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2020-01-05 thru 2020-03-29 Cert PayrolleCPR Online Confirmation Your payroll submission request has been processed. ?lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 8006848 This certified payroll will be treated as an amendment #: 1 Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-03-29 Payroll Number: 39 Amendment Number: 1 1 employee payroll record(s) processed Your Transaction ID is: 10836554 Print this Page 'iew your submission Atiol Submit another set of payroll records l— Public Works Certifi ayroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC Il, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-03-29 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 2021-04-07." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92262 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA Contract With: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 County: RIVERSIDE Location Description: Payroll #: 39 - 1 Ctr Payroll #: 39-1 Week Ending: 03/29/2020 Statement of Non -Performance? ❑ Final payroll for this project? Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 03/23 03/24 03/25 03/26 03/27 03/28 03129 Hours Base Hourly Fringe Holiday & Welf. Pension Other Training Hourly Rate S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00 04O�Q0�! 15.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: ORIGINAL PAYROLL NUMBER 39-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00 Travel & Subsistence 0.00 Total Deductions 55.94 Public works certified Payroll Reporting Form 04/07/2021 - Page 1 eCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at iblicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF IA QUINTA Week Ending Date: 2020-03-29 Payroll Number. 39 Amendment Number. 0 11 employee payroll record(s) processed Your Transaction ID is: 8006848 Print this Pa9e View your submission Adp4e Public Works Certifie-layroll Reporting Form Certification unde. alty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC Il, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-03-29 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 2020-04-04." 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: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 39- 0 For Week Ending: 03/29/2020 ❑ 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 Date SDI Earned Tax FICA Tax Holiday & Welf. Pension Net 0 DIAZ SIERRA Total Hourly Wage Check ork 03123 Work 03/24 03/25 03/26 03/27 03/28 03/29 Hours Pay Rate This All 0.00 42.84 0.00 5.60 0.00 0.00 0.00 Paid For Number 46725 CLINTON #79 Classification Hours Worked Each Day Project Projects Week INDIO LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Fund Trav/ Total 511.56 29047 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 48.44 92201 1 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 ammm� 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 Holida y & Welf. Pension Net Wage Check 1 Date ALAN RAMIREZ RAYA Work 03/23 03/24 03/25 03/26 03/27 03128 03/29 This All 63.91 55.08 14.56 7.20 0.00 0.00 0.00 Hours Pay Rate Paid For Number 84037 MAGNOLIA ST Classification Project Projects Week Hours Worked Each Day COACHELLA LANDSCAPE S 8.00 8.00 B.00 8.00 8.00 0.00 0.00 40.00 18.00 720.00 720,00 Fund Trav/ Total 579.25 29050 CA MAINTENANCE Trainin 9 Admin Dues Subs Savings g Other Deduct Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 140.75 92236 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, 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 y Health $ Waif. Pension Net Wage Paid For Week 1 Check Number APOLINAR GONZALEZ MARTINEZ 31325 AVE LA PALOMA 3 Date Work Classification 03/23 03/24 03125 03/26 03/27 03/28 03/29 This Project 1 All Projects 1 24.86 42.84 2.36 5.60 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Training Fund gdmin Dues Trav/ Subs Savings Other Total Deduct 484.34 29048 I O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 21.00 0.00 O.DO 0,00 0.00 0.00 0.00 75.66 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 1 28.00 NOTE: Public Works Certified Payroll Reporting Form 04/04/2020 - Page 1 Public Works Certifie'-"'ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 03/29/2020 Payroll Number:39-0 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 FICA SDI pension Net 3 Date Earned Tax Tax Holiday & Welf. ARMANDO RICO CHAVEZ Total Hourly Wage Check Work 03/23 03/24 03125 03/26 03/27 03/28 03129 Hours Pay Rate This All 53.66 61.20 14.66 8.00 0.00 0.00 0.00 Paid For Number 2103 JACQUES DR Classification Project Projects Week Hours Worked Each Day 1 1 PALM SPRINGS LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 800.00 800.00 Fund Travl 662.48 29045 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 30.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 137.52 92262 D 0.00 1 0.00 0.00 0.00 1 0.00 0.00 0.00 0.00 40.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Social SecurityNumber of Worker Withholding Total Hourly Earned Tax FICA Tax SDI Holiday& Welf. Pension Net Wage 0 Date EUGENIO COPENO IZOTECO Check Work 03/23 03/24 03125 03/26 03/27 03128 03/29 This All 0.00 42.83 0.00 5.60 0.00 0.00 0.00 Hours Pay Rate Paid For Number 46299 ARABIA #C-13 Classification Project Projects ects Week Hours Worked Each Day INDIO 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/ 511.57 29046 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 48.43 92201 D 0.00 0.00 1 0.00 0.00 0.00 0.00 0.00 0.00 28.00 err 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 Earned Federal Tax FICA I State Tax SDI Vacl Hollda y Health & Welf. Pension Net Wage Check GENARO VARGAS 5 Date Work Classification 03/23 03/24 03/25 03/26 03/27 03/28 03/29 This Project 1 All Pro Projects � 0.00 42.84 0.00 5.60 0.00 0.00 0.00 69130 VICTORIA DR 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 14.00 560.00 560.00 Training Fund Admin Dues Travl Subs Savings Other Total 511.56 29052 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 48.44 D 0.00 0.00 0,00 1 0.00 0.00 0.00 0.00 1 0.00 28.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Social Security Number of Worker Withholding Earned Tax FICA Tax I SDI Holiday & Welf. Pension Net 4 Date LETICIABONILLA Total Hourly Wage Check Work 03/23 03/24 03/25 03/26 03/27 03/28 03/29 This All 4.04 45.90 0.00 6.00 0.00 47.39 0.00 Hours Pay Rate Paid For Number 33477 NAVAJO TR #B CATHEDRAL CITY Classlflcatlon Project 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 15.00 600.00 600.00 Fund Travl 544.06 29043 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 55.94 92234 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 30.00 - NOTE: Public Works Certified Payroll Reporting Form 04/04/2020 - Page 2 I-- Public Works Certifirlayroll Reporting Form !� Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 03/29/2020 Payroll Number:39-0 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 I FICA Tax SDI Holiday & Welf. pension Net 3 Date LUIS E. ALVAREZ SARABIA Total Hourly y Wage Check Work 03123 03/24 03/25 03/26 03/27 03/28 03129 This All 44.06 55.07 17.14 7.20 0.00 0.00 0.00 Hours Pay Rate Paid For Number 45627 SENEGAL PL Classification Project Projects Week Hours Worked Each Day INDIO LANDSCAPE S B.00 8.00 B.00 8.00 8.00 0.00 0.00 40.00 18.00 720.00 720.00 Fund Travl 596.53 29042 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 0.00 123.47 92201 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Hollday Health & Welf. Pension Net Social Security Number of Worker Withholding 2 Date MARCELINO BRIONES Total Hourly Wage Check Work 03/23 03/24 03/25 03/26 03/27 03128 03/29 This All 34.79 42.84 4.94 5.60 0.00 0.00 0.00 Hours Pay Rate Paid For Number 50700 CALLE MENDOZA COACHELLA Classlflcation 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 Trav/ 471.83 29044 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 88.17 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 Earned Federal Tax FICA State Tax SDI Vac/ Hollda Y Health & Welf. Pension Net Social Security Number of Worker Withholding 0 Date PASTOR R. PEREZ NEGRON Total Hourly Wage Check Work 03/23 03/24 03/25 03/26 03127 03/28 03/29 This All 60.43 45.90 12.86 6.00 0.00 0.00 0.00 Hours Pay Rate Paid For Number 67365 ONTINA RD CATHEDRAL CITY 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 15.00 600.00 600.00 Fund Trev/ 474.81 29049 CA MAINTENANCE Training Admin Dues Subs Savings Other Total p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 LABORER 0.00 0.00 0.00 0.00 0,00 0.00 125.19 92234 p 0.00 0.00 0.00 0.00 0.00 0 .00 0.00 0.00 30.00 NOTE: 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 y Health . & Welf. Pension Net 3 Date ROSA RODRIGUEZ Total Hourly Wage Check Work 03/23 03/24 03125 03/26 03/27 03/28 03/29 This All 24.86 42.84 7.52 5.60 0.00 0.00 0.00 Hours Pay Rate Paid For Number PO BOX 580332 N PALM SPRINGS Classification Project 1 Pro Projects Week Hours Worked Each Day LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Fund Trav/ 479.18 29051 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 92258 0.00 0.00 0.00 0.00 0.00 0.00 80.82 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 Public works certified Payroll Reporting Form 04/04/2020 - Page 3 eCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 8006807 This certified payroll will be treated as an amendment #: 1 Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-03-22 Payroll Number: 38 Amendment Number: 1 1 employee payroll record(s) processed Your Transaction ID is: 10836384 Print this Page 'iew your submission Adobe' Submit another set of payroll records E O LL 0) C L O Q d 0.' O R w - K a d ~ 'o v m 0)p U L x Q U p L N L O U) C y C y or o C O O C 7 N L N O O - r rn p ❑ U O t O 0 LOw Q ° o O E O = y a) LL C0,7 pQ ❑ � o c o O 0 o 0 O 2 U O U y d d to m O 0 Cl. t N c co U 2 3 0 C co L C;m y 7 E E 000 O c� T .o a) ` „ o z Z a c > x 0 0 m vi U J p "yo m C7 Z U cN v d J p y o En O = y _oL cn r W a a)~ E W ❑ J C— tw U) U a) T 0 r 0 o O cn m cmi m Y Z O y m C i O Y 0N- fn _ ¢ - Q. w oo U �Nr C) J m 2 O E Gam) Q W E 0 W O m T �, m o .�• 5b1 O N y U Z C F 2� r; O r> °a� Cpi G O U � N `= o o w u a m = m O O Z` N m N N O W OL Y > in O O C; O W U 7 C m y '- co r O N ❑ V N LO w M coM C) N N U- o O m o o WO L_ N Op N W 3 = O O o_ O V W M C) V m t o o w Z N m N Q N N ~ m Q O N Cl)to af N CM N dtt. 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Ev CM)mZ a c O ml w ZQmNr c_ E c a�'i C E 0 0 0 D Z O U 7 C U J_ E 0 d N 7 N m E Y o c E 3 C C N C- T O¢ i N j G T cU¢dU�ia °' r 3 Public Works Certifier-ayroll Reporting Form Certification under alty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-03-22 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 2020-04-04." 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: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 38- 0 Name, Address and Social Security Number of Worker ADAN DIAZ SIERRA 46725 CLINTON #79 INDIO CA 92201 NOTE: For Week Ending: 03/22/2020 Is this a 'Statement of Non -Performance?' Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date Work Classification 03/16 03/17 03/18 03/19 03/20 03/21 03122 This Project All Projects 0.00 38.56 0.00 5.04 0.00 0.00 0,00 Hours Worked Each Day LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 4.00 8.00 8.00 0.00 0,00 36.00 14.00 504.00 504.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 460.40 28898 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 43,60 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Hollda y Health & Welf. Pension Net Wage Paid For Week Check Number 3 Date AGUSTIN RUBIO PIEDRA 67321 MISSION DR Work Classification 03/16 03/17 03/18 03/19 03/20 03121 03122 This Project All Projects 31.62 60.67 2.14 7.93 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 � LANDSCAPE MAINTENANCE LABORER S 0.00 0.00 0.00 3.00 0.00 0.00 0.00 3.00 13.50 40.50 793.13 Training 9 Fund Admin Dues Subs Subs Savings 9 Other Total Deduct 690.77 28882 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.25 0.00 0.00 0.00 0.00 0.00 0.00 102.36 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI vac/ Holiday y Health & Welf. Pension Net Wage Paid For Week Check Number 1 Date ALAN RAMIREZ RAYA 84037 MAGNOLIA ST Work Classification 03/16 03117 03118 03/19 03/20 03/21 03/22 This Project i All Projects 55.27 49.58 11.39 6.48 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA 92236 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 4.00 8.00 B.00 0.00 0.00 36.00 I 18.00 i 648.00 648.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 525.28 28901 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 0.00 122.72 D 0.00 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: Public Works certified Payroll Reporting Form 04/04/2020 - Page 1 Public Works Certified- iyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 03/22/2020 Payroll Number: 38-0 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 Holida & Welf. pension Net 3 Date y APOLINAR GONZALEZ MARTINEZ Total Hourly Wage Check Work 03/16 03/17 03/18 03/19 03/20 03/21 03122 Hours Pay Rate This All 18.28 38.56 0.00 5.04 0.00 0.00 0.00 Paid For Number 31325 AVE LA PALOMA Classification Project Projects Week Hours Worked Each Day > > CATHEDRAL CITY LANDSCAPE S 8.00 8.00 4.00 8.00 8.00 0.00 0.00 36.00 14.00 504.00 504.00 Fund Trav/ 442.12 28899 CA MAINTENANCE Training 9 Admin Dues Subs Savin s 9 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 61.88 92234 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 Total Hourly Earned Tax FICA Tax SDI Holiday & Welf. Pension Net Wage Check 3 Date ARMANDO RICO CHAVEZ Work 03/16 03/17 03/18 03/19 03/20 03/21 03/22 This All 44.06 55.08 9.40 7.20 0.00 0.00 0.00 Hours Pay Rate Paid For Number 2103 JACOUES DR Classification Project Projects 1 Week Hours Worked Each Day PALM SPRINGS 'LANDSCAPE S 8.00 8.00 4.00 8.00 B.00 0.00 0.00 36.00 20.00 720.00 720.00 Fund Trav/ 604.26 28896 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 30.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 115.74 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 Mon Tue Wed Thu Fri Sat Sun Grose Amount Federal State Vac/ Health Social SecurityNumber of Worker Withholding Total Hourly Earned Tax FICA Tax SDI Holiday & WeIr. pension Net 0 Date DAVID GAMBINO Wage 9 Check Work 03/16 03117 03/18 03/19 03/20 03/21 03/22 This All 86.13 62.93 0.21 8.23 0.00 0.00 0.00 Hours Pay Rate Paid For Number 46 LARIAT ST Classification Project j Projects 1 Week Hours Worked Each Day PALM SPRINGS LANDSCAPE S 0.00 0.00 0.00 3.00 0.00 0.00 0.00 3.00 14.00 42.00 822.50 Fund Trav/ 665.00 28875 CA MAINTENANCE I raining 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 0.00 157.50 92262 p o.00 o.o0 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 Slate Vac/ Health Social Security Number of Worker Withholding Earned Tax FICA Tax SDI Holiday & Welf. Pension Net 0 Date ELIAS M. DORADO Total Hourly Wage Check Work 03/16 03/17 03/18 03/19 03/20 03/21 03122 This All 66.29 62.92 21.30 8.23 0.00 0.00 0.00 Hours Pay Rate Paid For Number 33848 VIA ECHO CATHEDRAL CITY Classification Project Projects Week Hours Worked Each Day LANDSCAPE S 0.00 0.00 3.00 0.00 0.00 0.00 3.00 14.00 42.00 822.50 Fund Trav/ 663.76 28874 CA MAINTENANCE Training Admin Dues Subs Savings Other Total O0.00 A 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 0.00 158.74 92234 p0.00 D.00 D.00 0.00 0.00 0.00 0.00 26.0o glum NOTE: Public works certified Payroll Reporting Form 04/04/2020 - Page 2 Public Works Certifie,' ' -iyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 03/22/2020 Payroll Number:38-0~ Deductions, Contributions, and Payments Name, Address and Social Security Number of Worker Number of Withholding Day Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date ERICALVAREZ 49132 LAS CRUCES ST Work Classification 03/16 03117 03/18 03/19 03/20 03/21 03/22 This Project All Projects 96.84 67.42 27.76 8.81 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 15.00 45.00 881.25 Training 9 Fund Admin Dues Trav/ Subs Savings 9 Other Total 680.42 28873 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 0.00 200.83 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vacl Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date ERIK M. VILLALOBOS VALDEZ 68060 ENCINITAS RD Work Classification 03/16 03117 03/18 03/19 03/20 03121 03/22 This Project All Projects 86.13 62.93 21.30 8.23 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER 0.00 0.00 0.00 3.00 0.00 0.00 0.00Trav/S 3.00 14.00 42.00 822.50 Training 9 Fund Admin Dues Subs Subs Savings 9 Other Total 643.91 28884 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 0.00 178.59 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA Slate Tax SDI Vacl Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date EUGENIO COPENO IZOTECO 46299 ARABIA #C-13 Work Classification 03/16 03/17 03118 03/19 03/20 03121 03/22 Thls Project All Projects 0.00 38.56 0.00 5.04 0.00 0.00 0.00 Hours Worked