44 7.11 0.00 0.00 0.00 Wage Paid For Check Number Classification Hours Worked Each Day Project Projects Week INDIO LANDSCAPE S 7.50 8.0o 8.00 0.00 0.0039.50 18.00 711.00 711.00 Fund Travl 588.32 27232 CA MAINTENANCE Training Admin Dues SubsSavings Other TotalLABORER 0 0.00 J8.008.00 0.00 0.0o 0.00 0.00 000 0.00 27.0092201000 0.00 0.00 0.00 0.00 0.00p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net MARCELINO BRIONES 2 Date Total Hourly Earned Tax Tax Holiday & Welf. Wage Check 50700 CALLE MENDOZA Work 10/07 10/08 10/09 10/10 10/11 10/12 10/13 Hours Pay Rate This All 35.32 42.84 5.55 5.60 0.00 0.00 0.00 1 Paid For Number Classification Hours Worked Each Day Project Projects 1 Week COACHELLA LANDSCAPE S 8.00 0.00 8.00 8.00 8.00 0.00 0.00 32.00 14.00 448.00 560.00 Fund Trav! 470.69 27235 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 21.00 92236 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 Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health i PASTOR R. PEREZ NEGRON 0 Date Total Hourly Earned Tax FICA Tax SDI Holiday & Welf. Pension Net Wage Check 67365 ONTINA RD Work 10/07 10/08 10109 10/10 10/11 10/12 10/13 Hours Pay Rate This All 55.70 42.83 11.54 5.60 0.00 0.00 0.00 g Paid For Number Classification Hours Worked Each Day Project Projects Week CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0,00 0.00 40.00 14.00 560.00 560.00 Fund Trav/ 444.33 27240 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 21.00 92234 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 26.00 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 Vac/ Health 3 Date Earned Tax FICA Tax SDI Holiday & Welf. Pension Net ROSA RODRIGUEZ Total Hourly Wage Check PO BOX 580332 Work 10/07 10/08 10/09 10/10 10/11 10/12 10/13 Hours Pay Rate This All 3192 . . 4685 . 1035 6.13 0.00 0.00 0.00 Paid For Number N PALM SPRINGS Classification Hours Worked Each Day Pro a j ct Projects Week LANDSCAPE S 8.00 8.00 8.00 8.00 1 8.00 0.00 0.00 40.00 14.00 612.50 612.50 Fund Trav/ 517.25 27241 CA MAINTENANCE Training Admin Dues Subs Savings Other Total LABORER p 0.00 0.00 2.50 0.00 0,00 0.00 0.00 2.50 21.00 92258 0.00 0.00 0.00 0.00 0.00 0.00 95.25 p o.00 o.00 o.o0 0.00 0.00 0.00 0.00 0.0o ze.00 NOTE: Public Works certified Payroll Reporting Form 10/15/2019 - Page 3 Public Works Certifie lyroll Reporting Form Contractor Name: PWLC II, INC. Name, Address and Social Security Number of Worker SALVADOR AZA MARTINEZ 15225 PALM DR #1 DESERT HOT SPRINGS CA 92240 NOTE: Name, Address and Social Security Number of Worker SALVADOR MURILLO LANDEROS 48097 ESTRELLA TOMAS COACHELLA CA 92236 NOTE: Number of Withholding 5 Work Classification LANDSCAPE MAINTENANCE LABORER Number of Withholding 6 Work Classification LANDSCAPE MAINTENANCE LABORER rroJec[ rvame: LMNUO%,AYt & LIUM I IINU Ulti I KIG 159-1 For Week Ending: 10/13/2019 Deductions, contributions, and Payments Payroll Number:15-0 Day Mon Tue Wed Thu Fri Sat Sun Total Hourly Gross Amount Earned Federal Tax State .. Vac! FICA Tax SDI Holiday Health & Welf. I Pension Wa to Check 9 Date 10/07 10I08 10/09 10110 10/11 10112 10113 Hours Pay Rate This Project All Projects 0.00 47.62 0.00 6.23 0.00 0.00 0.00 Paid For Week Number Hours Worked Each Day 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 622.50 622.50 Fund Trav/ 568.65 27233 Training Admin Dues Subs Savings Other Total 0.00 0.00 0.00 0.50 0.50 0.00 0.00 1.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 53.85 0.00 30.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number Date 10/07 10/08 10/09 10/10 10/11 10/12 10/13 This Project All Projects 0.00 52.02 0.00 6.80 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 17.00 680.00 680.00 Training Fund Admin Dues Trav/ Subs Savings Olher Total 621.18 27239 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 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.00 Public Works Certified Payroll Reporting Form 10/15/2019 - Page 4 eCPR Online Confirmation Your payroll submission request has been processed. "lease review the results of your submission. Should you have any questions please contact the eCPR unit at 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: 2019-10-06 Payroll Number: 14 Amendment Number: 0 10 employee payroll record(s) processed Your Transaction ID is: 6747780 Print this Pagg 107: u Afte View your submission Certification under p_ ,lty 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 2019-10-06 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2019-10-09." 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: 14- 0 For Week Ending: 10/06/2019 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 & Waif. Pension Net Wage Paid For Week Check Number g Date ALLEN R. FARIAS MONTANO 49968 AVENIDA DE ORO Work Classlficallon 09/30 10101 10/02 10/03 10/04 10/05 10/06 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 27127 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 za.