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2020-07-05 thru 2020-09-27 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: 9548076 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: 2020-09-27 Payroll Number: 65 Amendment Number: 1 1 employee payroll record(s) processed Your Transaction ID is: 10849596 Print this Page 'iew your submission Submit another set of payroll records Public Works Certifi( ayroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-09-27 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-04-08." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92262 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: Payroll #: 65 - 1 Ctr Payroll #: 65-1 Week Ending: 09/27/2020 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 09/21 09122 09/23 09/24 09/25 09/26 09/27 Hours Base Hourly Fringe Holiday & Welf. S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00 ZWAlq1 15.00 0.00 0.00 0.00 NOTE: ORIGINAL PAYROLL NUMBER 65-0 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 j 0.00 Total Deductions 55.94 Public works certified Payroll Reporting Form 04/08/2021 - Page 1 eCPR Online Confirmation Your payroll submission request has been processed. lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. 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: 2020-09-27 Payroll Number: 65 Amendment Number: 0 8 employee payroll record(s) processed Your Transaction ID is: 9548076 Print this Page View your submission Adobe Submit another set of payroll records t Public Works Certifi layroll Reporting Form Certification unde, Nenalty of perjury: 1, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC 11, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-09-27 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever farm to the individual or individuals named. I certify this on 2020-10-22." Contractor Name: PWLC 11, INC. Contractor PWCR: 1000037373 License T e• CSLB Lice N 11855783 yp nse um er 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: 65- Of For Week Ending: 09/27/2020 - Is this a 'Statement of Non -Performance?' Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Earned Federal Tax FICA State Tax SDI I Vac/ Holiday Health & Welf. Pension Net Social Security Number of Worker Withholding 3 Date APOLINAR GONZALEZ MARTINEZ Total Hourly Wage Check Work 09/21 09/22 09/23 09/24 09/25 09/26 09/27 This All 24.86 42.84 2.36 5.60 0.00 0.00 0.00 Hours Pay Rate Paid For Number 31325 AVE LA CATHEDRAL Classification Pro jec ect Pro j is Week Hours Worked Each Day CITY CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 I 560.00 560.00 Fund Trav/ Total 484.34 31262 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 75.66 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 Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Social Security Number of Worker Withholding 3 Date ARMANDO RICO CHAVEZ Total Hourly Wage Check Work 09/21 09/22 09/23 09/24 09/25 09/26 09/27 This All 53.66 61.20 14.66 8.00 0.00 0.00 0.00 Hours Pay Rate Paid For Number 2103 JACQUES DR PALM SPRINGS Classification Project Projects Week Hours Worked Each Day LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 800.00 800.00 Fund Trav/ Total 662.48 31261 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct 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 POPOOOO p 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 Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Social Security Number of Worker Withholding 5 Date GENARO VARGAS Total Hourly Wage Check Wow 09/21 09/22 09/23 09l24 09I25 09126 09/27 This Ail 6.57 55.70 0.00 7.28 0.00 0.00 0.00 Hours Pay Rate Paid For Number 69130 VICTORIA DR CATHEDRAL Classification Project Projects Week Hours Worked Each Day CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 728.00 Fund Trav/ Total 656.45 31266 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 71.55 92234 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Public works certified Payroll Reporting Form 10/22/2020 - Page 1 Public Works Certifi" 'ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 09/27/2020 Payroll Number:65-0 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 Pension Net 0 Date Earned Tax Tax Holiday 8 Welf. GUSTAVO HERRERA Total Hourly FICA SDI Wage Check Work 09/21 09/22 09/23 09/24 09125 09/26 09127 Hours Pay Rate This All 0.00 45.90 0.00 6.00 0.00 0.00 0.00 Paid For Number 32250 AURORA VISTA RD Classification Hours Worked Each Day Project Projects Week CATHEDRAL CITY CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 548.10 31263 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 92234 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 51.90 p 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week eck Number 0 Date JOSE I. PEREZ CINTORA 46857 LILAC CT Work Classification 09/21 09/22 09123 09/24 09125 09/26 09/27 This Project All All 0.00 56.73 13.39 7.38 0.00 0.00 0.00 Hours Worked Each Day INDIO CA LANDSCAPE MAINTENANCE $ 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 18.00 603.00 747.00 Fund Admin Dues Trav/ Subs Savings Other Total 664.19 31264 Q 0.00 0.00 0.00 0.00 1.00 0.00 0.00 1.00 27.00 92201 LABORER F- 0.00 0.00 0.00 0.00 5.31 82.81 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 unsomm NOTE: $5.31 OTHER = FH125D Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri 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 q Date LETICIA BONILLA 33477 NAVAJO TR #B Work Classification 09/21 09/22 09/23 09/24 09/25 09/26 09/27 This Project All Projects 4.04 45.90 0.00 6.00 0.00 47.39 0.00 Hours Worked Each Day CATHEDRAL CITY CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 544.06 31260 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 92234 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 55.94 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 Pa Rate Y Gross Amount Earned Federal Tax FICA State Tax SDI Vac! Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date MARIO VASQUEZ 68285 CORTA RD yyo� Classification 09/21 09/22 09/23 09/24 09125 09/26 09/27 This Project All Projects 0.00 42.84 0.00 5.60 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA LANDSCAPE MAINTENANCE $ 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Training Admin Dues Subs Savings Other Total 511.56 31267 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 92234 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 48.44 p o.00 o.00 D.00 o.00 o.00 o.00 o.00 0.00 26.00 NOTE: Public Works certified Payroll Reporting Form 10/22/2020 - Page 2 Public Works Certifi--'layroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 09/27/2020 Payroll Number:65-0 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 SDI Tax Holiday & Welf. Pension PASTOR R. PEREZ NEGRON 0 Total Hourly Wage Check Work 09/21 09/22 09/23 09/24 09/25 09/26 09/27 Hours Pay Rate This All 60.43 45.91 12.86 6.00 0.00 0.00 0.00 Paid For Number 67365 ONTINA RD Classification Hours Worked Each Day Project Projects Week CATHEDRAL CITY LANDSCAPELOO 8.00 8.00 8.00 8.00 0.00 0.00Trav/ 40.00 15.00 600.00 600.00 Fund 474.80 31265 CA MAINTENANCE Training Admin Dues Subs Subs Savings Other Total 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 0.00 125.20 92234 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Public Works certified Payroll Reporting Form 10/22/2020 - 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: 9547871 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: 2020-09-20 Payroll Number: 64 Amendment Number: 1 1 employee payroll record(s) processed Your Transaction ID is: 10849560 Print this Page Jew your submission ✓!+cube Submit another set of payroll records Public Works Certific 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 2020-09-20 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-04-08." F actt584 ame: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 ss: 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 #: 64 - 1 Ctr Payroll #: 64-1 Week Ending: 09/20/2020 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 09/14 09115 09116 09/17 09/18 09/19 09/20 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 0.00401T11R1 15.00 0.00 0.00 0.00 0.00 0.00 0.00 frxllm! NOTE: ORIGINAL PAYROLL NUMBER 64-0 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 04/08/2021 - Page 1 eCPR Online Confirmation Your payroll submission request has been processed. 'lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. 