Each Day INDIO CA 92201 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 4.00 8.00 8.00 0.00 0.00 36.00 14.00 504.00 504.00 Training 9 Fund Admin Dues Trav/ Subs Savings 9 Other Total 460.40 28897 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 43.60 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 [NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holida Y Health & Welf. Pension Net Wage Paid For Week Check Number GENARO VARGAS 69130 VICTORIA DR 5 Date Work Classification 03/16 03/17 03/1 B 03/19 03120 03/21 03/22 This Project All Projects 0.00 39.36 0.00 5.15 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 4.00 8.00 8.00 0.00 0.00 36.00 14.00 514.50 514.50 Training Fund Admin Dues Trav/ Subs Savings Other Total 469.99 28903 p 0.50 0.00 0.00 0.00 0.00 0.00 0.00 0.50 21.00 0.00 0.00 0.00 0.00 0.00 0.00 44.51 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 4 NOTE: Public works certified Payroll Reporting Form 04/04/2020 - Page 3 Public Works Certifie,' -iyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 03/22/2020 Payroll Number:38-0 ~ 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 0 Data Earned Tax FICA Tax SDI Holiday& Welf. Pension Net GILBERTO MARTINEZ SERRANO Total Hourly Wage Check Work 03/16 03117 03/18 03119 03/20 03/21 03/22 Hours Pay Rate This Ali 34.57 38.56 0.00 5.04 0.00 0.00 0.00 Paid For Number 68200 33RD AVE #249 Classification Pro ect Pro acts Week Hours Worked Each Day l j CATHEDRAL CITY LANDSCAPE 8.00 0.00 0.00 0.00 0.00 0.00 0.00 S 8.00 14.00 112.00 504.00 Fund Trav/ 425.83 28886 CA MAINTENANCE Training Admin Dues Subs Savings Other Total LABORER O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 92234 0.00 0.00 0.00 0.00 0.00 0.00 78.17 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Social SecurityNumber of Worker Withholding Earned Tax FICA Tax SDI Holiday & Welf. pension Net 1 Date ISAIAH A. RIGS Total Hourly Y Wage 9 Check Work 03/16 03117 03/18 03/19 03/20 03121 03/22 This All 54.87 49.32 11.25 6.45 0.00 0,00 0.00 Hours Pay Rate Paid For Number 53740 EISENHOWER DR Classification Project Projects Week Hours Worked Each Day LA OUINTA LANDSCAPE S 0.00 0.00 0.00 3.00 0.00 0.00 0.00 3.00 13.50 40.50 644.63 Fund Trav/ 522.74 28881 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 20.25 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 121.89 92253 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal I State Vac! Health Social SecurityNumber of Worker Withholding Earned Tax FICA Tax SDI Holiday & Waif. Pension Net 4 Date LETICIA BONILLA Total Hourly Wag Check Work 03/16 03/17 03/18 03/19 03/20 03121 03/22 This All 0.00 42.17 0.00 5.51 0.00 47.39 0.00 Hours Pay Rate Paid For Number 33477 NAVAJO TR #B Classification Project 1 Projects 1 Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 8.00 4.00 8.00 6.00 0.00 0.00 36.00 15.00 551.25 551.25 Fund Trav/ 503.57 28894 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 47.68 92234 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Number of D" Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Grose Amount Federal State Vac/ Health Social Security Number of Worker Withholding Earned Tax FICA I Tax SDI Holiday & Welf. Pension Net 3 Date LUIS E. ALVAREZ SARABIA Total Hourly Wage Check Work 03/16 03/17 03/18 03/19 03/20 03/21 03/22 This All 35.42 49.58 13.97 6.48 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 4.00 8.00 8.00 0.00 0.00 36.00 18.00 648.00 648.00 Fund Trav/ 542.55 28893 � CA MAINTENANCE Training Dues Savings Other Total LABORER p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.00 Admin Subs 92201 0.00 0.00 0.00 0.00 0.00 0.00 105.45 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 04/04/2020 - Page 4 Public Works Certifie--ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 03/22/2020 Payroll Number:38-0 Name, Address and Soclal SecurityNumber of Worker Number of Withholding Day Deductions, 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 2 Date MARCELINO BRIONES 50700 CALLE MENDOZA Work Classification 03/16 03117 03/18 03119 03/20 03/21 03/22 This Project All Projects 28.07 38.55 2.48 5.04 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA 92236 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 4.00 8.00 8.00 0.00 0.00 36.00 14.00 504,00 504.00 Training 9 Fund Admin Dues Trav/ Subs Savings 9 Other Total 429.86 28895 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 74.14 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 0 Date OSCAR ORTEGA MONTES 1528 FILLMORE DR Work Classification 03116 03/17 03/18 03/19 03/20 03/21 03/22 This Project All Projects 171.25 93.30 55.93 12.20 0.00 0.00 0.00 Hours Worked Each Day SALTON CITY CA 92274 LANDSCAPE MAINTENANCE LABORER S 0.00 0.00 0.00 2.00 0.00 0.00 0.00 2.00 18.00 36.00 1,219.50 TrainingFund Admin Dues Subs Subs Savings 9 Other Total 728.74 28872 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 1 0.00 0.00 158.08 490.76 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: $158.08 OTHER = CHILD SUPPORT 1 Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vacl Holiday y Health & Waif. Pension Net Wage Paid For Week Check Number 0 Date PASTOR R. PEREZ NEGRON 67365 ONTINA RD Work Classification 03/16 03/17 03/18 03/19 03/20 03121 03/22 Thls Project All Projects 53.23 41.31 10.22 5.40 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 4.00 8.00 8.00 0.00 0.00 36.00 15.00 540.00 540.00 Training 9 Fund Admin Dues Trav/ Subs Savings 9 Other Total 429.84 28900 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 0.00 110.16 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Waif. Pension Net Wage Paid For Week Check Number 3 Date ROSA RODRIGUEZ PO BOX 580332 Work Classification 03/16 03117 03/18 03/19 03/20 03/21 03/22 This Pro'ect 1 All Pro 1 ects 18.28 38.56 5.06 5.04 0.00 0.00 0.00 Hours Worked Each Day N PALM SPRINGS CA 92258 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 4.00 8.00 8.00 0.00 0.00 36.00 14.00 504.00 504.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 437.06 28902 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 66.94 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.00 NOTE: i Public works certified Payroll Reporting Form 04/04/2020 - Page 5 eCPR Online Confirmation Your payroll submission request has been processed. .'lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 10825602 This certified payroll will be treated as an amendment #: 2 Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-03-15 Payroll Number: 37 Amendment Number: 2 1 employee payroll record(s) processed Your Transaction ID is: 10826624 Print this Page � AS 4 'iew your submission Adobe Submit another set of payroll records Public Works Certifi 'ayroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-03-15 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 2021-04-06." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92262 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA Contract With: CITY OF LA QUINTA DIR Project ID: 290440 County: RIVERSIDE Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Location Description: Payroll #: 37 - 2 Ctr Payroll #: 37-2 Week Ending: 03/15/2020 Statement of Non -Performance? Final payroll for this project? Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 Mon Tue Wed Thu Fri Sat Sun 03/09 03/10 03/11 03/12 03/13 03/14 03/15 S LANDSCAPE MAINTENANCE LABORER 8.00 0.00 8.00 3.50 7.00 0.00 0.00 NOTE: CORRECTED CONTRACTOR'S ADDRESS AND WORKERS COMPENSATION POLICY NUMBER AT THAT TIME Total Base Hourly g Total Vac/ Health pension Other Training Total Hours Fringe Holiday & Welf. Hourly Rate 28;50 15.00 0.00 0.00 0.00 0.00 0.00 0.00 ill Travel & Subsistence 0.00 Total Deductions 34.38 Public works Certified Payroll Reporting Form 04/06/2021 - Page 1 eCPR Online Confirmation Your payroll submission request has been processed. lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 8006715 This certified payroll will be treated as an amendment #: 1 Contractor Name: PWLC II, INC. Contractor Address: 72350 QUARRY TRL #A THOUSAND PALMS CA 92276 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-03-15 Payroll Number: 37 Amendment Number: 1 1 employee payroll record(s) processed Your Transaction ID is: 10825602 Print this Page ew your submission Adobe Submit another set of payroll records Public Works Certiff ayroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-03-15 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 2021-04-06." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 72350 QUARRY TRL #A, THOUSAND PALMS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92276 Insurance Number: WSD 5059867-00 Awarding Body: CITY OF LA QUINTA Contract With: CITY OF LA QUINTA DIR Project ID: 290440 County: RIVERSIDE Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Location Description: Payroll #: 37 - 1 Ctr Payroll #: 37-1 Week Ending: 03/15/2020 ❑ Statement of Non -Performance? ❑ Final payroll for this project? Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 Mon Tue Wed Thu Fri Sat Sun Total Total Vac! Health Total 03/09 03110 03MI 03/12 03/13 03/14 03/15 Hours Base Hourly Fringe Holiday & Welf. Pension Other Training Hourly Rate S LANDSCAPE MAINTENANCE LABORER 8.00 0.00 8.00 3.50 7.00 0.00 0.00 26r5U1 15.00 0.00 0.00 0.00 0.00 0.00 0.00 fSDt1J NOTE: PAYROLL NUMBER 37-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00 Travel & Subsistence 0.00 Total Deductions 34.38 Public works Certified Payroll Reporting Form 04/06/2021 - Page 1 eCPR Online Confirmation Your payroll submission request has been processed. ,Please review the results of your submission. Should you have any questions please contact the eCPR unit at ,blicworks@dir.ca.gov. Contractor Name: PWLC 11, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-03-15 Payroll Number: 37 Amendment Number: 0 14 employee payroll record(s) processed Your Transaction ID is: 8006715 Print this Page View your submission LPN Public Works Certifier--iyroll Reporting Form Certification under ilty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-03-15 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 2020-04-04." Contractor Name: PWLC ll, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE Payroll Number: 37- 0 MAINTENANCE OF CITYWIDE MEDIANS For Week Ending: 03/15/2020 El Is this a 'Statement of Non -Performance?' Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf- pension Net Wage Paid For Week Check Number 0 Date ADAN DIAZ SIERRA 46725 CLINTON #79 Work Classification 03I09 03I10 03111 03112 03l13 03/14 03115 This Pj�t Project All Pj Projects 0.00 29.45 0.00 3.85 0.00 0.00 0.00 Hours Worked Each Day INDIO CA 92201 LANDSCAPE MAINTENANCE LABORER S 8.00 0.00 8.00 3.50 8.00 0.00 0.00 27.50 14.00 385.00 385.00 Trainin g Fund Admin Dues Trav/ Subs Savings 9 Other Total Deduct 351.70 28864 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 33.30 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac! Hallda y Health & Welf. pension Net Wage Paid For Week Check Number 1 Date ALAN RAMIREZ RAYA 84037 MAGNOLIA ST Work Classification 03/09 03110 03111 03/12 03/13 03/14 03115 This Project All Projects 36.91 37.87 4.66 4.95 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA 92236 LANDSCAPE MAINTENANCE LABORER S 8.00 0.00 8.00 3.50 8.00 0.00 0.00 27.50 18.00 495.00 495.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 410.61 28868 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 84.39 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: 771 Name, Address and Social SecurityNumber of Worker Number of Withholding day Deductions, Contributions, and 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 ALEJANDRO CHAVEZ JR. 2103 JACQUES DR 0 Date Work Classification 03/09 03/10 03/11 03/12 03/13 03/14 03/15 This Project All Projects 14.65 29.45 4.69 3.85 0.00 0.00 0.00 Hours Worked Each Day PALMS SPRINGS CA 92262 LANDSCAPE MAINTENANCE LABORER S 8.00 0.00 5.00 0.00 0.00 0.00 0.00 13.00 14.00 182.00 385.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 332.36 28862 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 52.64 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Public works certified Payroll Reporting Form 04/04/2020 - Page 1 Public Works Certifie---iyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 03/15/2020 Payroll Number: 37-0 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 Haallh & Welf, Pension Net Wage Paid For Week Check Number 3 Date APOLINAR GONZALEZ MARTINEZ 31325 AVE LA PALOMA Work Classification 03/09 03/10 03/11 03/12 03/13 03/14 03/15 This Project All Projects 6.38 29.44 0.00 3.85 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 inglarmo LANDSCAPE MAINTENANCE LABORER S 8.00 0.00 8.00 3.50 8.00 0.00 0.00 27.50 14.00 385.00 385.00 Training g Fund Admin Dues Subs Subs Savings g Other Total 345.33 28865 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 39.67 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: fName, 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 3 Date ARMANDO RICO CHAVEZ 2103 JACQUES DR Work Classification 03/09 03/10 03/11 03112 03/13 03/14 03/15 This Project � All Pro ecls j 30.86 46.67 4.56 6.10 0.00 0.00 0.00 Hours Worked Each Day PALM SPRINGS CA 92262 - LANDSCAPE MAINTENANCE LABORER S 8.00 0.00 8.00 3.50 8.00 0.00 0.00 27.50 20.00 610.00 610.00 Training g Fund Admin Dues Subs Subs Savings 9 Other Total 521.81 28861 0 1.00 0.00 0.50 0.00 0.50 0,00 0.00 2.00 30.00 0.00 0.00 0.00 0.00 0.00 0.00 88.19 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holida y Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date EUGENIO COPENO IZOTECO 46299 ARABIA #C-1 3 Work Classification 03/09 03/10 03111 03/12 03/13 03/14 03/15 This Project > Alr Projects > 0.00 20.89 0.00 2.73 0.00 0.00 0.00 Hours Worked Each Day INDIO CA 92201 LANDSCAPE MAINTENANCE LABORER S 0.00 0.00 8.00 3.50 8.00 0.00 0.00 19.50 14.00 273.00 273.00 Training Fund Admin Dues Trav/Subs Subs Savings Other Total 249.38 28863 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 23.62 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Grose Amount Earned Federal Tax FICA State Tax SDI Vac/ Holida y Health & Welf. Pension Net Wage Paid For Week Check Number GENARO VARGAS 69130 VICTORIA DR 5 Date Work Classification 03/09 03/10 03/11 03/12 03/13 03/14 03115 This Project 1 All Projects 1 0.00 30.25 0.00 3.96 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 0.00 8.00 3.50 8.00 0.00 0.00 27.50 14.00 395.50 395.50 Training Fund Admin Dues Trav/ Subs Savings Other Total 361.29 28871 0 0.00 0.00 0.00 0.00 0.50 0.00 0.00 0.50 21.00 0.00 0.00 0.00 0.00 0.00 0.00 34.21 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Public Works certified Payroll Reporting Form 04/04/2020 - Page 2 e- Public Works Certifie,'- ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 03/15/2020 Payroll Number: 37-0 Number of Day Deductions, Contributions, and Payments Name, Address and Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Net FICA SDI Pension Earned Tax Tax Holiday & Welf. 0 Date Total Hourly Check GILBERTO MARTINEZ SERRANO Nu 03/09 03/10 03111 03112 03/13 03/14 03/15 Hours Pay Rate This All 33,63 29.45 0.00 3.85 0.00 0.00 0.00 PaidFor Number Work 68200 33RD AVE #249 Classification Hours Worked Each Day Project Projects Week I CATHEDRAL CITY LANDSCAPE S 8.00 0.00 8.00 3.50 8.00 0.00 0.00 27.50 14.00 385.00 385.00 Fund 318.07 28866 CA MAINTENANCE Training g Admin Dues Subs Subs Savings g 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 66.93 92234 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Number of Day Deductions, Contributions, and Payments Name, Address and Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Social SecurityNumber of Worker Withholding Total Hourly Earned Tax FICA Tax SDI Holiday & Welf. Pension Net Wege Check 4 Date LETICIABONILLA Work 03/09 03/10 03111 03/12 03/13 03/14 03/15 This All 0.00 30.40 0.00 3.98 0.00 47.39 0.00 Hours Pay Rate Paid For Number 33477 NAVAJO TR #B Classification Project Projects Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 0.00 8.00 3.50 7.00 0.00 0.00 26.50 15.00 397.50 397.50 Fund 363.12 28859 CA MAINTENANCE Training g Admin Dues Subs Subs Savings g 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 34.38 92234 1 1 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 30.