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 ARMANDO RICO CHAVEZ 2103 JACQUES DR Work Classification 09I30 10/01 10/02 10/03 10/04 10/05 10/06 Thls Project All Projects 99.57 86.46 41.83 11.30 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 1,130.00 1,130.00 Training Fund Admin Dues Trav! Subs Savings Other Total Deduct 890.84 27126 O 0.00 1.00 1.00 1.00 0.00 8.00 0.00 11.00 30.00 0.00 0.00 0.00 0.00 0.00 0.00 239.16 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"Thl. Gross Amount Earned Federal Tax FICA Slate Tex SDI Vac/ Holiday Health & Waif. Penslon Net Wage Paid For Week Check Number 4 Date LETICIA BONILLA 33477 NAVAJO TR #B Work Classifi 09I30 10101 10/02 10/03 10I04 10l05 10/06 All Projects 5.00 45.90 0.00 6.00 0.00 0.00 0.00 Hours Worked Each Deycation CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15,00 600.00 600.00 Training Fund Admin Dues Trav! Subs Savings Other Total Deduct 543.10 27124 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 1 0.00 0.00 0.00 0.00 0.00 0.00 56.90 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 10/09/2019 - Page Public WOI -11 r5--- Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 10/06/2019 Payroll Number:14-0 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 LUCIAGARCIA 3 Date Total Earned Hourly Tax FICA Tax SDI Holiday & Welf. Pension Net Wage Check Work 09/30 10/01 10/02 10/03 10104 10105 10/06 Hours Pay Rate This All 25.62 42.84 3.05 5.60 0.00 0.00 0.00 Paid For Numbs 64045 HARVEST MOON RD DESERT HOT SPRINGS 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 14.00 560.00 560.00 Fund Trav/ 482.89 27128 CA MAINTENANCE Training Admin Dues Subs Savings Other Total 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 LABORER 92240 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 26.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Man Tue Wed Thu Fri Sat Sun Gross Amount Earned Federal Feder Tax FICA Slate Tax SDI Vac/ Holiday Health & Welf. Pension Net Social Security Number of Worker Withholding 3 Date LUIS E. ALVAREZ SARABIA Total Hourly Wage Check Work 09/30 10/01 10/02 10/03 10/04 10/05 10/06 This All 43.74 .94.39 17.44 7.11 0.00 0.00 0.00 Hours Pay Rate Paid For Numbei 45627 SENEGAL PL INDIO Classification Protect Protects I Week Hours Worked Each Day LANDSCAPE S 7.50 8.00 8.00 0.00 8.00 0.00 0.00 31.50 18.00 567.00 711.00 Fund Trav/ 588.32 27122 CA MAINTENANCE Training Admin Dues Subs Savings Other Total 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 122.68 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 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 Date MARCELINO BIRD ES Total Hourly Wage Check Work 09/30 10/01 10/02 10/03 10/04 10/05 10/06 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 Protect Protects 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/ 470.69 27125 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 89.31 92236 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 Total Hourly Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday y Health & Welf. Pension Net Wage Check Social Security Number of Worker Withholding PASTOR R. PEREZ NEGRON 0 Date Work Classification 09130 10/01 10/02 10/03 10/04 10/05 10/06 This Pro'ect 1 All Projects 1 75.86 55.70 19.56 7.28 0.00 0.00 0.00 67365 ONTINA RD Hours Pay Rate Paid For Week Number Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 728.00 728.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 569.60 27130 O 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 0.00 158.40 p 1 0.00 1 0.00 0.00 1 0.00 0.00 1 0.00 0.00 0.0o z6.00 NOTE: Public Works certified Payroll Reporting Form 10/09/2019 - Page Public Works Certified Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 10/06/2019 Payroll Number:14-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Total Hourly Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Wolf. Pension Net Wage Check ROSARODRIGUEZ 3 Date Work 09/30 10101 10/02 10/03 10104 10/05 10/06 This All 13.26 34.28 3.69 4.48 0.00 0.00 0.00 Hours Pay Rate Paid For Numbe PO BOX 580332 N PALM SPRINGS Classification Project Protects Week Hours Worked Each Day 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/ 392.29 27131 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 92256 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 -1: NOTE: f 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 5 Date SALVADORAZAMARTINEZ Total Hourly Wage Check Work 09/30 10/01 10/02 10/03 10/04 10/05 10/06 This All 20.55 63.98 0.00 8.36 0.00 0.00 0.00 Hours Pay Rate Paid For Numbe 15225 PALM DR #1 DESERT HOT Classification Protect Projects Week Hours Worked Each Day SPRINGS LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 836.25 836.25 Fund Trav/ 743.36 27123 CA MAINTENANCE Training Admin Dues Subs Savings Other Total 0.50 0.50 1.00 0.50 0.00 8.00 0.00 10.50 22.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 92.89 92240 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Social Security Number of Worker Withholding 6 Date SALVADOR MURILLO LANDEROS Total Hourly Wage Check Work 09/30 10/01 10/02 10/03 10/04 10/05 10/06 This All 0.00 52.02 0.00 6.80 0.00 0.00 0.00 Hours Pay Rate Paid For Numbei 48097 ESTRELLA TOMAS COACHELLA Classification Project Projects Week Hours Worked Each Day LANDSCAPE S 0.00 8.00 8.00 8.00 8.00 0.00 I 0.00 32.00 17.00 544.00 680.00 Fund Trav/ 621.18 27129 CA MAINTENANCE Tralnin9 Admin Dues Subs Savings Other Total O 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 10/09/2019 - Page