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: 2020-09-20 Payroll Number: 64 Amendment Number: 0 11 employee payroll record(s) processed Your Transaction ID is: 9547871 Print this Page View your submission Adobe Submit another set of payroll records Public Works Certifi'� `ayroll Reporting Form Certification unde, 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 2020-09-20 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2020-10-22." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 64- 0 For Week Ending: 09/20/2020 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 Paid For Wage Week Check 3 Date APOLINAR GONZALEZ MARTINEZ 31325 AVE LA PALOMA Work Classification 09/14 09/15 09/16 09/17 09/18 09/19 09/20 This Project All Projects 24.86 42.83 2.36 5.60 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 sommum, 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 484.35 31109 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 75.65 D 0.0o 0.00 0.00 1 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI VacHealth Hallday & Wef7, Pension Net Wage Paid For Week Check Number 3 Date ARMANDO RICO CHAVEZ 2103 JACQUES DR Work Classification 09/14 09115 09/16 09/17 09/18 09/19 09/20 This Project All Projects 53.66 61.20 14.66 8.00 0.00 0.00 0.00 Hours Worked Each Day PALM SPRINGS CA 92262 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 800.00 800.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 662.48 31108 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 0.00 0.00 0.00 0.00 0.00 0.00 137.52 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 4 Date CARLOS LUNA GONZALEZ 66145 7TH ST Work Classification 09/14 09/15 09/16 09/17 09/18 09/19 09/20 This Project All Projects 14.52 53.92 0.00 7.05 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 TREE MAINTENANCE LABORER S 2.00 0.00 0.00 0.00 0.00 0.00 0.00 2.00 29.42 58.84 704.84 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 629.35 31116 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 44.13 0.00 0.00 0.00 0.00 0.00 0.00 75.49 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 58.84 NOTE: Public works certified Payroll Reporting Form 10/22/2020 - Page 1 Public Works Certifi `ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 09/20/2020 Payroll Number:64-0 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. 5 Date Total Hourly Wage Check GENARO VARGAS Work 09/14 09/15 09/16 09/17 09/18 09/19 09/20 Hours Pay Rate This All 0.00 42.84 0.00 5.60 0.00 0.00 0.00 Paid For Number 69130 VICTORIA DR Classification Project Projects Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Tra 511.56 31113 CA MAINTENANCE Training Admin Dues Subs Savings Other Total Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 48.44 92234 p o.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 i Name, Address and Social Security Number of Worker Withholding Man Tue Wed Thu Fri Sat Sun Gross Amount Federal State SDI Vac/ Health Pension Net Total Hours Hourly Pay Rate Earned Tax FICA Tax Holiday & Welf. Wage Paid For Check Number 0 Date GUSTAVO HERRERA 09/14 09/15 09/16 09l17 09/18 09/19 09/20 This All 0.00 27.54 0.00 3.60 0.00 0.00 0.00 32250 AURORA VISTA RD Work Classification Project Projects Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE $ 0.00 0.00 8.00 8.00 8.00 0.00 0.00 24.00 15.00 360.00 360.00 Fund Trav/ 328.86 31110 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 31.14 92234 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Number of Day Deductions, Contributions, and Payments Name, Address and Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Social Security Number of Worker Withholding Total Hours Hourly Pay Rate Earned Tax Tax Holiday & Welf. Wage Paid For Check Number 0 Date HUMBERTO S. VALDEZ 09/14 09/15 09/16 09/17 0908 09/19 09/20 This All 75.35 56.04 15.37 7.33 0.00 0.00 0.00 12966 CACTUS DR #A Work Classification Project Projects Week Hours Worked Each Day DESERT HOT SPRINGS TREE $ 2.00 0.00 0.00 0.00 0.00 0.00 0.00 2.00 24.32 48.64 732.64 Trav/ 578.55 31117 CA MAINTENANCE Training AFund dmin Dues Subs Savings Other Total Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.48 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 154.09 92240 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.64 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 FICA State SDI Vac/ Health Pension Net Total Hours Hourly Pay Rate Earned Tax Tax Holiday 8 Welf. Wage Paid For Check Number 0 Date JOSE I. PEREZ CINTORA 09114 09/15 09116 09/17 09/18 09/19 09/20 This All 0.00 54.67 11.75 7.15 0.00 0.00 0.00 Work Week 46857 LILAC CT Classification Project Projects Hours Worked Each Day INDIO LANDSCAPE $ 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 18.00 720.00 720.00 Fund Trav/ 641.12 31111 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 5.31 78.88 92201 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 1 NOTE: $5.31 OTHER = FH125D PUbIIC WOrKS Certltle0 PayroiI Keporrnng Form iu/cc/cucu - rdya Public Works Certifi 'ayroll Reporting Form '� Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 09/20/2020 Payroll Number:64-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Health FICA SDI Pension Net Gross Amount Federal State Holiday Earned Tax Tax Holiday & Wolf. LETICIA BONILLA 4 Dale Total Hourly Wage Check Work 09/14 09/15 09116 09117 09/18 09119 09120 Hours Pay Rate This All 4.04 45.90 0.00 6.00 0.00 47.39 0.00 Paid For Number 33477 NAVAJO TR #B Classification Hours Worked Each Day Project Projects Week CATHEDRAL CITY CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 544.06 31107 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 92234 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 55.94 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 j NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pa Rale Y Gross Amount Earned Federal Tax FICA Slate Tax SDI Vac! Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date MARIO VASOUEZ CORTA RD Work Classification 09l14 09l15 09/16 09/17 09118 09/19 09l20 rThi- roject All All68285 0.00 42.83 0.00 5.60 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA LANDSCAPE MAINTENANCE $ 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 511.57 31114 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 92234 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 48.43 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA Stale Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number D Dale PASTOR R. PEREZ NEGRON 67365 ONTINA RD Work Classification 09/14 09115 09/16 09117 09/18 09/19 09/20 This Project All Projects 60.43 45.89 12.86 6.00 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 474.82 31112 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 92234 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 125.18 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date RUBEN F. HENRIOUEZ 15687 PALM DR #83 Work Classification 09/14 09/15 09/16 09117 09/18 09/19 09/20 This Project All Projects 61.03 46.92 12.45 6.13 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 TREE MAINTENANCE LABORER $ 2.00 0.00 0.00 0.00 0.00 0.00 0.00 2.00 24.32 48.64 618.64 Training Fund Admin Dues Trav/ Subs Savings Other Total 486.80 31115 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.48 O.DO 0.00 0.00 0.00 0.00 5.31 131.84 D 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.64 NOTE: $5.31 OTHER = FH125D Pun n c worKs tern n ea rayro i 1 Keporc i ny ror-ni �ui «i � - r=y= eCPR Online Confirmation Your payroll submission request has been processed. r"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: 9547462 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: 2020-09-13 Payroll Number: 63 Amendment Number: 1 2 employee payroll record(s) processed Your Transaction ID is: 10849493 Print this Page CZA- i, iew your submission Adn� e Submit another set of payroll records Public Works Certific 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 at PWLC 11, INC. (name of business andlor contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-09-13 are the originals or true, full, and correct copies of the originals which depict the payro[i record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-04-08." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92262 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA Contract With: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 County: RIVERSIDE Location Description: Payroll #: 63 - 1 Ctr Payroll #: 63-1 Week Ending: 09/13/2020 ❑ 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 09/07 09108 09/09 09/10 09/11 09/12 09/13 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 $Qi 15.00 0.00 0.00 0.00 0.00 0.00 0.00 f'7M NOTE: ORIGINAL PAYROLL NUMBER 63-0 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 41.52 Public Works Certified Payroll Reporting Form 04/08/2021 - Page 1 r- Public Works Certifii .ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Employee: MARCELINO RAMIREZ 1500 E SAN RAFAEL DR #164, PALM SPRINGS, CA, 92262 MEOW Mon Tue Wed Thu Fri Sat Sun Total Total 09/07 09108 09/09 09/10 09/11 09/12 09/13 Hours Base Hourly Fringe S LANDSCAPE MAINTENANCE LABORER 0.00 8.00 8.00 8.00 8.00 0.00 0.00 �: 13.80 0.00 NOTE: ORIGINAL PAYROLL NUMBER 63-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00, 13.88 WAS DEDUCTED FOR HEALTH INSURANCE Week Ending: 09/13/2020 Payroll Number:63-1 Vac/ Health Total Pension Other Training Holiday & Welf. Hourly Rate 0.00 0.00 0.00 0.00 0.00 ` Travel & Subsistence 0.00 Total Deductions 50.88 Public works Certified Payroll Reporting Form 04/08/2021 - Page 2 eCPR Online Confirmation Your payroll submission request has been processed. 'lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-09-13 Payroll Number: 63 Amendment Number: 0 8 employee payroll record(s) processed Your Transaction ID is: 9547462 Print this Page View your submission Ab Submit another set of payroll records Public Works Certifj" - payroll Reporting Form Certification unc. jenalty 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 2020-09-13 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2020-10-22." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 63- 0 For Week Ending: 09/13/2020 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/ Holida y Health $ Welf. Pension Net Wage Paid For Week Check Number 3 Date APOLINAR GONZALEZ MARTINEZ 31325 AVE LA PALOMA Work Classification 09/07 09/08 09/09 09/10 09/11 09/12 09/13 This Project All Projects 12.68 34.29 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 396.55 31082 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 51.45 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI I Vac/ Holida y Health & Wait. Pension Net Wage Paid For Week Check Number 3 Date ARMANDO RICO CHAVEZ 2103 JACQUES DR PALM SPRINGS CA 92262 Work Classification 09/07 09108 09/09 09/10 09/11 09/12 09/13 This Pro1ject All All 34.46 48.96 5.88 6.40 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 20.00 640.00 640.00 Training g Fund Admin Dues Trav/ Subs Savings 9 Other Total Deduct 544.30 31081 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.0 0.00 0.00 0.00 0.00 0.00 0.00 95.70 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 5 Date GENARO VARGAS 69130 VICTORIA DR Work Classification 09/07 09/08 09/09 09/10 09/11 09112 09/13 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 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 409.24 31086 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 o.00 o.00 o.00 o.00 o.00 o.00 o.o0 0.00 2e.00 NOTE: Public Works Certified Payroll Reporting Form 10/22/2020 - Page 1 Public Works Certifi'--''ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE 8, LIGHTING DISTRICT 89-1 For Week Ending: 09/13/2020 Payroll Number:63-0 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 Total Hourly Earned Federal State Vac/ Health FICA Tax SDI Holiday & Welf. Pension Tax Net Wage a Check JOSE I. PEREZ CINTORA 0 Date Hours Pay Rate This All All Paid For Number Work 09/07 09/08 09/09 09/10 09/11 09/12 09/13 0.00 43.66 5.41 5.71 0.00 0.00 0.Oo 46857 LILAC CT Classification Project Week Hours Worked Each Day INDIO LANDSCAPE g 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 18.00 576.00 576.00 Fund Trav/ 515.91 31083 CA MAINTENANCE Training Admin Dues Subs Savings Other Total O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 LABORER 0.00 27.00 92201 0.00 0.00 0.00 0.00 0.00 5.31 60.09 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 qmpmmw 0.00 36.00 NOTE: $5.31 OTHER = FH125D Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Wlthholding 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 LETICIA BONILLA 4 Date Work 09/07 09/08 09109 09/10 09/11 09/12 09/13 This All 0.00 36.72 0.00 4.80 0.00 47.39 0.00 Hours Pay Rate Paid For Number 33477 NAVAL I #8 CATHEDRAL CITY Classification Pro ect 1 Projects 1 is Week Hours Worked Each Day LANDSCAPE S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 15,00 480.00 480.00 Fund Trav/ 438.48 31080 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 92234 0.00 0.00 0.00 0.00 0.00 0.00 41.52 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and 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 I State Tax SDI Vac/ Holiday Health & Wlf. e. Pension Net 4 Date MARCELINO RAMIREZ Total Hourly Wage Check Work 09/07 09/08 09/09 09/10 09/11 09112 09/13 This All 0.00 32.72 0.00 4.28 0.00 47.39 0.00 Hours Pay Rate Paid For Number 1500 E SAN RAFAEL DR #164 PALM SPRINGS Classification Project 1 Pro Projects Week Hours Worked Each Day LANDSCAPE S 0.00 8.00 8.00 B.00 8.00 0.00 0.00 32.00 13.80 441.60 441.60 Fund Trav/ 390.72 31085 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 20.70 LABORER 0.00 0.00 0.00 1 0.00 0.00 13.88 50.88 92262 D 0.00 0.00 0.00 1 0.00 0.00 0.00 0.00 0.00 27.60 NOTE: $13.88 OTHER = FH125 Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Social Security Number of Worker Withholding 0 Date MARIO VASQUEZ Total Hourly Wage Check Work 09/07 09108 09/09 09/10 09/11 09/12 09/13 This All 0.00 34.28 0.00 4.48 0.00 0.00 0.00 Hours Pay Rate Paid For Number 68285 CORTA RD CATHEDRAL CITY Classification Project Projects Week Hours Worked Each Day LANDSCAPE S 0.00 8.00 8.00 8.00 B.00 0.00 0.00 32.00 14.00 448.00 448.00 Fund Trav/ 409.24 31087 CA MAINTENANCE Training Admin Dues Subs Savings Other Total Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 38.76 92234 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 domopow NOTE: Public works certified Payroll Reporting Form 10/22/Z020 - Page 2 Public Works Certifi,'~?ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 09/13/2020 Payroll Number:63-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health 0 Dale Earned Tax FICA Tax SDI Holiday & Welf. Pension Net PASTOR R. PEREZ NEGRON Total Hourly Wage Check Work 09/07 09/08 09/09 09/10 09/11 09/12 09/13 Hours Pay Rate This All 46.03 36.73 7.78 4.80 0.00 0.00 0.00 Paid For Number 67365 ONTINA RD i CATHEDRAL Classification Hours Worked Each Day Pro ect Pro ects 1 1 I Week 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/ 364.66 31084 CA MAINTENANCE Training Ad min 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 95.34 92234 D 0.00 0.00 0.00 1 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Public works certified Payroll Reporting Form 10/22/2020 - Page 3 eCPR Online Confirmation Your payroll submission request has been processed. r3lease 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: 9547178 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: 2020-09-06 Payroll Number: 62 Amendment Number: 1 2 employee payroll record(s) processed Your Transaction ID is: 10848927 Print this Page iew your submission _,Adobe Submit another set of payroll records Public Works Certifi( ayroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, ant the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business arid/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for thc, week ending 2020-09-06 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the indiV:•dual or individuals named. I certify this on 2021-04-08." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92262 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: Payroll #: 62 - 1 Ctr Payroll #: 62-1 Week Ending: 09/06/2020 ❑ 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 08/31 09101 09102 091m 09/04 09/05 09/06 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 M-,q'o 15.00 0.00 0.00 0.00 0.00 0.00 0.00 _ NOTE: ORIGINAL PAYROLL NUMBER 62-0 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 55.93 Public works certified Payroll Reporting Form 04/08/2021 - Page 1 Public Works Certifii ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Week Ending: 09/06/2020 . oy.