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Social SecurityNumber of Worker Withholding Total Hourly Earned Tax FICA Tax SDI Holiday & Welf. Pension Net Wage Check 3 Date LUIS E. ALVAREZ SARABIA Work 03/09 03/10 03111 03/12 03/13 03/14 03/15 This All 17.38 37.87 7.24 4.95 0.00 0.00 0.00 Hours Pay Rate Paid For Number 45627 SENEGAL PL Classification Project Projects Week Hours Worked Each Day INDIO LANDSCAPE S 8.00 0.00 8.00 3.50 8.00 0.00 0.00 27.50 18.00 495.00 495.00 Fund Trav! 427.56 28858 CA MAINTENANCE Training g Admin Dues Subs Savings g Other Total 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.00 LABORER 0.00 0.00 0.00 0.00 0,00 0.00 67.44 92201 i 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 Federal State Vac/ Health Health Social SecurityNumber of Worker Withholding Total Hourly Earned Tax FICA Tax SDI Holiday& Pension Net Wage 2 Date MARCELINO BRIONES Check Work 03/09 03/10 03/11 03/12 03/13 03/14 03/15 This All 3.45 20.89 0.00 2.73 0.00 0.00 0.00 Hours Pay Rate Paid For Number 50700 CALLE MENDOZA Classification Project 1 Projects J Week Hours Worked Each Day COACHELLA LANDSCAPE S 8.00 0.00 8.00 3.50 0.00 0.00 0.00 19.50 14.00 273.00 273.00 Fund Trav/ 245.93 28860 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 27.07 92236 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Public works certified Payroll Reporting Form 04/04/2020 - Page 3 Public Works Certifie-' ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 03/15/2020 Payroll Number:37-0 Pension Net Wage Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and 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. g Paid For Week Check Number 0 Date PASTOR R. PEREZ NEGRON 67365 ONTINA RD CATHEDRAL CITY CA 92234 Work Classification 03/09 03/10 03/11 03/12 03/13 03/14 03/15 This Project All Projects 37.93 31.55 6.29 4.13 0.00 0.00 0.00 Hours Worked Each Day LANDSCAPE MAINTENANCE LABORER S 8.00 0.00 8.00 3.50 8.00 0.00 0.00 27.50 15.00 412.50 412.50 Training g Fund Admin Dues Trav/ Subs Savings g Other Total 332.60 28867 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 79.90 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday& Health Welf. Pension Net Wage Paid For Week Check Number 3 Date ROSA RODRIGUEZ PO BOX 580332 Work Classification 03/09 03110 03/11 03/12 03/13 0304 03/15 This Project � All Projects � 7.43 30.25 2.34 3.96 0.00 0,00 0.00 Hours Worked Each Day N PALM SPRINGS CA 92258 i LANDSCAPE MAINTENANCE LABORER S 8.00 0.00 8.00 3.50 8.00 0.00 0.00 27.50 14.00 395.50 395.50 Training g Fund Admin Dues Trav/ Subs Savin s 9 Other Total 351.52 28869 O 0.00 0.00 0.00 0.00 0.50 0.00 0.00 0.50 21.00 0.00 0.00 0.00 0.00 0.00 0.00 43.98 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holida y Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date SALVADOR VALDEZ CISNEROS 12966 CACTUS DR Work Classification 03I09 03I10 03/11 03/12 03113 03114 03/15 This Project j All Projects 1 34.87 44.17 7.06 5.78 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 LANDSCAPE MAINTENANCE LABORER S 8.00 0.00 8.00 0.00 0.00 0.00 0.00 16.00 15.00 240.00 577.50 Trainln 9 Fund Admin Dues Trav/ Subs Savings 9 Other Total 485.62 28870 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 91.88 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Public works Certified Payroll Reporting Form 04/04/2020 - Page 4 eCPR Online Confirmation Your payroll submission request has been processed. 'lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 10825476 This certified payroll will be treated as an amendment #: 2 Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-03-08 Payroll Number: 36 Amendment Number: 2 1 employee payroll record(s) processed Your Transaction ID is: 10826554 Print this Page 'iew your submission Adobe Submit another set of payroll records Public Works Certif. 3ayroll Reporting Form Certification unaer penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC ll, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-03-08 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 2021-04-06." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92262 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: Payroll #: 36 - 2 Ctr Payroll #: 36-2 Week Ending: 03/08/2020 Statement of Non -Performance? Final payroll for this project? Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 03/02 03/03 03/04 03/05 03/06 03/07 03/08 Hours Base Hourly Fringe Holiday & Welf. Pension Olher Training Hourly Rate S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40?Q 15.00 0.00 0.00 0.00 0.00 0.00 0.00 T,!Rmj' O LANDSCAPE MAINTENANCE LABORER 1.00 0.00 0.00 1.00 0.00 0.00 0.00 TEI)Os 22.50 0.00 0.00 0.00 0.00 0.00 0.00 56 NOTE: CORRECTED CONTRACTOR'S ADDRESS AND WORKERS COMPENSATION POLICY NUMBER AT THAT TIME Travel & Subsistence 0.00 Total Deductions 64.33 Public works Certified Payroll Reporting Form 04/06/2021 - Page 1 eCPR Online Confirmation Your payroll submission request has been processed. -lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 7878314 This certified payroll will be treated as an amendment #: 1 Contractor Name: PWLC II, INC. Contractor Address: 72350 QUARRY TRL #A THOUSAND PALMS CA 92276 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-03-08 Payroll Number: 36 Amendment Number: 1 1 employee payroll record(s) processed Your Transaction ID is: 10825476 Print this Page r 'iew your submission Submit another set of payroll records Public Works Certifi 'ayroll Reporting Form Certification unoer penalty of perjury: 9, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-03-08 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 2021-04-06." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 72350 QUARRY TRL #A, THOUSAND PALMS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92276 Insurance Number: WSD 5059867-00 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: Payroll #: 36 - 1 Ctr Payroll #: 36-1 Week Ending: 03/08/2020 El Statement of Non -Performance? Final payroll for this project? Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 03/02 03/03 03/04 03105 03/06 03/07 03/08 Hours Base Hou ly Fringe Holiday & Welf. Pension Other Training Hourly Rate S LANDSCAPE MAINTENANCE LABORER 8.00 6.00 8.00 8.00 8.00 0.00 0.00 40:60G! 15.00 0.00 0.00 0.00 0.00 0.00 0.00 `,'�Z�T,S,OM O LANDSCAPE MAINTENANCE LABORER 1.00 0.00 0.00 1.00 0.00 0.00 0.00 �T2A0",:'. 22.50 0.00 0.00 0.00 0.00 0.00 0.00 p7J "50T NOTE: ORIGINAL PAYROLL NUMBER 36-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00 Travel & Subsistence 0.00 Total Deductions 64.33 Public works Certified Payroll Reporting Form 04/06/2021 - Page 1 eCPR Online Confirmation Your payroll submission request has been processed. _Please review the results of your submission. Should you have any questions please contact the eCPR unit at :blicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-03-08 Payroll Number. 36 Amendment Number: 0 12 employee payroll record(s) processed Your Transaction ID is: 7878314 Print this Pagg View your submission 6drJhe Public Works CertifF ayroll Reporting Form Certification unde, ally of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-03-08 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 2020-03-17." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: 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: 36- 0 For Week Ending: 03/08/2020 ❑ Is this a 'Statement of Non -Performance?' Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday& Health Welf. Pension Net Wage Paid For Week Check Number 1 Date ALAN RAMIREZ RAYA 84037 MAGNOLIA ST Work Classification 03102 03/03 03/04 03105 03106 03/07 03/08 Thls Project All Projects 63.91 55.08 14.56 7.20 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA 92236 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 B.00 8.00 0.00 0.00 40.00 18.00 720.00 720.00 Training Fund Admin Dues Travl Subs Savings Other Total Deduct 579.25 28723 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.00 0.00 0.00 0.00 0.00 0.00 0.00 140.75 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 I 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 Holida y Health & Welf. Pension Net Wage Paid For Week Check Number 3 Date APOLINAR GONZALEZ MARTINEZ 31325 AVE LA PALOMA Work Classification 03/02 03/03 03/04 03/05 03/06 03/07 03/08 This Project 1 All Projects 1 12.68 34.28 0.00 4.48 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 Mow LANDSCAPE MAINTENANCE LABORER S 8.00 B.00 8.00 0.00 8.00 0.00 0.00 32.00 14.00 448.00 448.00 Training Fund Admin Dues Trav! Subs Savings Other Total Deduct 396.56 28720 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 1 0.00 0.00 0.00 0.00 51.44 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 Slate Tax SDI Vacl Holiday y Health & Welf. Pension Net Wage Paid For Week Check Number ARMANDO RICO CHAVEZ 2103 JACQUES DR 3 Date Work Classification 03/02 03/03 03/04 03/05 03/06 03/07 03/08 This Project 1 All Projects 1 110.18 91.04 45.30 11.90 0.00 0.00 0.00 Hours Worked Each Day PALM SPRINGS CA 92262 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 1,190.00 1,190.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 931.58 28719 O 1.00 1.00 1.00 1.00 1.00 8.00 0.00 13.00 30.00 0.00 0.00 0.00 0.00 0.00 0.00 258.42 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 03/17/2020 - Page 1 r-~ Public Works Certifi,' iyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 03/08/2020 Payroll Number: 36-0 Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday y Health & Welf. Pension Net Wage Paid For Week Check Number 5 Date GENARO VARGAS 69130 VICTORIA DR Work Classification 03/02 03103 03104 03/05 03/06 03107 03/08 Thls Project 1 All Pro acts 1 0.00 46.85 0.00 6.13 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 onsolob LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 0.00 8.00 8.00 8.00 0.00 40.00 14.00 612.50 612.50 Training 9 Fund Admin Dues Trav/ Subs Savin s g Other Total 559.52 28725 Q 1.00 0.50 0.00 1.00 0.00 0.00 0.00 2.50 21.00 0.00 0.00 0.00 0.00 0.00 0.00 52.98 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 Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday& Health Welf. Pension Net Wage Paid For Week Check Number 0 Date GILBERTO MARTINEZ SERRANO 68200 33RD AVE #249 Work Classification 03/02 03103 03/04 03/05 03/06 03/07 03/08 This Project 1 All Projects 1 55.89 43.64 2.82 5.71 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 570.50 570.50 Training Fund Admin Dues Trav/ Subs Savings Other Total 462.44 28721 O 0.00 0.50 0.00 0.00 0.00 0.00 0.00 0.50 21.00 0.00 0.00 0.00 0.00 0.00 0.00 108.06 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 Vacl Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 4 Date LETICIABONILLA 33477 NAVAJO TR #B Work Classification 03/02 03/03 03/04 03105 03/06 03/07 03/08 This Project 1 All Projects 1 8.54 49.34 0.00 6.45 0.00 47.39 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 MONO LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 15.00 645,00 645.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 580.67 26717 O 1.00 0.00 0.00 1.00 0.00 0.00 0.00 LO 22.50 0.00 0.00 0.00 0.00 0.00 0.00 64.33 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI I Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number LUIS E. ALVAREZ SARABIA 45627 SE O PL INDI 3 Date Work Classification 03/02 03/03 03/04 03/05 03/06 03107 03/08 This Project 1 All Projects 1 26.78 44.06 10.81 5.76 0.00 0.00 0.00 Hours Worked Each Day CA 92201 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 0.00 8.00 0.00 0.00 32.00 18.00 576.00 576.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 488.59 28716 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 87.41 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: Public works certified Payroll Reporting Form 03/17/2020 - Page 2 Public Works CertifF ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 03/08/2020 Payroll Number: 36-0 I I Deductions, Contributions, and Payments I Name, Address and Social SecurityNumber of Worker Number of Withholding Day y 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 2 Date MARCELINO BRIONES 50700 CALLE MENDOZA Work Classification 03/02 03/03 03104 03/05 03/06 03/07 03108 This Pro act � All Projects � 34.79 42.84 4.94 5.60 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA 92236 � LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 471.83 28718 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 88.17 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 o.00 za.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 Gross Amount Earned Hourly Pay Rate This All Project Projects 1 � 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 03/02 03/03 03/04 03/05 03/06 03/07 03/08 60.43 45.90 12.86 6.00 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Training 9 Fund Admin Dues Trav/ Subs Savings 9 Other Total 474.81 28722 O 0.00 0.00 0.00gg 0.00 0.00 0.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 125.19 p 0.00 0.00 0.00 0.00 0.00 0.00 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 & Welt. Pension Net Wage Paid For Week Check Number RAFAEL M. VERA 13040 CACTUS 2 Date Work Classification 03/02 03/03 03/04 03/05 03/06 03/07 03/08 This Project 1 All Projects 1 33.38 55.69 3.29 7.28 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 LANDSCAPE MAINTENANCE LABORER S 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.00 168.00 728.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 628.36 28695 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 99.64 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions. Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number ROSARODRIGUEZ PO BOX 580332 N 3 Date Work Classification 03102 03/03 03/04 03105 03/06 03/07 03/08 This Project 1 All Projects 1 14.78 35.88 3.95 4.69 0.00 0.00 0.00 Hours Worked Each Day PALM SPRINGS LANDSCAPE CA MAINTENANCE LABORER 92258 S 8.00 8.00 8.00 0.00 0.00 0.00 32.00 14.00 469.00 469.00 Training Fund gdmin Dues Trav/ Subs Savings Other Total 409.70 28724 Q 0.00 0.00 0.00 J00 0.00 0.00 0.00 1.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 59.30 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Public works certified Payroll Reporting Form 03/17/2020 - Page 3 f- Public Works Certifir'� 'syroll Reporting Form :ontractor Name: PWLC II, INC. Name, Address and Number of Social Security Number of Worker Withholding 0 SALVADOR VALDEZ CISNEROS Work 12966 CACTUS DR Classification DESERT HOT SPRINGS LANDSCAPE CA MAINTENANCE LABORER 92240 NOTE: Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 03/08/2020 Payroll Number:36 0 Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State V:erl Health Earned Tax FICA Tax SDI Holioay & Welf. Pension Net Date Total Hourly Wag Check 03/02 03103 03/04 03/05 03/06 03/07 03/08 Hours Pay Rate This All 58.54 59.67 11.51 7.80 0.00 0.00 0.00 Paid For Number Hours Worked Each Day Project Projects Week 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.00 180.00 780.00 Fund Dues Travl Total 642.48 28708 Training Savings Other 0.00 0.00 0.00 0.00 0.00 8.00 0.00 8.00 22.50 Admin Subs 0.00 0.00 0.00 0.00 0.00 0.00 137.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 Public Works certified Payroll Reporting Form 03/17/2020 - Page 4 eCPR Online Confirmation Your payroll submission request has been processed. 'lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 10825193 This certified payroll will be treated as an amendment #: 2 Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-03-01 Payroll Number: 35 Amendment Number: 2 1 employee payroll record(s) processed Your Transaction ID is: 10826461 Print this Page I iew your submission 'iol}e Submit another set of payroll records Public Works Certifi` ayroll Reporting Form Certification unaer penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-03-01 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 2021-04-06." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92262 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: Payroll #: 35 - 2 Ctr Payroll #: 35-2 Week Ending: 03/01/2020 ❑ Statement of Non -Performance? ❑ Final payroll for this project? Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 Mon Tue Wed Thu 02/24 02/25 02/26 02/27 Fri 02/28 Sat 02/29 Sun 03/01 Total Hours Base Hourly Total Fringe S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00 R'a40?i PA! 15.00 0.00 O LANDSCAPE MAINTENANCE LABORER 1.00 0.00 0.50 0.50 0.00 8.00 0.00 MtpQd'ml 22.50 0.00 NOTE: CORRECTED CONTRACTOR'S ADDRESS AND WORKERS COMPENSATION POLICY NUMBER AT THAT TIME Vac/ Health Total Holiday & Welf. pension Other Training Hourly Rate 0.00 0.00 0.00 0.00 0.00 'WJRL"5:01 ., 0.00 0.00 0.00 0.00 0.00 lop 5 Travel & Subsistence 0.00 Total Deductions 98.16 Public works certified Payroll Reporting Form 04/06/2021 - Page 1 eCPR Online Confirmation Your payroll submission request has been processed. .-lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 7795670 This certified payroll will be treated as an amendment #: 1 Contractor Name: PWLC II, INC. Contractor Address: 72350 QUARRY TRL #A THOUSAND PALMS CA 92276 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-03-01 Payroll Number: 35 Amendment Number: 1 1 employee payroll record(s) processed Your Transaction ID is: 10825193 Print this Page 'iew your submissionAdobe Submit another set of payroll records Public Works Certifi 'ayroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-03-01 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 2021-04-06." Contractor Name: PWLC ll, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 72350 QUARRY TRL #A, THOUSAND PALMS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92276 Insurance Number: WSD 5059867-00 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: Payroll #: 35 - 1 Ctr Payroll #: 35-1 Week Ending: 03/01/2020 ❑ Statement of Non -Performance? ❑ Final payroll for this project? f Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 Mon Tua Wed Thu Fri Sat Sun Total Total Vac/ Health 02/24 02/25 02/26 02127 02128 02/29 03/01 Hours Base Hourly Fringe Holiday & Welf. S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00 K40TQtlx[;I 15.00 0.00 0.00 0.00 O LANDSCAPE MAINTENANCE LABORER 1.00 0.00 0.50 0.50 0.00 8.00 0.00 TdIO 22.50 .._. 0.00 0.00 0.00 NOTE: ORIGINAL PAYROLL NUMBER 35-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00 Travel & Subsistence Pension Other Training Total Hourly Rate 0.00 0.00 0.00 f1�Otr , 0.00 0.00 0.00 i 0.00 Total Deductions 98.16 Public works certified Payroll Reporting Form 04/06/2021 - Page 1 eCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at %iblicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-03-01 Payroll Number. 35 Amendment Number: 0 12 employee payroll record(s) processed Your Transaction ID is: 7795670 Print L Pa9e 9174 ;- Yew your submission Public Works Certifie,_ ayroll Reporting Form Certification under , salty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER-(posillon in business) with the authority to act for and on behalf of PWLC ll, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submittad and consisting of certified payroll records for the week ending 202M3-01 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 2020-03-04." 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 LANDS Payroll Number: 35- 0 MAINTENANCE OF CITYWIDE MEDIANS For Week Ending: 03/01/2020 Is this a 'Statement of Non -Performance?' Name, Address and 1 Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health 8 Welf. Pension Net Wage Paid For Week Check Number 1 Date ALAN RAMIREZ RAYA ' 84037 MAGNOLIA ST Work Classification 02124 02/25 02/26 02/27 02/28 02/29 03/01 This Project All Projects 63.91 55.08 14.56 7.20 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA 92236 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8,00 8.00 8.00 0.00 0,00 40.00 18.00 720.00 720.00 Training Fund Admin Dues Subs Subs Savings Other Total Deduct 579.25 28689 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.00 0.00 0.00 0.00 0.00 0.00 0.00 140.75 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health $ Welf. Pension Net Wage Paid For Week Check Number 0 Date • ALEJANDRO CHAVEZ JR. 2103 JACQUES DR Work Classification 02/24 02/25 02/26 02/27 02/28 02/29 03/01 This Project All Projects 28.07 38.56 7.64 5.04 0.00 0.00 0.00 Hours Worked Each Day PALMS SPRINGS CA 92262 LANDSCAPE MAINTENANCE LABORER S 0.00 8.00 4.00 8.00 8.00 0.00 0.00 28.00 14.00 392.00 504.00 Training Fund Admin Dues Travl Subs Savings Other Total Deduct 424.69 28686 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 79.31 D 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State SDI Tax Vac! Holiday Health $ Welf. pension Net Wage Paid For Week Check Number 3 Date APOLINAR GONZALEZ MARTINEZ 31325 AVE LA PALOMA Work Classification 02/24 02/25 02/26 02/27 02/28 02/29 03/01 This Project All Projects 24.86 42.84 2.36 5.60 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Trainln 9 Fund Admin Dues Trav! Subs Savings 9 Other Total Deduct 484.34 28687 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 75.66 D 0.00 1 0.00 0.00 0.00 1 0.00 0,00 0.00 0.00 28.00 NOTE; Public works certified Payroll Reporting Form 03/04/2020 - Page 1 Public Works Certifie, - iyroll Reporting Form ;ontractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 03/01/2020 Payroll Number:35-0 Number of Day Deductions, Contributions, and Payments Name, Address and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health FICA SDI Pension Net Earned Tax Tax Holiday & Welf. 3 Date Total Hourly Wage Check ARMANDO RICO CHAVEZ 02/24 02125 02/26 02127 02128 02/29 03/01 Hours Pay Rate This All 103.58 88.74 42.66 11.60 0.00 0.00 0.00 Paid For Number Work 2103 JACQUES DR Classification Hours Worked Each Day Project Projects Week PALM SPRINGS LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 1,160.00 1,160.00 913.42 28685 CA MAINTENANCE Training Adman Dues Subs Savings Other Total 0 1.00 1.00 1.00 1.00 0.00 8.00 0.00 12.00 30.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 246,58 92262 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.00 NOTE: Number of Day Deductions, Contributions, and Payments Name, Address and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Net Total Hourly Earned Tax FICA Tax SDI Holiday & Waif. Pension Wage Check 5 Date GENARO VARGAS Hours Pay Rate Pald For Number 02/24 02125 02/26 02/27 02128 02129 03101 This All 12.77 58.91 0.00 7.70 0.00 0.00 0.00 69130 VICTORIA DR Wok Classification Project Projects Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 770.00 770.00 690.62 28692 CA MAINTENANCE Training Admin Dues Subs Savings Other Total 0 1.00 0.00 0.50 0.50 0.00 8.00 0.00 10.00 21.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 79.38 92234 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Number of Day Deductions, Contributions, and Payments Name, Address and Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac' Health Health Pension Net Social SecurityNumber of Worker Withholding Total Hourly Earned Tax Tax H ntida & Wolf. Wage Check 4 Date LETICIA BONILLA Hours Pay Rate Paid For Number 02/24 02125 02/26 02/27 02/28 02/29 03/01 This All 26.54 63.11 0.26 8.25 0.00 47.39 0.00 33477 NAVAJO TR #B Work Classification Project Projects 1 Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 825.00 825.00 Fund Trav/ 726.84 28683 CA MAINTENANCE Training Admin Dues Subs Savings Other Total 0 1.00 0.00 0.50 0.50 0.00 8.00 0.00 10.00 22.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 98.16 92234 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 I Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 3 Date LUIS E. ALVAREZ SARABIA 45627 SENEGAL PL Work Classification 02/24 02/25 02/26 02/27 02/28 02/29 03/01 This Project All Projects 44.06 55.09 17.14 7.20 0.00 0.00 0.00 Hours Worked Each Day INDIO CA 92201 LANDSCAPEFD MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 18.00 720,00 720.00 Training Fund Admin Dues Travl Subs Savings Other Total 596.51 28682 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 27.00 0.00 0.00 0.00 0.00 0.00 0.00 123.49 0.001 0.00 0.00 0.00 0,00 0.00 0.00 0.00 36.00 NOTE: Public Works Certified Payroll Reporting Form 03/04/2020 - Page 2 Public Works Certifie c -iyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 03/01/2020 Payroll Number:35-0 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/ oliday Health & Waif. Pension Net Wage Paid For Week Check Number 2 Date MARCELINO BRIONES 50700 CALLE MENDOZA Work Classification 02/24 02/25 02/26 02/27 02/28 02/29 03/01 This Project All Projects 34.79 42.84 4.94 5.60 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA 92236 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 471.83 28684 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 88.17 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax I SDI Vacl Holiday I Health & WeIF. Pension I Net Wage Paid For Week Check Number 0 Date PASTOR R. PEREZ NEGRON 67365 ONTINA RD Work Classification 02/24 02/25 02/26 02127 02128 02/29 03/01 This Project All Projects 60.43 45.90 12.86 6.00 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 - LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Training g Fund Admin Dues Trav/ Subs Savings 9 Other Total 474.81 28688 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 125.19 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vacl Holiday Heafih & Waif. Pension I Net Wage Paid For Week Check Number 2 Date RAFAEL M. VERA 13040 CACTUS DESERT HOT SPRINGS CA 92240 Work Classification 02/24 02/25 02/26 02/27 02/28 02129 03/01 This Project P�jt All Projects Pj 33.38 55.70 3.29 7.28 0.00 0.00 0.00 Hours Worked Each Day LANDSCAPE :MAINTENANCE LABORER S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 14.00 616.00 728.00 Training 9 Fund Admin Dues Trav/ Subs Savings 9 Other Total 628.35 28663 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 99.65 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday y Health & Welf. Pension Net Wage Paid For Weekro Check Number ROSA RODRIGUEZ PO BOX 580332 3 Date Work Classification 02/24 02/25 02/26 02/27 02/28 02/29 03101 This Project 1 All Proj Projects 1 24.86 42.84 7.52 5.60 0.00 0.00 0.00 Hours Worked Each Day N PALM SPRINGS CA 9225E LANDSCAPE MAINTENANCE LABORER S 0.00 8.00 8.00 8,00 8.00 8.00 0.00 40.00 14.00 560.00 560.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 479.18 28690 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 80.82 D 0.00 0.00 0.00 0.00 1 0.00 0.00 0.00 0.00 28.00 NOTE: Public works certified Payroll Reporting Form 03/04/2020 - Page 3 Public Works Certifie''- iyroll Reporting Form r-- ;ontractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 03/01/2020 Payroll Number: 35-0 Number of Day Deductions, Contributions, and Payments Name, Address and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ FICA SDI Health Pension Net 0 Date Total Earned Hourly Tax Tax Holiday & Welf. Wage Check SALVADOR VALDEZ CISNEROS 02/24 02/25 02/26 02/27 02/28 02/29 03/01 Hours Pay Rate This All 58.54 59.67 11.51 7.80 0.00 0.00 0.00 Paid For Number 12966 CACTUS DR Work Classlflcatlon Hours Worked Each Day Project Projects Week DESERT HOT SPRINGS LANDSCAPE 0.00 8.00 8.00 8.00 8.00 0.00Trav/S32.00 15.00 660.00 780.00 Fund 642.48 28691 CA MAINTENANCE Training Admin Dues Subs Subs Savings Other Total 0 0.00 0.00 0.00 0.00 0.00 j000 0.00 8.00 22.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 137.52 92240 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 � NOTE: Public Works Certified Payroll Reporting Form 03/04/2020 - Page 4 eCPR Online Confirmation Your payroll submission request has been processed. 'lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 10825052 This certified payroll will be treated as an amendment #: 2 Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-02-23 Payroll Number: 34 Amendment Number: 2 1 employee payroll record(s) processed Your Transaction ID is: 10826367 Print this Page 'iew your submission--A&be Submit another set of payroll records Public Works Certifi 'ayroll Reporting Form Certification unaer penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-02-23 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-04-06." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92262 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: Payroll #: 34 - 2 Ctr Payroll #: 34-2 Week Ending: 02/23/2020 ❑ Statement of Non -Performance? ❑ Final payroll for this project? Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 02117 02/18 02119 02/20 02121 02/22 02/23 Hours Base Hourly Fringe Holiday & Welf. Pension Other Training Hourly Rate S LANDSCAPE MAINTENANCE LABORER 0.00 8.00 8.00 8.00 8.00 0.00 0.00 ^O32lili 15.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: CORRECTED CONTRACTOR'S ADDRESS AND WORKERS COMPENSATION POLICY NUMBER AT THAT TIME Travel & Subsistence 0.00 Total Deductions 42.49 Public works certified Payroll Reporting Form 04/06/2021 - Page 1 eCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 7794766 This certified payroll will be treated as an amendment #: 1 Contractor Name: PWLC II, INC. Contractor Address: 72350 QUARRY TRL #A THOUSAND PALMS CA 92276 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-02-23 Payroll Number: 34 Amendment Number: 1 1 employee payroll record(s) processed Your Transaction ID is: 10825052 Print this page 'iew your submission Submit another set of payroll records r-- Public Works Certifil ayroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-02-23 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-04-06." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 72350 QUARRY TRL #A, THOUSAND PALMS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92276 Insurance Number: WSD 5059867-00 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: Payroll #: 34 - 1 Ctr Payroll #: 34-1 Week Ending: 02/23/2020 Statement of Non -Performance? Final payroll for this project? Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 02/17 02/18 02119 02/20 02/21 02/22 02/23 Hours Base Hourly Fringe Holiday & Welf. Pension Other Training Hourly Rate S LANDSCAPE MAINTENANCE LABORER 0.00 8.00 8.00 8.00 8.00 0.00 0.00 t 32fff' V1 15.00 0.00 0.00 0.00 0.00 0.00 0.00 4 Y�J11= INOTE: ORIGINAL PAYROLL NUMBER 34-0 SHOWS 47.31 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00 Travel & Subsistence 0.00 Total Deductions 42.49 Public Works certified Payroll Reporting Form 04/06/2021 - Page 1 eCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at Cblicwnrks@d€rca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-02-23 Payroll Number. 34 Amendment Number. 0 14 employee payroll record(s) processed Your Transaction ID is: 7794766 print [his Fagg View your submission Arleb[ Public Works Certifier -iyroll Reporting Form :ertification under salty of perjury: 1, KRISTY SOUTH, the undersigned, am the CONTROLLER (posltion In business) with the authority to act for and an 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 2020-02-23 are the originals or true, full, and correct coples of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever farm to the individual or individuals named. I certify this on 2020-03-04." 'ontractor 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 nsurance Number: WSD 5029463 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 'ontract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Dayroll Number: 34- 0 For Week Ending: 02/23/2020 Is this a 'Stater Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 3 Date AGUSTIN RUBIO PIEDRA 67321 MISSION DR yyo Classification 02/17 02118 02/19 02I20 02121 02/22 02/23 This Project All Projects 33.65 62.22 2.59 -i 8.13 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.50 162.00 813.38 Training g Fund Admin Dues Trav/ Subs Savings Other Total Deduct 706.79 28526 O 0.00 0.00 0.00 0.00 0.00 8.00 0.00 8.00 20.25 0.00 0.00 0.00 0.00 0.00 0.00 106.59 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf, Pension Net Wage Paid For Week Check Number 1 Date ALAN RAMIREZ RAYA 84037 MAGNOLIA ST Work Classification 02117 02/18 02/19 02/20 02/21 02/22 02/23 This Project All Projects 46.63 44.06 8.23 5.76 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA 92236 LANDSCAPE MAINTENANCE LABORER S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 18.00 576.00 576.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 471.32 28543 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 0.00 104.68 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 3 Date APOLINAR GONZALEZ MARTINEZ 31325 AVE LA PALOMA Work Classification 02/17 02/18 02/19 02/20 02/21 02/22 02/23 This Project All Projects 12.68 34.28 0.00 4.48 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 14.00 448.00 448.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 396.56 28541 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 51.44 p o.00 o.00 o.00 o.00 o.00 o.00 o.00 0.00 126.00 NOTE: Public works certified Payroll Reporting Form 03/04/2020 - Page 1 r` Public Works Certifie -iyroll Reporting Form 0-�- 'ontractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 02/23/2020 Payroll Number: 34-0 f i Number of Day Deductions, Contributions, and Payments Name, Address and Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Net Date Earned Tax FICA Tax SDI Holiday & Welf. Pension 3 ARMANDO RICO CHAVEZ Total Hourly Wage Check Work 02/17 02/18 02/19 02/20 02121 02/22 02123 Hours Pay Rate This All 66.26 69.23 21.59 9.05 0.00 0.00 0.00 Paid For Number 2103 JACQUES DR Classification Hours Worked Each Day Project Projects Week PALM SPRINGS LANDSCAPE S 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 20.00 905.00 905.00 Fund Trav/Subs 738.87 28540 CA MAINTENANCE Training 9 Admin Dues Subs Savin s 9 Other Total p 0.00 1.00 1.00 1.00 0.50 0.00 0.00 3.50 30.00 LABORER 0.00 0.00 0,00 0.00 0.00 0.00 166.13 92262 D 0.00 0.00 1 0.00 0.00 0.00 0.00 0.00 0.00 40.00 NOTE: Number of Day Deductions, Contributions, and Payments Name, Address and Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Total Hourly Earned Tax FICA Tax SDI Holiday & Welf. Pension Net Wage Check 10 Date ELMER LOPEZ PEREZ Work 02117 02118 02119 02120 02/21 02/22 02/23 This All 0.00 63.78 0.00 8.34 0.00 47.39 0.00 Hours Pay Rate Paid For Number 30-336 SAN LUIS REY DR. Classification Project 1 Projects Pro j Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.50 162.00 833.63 Fund Trav/Subs 761.51 28522 CA MAINTENANCE Training 9 Admin Dues Subs Savings 9 Other Total Q 0.00 0.00 0.00 0.00 0.00 8.00 0.00 8.00 20.25 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 72.12 92234 I D o.00 o.o0 0.00 0.00 0.00 0.00 0.00 0.00 27.00 NOTE: I I 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 Holida y & Welf. Pension Net Wage Check 5 Date GENARO VARGAS Work 02/17 02118 02/19 02/20 02/21 02122 02/23 This All 0.00 43.64 0.00 5.71 0.00 0.00 0.00 Hours Pay Rate Paid For Number 69130 VICTORIA DR Classification Pro act 1 Pro j ects Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 14.00 570.50 570.50 Fund Trav/ 521.15 28545 Training 9 Dues Savings 9 Other Total CA MAINTENANCE Admin Subs Q 0.00 0.00 0.00 0.00 0.50 0.00 0,00 0.50 21.