- . -, Employee: MARCELINO RAMIREZ 1500 E SAN RAFAEL DR #164, PALM SPRINGS, CA, 92262 Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 08/31 09/01 09/02 09/03 09/04 09/05 09/06 Hours Base Hourly Fringe Holiday & Welt. Pension Other Training Hourly Rate S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00 WITOW 13.80 0.00 0.00 0.00 0.00 0.00 0.00 INEMgm NOTE: ORIGINAL PAYROLL NUMBER 62-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = Travel & Subsistence 0.00 Total Deductions 60.43 0.00, 13.88 WAS DEDUCTED FOR HEALTH INSURANCE Public works certified Payroll Reporting Form 04/08/2021 - Page 2 eCPR Online Confirmation Your payroll submission request has been processed. 'lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-09-06 Payroll Number: 62 Amendment Number: 0 14 employee payroll record(s) processed Your Transaction ID is: 9547178 Print this Page View your submission A*e Submit another set of payroll records Public Works Certifi_'3ayroll Reporting Form Certification uno._ ,jenalty 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 2020-09-06 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2020-10-22." Contractor Name: PWLC ll, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE Payroll Number: 62- 0 For Week Ending: 09/06/2020 -Is this a'Statement of Non -Performance?' Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Earned Tax FICA Tax SDI Holida & Welt Pension Net 0 Date y ALEJANDRO CHAVEZ JR. Total Hourly Wage Check Work 08/31 09/01 09102 09/03 09/04 09/05 09106 Hours Pay Rate This All 58.99 58.25 19.87 7.62 0.00 0.00 0.00 Paid For Number 2103 JACQUES DR Classification Hours Worked Each Day Projec[ Projects Week PALM SPRINGS TREE S 0.00 8.00 8.00 6.00 0.00 0.00 0.00 22.00 24.32 601.04 761.68 Fund Trav/ Total 616.95 30938 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct Q 0.00 0.00 0.00 2.00 0.00 0.00 0.00 2.00 33.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 144.73 92262 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 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 Holida y & waif. Pension Net Wage Check 3 Date APOLINAR GONZALEZ MARTINEZ Work 08/31 09/01 09/02 09/03 09/04 09/05 09/06 ThisFAIc.l 24.86 42.83 2.36 5,60 0.00 0.00 0.00 Hours Pay Rate Paid For Number 31325 AVE LA PALOMA Classification Project 1 o e j Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Fund Trav/ Total 484.35 30932 CA MAINTENANCE Trainin 9 Admin Dues Subs Savings 9 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 75.65 92234 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 28.00 NOTE: Number of Day Deductions, Contributions, and Payments Name, Address and Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vacl Health Net Social SecurityNumber of Worker Withholding Total Hourly Earned Tex FICA Tax SDI Holiday & Welf. Pension Wage Check 3 Date ARMANDO RICO CHAVEZ Work 08/31 09/01 09/02 09/03 09/04 09/05 09106 This All 55.46 62.35 15.65 8.15 0.00 0.00 0.00 Hours Pay Rate Paid For Number 2103 JACQUES DR Classification Project Projects Week Hours Worked Each Day PALM SPRINGS LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 815.00 815.00 Fund Trav/ Total 673.39 30930 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct Q 0.00 0.50 0.00 0.00 0.00 0.00 0.00 0.50 30.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 141.61 92262 p 0.00 0.00 0.00 1 0.00 0.00 0.00 0.00 0.00 40.00 �NOTI- Public works certified Payroll Reporting Form 10/22/2020 - Page 1 !Ie�' Public Works Certify-""ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 09/06/2020 Payroll Number:62-0 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 CARLOS I. ESPARZAALVAREZ 33822 SHIFTING SANDS #B CATHEDRAL CITY 0 Date Work Classification 08/31 09101 09/02 09/03 09/04 09/05 09/06 This Pro act 1 All Pro a j cts 0.00 42.84 2.36 5.60 0.00 0.00 0.00 Hours Worked Each Day CA 92234 ommmm=M LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 509.20 30931 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 50.80 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vacl Holiday Health & Wolf, Pension Net Wage Paid For Week Check Number CARLOS LUNA GONZALEZ 66145 7TH ST 4 Date Work Classification 08/31 09/01 09/02 09/03 09104 09/05 09/06 This Project 1 All Projects 1 90.20 105.15 21.09 13.75 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 � TREE MAINTENANCE LABORER S 8.00 8.00 8.00 6.00 0.00 0.00 0.00 30.00 29.42 963.54 1,374.62 Training Fund Admin Dues Trav/ Subs Savings Other Total 11144.43 30940 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.00 40.47 0.00 0.00 0.00 0.00 0.00 0.00 230.19 p o.Do 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & We If. Pension Net Wage Paid Far Week Check Number GENARO VARGAS 69130 VICTORIA DR 5 Date Work Classification 08131 09/01 09/02 09/03 09/04 09/05 09/06 This Project 1 All Projects 1 0.00 42.84 0.00 5.60 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 �* LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 511.56 30936 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 48.44 p 0.00 0.00 0.00 0.00 0.00 1 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 Hourl Y Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vacl Holiday Health & Welf. pension Net Wage 9 Paid For Week Check Number HUMBERTO S. VALDEZ 12966 CACTUS DR #A 0 Date Work Classification 08/31 09/01 09/02 09/03 09104 09/05 09/06 This Project All Projects 167.89 92.12 51.79 12,04 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 TREE MAINTENANCE LABORER S 8.00 8.00 8.00 6.00 0.00 0.00 0.00 30.00 24.32 795.60 1,204.24 Training Fund Admin Dues Trav/ Subs Savings Other Total 880.40 30941 0 0.00 0.00 0.00 2.00 0.00 0.00 0.00 2.00 33.00 0.00 0.00 0.00 0.00 0.00 0.00 323.84 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: I Public Works certified Payroll Reporting Form 10/22/2020 - Page 2 Public Works Certif'-'0ayroll Reporting Form Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 09/06/2020 Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and 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 o Date JOSE I. PEREZ CINTORA 46857 LILAC CT Work Classification 08/31 09/01 09/02 09/03 09/04 09/05 09/06 This Project 1 All Projects 1 0.00 54.67 11.75 7.15 0.00 0.00 0.00 Hours Worked Each Day INDIO CA 92201 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 18.00 720.00 720.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 641.12 30933 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 5.31 78.88 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: $5.31 OTHER = FH125D Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI I Vacl Holiday Health & Welf. Pension Net Wage Paid For Week Check Number 4 Date LETICIA BONILLA 33477 NAVAJO TR #B Work Classification 08/31 09/01 09/02 09103 09/04 09105 09/06 This Project All Projects 4.04 45.89 0.00 6.00 0.00 47.39 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Training g Fund Admin Dues Trav/ Subs Savings g Other Total 544.07 30929 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 55.93 p 0.00 0.00 0.00 1 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA I State Tax SDI Vac/ Holiday& Health Wolf. Pension Net Wage Paid For Week Check Number 4 Date MARCELINO RAMIREZ 1500 E SAN RAFAEL DR #164 Work Classification 08/31 09/01 09/02 09/03 09/04 09/05 09/06 This Project 1 All Projects � 0.00 41.17 0.00 5.38 0.00 47.39 0.00 Hours Worked Each Day PALM SPRINGS CA 92262 UNIONNOOM LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 13.80 552.00 552.00 Training 9 Fund Admin Dues Trav/ Subs Savings g Other Total 491.57 30935 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.70 0.00 0.00 1 0.00 0.00 0.00 13.88 60.43 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.60 NOTE: $13.88 OTHER = FH125 Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and 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 o Dale MARIO VASQUEZ 68285 CORTA RD Work Classification 08/31 09/01 09/02 09/03 09/04 09/05 09/06 This Project All Projects 0.00 42.84 0.00 5.60 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Ttanng Fund Admin Dues Trav/ Subs Savings Other Total 511.56 30937 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 48.44 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Public Works certified Payroll Reporting Form 10/22/2020 - Page 3 Public Works Certifi ` `ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE 8, LIGHTING DISTRICT 89-1 For Week Ending: 09/06/2020 Payroll Number:62-0 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 PASTOR R. PEREZ NEGRON 67365 ONTINA RD CATHEDRAL CITY 0 Dale Work Classification 08/31 09/01 09/02 09/03 09/04 09/05 09/06 This Project All Projects 46.03 36.71 7.78 4.80 0.00 0.00 0.00 Hours Worked Each Day CA 92234 LANDSCAPE