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 49.35 92234 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 za.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vacf Health Social SecurityNumber of Worker Withholding Total Hourly Earned Tax FICA Tax SDI Holiday& Walf- Pension Net Wage Check 4 Date LETICIA BONILLA Work 02/17 02/18 02/19 02/20 02121 02122 02/23 This All 0.00 37.58 0.00 4.91 0.00 47.39 0.00 Hours Pay Rate Paid For Number 33477 NAVAJO TR #B Classification Pro 1 Project Projects 1 Week H Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 15.00 491.25 491.25 Fund Trav! 448.76 28538 CA MAINTENANCE Training Admin Dues Subs Savings Other Total Q 0.00 0.00 0.00 0.00 0.50 0.00 0.00 0.50 22.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 42.49 92234 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 O.o0 30.00 Worm NOTE: Public works certified Payroll Reporting Form 03/04/2020 - Page 2 Public Works Certifie 3yroll Reporting Form :ontractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 02/23/2020 Payroll Number:34-0 Name, Address and Social Security Number of Worker LUIS E. ALVAREZ SARABIA 45627 SENEGAL PL INDIO CA 92201 Number of Withholding 3 Work Classlflcatlon LANDSCAPE MAINTENANCE LABORER NOTE: (Name, Address and Number of Social Security Number of Worker I Withholding 2 MARCELINO BRIONES Work 50700 CALLE MENDOZA Classification COACHELLA LANDSCAPE CA MAINTENANCE LABORER 92236 NOTE: Name, Address and Number of Social Security Number of Worker Withholding 0 PASTOR R. PEREZ NEGRON Work 67365 ONTINA RD Classification CATHEDRAL CITY LANDSCAPE CA MAINTENANCE LABORER 92234 NOTE: Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Hollday Health & Welf. Pension Net Wage Paid For Week Check Number Date 02/17 02/18 02/19 02120 02121 02/22 02/23 This Project All Projects 26.78 44.06 10.81 5.76 0.00 0.00 0.00 Hours Worked Each Day 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 18.00 576.00 576.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 488.59 28537 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.00 0.00 0.00 0.00 0.00 0.00 0.00 87.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 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! Hollday Health & Welf. Pension Net Wage Paid For Week Check Number Date 02/17 02118 02119 02I20 02121 02122 02123 This Project All Projects 34.79 42. 84 4.94 5.60 0.00 0.00 0.00 Hours Worked Each Day 0.00 8.00 8.00 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 471.83 28539 0.00 0.00 0.00 0.00 0.00 0.00 0.00 D.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 88.17 0.00 0.00 0.00 0.00 1 0.00 0.00 1 0.00 0.00 28.00 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 t NeWage Paid For Week Check Number Date 02117 02118 02/19 02/20 02121 02/22 02/23 This Project All Projects 46.03 36.72 7.78 4.80 0.00 0.00 0.00 Hours Worked Each Day 0.00 8.00 8.00 B.00 8.00 0.00 0.00 32.00 15.00 480.00 480.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 384.67 28542 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 95.33 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 Federal Tax FICA State Tax SDI Vac! Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 2 Data RAFAEL M. VERA 13040 CACTUS Work Classification 02/17 02/18 02/19 02/20 02/21 02/22 02/23 This Project All Projects 19.73 45.25 0.29 5.92 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 0.00 0.00 0.00 0.00 0.00 8.00 0.00 8.00 14.00 112.00 591,50 Training g Fund Admin Dues Trav/ Subs Savings 9 Other Total 520.31 28518 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 92240 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 71.19 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 28.00 NOTE: Public works certified Payroll Reporting Form 03/04/2020 - Page 3 Public Works Certifie,--ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 02/23/2020 Payroll Number:34-0 Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pa y Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 3 Date ROSA RODRIGUEZ PO BOX 580332 Work Classification 02117 02I18 02/19 02I20 02/21 02/22 02123 This Project All Projects 12.68 34.28 3.49 4.48 0.00 0.00 0.00 Hours Worked Each Day N PALM SPRINGS CA 92258 LANDSCAPE MAINTENANCE LABORER S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 14.00 448.00 448.00 Training 9 Fund Admin Dues Subs Subs Savings 9 Other Total 393.07 28544 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 54.93 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day 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 Vacl Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date SALVADOR VALDEZ CISNEROS 12966 CACTUS DR Work Classification 02/17 02/18 02/19 02/20 02/21 02/22 02/23 This Project 1 All Pro ects 1 42.34 49.34 8.54 6.45 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 LANDSCAPE MAINTENANCE LABORER S 0.00 0.00 0.00 0.00 0.00 8.00 0.00 6.00 I 15.00 120.00 645.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 538.33 26529 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 0.00 106.67 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 I Vac/ Hollda y Health & Welf. Pension Net Wage Paid For Week Check Number 3 Date VICTOR MARTINEZ GARCIA 66389 DESERT VIEW #A Work Classification 02117 02/18 02/19 02120 02/21 02122 02/23 This Project All ro Projects P 57.70 63.78 16.88 8.34 0.00 0.00 0.00 Hours Worked Each Deyj DESERT HOT SPRINGS CA 92240 LANDSCAPE MAINTENANCE LABORER S 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.50 162.00 833.63 Training 9 Fund Admin Dues Travl Subs Savings g Other Total 686.93 28523 0 0.00 0.00 0.00 0.00 0.00 8.00 0.00 8.00 20.25 0.00 0.00 0.00 0.00 0.00 0.00 146.70 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 27.00 NOTE: Public works certified Payroll Reporting Form 03/04/2020 - Page 4 eCPR Online Confirmation Your payroll submission request has been processed. 'lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 10824863 This certified payroll will be treated as an amendment #: 2 Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANY WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-02-16 Payroll Number: 33 Amendment Number: 2 1 employee payroll record(s) processed Your Transaction ID is: 10826309 Print this Page 'iew your submission Adobe Submit another set of payroll records Public Works Certif 'ayroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-02-16 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-04-06." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANY WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92262 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: Payroll #: 33 - 2 Ctr Payroll #: 33-2 Week Ending: 02/16/2020 Statement of Non -Performance? ❑ Final payroll for this project? Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 02/10 02/11 02112 02/13 02/14 02115 02/16 Hours Base Hourly Fringe Hollday & Welf. Pension Other Training Hourly Rate S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00 R°s400"1! 15.00 0.00 0.00 0.00 0.00 0.00 0.00 awfi, .4 . 1 NOTE: CORRECTED CONTRACTOR'S ADDRESS AND WORKERS COMPENSATION POLICY NUMBER AT THAT TIME Travel & Subsistence 0.00 Total Deductions 89.51 Public works certified Payroll Reporting Form 04/06/2021 - Page 1 eCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 7688477 This certified payroll will be treated as an amendment #: 1 Contractor Name: PWLC II, INC. Contractor Address: 72350 QUARRY TRL #A THOUSAND PALMS CA 92276 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-02-16 Payroll Number: 33 Amendment Number: 1 1 employee payroll record(s) processed Your Transaction ID is: 10824863 Print this Page MUM, i 'iew your submission p Submit another set of payroll records Public Works Certifi ayroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-02-16 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-04-06." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 72350 QUARRY TRL #A, THOUSAND PALMS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92276 Insurance Number: WSD 5059867-00 Awarding Body: CITY OF LA QUINTA Contract With: CITY OF LA QUINTA DIR Project ID: 290440 County: RIVERSIDE Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Location Description: Payroll #: 33 - 1 Ctr Payroll #: 33-1 Week Ending: 02/16/2020 n Statement of Non -Performance? n Final payroll for this project? Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health 02/10 02/11 02/12 02/13 02114 02/15 02/16 Hours Base Hourly Fringe Holiday & Welf. S LANDSCAPE MAINTENANCE LABORER 6.00 8.00 8.00 8.00 8.00 0.00 0.004,Oa70�ti' 15.00 0.00 0.00 0.00 DOTE: ORIGINAL PAYROLL NUMBER 33-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00 Travel & Subsistence Public works certified Payroll Reporting Form 04/06/2021 - Page 1 eCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at iblicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-02-16 Payroll Number. 33 Amendment Number: 0 11 employee payroll record(s) processed Your Transaction ID is: 7688477 Print this Pagg View your submission �l.dobe Public Works Certifie' - 3yroll Reporting Form Certification under _ alty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-02-16 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2020-02-19." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: WSD 5029463 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 33- 0 For Week Ending: 02/16/2020 C Is this a 'Statement of Non -Performance?' Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. pension Net Wage Paid For Week Check Number 1 Date ALAN RAMIREZ RAYA 84037 MAGNOLIA ST Work Classification 02/10 02111 02112 02/13 02/14 02/15 02/16 This Project All Projects 63.91 55.08 14.56 7.20 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA 92236 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 B.00 8.00 B.00 0.00 0.00 40.00 18.00 720.00 720.00 Training Fund Admin Dues Travl Subs Savings Other Total Deduct 579.25 28512 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.00 0.00 0.00 0.00 0.00 0.00 0.00 140.75 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE; Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wege Paid For Week Check Number 9 Date ALLEN R. FARIAS MONTANO 49968 AVENIDA DE ORO Work Classification 02/10 02111 02112 02/13 02/14 02/15 02/16 This Project All Projects 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 8.00 8.00 0.00 0.00 0.00 32.00 14.00 448.00 448.00 Training 9 Fund Admin Dues Subs Subs Savings 9 Other Total Deduct 409.24 6094 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 1 0.00 0.00 38.76 D 0.00 0.00 0.00 0.00 1 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 02/10 02/11 02/12 02/13 02/14 02/15 02116 This Project All Projects 12.68 34.28 0.00 4.48 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY LANDSCAPE CA MAINTENANCE LABORER 92234 i S 8.00 0.00 8.00 8.00 8.00 0.00 0.00 32.00 14.00 448.00 448,00 Training 9 Fund Admin Dues Subs Subs Savings g Other Total Deduct 396.56 28510 0 0.00 0.00 0.00 0.00 0.00 1 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 51.44 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.0o zB.00 NOTE: Public works certified Payroll Reporting Form 02/19/2020 - Page 1 Public Works Certifie vyroll Reporting Form /-11 ;ontractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 02/16/2020 Payroll Number: 33-0 Number of Day Deductions, Contributions, and Payments r Name, Address and Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health FICA SDI Pension Net 3 Date Earned Tax Tax Holiday & Welf. Total Hourly Wage Check ARMANDO RICO CHAVEZ Work 02/10 02/11 02/12 02/13 02114 02/15 02/16 Hours Pay Rate This All 93.68 85.30 38.70 11.15 0.00 0.00 0.00 Paid For Number 2103 JACQUES DR Classification Hours Worked Each Day ProjectProjects Pects Week PALM SPRINGS LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 1.115.00 1.115.00 Fund Trav/ 886.17 28509 CA MAINTENANCE Training g Admin Dues Subs Savings 9 Other Total 0 1.00 0.50 1.00 0.00 0.00 6.00 0.00 10.50 30.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 228.83 92262 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal Slate Vac/ Health Social SecurityNumber of Worker Withholding Total Hourly Earned Tax FICA Tax SDI Holiday y & Welf. Pension Net Wage Check 4 Date EMILIANO MEDINA Work 02/10 02/11 02/12 02113 02/14 02/15 02/16 This All 0.00 27.55 0.00 3.60 0.00 0.00 0.00 Hours Pay Rate Paid For Number 34300 CORREGIDOR DR Classification roPject / ro/ Projects Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 0.00 0.00 0.00 0.00 24.00 15.00 360.00 360.00 Fund 328.85 6097 CA MAINTENANCE Training 9 Admin Dues Subs Subs Savings 9 Other Total 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 LABORER 0.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 31.15 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 Security Number of Worker Number of Withholding 5 GENARO VARGAS Work 69130 VICTORIA DR Classification CATHEDRAL CITY LANDSCAPE CA MAINTENANCE LABORER 92234 NOTE: Name, Address and Number of Social Security Number of Worker Withholding 4 LETICIA BONILLA Work 33477 NAVAJO TR #13 Classification CATHEDRAL CITY LANDSCAPE CA MAINTENANCE LABORER 92234 4OTE: Day Deductions, Contributions, and 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 02110 02/11 02/12 D2/13 02/14 02115 02/16 This Project All Projects 8.57 55.69 0.00 7.28 0.00 0.00 0.00 Hours Worked Each Day 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 728.00 728.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 656,46 28514 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 j 0.00 f 0.00 71.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 Day IDeductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac! Holida y Health & Welf. Pension Net Wage Paid For Week Check Number i Date 02/10 02/11 02/12 02/13 02/14 02/15 02/16 This Project All Projects 22.04 59.67 0.00 7.80 0.00 47.39 0.00 Hours Worked Each Day 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 780.00 780.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 690.49 28507 0.00 0.00 0.00 0.00 0.00 8.00 0.00 8.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 89.51 0.00 0,00 0,00 0.00 0.00 0.00 0.00 0.00 30.00 Public works certified Payroll Reporting Form 02/19/2020 - Page 2 Public Works Certifie' 3yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 02116/2020 Payroll Number: 33-0 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 3 Date LUIS E. ALVAREZ SARABIA 45627 SENEGAL PL Work Classification 02/10 02/11 02/12 02/13 02/14 02/15 02/16 This Protect All Projects 44.06 55.07 17.14 7.20 0.00 0.00 0.00 Hours Worked Each Day INDIO CA 92201 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 18.00 720.00 720.00 Fund Dues Travl Subs Savings Other Total 596.53 28506 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.00 t'O"O"'tAd 0.00 0.00 0.00 0.00 123.47 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 � Gross Amount Earned Hourly Pay Rate This All Project Projects Federal Tax FICA State Tax SDI Vecl Holiday Health 8 Welf. Pension Ne t Wage Paid For Week Check Number 2 Date MARCELINO BRIONES 50700 CALLE MENDOZA Work Classification 02/10 02/11 02112 02/13 02/14 02/15 02/16 34.79 42.84 4.94 5.60 0.00 0.00 0.00 Hours Worked Each Day COACHELLA CA 92236 � LANDSCAPE MAINTENANCE LABORER S 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 14.00 560.00 560.00 Training 9 Fund Admin Dues Subs Subs Savings 9 Other Total 471.83 28508 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 88.17 p o.00 o.00 o.00 o.00 o.00 o.00 o.00 0.00 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 Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date PASTOR R. PEREZ NEGRON 67365 ONTINA RD Work Classification 02/10 02/11 02/12 02/13 02/14 02/15 02/16 This Project All Projects 82.03 59.67 22.08 7.80 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 8.00 0.00 0.00 40.00 15.00 780.00 780.