MAINTENANCE LABORER 8.00 0.00S32.00 15.00 480.00 480.00 Training Fund Admin Dues Travl Subs Savings Other Total 384.68 30934 O 0.00 J8.008.00 0.00 ;8..gOOO.000.00 0.00 0.00 0.00 22.50 p 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number RUBEN F. HENRIOUEZ 15687 PALM DR #83 0 Date Work Classification 08/31 09/01 09/02 09/03 09/04 09/05 09/06 This Project All Projects 154.77 87.56 49.04 11.45 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 TREE MAINTENANCE LABORER S 8.00 8.00 8.00 6.00 0.00 0.00 0.00 30.00 24.32 795.60 1,149.88 Training Fund Admin Dues Trav/ Subs Savings Other Total 841.75 30939 O 0.00 0.00 0.00 2.00 0.00 0.00 0.00 2.00 33.00 0.00 0.00 0.00 0.00 0.00 5.31 308.13 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: $5.31 OTHER = FH125D Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number SALVADOR VALDEZ CISNEROS 12966 CACTUS DR 0 Date Work Classification 08/31 09101 09/02 09/03 09/04 09/05 09/06 This Project All Projects 102.93 87.96 25.36 11.50 0.00 0.00 0.00 Hours Worked Each Day DESERT HOT SPRINGS CA 92240 TREE MAINTENANCE LABORER S 8.00 8.00 8.00 6.00 0.00 0.00 0.00 30.00 24.32 795.60 1.149.68 Training Fund Admin Dues Trav! Subs Savings Other Total 922.13 30942 0.00 0.00 0.00 2.00 0.00 0.00 0.00 2.00 33.00 0.00 0.00 0.00 0.00 0.00 0.00 227.75 0.00 1 0.00 1 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Public works certified Payroll Reporting Form 10/22/2020 - 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. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 9545770 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: 2020-08-30 Payroll Number: 61 Amendment Number: 2 2 employee payroll record(s) processed Your Transaction ID is: 10848795 Print this Page 6h" Jew your submission Submit another set of payroll records Certification under penalty of perjury: Public Works CertifiE ayroll Reporting Form "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC 11, INC. (name of business and/or contractor), certify under penalty of perjury that the records or capies thereof submitted and consisting of certified payroll records for the week ending 2020-08-30 are the originals or true, full, and correct copies of the originals which depict the payroll reccrdtsj of the actual disbursements by way of cash, check, or whatever form to the IndivlduaI or individuals named. I certify this on 2021-04-08." Contractor Name: PWLC [[,INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92262 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: Payroll #: 61 - 2 Ctr Payroll #: 61-2 Week Ending: 08/30/2020 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 08/24 08/25 08126 08/27 08I28 Sat 08129 Sun 08/30 Total Hours Base Hourly Total Fringe Vac/ Holiday Health & Welf. Pension Other Training Total Hourly Rate S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 O LANDSCAPE MAINTENANCE LABORER 0.00 0.00 0.00 0.00 0.50 0.00 0.00 0.00 0.00 4OI0 . h 15.00 "3 t 22.50 B,Ellwo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 . 000 000 . 0.00 0.00 .1 NOTE: ORIGINAL PAYROLL NUMBER 61-1 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00 Travel &Subsistence 0.00 Total Deductions 58.04 Public Works Certified Payroll Reporting Form 04/08/2021 - Page 1 r-- Public Works Certifk ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Employee: MARCELINO RAMIREZ 1500 E SAN RAFAEL DR #164, PALM SPRINGS, CA, 92262 Mon Tue Wed Thu Fri Sat Sun Total Total 08124 08/25 08/26 08/27 08l28 08/29 08/30 Hours Base Hourly Fringe S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00 Jff�OM, 13.80 0.00 NOTE: ORIGINAL PAYROLL NUMBER 61-1 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00, 13.88 WAS DEDUCTED FOR HEALTH INSURANCE Week Ending: 08/30/2020 Vac! Health Holiday & Welf. Pension 0.00 0.00 0.00 Payroll Number:61-2 Other Training Total Hourly Rate 0.00 0.00 11.5O Travel & Subsistence 0.00 Total Deductions 60.42 Public Works certified Payroll Reporting Form 04/08/2021 - Page 2 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: 9545078 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: 2020-08-30 Payroll Number: 61 Amendment Number: 1 15 employee payroll record(s) processed Your Transaction ID is: 9545770 Print this Page MEN D. -View your submission 11d06r Submit another set of payroll records Certification una,,. enalty of perjury: Public Works Certifi' ?ayroll Reporting Form - a "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC 11, INC. (name of business andlor contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certrfled payroll records for the week ending 2020-08-30 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the indfvfdual or individuals named. I certify this on 2020-10-22." Contractor Name: PWLC 11, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: 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: 61- 1 For Week Ending: 08/30/2020 - 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 Total Hourly Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health 8 Welf. Pension Net9 a Check Wa ALEJANDRO CHAVEZ JR. 0 Dale Work 08/24 08/25 08/26 08/27 08/28 08/29 08/30 95.11 79.48 39.74 10.39 0.00 0.00 0.00 Hours Pay Rate This All Paid For Number 2103 JACQUES DR Classification ect Pro j Projects Week Hours Worked Each Day PALM SPRINGS TREE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 24.32 1,038.80 1,038.80 Fund Trav/ Total 814.08 30908 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct O 0.00 0.00 0.00 1.00 1.00 0.00 0.00 LABORER 2.00 33.00 92262 0.00 0.00 0.00 0.00 0.00 0.00 224.72 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Total Hourly Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health 8 Welf. Pension Net Wage Check APOLINAR GONZALEZ MARTINEZ 3 Date Work 08124 08/25 08/26 08/27 08128 08/29 08/30 This All 24.86 42.85 2.36 5.60 0.00 0.00 0.00 Hours Pay Rate Paid For Number 31325 AVE LA PALOMA CATHEDRAL CITY Classification Project 1 Pro Projects Weak Hours Worked Each Day LANDSCAPE g 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Fund Trav/ Total 484.33 30902 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct 0.00 0.00 0.00 0.00 0.00 0.00 0.00 LABORER 0.00 21.00 92234 0.00 0.00 0.00 0.00 0.00 0.00 75.67 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: - Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net 3 Date ARMANDO RICO CHAVEZ Total Hourly Wage Check Work 08/24 08/25 08/26 08/27 08/28 08/29 08/3o This All 62.66 66.94 19.61 8.75 0.00 0.00 0.00 Hours Pay Rate Paid For Number 2103 JACQUES DR PALM SPRINGS Classification Project Projects Week Hours Worked Each Day LANDSCAPE $ 8.00 6.00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 875.00 875.00 Fund Trav/ Total 717.04 30900 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct p 0.50 0.50 0.50 0.50 0.50 0.00 0.00 2.50 30.00 LABORER 92262 0.00 0.00 0.00 0.00 ', 0.00 0.00 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.00 =96 NOTE: Public works certified Payroll Reporting Form 10/22/2020 - Page 1 Contractor Name: PWLC II, INC. Name, Address and Social Security Number of Worker CARLOS I. ESPARZAALVAREZ 33822 SHIFTING SANDS #B CATHEDRAL CITY CA 92234 i � NOTE: Public Works Certifi,�--)ayroll Reporting Form Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/30/2020 Payroll Number:61-1 Number of Day Deductions, Contributions, and Payments Withholding Man Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health 0 Date Earned Total Hourly Tax FICA Tax SDI Holida y a Welf. Pension Net Work 08/24 08/25 08/26 08/27 08/28 08/29 08/30 Hours Pay Rate This Ail 0.00 42.84 2.36 5.60 0.00 0.00 0.00 Wage Check Paid For Number Classification Hours Worked Each Day Project Projects 1 Week LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Fund Trav/ 509.20 30901 MAINTENANCE Training Admin Dues Subs Savings Other Total LABORER p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 50.80 p 0.00 0.00 0.00 1 0.00 0.00 0.00 0.00 0.00 28.00 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Man 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 CARLOS LUNAGONZALEZ 4 Dale Work 08/24 08/25 08126 08/27 08128 08/29 08/30 This All 102.63 113.09 26.43 14.78 0.00 0,00 0.00 Hours Pay Rate Paid For Number 6RT H 7TS RI DESERT HOT SPRINGS Classification Pro ec[ j Projects Week Hours Worked Each Day TREE S 8.00 8.00 8.00 8,00 8.00 0.00 0.00 40.00 29.42 1,237.08 1,478.16 Fund Trav! 1,221.23 30911 CA MAINTENANCE Training Admin Dues Subs Savings Other Total LABORER p 0.00 0.00 0.00 1.00 1.00 