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 608.42 28511 0 0.00 0.00 0.00 0.00 0.00 8.00 0.00 8.00 22.50 0.00 1 0.00 0.00 0.00 0.00 0.00 171.58 p 0.00 0.00 1 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 Grose Amount Earned Federal Tax FICA State Tax SDI Vac/ Hollda y Health & Welf. Pension Net Wage Paid For Week Check Number 3 Date ROSARODRIGUEZ PO BOX 580332 Work Classification 02I10 02111 02112 02113 02114 02/15 02/16 This Pro act 1 All Pacts ro 1 23.18 41.77 6.91 5.46 0.00 0.00 0.00 Hours Worked Each Day N PALM SPRINGS CA 92258 LANDSCAPE MAINTENANCE LABORER S 8.00 7.00 8.00 8.00 8.00 0.00 0.00 39.00 14.00 546,00 546.00 Training Fund Admin Dues Trav! Subs Savings Other Total 468.68 28513 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 77.32 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 02/19/2020 - Page 3 eCPR Online Confirmation Your payroll submission request has been processed. 'lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 10824566 This certified payroll will be treated as an amendment #: 2 Contractor Name: PWLC II, INC. Contractor Address: 72350 QUARRY TRL #A THOUSAND PALMS CA 92276 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-02-09 Payroll Number: 32 Amendment Number: 2 1 employee payroll record(s) processed Your Transaction ID is: 10826216 Print this rage r Adobe 'iew your submission Submit another set of payroll records Public Works Certif. Payroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-02-09 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-04-06." Contractor Name: PWLC ll, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92262 Insurance Number: 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: Payroll #: 32 - 2 Ctr Payroll #: 32-2 Week Ending: 02/09/2020 ❑ Statement of Non -Performance? ❑ Final payroll for this project? Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 up Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 02/03 02104 02/05 02106 02/07 02/08 02/09 Hours Base Hourly Fringe Holiday & Welf. Pension Other Training Hourly Rate S LANDSCAPE MAINTENANCE LABORER 0.00 8.00 0.00 8.00 8.00 0.00 0.00 rtCTg CfOQi 15.00 0.00 0.00 0.00 0.00 0.00 0.00 f" NOTE: CORRECTED CONTRACTOR'S ADDRESS AND WORKERS COMPENSATION POLICY NUMBER AT THAT TIME Travel 8 Subsistence 0.00 Total Deductions 31.14 Public works certified Payroll Reporting Form 04/06/2021 - Page 1 eCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at dublicworks@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: 7666556 This certified payroll will be treated as an amendment #: 1 Contractor Name: PWLC II, INC. Contractor Address: 72350 QUARRY TRL #A THOUSAND PALMS CA 92276 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-02-09 Payroll Number: 32 Amendment Number: 1 1 employee payroll record(s) processed Your Transaction ID is: 10824566 Print this Page View your submission 4, jubmit another set of payroll records Public Works Cer 'd Payroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-02-09 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-04-06." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 72350 QUARRY TRL #A, THOUSAND PALMS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92276 Insurance Number: WSD 5059867-00 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: Payroll #: 32 - 1 Ctr Payroll #: 32-1 Week Ending: 02/09/2020 Statement of Non -Performance? Final payroll for this project? Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 Mon Tue Wed Thu Fri Sat Sun Total Total Vacl Healih Total 02/03 02104 02/05 02106 02107 02/08 02/09 Hours Base Hourly Fringe Holiday & Wait. Pension Other Training Hourly Rate S LANDSCAPE MAINTENANCE LABORER 0.00 8.00 0.00 8.00 8.00 0.00 0.00 ;��,74:1T0��1 15.00 0.00 0.00 0.00 0.00 0.00 0.00 [f9 pQ! NOTE: ORIGINAL PAYROLL NUMBER 32-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00 Travel & Subsistence 0.00 Total Deductions 31.14 Public works certified Payroll Reporting Form 04/06/2021 - Page 1 eCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at oublicworks@dir.ca.gov. Contractor Name: PWLC Il, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-02-09 Payroll Number. 32 Amendment Number: 0 10 employee payroll record(s) processed Your Transaction ID is: 7666556 Print this Fagg i �. 7m; View your submission Public Works Certifie 3yroll Reporting Form :ertification 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 ll, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-02-09 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2020-02-17." :ontractor Name: PWLC ll, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 lddress: 3584 E LA CAMPANIA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 nsurance Number: WSD 5029463 \warding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 :ontract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE 'ayroll Number: 32- 0 Name, Address and Number of Social Security Number of Worker Withholding 9 ALLEN R. FARIAS MONTANO Work 49968 AVENIDA DE ORO Classification COACHELLA LANDSCAPE CA MAINTENANCE LABORER 92236 NOTE: Name, Address and Number of Social Security Number of Worker Withholding 3 APOLINAR GONZALEZ MARTINEZ Work 31325 AVE LA PALOMA Classification CATHEDRAL CITY LANDSCAPE CA MAINTENANCE LABORER 92234 NOTE: Name, Address and Number of Social Security Number of Worker Withholding 3 ARMANDO RICO CHAVEZ Work 2103 JACQUES DR Classification PALM SPRINGS LANDSCAPE CA MAINTENANCE LABORER 92262 NOTE: MAINTENANCE OF CITYWIDE MEDIANS For Week Ending: 02/09/2020 Is this a 'Statement of Non -Performance?' 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 PW For Check Number Date 02103 02/04 02105 02106 02/07 02/08 02/09 This All 0.00 42.84 0.00 5.60 0.00 0.00 0.00 Project Projects Week Hours Worked Each Day 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Fund Travl Total 511.56 28370 Training Admin Dues Subs Savings Other Deduct o.00 o.o0 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 0.00 28.00 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 Vacl Holiday Health & Welf. Pension Net Wage Paid For Week Check Number Date 02103 02104 02105 02106 02I07 02/08 02/09 This Project All Projects 24.86 42.84 2.36 5.60 0.00 0.00 0.00 Hours Worked Each Day 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 1 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 484.34 28371 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 75.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 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 02103 02104 02/05 02/06 02/07 02/08 02/09 This Project All Projects 56.66 63.11 16.31 8.25 0.00 0.00 0,00 Hours Worked Each Day 8.00 8.00 8.00 8.00 5.50 0.00 0,00 37.50 20.00 825.00 825.00 Training Fund Admin Dues Travf Subs Savings Other Total Deduct 680.67 28369 0.50 0.50 0.50 1.00 0.00 0.00 0.00 2.50 30.00 0.00 0.00 0.00 0.00 0.00 0.00 144.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.00 Public Works certified Payroll Reporting Form 02/17/2020 - Page 1 '^ Public Works Certifie iyroll Reporting Form Contractor Name: PWLC II, INC. y Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 - - For Week Ending: 02/09/2020 Payroll Number:32-11 Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pa Rate y Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health 8, Waif. Pension Net Wage Paid For Week Check Number 4 Date EMILIANO MEDINA 34300 CORREGIDOR DR Work Classification 02/03 02/04 02/OS 02/06 02/07 02lOB 02/09 This Project All Projects 19.74 45.89 1.54 6.00 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00Trav/S 40.00 15.00 600.00 600,00 Training Admit Dues Subs Savings Other Total 526.83 28372 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 73.17 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vacl Holiday Health & waif. Pension Net Wage Paid For Week Check Number 5 Date GENARO VARGAS 69130 VICTORIA DR Work Classification 02/03 02/04 02/05 02/06 02/07 02/08 02/09 This Project All Projects 0.00 34.28 0.00 4.48 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 � LANDSCAPE MAINTENANCE LABORER S 8.00 0.00 8.00 8.00 8.00 0.00 0.00 32.00 14.00 448.00 448.00 Training Admit Dues Subs Savings Other Total 409.24 28375 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 ze.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 Hollday Health & Waif. Pension Net Wage Paid For Week Check Number 4 Date LETICIA BONILLA 33477 NAVAJO TR #B Work Classification 02/03 02/04 02/05 02106 02/07 02/08 02/09 This Project All Projects 0.00 27.54 0.00 3.60 0.00 47.39 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 0.00 8.00 0.00 8.00 8.00 0.00 0.00 24.00 15.00 360.00 360.00 Training Fund Admin Dues Travl Subs Savings Other Total 328.86 28367 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 31.14 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 Slate 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 02/03 02/04 02/05 02/06 02/07 02/08 02/09 This Project All Projects 14.68 35.81 6.51 4.68 0.00 0.00 0.00 Hours Worked Each Day INDIO CA 92201 LANDSCAPE MAINTENANCE LABORER S 8.00 2.00 0.00 8.00 8.00 0.00 0.00 26.00 18.00 468.00 468.00 TrainingFund Admin Dues Trav/Subs Subs Savings 9 Other Total 406.32 28366 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 61.68 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 [NOTE: + Public works certified Payroll Reporting Form 02/17/2020 - Page 2 Contractor Name: PWLC II, INC. Public Works CertifiF 3yroll Reporting Form Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 02/09/2020 Payroll Number:32-0 i Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 2 Date MARCELINO BRIONES 50700 CALLE MENDOZA Work Classification 02/03 02104 02/05 02/06 02/07 02/08 02109 This Project All Protects 34.79 42.84 4.94 5.60qSavings .00 0.00 Hours Worked Each Day COACHELLA CA LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Training Fund Admin Dues Travl Subs ther Total 471.83 28368 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.0092236 0.00 0.00 0.00 0.00.00 88.17 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Man Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date PASTOR R. PEREZ NEGRON 67365 ONTINA RD Work Classification 02/03 02/04 02/05 02106 02/07 02/08 02109 This Project All Projects 60.43 45.90 12.86 6.00 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Training Fund Admin Dues Trav! Subs Savings Other Total 474.81 28373 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 0.00 125.19 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE; Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pa Rate Y Gross Amount Earned Federal Tax FICA State Tax SDI Vac' Holiday Health & Welf. Pension Net Wag Paid For Week Check Number 3 Date ROSA RODRIGUEZ PO BOX 580332 Work Classification 02/03 02I04 02/05 02I06 02I07 02/08 02/09 This Project All Projects 24.86 42.84 7.52 5.60 0.00 0.00 0.00 Hours Worked Each Day N PALM SPRINGS CA 92258 LANDSCAPE MAINTENANCE LABORER S 0.00 8.00 8.00 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 479.18 28374 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 80.82 D 0.00 1 0.00 0.00 0.00 1 0.00 0.00 0.00 0.00 28.00 NOTE; 7 - 7 Public Works certified Payroll Reporting Form 02/1.7/2020 - Page 3 eCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at iblicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-02-02 Payroll Number: 31 Amendment Number: 0 12 employee payroll record(s) processed Your Transaction ID is: 7588279 Print this Pgge View your submission kt�Atle Public Works Certifie ayroll Reporting Form ertification under _ alty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-02-02 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2020-02-05." ;ontractor Name: PWLC Il, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Lddress: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 isurance Number: WSD 5029463 Lwarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 :ontract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS 'ayroll Number: 31- 0 For Week Ending: 02/02/2020 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 Welr. Pension Net Wage Paid For Week Check Number 9 Date ALLEN R. FARIAS MONTANO 49968 AVENIDA DE ORO COACHELLA CA 92236 Work Classification 01/27 01/28 01/29 01130 01/31 02101 02/02 This Project 1 All Projects 1 0.00 42.83 0.00 5.60 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 14.00 448.00 560.00 Training Fund gdmin Dues Travl Subs Savings Other Total Deduc[ 511.57 28334 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 48.43 D 0.00 0.00 0.00 0.00 0.00 1 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 & Weli. pension Net Wage Paid For Week Check Number 3 Date APOLINAR GONZALEZ MARTINEZ 31325 AVE LA PALOMA Work ClasslFlation 01/27 01/28 01/29 01/30 01/31 02/01 02102 This Project 1 All Projects 1 24.86 42.83 2.36 5.60 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 B.00 0.00 0.00 40.00 14.00 560.00 560.00 Training Fund gdmin Dues Travl Subs Savings Other Total Deduct 484.35 28335 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 75.65 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number ARMANDO RICO CHAVEZ 2103 S DR 3 Date Work Classification 01/27 01128 01/29 01130 01131 02/01 02/02 This Ali Projects 69.86 71.53 23.57 9.35 0.00 0.00 0.00 Hours Worked Each Day Hours M SPRINGS PALM SPRINGS DSCAPE CA [MA�INTENANCE BORER 92262 S 8,00 8.00 B4O0 B.00 8.00 0.00 0.00 40.00 20.00 935.00 935.00 TrainingAdmin Fund Dues Trav/ Subs Savings OtherDeduct Total 760.69 28333 D 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 1 0.00 174.31 D 0.00 0.00 0.00 0.00 1 0.00 0,00 1 0.00 0.00 40.00 DOTE: I Public works certified Payroll Reporting Form 02/05/2020 - Page 1 Public Works Certifie, -- 3yroll Reporting Form :ontractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 02/02/2020 Payroll Number: 31-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vacl Health FICA SDI Pension Net Earned Tax Tax Holida & Welf. 4 Date Total Hourly y Wage Check EMILIANO MEDINA Work 01/27 01128 01129 01/30 01131 02/01 02102 Hours Pay Rate This All 19.74 45.91 1.54 6.00 0.00 0.00 0.00 Paid For Number 34300 CORREGIDOR DR Classification Hours Worked Each Day ro1ect Projects acts Week CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Fund Travl 526.81 28336 CA MAINTENANCE Training Admin Dues Subs Savings Other Total O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 73.19 92234 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vacl Health Social SecurityNumber of Worker Withholding Earned Tax FICA Tax SDI Holiday & Well, Pension Net 5 Date GENARO VARGAS Total Hour Y Wage 9 Check Work 01/27 01/28 01/29 01130 01/31 02/01 02/02 This All 0.00 42.85 0.00 5.60 0.00 0.00 0.00 Hours Pay Rate Paid For Number 69130 VICTORIA DR Classification Protect Projects Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Fund Travl 511.55 28340 CA MAINTENANCE I Training Admin Dues Subs Savings Other Total O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 LABORER 0.00 .00 0.007 0.00 0.00 0.00 0.00 48.45 92234 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vacl Health Social SecurityNumber of Worker Withholding Total Hour Earned Tax FICA Tax I SDI Holiday & Welf. pension Net 4 Date LETICIA BONILLA Y Wage 9 Check Work 01/27 01/28 01/29 01/30 01/31 02/01 02102 4.04 45.90 0.00 6.00 0.00 0.00 0.00 Hours Pay Rate This All Paid For Number 33477 NAVAJO TR #B Classification Project Projects 1 1 Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Fund Trav/ 544.06 28331 CA MAINTENANCE Training Admin Dues Subs Savings Other Total 0.00 O.DO 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 55.94 92234 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 40TE: 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 Earned Tax FICA Tax SDI Hollday & Welf. Pension Net 3 Date LUIS E. ALVAREZ SARABIA Total Hourly Wage Check Work 01/27 01/2B 01/29 01/30 01/31 02/01 02/02 This All 44.06 55.08 17.14 7.20 0.00 0.00 0.00 Hours Pay Rate Paid For Number 45627 SE O PL INDI Classification Protect Projects Week Hours Worked Each Day LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 18.00 720.00 720.00 Fund Travl 596.52 28330 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 0.00 123.48 92201 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 IOTE: Public Works Certified Payroll Reporting Form 02/05/2020 - Page 2 A� Public Works Certifie"ayroll Reporting Form :ontractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 02/02/2020 Payroll Number: 31-0 Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hourly Gross Amount Earned Federal Tax FICA State Tax SDI Vacl Holiday y Health $ Waif- Pension Net Wag Check Social SecurityNumber of Worker Withholding MARCELINO BRIONES 2 Date Work Classification 01/27 01/28 01/29 01/30 01/31 02/01 02/02 This Project All Project ects 1 21.35 34.28 0.91 4.48 0.00 0.00 0.00 50700 CALLE MENDOZA Hours Pay Rate Paid For Week Number Hours Worked Each Day COACHELLA CA 92236 LANDSCAPE MAINTENANCE LABORER S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 I 14.00 448.00 448,00 Training Fund Admin Dues Travl Subs Savings Other Total 386.98 28332 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 61.02 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hourly Gross Amount Earned Federal Tax FICA State Tax SDI Vacl Holiday Health $ Welf. Pension Net Wage Check Social Security Number of Worker Withholding MARIA ELIAS ESCAMILLA 0 Date Work Classification 01/27 01/28 01/29 01/30 01131 02/01 02/02 This Project Pro j All Projects Pro 0.00 42.84 0.00 5.60 0.00 0.00 0.00 37250 BANKSIDE #6 Hours Pay Rate Paid For Week Number Hours Worked Each Day CATHEDRAL CITY CA LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 B.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Training Fund Admin Dues Travl Subs Savings Other Total 511.56 28323 O 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00E010000 292234 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 0.0028.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hourly Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health $ WeIF. Pension Net Wage Check Social Security Number of Worker Withholding PASTOR R. PEREZ NEGRON 0 Date Work Classification 01/27 01/28 01/29 01/30 01/31 02/01 02/02 This Project All Projects ects 60.43 45.90 12.86 6.00 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 15.00 600.00 600.00 Training Fund Admin Dues Travl Subs Savings Other Total 474.81 28338 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 0.00 0.0MOW 0 O.DO 0.00 0.00 0.00 125.19 p 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 30.00 VOTE Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hourly Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health $ Welf. Pension Net Wage Check Social Security Number of Worker Withholding ROSARODRIGUEZ 3 Date Work Classification 01/27 01/2B 01/29 01/30 01131 02/01 02/02 This Project All Projects 24.86 42.84 7.52 5.60 0.00 0.00 0.00 PO BOX 580332 N PALM SPRINGS Hours Pay Rate Paid For Week Number Hours Worked Each Day 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 Travl Subs Savings Other Total 479.18 28339 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 80.82 p 0.00 0.00 0.00 0,00 o.00 D.oD o.o0 0.00 28.00 1 «,.4 Public works Certified Payroll Reporting Form 02/05/2020 - Page 3 Public Works Certifielayroll Reporting Form contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 02/02/2020 Payroll Number: 31-0 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 Vaol Health 6 Date Earned Tax FICA Tax SDI Holiday y & Wolf. Pension Net SALVADOR MURILLO LANDEROS Total Hourly Wage Check Work 01/27 01/28 01/29 01/30 01/31 02/01 02/02 Hours Pay Rate Thls All 0.00 52.02 0.00 6.80 0.00 0.00 0.00 Paid For Number 48097 L TOMAS Classification Hours Worked Each Day Project Projects 1 Week COACHESTRE L OACHELA LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 17.00 680.00 680.00 Fund Travl 621.18 28337 j 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 25.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 58.82 92236 p 0,00 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34.00 NOTE: Public works Certified Payroll Reporting Form 02/05/2020 - 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: 2020-01-26 Payroll Number: 30 Amendment Number: 0 11 employee payroll record(s) processed Your Transaction ID is: 7530686 Print this Page View your submission Adobe https://efiling.dir.ca.gov/eCPR/pages/eCPROnlineFormPreFill.jsp 1l1 Public Works Certifif '^ 'ayroll Reporting Form Certification unde. ,.dnalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-01-26 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2020-01-29." 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: 30- 0 For Week Ending: 01/26/2020 Is this a 'Statement of Non -Performance?' Name, Address and Social Security Number of Worker ALLEN R. FARIAS MONTANO 49968 AVENIDA DE ORO COACHELLA CA 92236 NOTE Name, Address and Social Security Number of Worker APOLINAR GONZALEZ MARTINEZ 31325 AVE LA PALOMA CATHEDRAL CITY CA 92234 NOTE: Name, Address and Social Security Number of Worker ARMANDO RICO CHAVEZ 2103 JACQUES DR PALM SPRINGS CA 92262 NOTE: Number of Day Deductions, Contributions, and Payments Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Earned Federal Tax FICA I I State Tax SDI Vac/ Holiday Health & Welf. Pension Net 9 Date Total Hours Hourly Pay Rate Wage Paid For Check Number Work 01/20 01/21 01/22 01/23 01/24 01/25 01/26 This All 0.00 34.28 0.00 4.48 0.00 0.00 0.00 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 14.00 448.00 448.00 Fund Trav/ Total 409.24 28220 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 O.00 0.00 0.00 0.000.00 0.00 0.00 38.76 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 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 3 Date Total Hours Hour Y Pay Rate Wage Paid For Check Number Work 01120 01/21 01/22 01123 01124 01/25 01/26 This All 12.68 34.28 0.00 4.48 0.00 0.00 0.00 Classification Project 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 396.56 28221 MAINTENANCE Training Admin Dues Subs Savings Other Deduct 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 LABORER 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 51.44 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 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/ Holiday Health & Welf. Pension Net Wage Paid For Check Number 3 Date Work 01/20 01/21 01122 01123 01/24 01/25 01/26 This All 48.86 58.14 12.02 7.60 0.00 0.00 0.00 Classification Project Projects Week Hours Worked Each Day LANDSCAPE MAINTENANCE S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 20.00 760.00 760.00 Fund Trav/ Total 633.38 i 28219 LABORER Training Admin Dues Subs Savings Other Deduct 0 0.00 1.00 1.00 1.00 1.00 0.00 0.00 4.00 30.00 0.00 0.00 0.00 0.00 0.00 0.00 126.62 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.00 Public works certified Payroll deporting Form 01/29/2020 - Page 1 Public Works Certifi• `ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 01/26/2020 Payroll Number:30-0 Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vacl Hearth Social SecurityNumber of Worker Withholding Earned Tax FICA Tax SDI Holiday & Welf. Pension Net 4 Date EMILIANO MEDINA Total Hourly Wage Check Work 01/20 01/21 01122 01/23 01124 01/25 01/26 This All 7.62 36.71 0.00 4.80 0.00 0.00 0.00 Hours Pay Rate Paid For Number 34300 CORREGIDOR DR Classification Pro'ecl 1 Projects 1 Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 0.00 8.00 8.00 8,00 8.00 0.00 0.00 32.00 15.00 480.00 480.00 Fund Trav/ 430.87 28222 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 49.13 92234 D 0.00 0.00 0.00 0.00 1 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 I State Tax SDI Vac/ Holiday Health & Welf. Pension Net Social Security Number of Worker Withholding 4 Date LETICIA BONILLA Total Hourly Wage Check Work 01/20 01121 01/22 01123 01/24 01125 01/26 This All 0.00 27.54 0.00 3.60 0.00 0.00 0.00 Hours Pay Rate Paid For Number 33477 NAVAJO TR f!B CATHEDRAL Classification Project 1 Projects 1 Week Hours Worked Each Day. CITY LANDSCAPE S 0.00 8.00 8.00 8.00 0.00 0.00 0.00 24.00 15.00 360.00 360.00 Fund Trav/ 328.86 28217 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 rD 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 & Welt Pension Net Social Security Number of Worker Withholding 3 Dale LUCIA GARCIA Total Hourly Wage Check Work 01120 01/21 01/22 01123 01/24 01/25 01/26 This All 12.68 34.28 0.00 4.48 0.00 0.00 0.00 Hours Pay Rate Paid For Number 64045 HARVEST MOON RD DESERT HOT SPRINGS 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 14.00 446.00 448.00 Fund Trav/ 396.56 6090 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 roo 0.00 0.00 0.00 0.00 0.00 51.44 92240 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 i id 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 LUIS E. ALVAREZ SARABIA Total Hourly Wage Check Work 01/20 01/21 01122 01/23 01124 01/25 01/26 This This All 26.78 44.06 10.81 5.76 0.00 0.00 0.00 Hours Pay Rate Paid For Number 45627 SENEGAL PL INDIO Classification Projects Week Hours Worked Each Day LANDSCAPE S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 18.00 576.00 576.00 Fund Trav/ 488.59 28216 CA MAINTENANCE Training Admin Dues Subs Savings Other Total LABORER Q 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 27.00 92201 0.00 0.00 0.00 0.00 0.00 7U.41 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: l Public Works certified Payroll Reporting Form 01/29/2020 - Page 2 Public Works Certific ^ ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 01/26/2020 Payroll Number:30-0 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 Vacs Health 2 Date Earned Tax FICA Tax SDI Holiday & Welf. Pension Net MARCELINO BRIONES Total Hourly Y Wage Check Work 01/20 01121 01/22 01/23 01/24 01125 01/26 Hours Pay Rate Thls All 21.35 34.28 0.91 4.48 0.00 0.00 0.00 Paid For Number 50700 CALLE MENDOZA COACHELLA Classification Hours Worked Each Day Project Projects Week 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/ 386.98 28218 CA MAINTENANCE Training Admin Dues Subs Savings Other Total LABORER Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 92236 0.00 0.00 0.00 0.00 0.00 61.02 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 i0o 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 PASTOR R. PEREZ NEGRON 0 Date Total Hourly Earned Tax FICA Tax SDI Holiday & Welf. Pension Net Wage Check Work 01/20 01/21 01/22 01/23 01/24 01/25 01126 Hours Pay Rate This Ali 46.03 36.72 7,78 4.80 0.00 0.00 0.00 Paid For Number 67365 ONTINA RD CATHEDRAL CITY Classification Hours Worked Each Day Project 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/ 384.67 28224 CA MAINTENANCE Training Admin Dues Subs Savings Other Total LABORER Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 92234 0.00 0.00 0.00 0.00 0.00 0.00 95.33 p 0.00 0.00 0.00 0.00 0.00 O.o0 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 ROSARODRIGUEZ 3 Date Total Hourly Earned _ Tax FICA Tax SDI Holiday & Welf. Pension Net Wage Check Work 01/20 01/21 01122 01/23 01/24 01/25 01/26 Hours Pay Rate This All 1.48 25.70 1.03 3.36 0.00 0.00 0.00 Paid For Number PO BOX 580332 N PALM SPRINGS Classification Hours Worked Each Day Project Projects Week LANDSCAPE S 0.00 8.00 8.00 8.00 0.00 0.00 0.00 24.00 14.00 336.00 336.00 Fund Trav/ 304.43 28225 CA MAINTENANCE Training Admin Dues Subs Savings Other Total LABORER Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 92258 0.00 0.00 0.00 0,00 0.00 0.00 31.57 � 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 Vac/ Health MURILLO LANDEROS 6 Date Total Hourly Earned Tax SDI Holiday & Welf.SALVADOR Pension Net Wa a Check 48097 ESTRELLATOMAS Work 01/20 01/21 01/22 01/23 01/24 01/25 01/26 Hours Pay Rate This All +deraState 0.00 5.44 0.00 0.00 0.00 Paid For Number Classification Hours Worked Each Day Project Projects Week 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 28223 CA MAINTENANCE Training Admin Dues Subs Savings Other Total 92236 LABORER Q 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0,00 25.50 GOMM p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0_00 0.00 0.00 0.00 0.00 47.06 0.00 34.00 VOTE: Public Works Certified Payroll Reporting Form O1/29/2020 - Page 3 eCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at - nublicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 35M E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-01-19 Payroll Number: 29 Amendment Number. 0 10 employee payroll record(s) processed Your Transaction ID is: 7485376 Print this Page View your submission h; Public Works Certifi, ''ayroll Reporting Form ertification undr. enalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-01-19 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2020-01-22." :ontractor 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 isurance Number: WSD 5029463 kwarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 :ontract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS 'ayroll Number: 29- 0 For Week Ending: 01/19/2020 Is this a 'Statement of Non -Performance?' f 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 g Date Total Hourly FICA Earned Tax Tax SDI Holiday & Welf. Pension Wage Check ALLEN R. FARIAS MONTANO Work 01/13 01/14 01/15 01/16 01/17 01/18 ol/19 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 1 Week COACHELLA LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Fund Travl Total 511.56 28184 CA MAINTENANCE I 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 48.44 92236 p 0.00 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 Molown� 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 01/13 01/14 01/15 01/16 01/17 01/18 01/19 This Project All Projects 24.86 42.84 2.36 5.60 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 � LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 484.34 28186 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 75.66 p o.00 o.oa o.00 o.00 o.00 0.00 0.00 o.o0 2s.oc 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 fax FICA State Tax SDI Vac.Vac.1 Hallda Y Haaflh & Weif. Pension Net Wage Paid For Week Check Number 4 Date EMILIANO MEDINA 34300 CORREGIDOR DR Work Classification 01/13 01/14 01/15 01/16 01/17 01/18 01/19 This P Project 1 All Pro Projects 21.09 46.76 2.03 6.11 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 611.25 611.25 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 535.26 28187 Q 0.00 0.00 0.00 0.00 0.50 0.00 0.00 0.50 22.50 0.00 0.00 0.00 0.00 0.00 0.00 75.99 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 VOTE: Public Works Certified Payroll Reporting Form 01/22/2020 - Page 1 Public Works Certifir-"ayroll Reporting Form :ontractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 01/19/2020 Payroll Number:29-0 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 4 Date Earned Tax FICA Tax SDI Holiday & Welf. Pension No' LETICIA BONILLA Total Hourly Wage Check Work 01/13 01/14 01/15 01/16 01/17 01/18 01119 Hours Pay Rate This All 4.04 45.90 0.00 6.00 0.00 0.00 0.00 Paid For Number 33477 NAVAJO TR #B Classification Project Projects Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Fund Trav/ 544.06 28181 CA MAINTENANCE Training Admin Dues Subs Savings Other Total LABORER 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 92234 1 0.00 0.00 0.00 0.00 0.00 0.00 55.94 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 30.00 NOTE: I Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vacl Health Earned Tax FICA Tax SDI Holida & Welf. Pension Net LUCIAGARCIA 3 Date Total Hourly y Wage Check Work 01113 01114 01/15 01/16 01/17 01/18 01/19 Hours Pay Rate This All 24.86 42.84 2.36 5.60 0.00 0.00 0.00 Paid For Number 64045 HARVEST MOON RD Classification Project Pro a Hours Worked Each Day cts Week j DESERT HOT SPRINGS LANDSCAPE 8.00 8.00 8.00 8.00 8.00 0.00 0.00 S 40.00 14.00 560.00 560,00 Training Fund Dues Savings Other Total 484.34 28185 CA MAINTENANCE 9 Subs Admin Subs 9 LABORER 0 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 0.00 75.66 D 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and 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 Hollda & Welf. Pension Net LUIS E. ALVAREZ SARABIA 3 Date Total Hourly y Wage Check Work 01/13 01/14 01115 01/16 01/17 01118 01/19 Hours Pay Rate This All 44.06 55.08 17.14 7.20 0.00 0.00 0.00 Paid For Number 45627 SENEGAL PL Classification Project Pro acts Week Hours Worked Each Day 1 i INDIO LANDSCAPE 8.00 8.00 8.00 8.00 8.00 0.00 0.00 S 40.00 16.00 720.00 720.00 Lain Fund Dues Trav/Subs Savin s Other Total596.52 28180 CA MAINTENANCE Admin Subs 9LABORER O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.0092201 0.00 0.00 0.00 0.00 0.00 123.48 i 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 Social Security Number of Worker Withholding 2 MARCELINO BRIONES Work 50700 CALLE MENDO A Classification 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 01/13 01/14 01/15 01/16 01117 01/18 01/19 This Project All Projects Pro 1 34.79 42.84 4.94 5.60 1 0.00 0.00 0.00 Hours Worked Each Day 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Training Fund Admin 1 Dues Trav/ Subs Savings Other Total 471.83 28182 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0,00 0.00 88.17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 Public Works certified Payroll Reporting Form 01/22/2020 - Page 2 Public Works Certifir-layroll Reporting Form 1-` ;ontractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 01/19/2020 Payroll Number:29-0 Number of Day Deductions, Contributions, and Payments Name, Address and Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Net Date Earned Tax FICA Tax SDI Holiday & Welf. Pension 0 Total Hourly Wage Check PASTOR R. PEREZ NEGRON 01/13 01/14 01/15 01/16 01/17 01/18 01119 Hours Pay Rate This All 60.43 45.90 12.86 6.00 0.00 0.00 0.00 Paid For Number Work 67365 ONTINA RD Classification Project Projects Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Fund 474.81 28189 CA MAINTENANCE Training 9 Admin Dues Subs Subs Savings g Other Total Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 22.