0.00 0.00 2.00 40.47 92240 0.00 0.00 0.00 0.00 0.00 0.00 256.93 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Total Hourly Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Health Welf Pension Net Wage Check EDUARDO ESCAMILLA MORENO 0 Date Work 08/24 08/25 08/26 08/27 08/28 08/29 08/30 This All 0.00 80.49 33.17 10.52 0.00 0.00 0.00 Hours Pay Rate Paid For Number 84039 LINGAYAN AVE INDIO Classification 1 Pro ect Pro jecls Week Hours Worked Each Day TREE S 8.00 8.00 8.00 0.00 8.00 0.00 0.00 32.00 27.22 871.04 1,052.11 Fund Travl 927.93 30909 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 0.00 LABORER 0.00 0.00 0.00 0.00 0.00 92201 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Million"p noo 1724-18 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Social Security Number of Worker Withholding 5 Dale GENARO VARGAS Total Hourly Wage Check Work 08/24 08/25 08/26 08/27 08/28 08/29 08/30 This is is All 0.00 42.84 0.00 5.60 0.00 0.00 0.00 Hours Pay Rate Paid For Number 69130 VICTORIA DR CATHEDRAL CITY Classification Pro 1 I Pro ects 1 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/ 511.56 30906 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 48.44 92234 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Public Works certified Payroll Reporting Form 10/22/2020 - Page 2 Public Works Certifi 'ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/30/2020 Payroll Number: 61-1 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health HUMBERTO S. VALDEZ 0 Date Total Hourly Earned Tax FICA Tax SDI Holida y & Welf. Pension Net 12966 CACTUS DR #A Work O8/24 08/25 O8/26 08127 08/28 08/29 08/30 Hours Pay Rate This All 178.56 95.83 56.75 12.53 0.00 0.00 0.00 Wage Paid For Check Number Classification Hours Worked Each Day Project Projects Week DESERT HOT SPRINGS TREE g 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.0 224.32 1.028.82 1,252.74 Fund Trav/ 909.07 30912 CA MAINTENANCE Training Admin Dues Subs Savings Other Total LABORER p 0.00 0.00 0.00 1.00 1.00 0.00 0.00 2.00 33.00 92240 0.00 0.00 0.00 0.00 0.00 0.00 343.67 ��Il� p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Wlthholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health JOSE I. PEREZ CINTORA 0 Date Total Hourly Earned Tax FICA Tax SDI I Holiday & Welf. Pension Net Wage Check Work 08/24 08/25 08/26 08/27 08/28 08/29 08/30 Hours Pay Rate This All 0.00 58.81 15.17 7.69 0.00 0.00 0.00 Paid For Number 46857 LILAC CT INDI Classification Hours Worked Each Day Project Projects Week LANDSCAPE g 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 18.00 720.00 774.00 Fund Trav/ 687.02 30903 CA MAINTENANCE Training Admin Dues Subs Savings Other Total Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 LABORER 0.00 27.00 92201 0.00 0.00 0.00 0.00 0.00 5.31 86.98 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: $5.31 OTHER = FH125D Day Name, Address and Number of Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Total Hourly Gross Amount Earned Federal Tax FICA State Tax SDI Vacl Holiday Health & We If. Pension Net Wage Check LETICIA BONILLA 4 Date Work 08/24 08/25 08/26 08/27 08/28 08/29 08/30 This All 5.16 46.77 0.00 6.11 0.00 47.39 0.00 Hours Pay Rate Paid For Number 33477 NAVAL #B CATHEDRAL CITY Classification Project Projects 11 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/ 553.21 30899 CA MAINTENANCE Training Admin Dues Subs Savings Other Total 0 0.00 0.00 0.00 0.00 0.50 0.00 0.00 0.50 22.50 LABORER 1 92234 0.00 0.00 0.00 0.00 0.00 0.00 58.04] 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 Health & Wait Pension Net 4 Date MARCELINO RAMIREZ Total Hourly Wage Check Work 08/24 08/25 08126 08/27 08/28 08/29 08/30 This All 0.00 41.16 0.00 5.38 0.00 47.39 0.00 Hours Pay Rate Paid For Number 1500 E SAN RAFAEL DR #164 PALM SPRINGS Classification Pro1ect Projects a Week Hours Worked Each Day LANDSCAPE S 8.00 8.00 8.00 8,00 8.00 0.00 0.00 40.00 13.80 552.00 552.00 Fund Trav/ 491.58 30905 CA MAINTENANCE Training Admin Dues Subs Savings Other Total O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.70 LABORER 0.00 0.00 0.00 0.00 0.00 13.86 60.42 92262 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.60 NOTE: $13.88 OTHER = FH125 Public Works Certified Payroll Reporting Form 10/22/2020 - Page 3 Public Works Certifi'-'ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/30/2020 Payroll Number: 61-1 Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Y Mon Tue Wed Thu Fri Sat Sun Gross Amount State Vac/ Health MARIO VASQUEZ 0 Date Total Hourly Earned 11C: Tax SDI Holiday & Welf. Pension Net 66285 CORTA RD Work 08/24 OBI25 08126 08/27 OBl28 OB/29 08/30 Hours Pay Rate This All 0.00 42.84 0.00 5.60 0.00 0.00 0.00 Wage Paid For Check Number CATHEDRAL CITY Classification Hours Worked Each Day Project Projects Week CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 6.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Fund Trav/ LABORER p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Training Admin Dues Subs Savings Other Total 511.56 30907 92234 0.00 21.00 p o.o0 0.00 0.00 0.00 0.00 0.00 0.00 �00O 0.00 0.00 0.00 48.44 0.0o ze.00 I NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health PASTOR R. PEREZ NEGRON Date Total Hourly Earned Tax FICA Tax SDI Holiday y & Welf. Pension Net 67365 ONTINA RD Work 08/24 08/25 08/26 08127 08/28 08/29 08/30 Hours Pay Rate This All 61.78 46.76 13.36 6.11 0.00 0.00 0.00 Wage Paid For Check Number Classification Hours Worked Each Day Project Projects Week CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 611.25 611.25 Fund CA MAINTENANCE Training Dues Trav/ Savings Other Total 483.24 3 9904 92234 LABORER 0 0.00 0.00 0.00 0.00 0.50 0.00 0.00 0.50 22.50 Admin Subs � 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 0.00 128.01 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 Gross Amount Federal FICA State Vac/ Health RUBEN F. HENRIQUEZ 0 Date Hourly Earned Tax Tax SDI Holiday Y 8 Welf. Pension Net PALM DR #83 WOEThis O8/24 08/25 08126 08/27 08128 08/29 V8/3Ho Pay Rate AllClassification 130.33 79.07 39.27 10.33 0.00 0.00 0.00 Wage Paid For Check Number15687 Hours Worked Each Day Project Projects Week DESERT HOT SPRINGSTREE CA MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 24.32 1,038.80 1,038.80 Fund Trav/ 774.49 30910 LABORER U 0.00 0.00 0.00 1.00 1.00 0.00 0.00 Training Admin Dues Subs Savings Other Total 92240 2.00 33.00 no ti 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 5.31 264.31 0.00 0.00 NOTE: $5.31 OTHER = FH125D ddress�and Number of Day Contributions, aant Numbe Withholding Mon Tue Wed Thu Fri Sat Sun FSALVADOR 0 Gross Amount Federe SDI Vac/h Pension Nety/ork LDEZ CISNEROS Date Total Hourly Earned Taxx HIL DR 08/24 08/25 08/26 08/27 08128 08/29 08/30 Hours Pa Rate y This All 129.42 13.71 0.00 Wage Paid For CheckACTUS NumberClassificati°n Hours Worked Each Day Project ProjectsWeekDESERT HOT SPRINGS CA TREE MAINTENANCE S 8.00 8.00 8.00 8.00 0.00 0.00 0.0032.00 24.32 801.87 1,370.75 gDeducllon, Trav/1,087.32 30913 p 0.00 0.00 0.00 1.00 0.00 0.00 0.00 Trainins Subs S TotalLABORER 922400.00 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 283.43 0.00 0.00 NOTE: Public works Certified Payroll Reporting Form 10/22/2020 - 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. 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: 2020-08-30 Payroll Number: 61 Amendment Number: 0 15 employee payroll record(s) processed Your Transaction ID is: 9545078 Print this Page View your submission �It'7F Submit another set of payroll records Public Works Certifi'~'ayroll Reporting Form Certification uno,,_ .penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (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 2020.08-30 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever farm to the indlrtldual or individuals named. I certify thls on 2020-10-22." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: WCV5504144 In 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: 61- 0 For Week Ending: 08/30/2020 - Is this a 'Statement of Non-Performari 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 V2ct Health x FICA Tax SDI Holiday & welt. Pension Net ALEJANDRO CHAVEZ JR. Total Hourly Wage Check Work 08/24 08/25 08/26 08/27 08/28 08/29 08/30 Hours Pay Rate This All 95.11 79.48 39.74 10.39 0.00 0.00 0.00 Paid For Number 2103 JACQUES DR Classification Hours Worked Each Day 1 1 PALM SPRINGS L SCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 24.32 1,038.80 1,038.80 Fund Trav/ Total 814.08 30908 CA MAIN ANCE Training Admin Dues Subs Savings Other Deduct 0 0.00 0.00 0.00 1.00 1.00 0.00 0.00 2,00 tABO R 0.00 0.00 0.00 0.00 0.00 0.00 224.72 92262 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 HOO Kmommuno NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Social Security Number of Worker Withholding Earned Tax FICA Tax SDI Holiday & Wolf. Pension Net 3 Date APOLINAR GONZALEZ MARTINEZ Total Hourly Wage Check Work 08/24 08/25 08/26 08127 08/28 08/29 08/30 This All 24.86 42.85 2.36 5.60 0.00 0.00 0.00 Hours Pay Rale Paid For Number 31325 AVE LA PALOMA Classification Project 1 Projects 1 Week Hours Worked Each Day CATHEDRALCITY 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 484.33 30902 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 LABORER 0.00 0.00 0.00 0.00 75.67 92234 D 0.00 0.00 0.00 1 0.00 0.00 0.00 0.00 0.00 26.00 onowasw = 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 Wage 3 Date ARMANDO RICO CHAVEZ Total Hourly Check Work 08/24 08/25 08/26 08/27 08/28 08/29 08130 This All 62.66 66.94 19.61 8.75 0.00 0.00 0.00 Hours Pay Rate Paid For Number 2103 JACQUES DR Classification Project Projects Week Hours Worked Each Day PALM SPRINGS LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 875.00 875.00 Fund Trav! Total 717.04 30900 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct Q 0.50 0.50 0.50 0.50 0.50 0.00 0.00 2.50 30.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 157.96 92262 D 0.00 0.00 0.00 1 0.00 1 0.00 0.00 0.00 0.00 40.00 NOTE: Public works certified Payroll Reporting Form 10/22/2020 - Page 1 Public Works Certifi'�- "ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/30/2020 Payroll Number: 61-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac! Health 0 Date Earned Tax FICA Tax SDI Holiday & Welf. Pension Net CARLOS I. ESPARZAALVAREZ Total Hourly Wage Check Work 08/24 08/25 08/26 08/27 08128 08/29 08/30 Hours Pay Rate This All 0.00 42.84 2.36 5.60 0.00 0.00 0.00 Paid For Number 33822 SHIFTING SANDS #B Classification Hours Worked Each Day Pro Week Project Projects j cts CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Fund Trav/ 509.20 30901 CA MAINTENANCE Training Dues Savings Other Total 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 LABORER Admin Subs 92234 0.00 0.00 0.00 0.00 0.00 0.00 50.80 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: I 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 Date CARLOS LUNA GONZALEZ Total Hourly Wage Check Work 08/24 08/25 08/26 08/27 08/28 08/29 08/30 This Ail 102.63 113.09 26.43 14.78 0.00 0.00 0.00 Hours Pay Rate Paid For Number 66145 7TH ST DESERT HOT SPRINGS Classification Projec[ Projects Week Hours Worked Each Day TREE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 29.42 1,237.06 1,478.16 Fund Trav/ 1,221.23 30911 CA MAINTENANCE Training Admin Dues Subs Savings Other Total 0 0.00 0.00 0.00 1.00 1.00 0.00 0.00 2.00 40.47 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 256.93 92240 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Social Security Number of Worker Withholding 0 Date EDUARDO ESCAMILLA MORENO Total Hourly Wage Check Work 08/24 08/25 08/26 08/27 08128 08129 08/30 This All 0.00 80.49 33.17 10.52 0.00 0.00 0.00 Hours Pay Rate Paid For Number 84039 LINGAYAN AVE Classification Project Projects Week Hours Worked Each Day INDIO TREE S 8.00 8.00 8.00 0.00 8.00 0.00 0.00 32.00 27.22 871.04 1,052.11 Fund Trav/ 927.93 30909 CA MAINTENANCE Training Admin Dues Subs Savings Other Total 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 124.18 92201 p o.00 o.00 o.00 o.00 0.00 0.00 o.00 o.00 0.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Social Security Number of Worker Withholding Earned Tax FICA Tax SDI Holiday & Welf. Pension Net 5 Date GENARO VARGAS Total Hourly Wage Check Work 08/24 08/25 08/26 08/27 08/28 08/29 08/30 This All 0.00 42.84 0.00 5.60 0.00 0.00 0.00 Hours Pay Rate Paid For Number 69130 VICTORIA DR Classification Project Projects Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Fund Trav/ 511.56 30906 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 48.44 92234 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Public works Certified Payroll Reporting Form 10/22/2020 - Page 2 Public Works Certiff/-'ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE 8, LIGHTING DISTRICT 89-1 For Week Ending: 08/30/2020 Payroll Number: 61-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health 0 Date Earned Tax FICA Tax SDI Holida & Welt Pension Net HUMBERTO S. VALDEZ Total Hourly y Wage Check Work 08/24 08/25 08/26 08/27 08/28 08/29 08/30 Hours Pay Rate This Alt 178.56 95.83 56.75 12.53 0.00 0.00 0.00 Paid For Number 12966 CACTUS DR #A Classification Week Hours Worked Each Day Project Projects DESERT HOT SPRINGS TREE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 24.32 1,028.82 1,252.74 Fund Trav/ 909.07 30912 CA MAINTENANCE Training Admin Dues Subs Savings Other Total LABORER p 0.00 0.00 0.00 1.00 1.00 0.00 0.00 2.00 33.00 92240 0.00 0.00 0.00 0.00 0.00 0.00 343.67 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 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 Earned Tax FICA Tax SDI Holiday & Welf. Pension Net JOSE I. PEREZ CINTORA 0 Date Total Hourly Wage Check Work 08/24 08/25 08/26 08/27 08/28 08/29 08/30 Hours Pay Rate This All 0.00 58.81 15.17 7.69 0.00 0.00 0.00 Paid For Number 46857 LILAC CT Classification Hours Worked Each Day Project Projects Week INDIO LANDSCAPE 8.00 8.00 8.00 8.00 8.00 0.00 0.00 S 40.00 1 18.00 720.00 774.00 Fund Trav/ 687.02 30903 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 27.00 92201 0.00 0.00 0.00 0.00 0.00 5.31 86.98 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 36.00 NOTE: $5.31 OTHER = FH125D Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Earned Tax FICA Tax SDI Holiday & Welf. Pension Net LETICIA BONILLA 4 Date Total Hourly Wage Check Work 08/24 08/25 08/26 08127 08128 08/29 08/30 Hours Pay Rate This Al!5.16 46.77 0.00 6.11 0.00 47.39 0.00 Paid For Number 33477 NAVAJO TR #B Classification Pro ect Pro a Week Hours Worked Each Day 1 Projects CATHEDRAL CITY LANDSCAPE S 8.06 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 611.25 611.25 Fund Trav/ 553.21 30899 CA MAINTENANCE Training Admin Dues Subs Savings Other Total LABORER p 0.00 0.00 0.00 0.00 0.50 0.00 0.00 0.50 22.50 92234 0.00 0.00 0.00 0.00 0.00 0.00 58.04 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 Federal State Vac/ Health Earned Tax FICA Tax SDI Holiday & Welf. Pension Net MARCELINO RAMIREZ 4 Date Total Hourly Wage Check Work 08/24 08/25 08/26 08127 08/28 08/29 08/30 Hours Pay Rate This All 0.00 41.16 0.00 5.38 0.00 47.39 0.00 Paid For Number 1500 E SAN RAFAEL DR #164 Classification Projects Project Pro Pro Week Hours Worked Each Day 1 PALM SPRINGS TREE 8.00 8.00 8.00 8.00 6.00 0.00 0.00 S 40.00 13.80 552.00 552.00 Fund Trav/ 491.58 30905 CA MAIN NANCE Training Admin Dues Subs Savings Other Total LABO R p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.70 92262 0.00 0.00 0.00 0.00 0.00 13.88 60.42 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.60 NOTE: $13.88 OTHER = FH125 Public Works Certified Payroll Reporting Form 10/22/2020 - Page 3 Public Works Certifi%^'ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/30/2020 Payroll Number: 61-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health 0 Date Earned Tax FICA Tax SDI Holiday & Welf. Pension Net MARIO VASQUEZ Total Hourly Wage Check Work 08/24 08/25 08/26 08/27 08/28 08/29 08/30 Hours Pay Rate This All 0.00 42.84 0.00 5.60 0.00 0.00 0.00 Paid For Number 68285 CORTA RD Classification Hours Worked Each Day Project Projects Week 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 511.56 30907 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 48.44 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and 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 PASTOR R. PEREZ NEGRON 0 Date Work Classification 08/24 08/25 08/26 08/27 08/28 08/29 08/30 This Project All All 61.78 46.76 13.36 6.11 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 MAINTENANC LABORER S 8.00 8.00 8.00 I 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 30904 0 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 0.00 128.01 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 gooloomme NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hourly Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holida