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 125.19 92234 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 30.00 - NOTE: Number of Day Deductions, Contributions, and Payments Name, Address and Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Total Hourly Earned Tax FICA Tax SDI Hollday & Welf. Pension Net Wage Check 3 Date ROSARODRIGUEZ Work 01/13 01/14 01/15 01/16 01/17 01/18 01/19 This All 24.86 42.84 7.52 5.60 0.00 0.00 0.00 Hours Pay Rate Paid For Number PO BOX 580332 Classification Project J Projects 1 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/ 479.18 28190 CA MAINTENANCE Training 9 Admin Dues Subs Savings g 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 80.82 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 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 y & Waif. Pension Net Wage Check 6 Data SALVADOR MURILLO LANDEROS Work 01/13 01/14 01/15 01116 01/17 01/18 01/19 This All 0.00 iI 52.02 0.00 6.80 0.00 0.00 0.00 Hours Pay Rate Paid For Number 4BO97 ESTRELLA TOMAS Classification Pro Project 1 Projects j I Week Hours Worked Each Day COACHELLA LANDSCAPE S 8.00 6.00 6.00 8.00 8.00 0.00 0.00 40.00 17.00 680.00 680.00 Fund Trav/ 621.18 28188 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 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 VOTE: Public Works certified Payroll Reporting Form 01/22/2020 - Page 3 eCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-01-12 Payroll Number: 28 Amendment Number: 0 10 employee payroll record(s) processed Your Transaction ID is: 7434999 Print this Page View your submission` https://efiling.dir.ca.gov/eCPR/pages/eCPROnlineFormPreFill.jsp 1/1 Public Works Certifier'_ iyroll Reporting Form Certification undek , alty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-01-12 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2020-01-16." Contractor Name: PWLC 11, INC. Contractor PWCR: 1000037373 License Type: CSL13 License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 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 3ayroll Number: 28- 0 For Week Ending: 01/12/2020 (- 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 State Varl Health 9 Date Earned Tax FICA Tax SDI Holiday $ WrtIf. Pension Net ALLEN R. FARIAS MONTANO Total Hourly Y Wage Check Work 01/06 01/07 01/08 01/09 01/10 01111 01/12 Hours Pay nato This Al' 0.00 42.84 0.00 5.60 0.00 0.00 0.00 Paid For Number 49968 AVENIDA DE ORO COACHELLA Classification Hours Worked Each Day Pro Pro ect ects 1 1 I 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 Travl Total 511.56 28149 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct LABORER O 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 o.00 0.00 o.00 0.00 0.00 0.00 0.00 o.o0 26.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Federal Tax FICA State Tax SDI Vacl Holiday Health & VML Pension Net Social Security Number of Worker Withholding Gross Amount Earned 3 Date APOLINAR GONZALEZ MARTINEZ Total Hourly Wage Check Work 01/06 01/07 01/08 01/09 01110 01/11 01/12 24.86 42.84 2.36 5.60 0.00 0.00 0.00 Hours Pay Rate This All Paid For Number 31325 AVE LA PALOMA CATHEDRAL CITY 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 Trav/ Total 484.34 28151 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 LABORER 92234 0.00 0.00 0.00 0.00 0.00 0.00 75.66 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and 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 01/06 01/07 01/08 01/09 01/10 01/11 01/12 This All 64.46 68.09 20.60 8.90 0.00 0.00 0.00 Hours Pay Rate Paid For Number S DR 2103 M SPRINGS PALM SPRINGS Classification Pro ect 1 Pro jecls Week Hours Worked Each Day LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 890.00 690.00 Fund Trav/ Total 727.95 26148 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct LABORER QA 0.00 0.00 1.00 1.00 0.00 0.00 3.00 30.00 92262 0.00 0.00 0.00 0.00 0.00 0.00 162.05 it p0.00 0.00 0.00 0.00 0.00 0.00 a.00 ao.00 NOTE: Public Works Certified Payroll Reporting Form 01/16/2020 - Page 1 Public Works Certified iyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 01/12/2020 Payroll Number:28-0 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 FICA Tax SDI Holiday & Welf. Pension Net EMILIANO MEDINA Total Hourly Wage Check Work 01/06 01/07 01/08 01/09 01/10 01/11 01/12 This All 21.09 46.76 2.03 6.11 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 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15,00 611.25 611.25 Fund Trav/ 535.26 28152 CA MAINTENANCE Training Admin Dues Subs Savings Other Total 0 0.00 0.00 0.50 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 75.99 92234 D 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 30.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Social Security Number of Worker Withholding 4 Data LETICIA BONILLA Total Hourly Wage Check Work 01/06 01/07 01/08 01/09 01/10 01/11 01/12 This All 4.04 45.90 0.00 6.00 0.00 0.00 0.00 Hours Pay Rate Paid For Number 33477 NAVAJO TR #B CATHEDRAL CITY Classification Project 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 15.00 600.00 600.00 Fund Trav/ 544.06 28147 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 55.94 92234 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Social Security Number of Worker Withholding 3 Date LUCIA GARCIA Total Hourly Wage Check Work 01/06 01107 01108 01/09 01110 01/11 01/12 This All 26.12 43.64 2.82 5.71 0.00 0.00 0.00 Hours Pay Rate Paid For Number 64045 HARVEST MOON RD DESERT HOT SPRINGS Classification Project 1 Projects 1 Week Hours Worked Each Day LANDSCAPE 8.00 B.00 8.00 0.00 0.00S40.00 14.00 570.50 570.50 Fund Trav/ 492.21 28150 CA MAINTENANCE anng Admin Dues Subs Savings Other Total 00.00 J8.008.00 0.00 0.50 0.00 0.00 0.00 0.50 21.0092240 LABORER 0.00000 0.00 000D0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 1 21 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 LUIS E. ALVAREZ SARABIA Total Hourly Wage Check Work 01106 01107 01108 01109 01/10 01/11 01/12 This All 44.06 55.09 17.14 7.20 0.00 0.00 0.00 Hours Pay Rate Paid For Number 45627 SE O PL INDI Classification Project Projects Week Hours Worked Each Day LANDSCAPE g 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 18.00 720.00 720.00 Fund Trav/ 596.51 28146 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 92201 0.00 0.00 0.00 0.00 0.00 0.00 123.49 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 unr�. Public works Certified Payroll Reporting Form 01/16/2020 - Page 2 Public Works Certifie'- 3yroll 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: Name, Address and Social Security Number of Worker ROSA RODRIGUEZ PO BOX 580332 N PALM SPRINGS CA 92258 NOTE: Project Name: LANDSCAPE $ LIGHTING DISTRICT 89-1 For Week Ending: 01/12/2020 Payroll Number:28-0 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/ Holiday8 Health Welf. Pension Net Wage Paid For Week Check Number 0 Date Work Classification 01/06 01/07 01/08 01109 01110 01/11 01112 This Project All Projects 61.78 46.76 13.36 6.11 0.00 0.00 0.00 Hours Worked Each Day LANDSCAPE MAINTENANCE LABORER g 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 483.24 28154 p 0.00 0.00 0.50 0.00 0.00 0.00 0.00 0.50 22.50 0.00 0.00 0.00 0.00 0.00 0.00 128.01 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 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/ Holiday Health 8 Welf. Pension Net Wage Paid For Week Check Number 3 Date Work Classification 01/06 01/07 01108 01/09 01/10 01/11 01/12 This Project All Projects 12.68 34.28 3.49 4.48 0.00 0.00 0.00 Hours Worked Each Day 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 Fund Admin Dues Trav/ Subs Savings Other Total 393.07 28155 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 54.93 D 0.00 0.00 0.00 0.00 1 0.00 0.00 0.00 0.00 28.00 Name, Address and Number of Social Security Number of Worker Withholding 6 SALVADOR MURILLO LANDEROS Work Classification 48097 ESTRELLA TOMAS COACHELLA LANDSCAPE CA MAINTENANCE LABORER 92236 NOTE: Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourl y Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vacl Holiday Health 8 Welf. Pension N at Wage Paid For Week Check Number Date 01/06 01/07 01108 01/09 01110 01/11 01/12 This Project All Projects 0.00 52.01 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 621.19 28153 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 0.00 0.00 0.00 0.00 1 0.00 0.00 0.00 0.00 34.00 Public works certified Payroll Reporting Form 01/16/2020 - Page 3 eCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at lblicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-01-05 Payroll Number: 27 Amendment Number. 0 11 employee payroll record(s) processed Your Transaction ID is: 7376788 P11M INS Page 01�- -= View your submission ' i .w Public Works Certifier' yroll Reporting Form ertification under p-aity of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-01-05 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2020-01-08." ontractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 duress; J,d-+ C LtA %,M1VIrN1VH VVHT, rMLIVI orr[IIVVJ, lvM rG114. o iwooL/Lu VOfi Far.Lo Glllall. f\I\IV I I wl�l YYLVG.V VIvI 92202 isurance Number: WSD 5029463 J .warding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 ontract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS ayroll Number: 27- 0 For Week Ending: 01/05/2020 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 Earned Tax FICA Tax SDI Holiday & Welf. Pension 9 Date Total Hourly Wage Check ALLEN R. FARIAS MONTANO Work 12/30 12131 01/01 01/02 01/03 01/04 01/05 Hours Pay Rate This All 0.00 34.28 0.00 4.48 0.00 0.00 0.00 Paid For Number 49968 AVENIDA DE ORO Classification Hours Worked Each Day Project Projects Week 1 COACHELLA LANDSCAPE S 8.00 8.00 0.00 8.00 8.00 0.00 I 0.00 32.00 14.00 448.00 448.00 Fund Travl Total 409.24 28041 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 0.00 0.00 0.00 0.00 0.00 0.00 38.76 92236 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 VOTE: Number of Day Deductions, Contributions, and Payments Name, Address and Man Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vacl Health Social SecurityNumber of Worker Withholding Total Hourly Earned Tax FICA Tax SDI Holiday & Welf, Pension Net Wage Check 3 Date APOLINAR GONZALEZ MARTINEZ Work 12130 12/31 01101 01/02 01/03 01/04 01/05 This All 12.68 34.28 0.00 4.48 0.00 0.00 0.00 Hours Pay Rate Paid For Number 31325 AVE LA PALOMA Classification Project 1 Projects 1 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 14.00 448.00 448.00 Total 396.56 28043 CA MAINTENANCE TrainingFund Admin Dues Subs Subs Savings 9 Other Deduct 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 51.44 92234 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 l VOTE: 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 3 Date ARMANDO RICO CHAVEZ Check Work 12/30 12131 01/01 01/02 01/03 01/04 01/05 This All 45.26 55.85 10.04 7.30 0.00 0.00 0.00 Hours Pay Rate Paid For Number 2103 JACQUES DR Classification Pro act 1 Pro acts 1 Week Hours Worked Each Day PALM SPRINGS LANDSCAPE S 8.00 8.00 I 0.00 B.00 8.00 0.00 0.00 32.00 20.00 730.00 730.00 Fund Travl Total 611.55 28040 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct 0 1.00 1.00 0.00 1.00 0.00 0.00 0.00 3.00 30.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 118.45 92262 D 0.00 0.00 0.00 0.00 1 0.00 0.00 0.00 0.00 40.00 40TE: I Public Works Certified Payroll Reporting Form 01/08/2020 - Page 1 Public Works Certifier' yroll Reporting Form ;ontractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 01/05/2020 Payroll Number:27-0 f 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 Earned Tax FICA Tax SDI Holide & Welf. Pension Net 4 Date y I EMILIANO MEDINA Total Hourly Wage Check Work 12/30 12/31 01/01 01/02 01/03 01/04 01/05 Hours Pay Rate Thls All 7.62 36.72 0.00 4.80 0.00 0.00 0.00 Paid For Number 34300 CORREGIDOR DR Classification Pro act Pro acts Week Hours Worked Each Day J 1 CATHEDRAL CITY LANDSCAPE 8.00 8.00 0.00 8.00 8.00 0.00 0.00 430.86 28044 S 32.00 15.00 480.00 480.00 Fund Trav/ Training Dues Savings Other Total CA MAINTENANCE g Admin Subs g LABORER O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 92234 0.00 0.00 0.00 0.00 0.00 0.00 49.14 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 SecurityNumber of Worker Withholding Total Hourly Earned Tax FICA Tax SDI I Holiday & Welf. Pension Net Wage Check 4 Date LETICIABONILLA Work 12/30 12/31 01/01 01/02 01/03 01/04 01/05 This All 0.00 36.72 0.00 gr80 0.00 0.00 0.00 Hours Pay Rate Paid For Number 33477 NAVAJO TR #B Classification Prc1 Projects 1 Week H Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 8.00 0.00 B.00 8.00 0.00 0.00 32.00 15.00 480.00 480.00 Fund Trav/ 438.48 28038 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 41.52 92234 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal Slate Vac/ Health Social SecurityNumber of Worker Withholding To tal Hourly Earned Tax FICA Tax SDI Holiday & Welf. Pension Ne t Wage Check 3 Date LUCIAGARCIA Work 12130 12/31 01/01 01/02 01/03 01/04 01/05 This All 13.73 35.08 0.00 4.59 0.00 0.00 0.00 Hours Pay Rate Paid For Number 64045 HARVEST MOON RD Classification Pro 1 Project Projects 1 Week H Hours Worked Each Day DESERT HOT SPRINGS LANDSCAPE S 8.00 8.00 0.00 8.00 8.00 0.00 0.00 32.00 14.00 458.50 458.50 Fund Trav/ 405.10 28042 CA MAINTENANCE Training Admin Dues Subs Savings Other Total i p 0.00 0.00 0.00 0.00 0.50 0.00 0.00 0.50 21.00 LABORER 0,00 0.00 0.00 0.00 0,00 0.00 53.40 92240 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Frl 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 LUIS E. ALVAREZ SARABIA Total Hourly Wage Check Work 12130 12/31 01/01 01/02 01/03 01/04 01/05 This All 26.78 44.06 10.81 5.76 0.00 0.00 0.00 Hours Pay Rate Paid For Number 45627 SENEGAL PL INDIO Classification Project Projects Week i Hours Worked Each Day I LANDSCAPE S 8.00 8.00 0.00 8.00 8.00 0.00 0.00 32.00 18.00 576.00 576.00 Fund P►av/ 488.59 28037 CA MAINTENANCE Training Admin Dues Subs Savings Other Total Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 87.41 92201 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: I Public works certified Payroll Reporting Form 01/08/2020 - Page 2 Public Works Certifier' yroll Reporting Form ontractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 01/05/2020 Payroll Number:27-0 Deductions, Contributions, and Payments Name, Address and Social SecurityNumber of Worker Number of Withholding Day Mon Tue Wed Thu Fri Sat Sun TotalWH Hours Gross Amount Federal Tax FICA State Tax SDI lacl Holiday Health $ Welf. Pension Net Wage Paid For Week Check Number 2 DateEarned MARCELINO BRIONES 50700 CALLE MENDOZA Work Classification 12130 12/31 01/01 01102 01/03 01/04 01/05 Thls Pro act / All Pro acts jCOACHELLA 9.75 25.70 0.00 3.36 0.00 0.00 0.00 Hours Worked Each Day CA LANDSCAPE MAINTENANCE 8.00 8.00 0.00 0.00 8.00 0.00 0.00S 24.00336.00 336.00 Trainin 9 Fund AdminSubs Dues Travl Savin s 9LABORER Other Total297.19 28039 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.0092236 0.00.000.000.00 0.00 0.00 38.81 p D.DD o.00 o.00 o.00 o.00 o.00 D.00 0.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health $ Wolf. Pension Net Wage Paid For Week Check Number 0 Date PASTOR R. PEREZ NEGRON 67365 ONTINA RD CATHEDRAL CITY CA 92234 _ Work Classification 12130 12131 01101 01/02 01/03 01/04 01/05 This Project All Projects 46.03 36.72 7.78 4.80 0.00 0.00 0.00 Hours Worked Each Day LANDSCAPE MAINTENANCE LABORER S 8.00 0.00 0.00 B.00 B.00 0.00 0.00 24.00 15.00 360.00 480.00 Training Fund Admin Dues Travl Subs Savings Other Total 384.67 28046 Q 0.00 0.00 0.00 1 0.00 0.00 0.00 0.00 0.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 95.33 p 0.00 0.00 0.00 0.00 1 0.00 0.00 0.00 0.00 1 30.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day 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 y Health $ Welf. Pension Net Wag Paid For Week Check Number 3 Date ROSA RODRIGUEZ PO BOX 580332 Work Classification 12130 12/31 01/01 01/02 01/03 01/04 01/05 This Pjt ro/ec All Projects ro j 1.48 25.70 1.03 3.36 0.00 0.00 0.00 Hours Worked Each Day N PALM SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 0.00 0.00 8.00 8.00 0.00 0.00 24.00 14.00 336.00 336.00 Training 9 Fund Admin Dues Trav/ Subs Savin s 9 Other Total 304.43 28047 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 92258 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 31.57 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 VOTE: 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 Earned Federal Tax FICA State Tax SDI Vac/ Holiday$ Health Welf. Pension Net Wage Check SALVADOR MURILLO LANDEROS 6 Date Work Classi0catlon 12/30 12/31 01/01 01/02 01/03 01/04 01105 This Project 1 All Projects 1 0.00 41.62 0.00 5.44 0.00 0.00 0.00 48097 ESTRELLA TOMAS Hours Pay Rate Paid For Week Number 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 17.00 544.00 544.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 496.94 28045 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 47.06 p 0.00 0.00 1 0.00 0.00 1 0.00 0.00 0.00 0.00 34.OD - DOTE: Public works certified Payroll Reporting Form 01/08/2020 - Page 3