y Health & Welf. Pension Net Wage Check Social SecurityNumber of Worker Withholding 0 Date RUBEN F. HENRIQUEZ Work Classification 08/24 08/25 08/26 08/27 08/28 08/29 08/30 This Pro's 1 All Projects 1 130.33 79.07 39.27 10.33 0.00 0.00 0.00 15687 PALM DR #83 Hours Pay Rate Paid For Week Number Hours Worked Each Day DESERT HOT SPRINGS CA TREE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0,00 40.00 24.32 1,038.80 1,038.80 Training Fund Admin Dues Trav/ Subs Savings Other Total 774.49 30910 0 0.00 0.00 0.00 1.00 1.00 0.00 0.00 2.00 33.00 92240 LABORER 0.00 0.00 0.00 0.00 0.00 5.31 264.31 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: $5.31 OTHER = FH125D Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday& Health Welf. Pension Net Wage Paid For Week Check Number 0 Date SALVADOR VALDEZ CISNEROS 12966 CACTUS DR DESERT HOT SPRINGS CA Work Classification 08/24 08/25 08/26 08/27 08/28 08/29 08/30 This Project All Projects 129.43 104.87 35.42 13.71 0.00 0.00 0.00 Hours Worked Each Day NDSCAPE MA NANCE S 8.00 8.00 8.00 8.00 0.00 0.00 0.00 32.00 24.32 801.87 1,370.75 Training Fund Admin Dues Trav/ Subs Savings Other Total 1,087.32 30913 0 0.00 0.00 0.00 1.00 0.00 0.00 0.00 1.00 33.00 92240 tAB R LA� 0.00 0.00 0.00 0.00 0.00 0.00 283.43 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Public Works certified Payroll Reporting Form 10/22/2020 - 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: 9143987 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: 2020-08-23 Payroll Number: 60 Amendment Number: 1 2 employee payroll record(s) processed Your Transaction ID is: 10848598 Print this Page few your submission Submit another set of payroll records Certification under penalty of perjury: Public Works Certifii ayroll Reporting Form "I, KR[STY SOUTH, the undersigned, am the CONTROLLER (posltion 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 2020-08-23 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 indlvidua[ or individuals named. I certify this on 2021-04-08." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92262 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: Payroll #: 60 - 1 Ctr Payroll #: 60-1 Week Ending: 08/23/2020 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 08/17 08/18 08/19 08/20 08/21 08/22 08/23 Hours Base Hourly Fringe Holiday & Welf. S LANDSCAPE MAINTENANCE LABORER 0.00 8.00 8.00 8.00 8.00 0.00 0.0032 701 15.00 0.00 0.00 0.00 NOTE: ORIGINAL PAYROLL NUMBER 60-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00 Travel 8 Subsistence Pension Other Training Total Hourly Rate 0.00 0.00 0.00 OUM" 0.00 Total Deductions 41.51 Public works certified Payroll Reporting Form 04/08/2021 - Page 1 r— , Public Works Certifies ayroll Reporting Form Loontractor Name: I'wLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Week Ending: 08/23/2020 Employee: MARCELINO RAMIREZ 1500 E SAN RAFAEL DR #164, PALM SPRINGS, CA, 92262 Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health 08/17 08/18 08/19 08120 08121 08/22 08/23 Hours Base Hourly Fringe Holiday & Welf. Pension S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00 4f1'�lf 13.80 0.00 0.00 0.00 0.00 NOTE: ORIGINAL PAYROLL NUMBER 60-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = Travel &Subsistence 0.00 0.00, 13.88 DEDUCTED FOR HEALTH INSURANCE Payroll Number:60-1 Other Total Training Hourly Rate 0.00 0.00 13J10 Total Deductions 60.42 Public works certified Payroll Reporting Form 04/08/2021 - Page 2 eCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at siblicworks@dir.ca.gov. (_ �I Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAM PANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA OUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-08-23 Payroll Number. 60 Amendment Number. 0 15 employee payroll record(s) processed Your Transaction ID is: 9143987 Pit Ihis Pagg View your submission ArhbE Submit another set of payroll records Certification undt natty of perjury: Public Works Certifir payroll Reporting Form . "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-08-23 are the originals or true, full, and correct copies of the originals which depict the payroll record{s3 of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2020-09-03." 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: 60- 0 For Week Ending: 08/23/2020 ❑ Is this a 'Statement of Non-Performance4' Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State FICA SDI Vac/ Health ALEJANDRO CHAVEZ JR. 0 Date Total Hourly Earned Tax Tax Hollda y & Welf. Pension Net 2103 JACQUES DR Work 08117 OBI1B 08/19 08/20 08/21 08/22 08123 Hours Pay Rate This All 60.98 59.52 20.96 7.78 0.00 0.00 0.00 Wage Paid For Check Number Classiflcatlon Hours Worked Each Day Project Projects Week PALM SPRINGS CA TREE MAINTENANCE g 8.00 8.00 0.00 8.00 8.00 0.00 0.00 32.00 24.32 778.24 778.24 Fund Trav/ Total 629.00 30758 LABORER Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Training Admin Dues Subs Savings Other Deduct 92262 0.00 36.48 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 0.00 149.24 0.00 48.64 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State FICA SDI Vac/ Health Pension Net APOLINAR GONZALEZ MARTINEZ 3 Date Total Hourly Earned Tax Tax Holiday y & Welf. Wage Check 31325 AVE LA PALOMA Work 08/17 08/18 08/19 08/20 08/21 08/22 08/23 Hours Pay Rate This All 24.86 42.83 2.36 5.60 0.00 0.00 0.00 Pald For Number Classification Hours Hours Worked Each Day Project Projects CATHEDRAL CITY CA LANDSCAPE MAINTENANCE g 8.00 8.00 8.00 0.00 8.00 0.0032.00 14.00 448.00 560.00 Total 484.35 30752 LABORER Q 0.00 0.00 0.00 0.00 0.00 :�:50 0.00 Tralning AdmnDues Other 92234 0.00 21.00 p 0.00 0.00 0.00 o.00 o.o0 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 75.65 0.00 28.00 +NOTE: f Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Frl Sat Sun Gross Amount Federal State Vac/ Health ARMANDO RICO CHAVEZ 3 Date Total Hourly Earned Tax FICA Tax SDI Hollda y & Welf. Pension Net Wage Check 2103 JACQUES DR Work 08/17 08/18 08/19 08/20 08/21 08/22 08/23 Hours Pay Rate This Ali 57.26 63.50 16.64 8.30 0.00 0.00 0.00 Paid For Number Classification Hours Worked Each Day Project ProJecls Week PALM SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 830.00 830.00 Fund Trav/ Total 684.30 30750 LABORER Q 0.00 0.50 0.50 0.00 0.00 0.00 0.00 Tralning Admin Dues Subs Savings Other Deduct 92262 1.00 30.00 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 0.00 145.70 0.00 40.00 NOTE: Public works certified Payroll Reporting Form 09/03/2020 - Page 1 Public Works Certifir-'ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/23/2020 i Payroll Number:60-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Total Hourly Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Check CARLOS I. ESPARZAALVAREZ 0 Date Work 08/17 08/18 08/19 08/20 08/21 08/22 08/23 This All 0.00 52.21 7.75 6.83 0.00 0.00 0.00 Hours Pay Rate Paid For Number 33822 SHIFTING SANDS #B CATHEDRAL CITY Classification Project Protects Week Hours Worked Each Day LANDSCAPE S 8.00 8.00 0.00 8.00 8.00 0.00 0.00 32.00 14.00 448.00 682.50 Fund Travl 615.71 30751 CA MAINTENANCE Training Admin Dues Subs Savings Other Total Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 LABORER 92234 0.00 0.00 0.00 0.00 0.00 0.00 66.79 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Total Hourly Gross Amount Earned Federal Tax FICA Slate Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Check CARLOS LUNA GONZALEZ 4 Date Work 08/17 08/18 08/19 08120 08/21 08/22 08/23 This All 92.99 106.93 22.11 13.98 0.00 0.00 0.00 Hours Pay Rate Paid For Number 66145 7TH ST DESERT HOT SPRINGS Classification Project Projects Week Hours Worked Each Day TREE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40,00 29.42 1,176.80 1,397.80 Fund Trav/ 1,161.79 30761 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 44.13 LABORER 0.00 0.00 0.00 0.00 D.00 0.00 236.01 92240 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 58.84 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hourly Gross Amount Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Check Social Security Number of Worker Withholding EDUARDO ESCAMILLA MORENO 0 DateEarned Work 08/17 08/18 08/19 08120 08/21 08/22 08/23 This All 0.00 100.36 57.63 13.12 0.00 0.00 0.00 Hours Pay Rate Paid For Number 84039 LINGAYAN AVE INDIO Classiflcatlon Pro ect j Protects Week Hours Worked Each Day TREE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 27.22 1,088.80 1,311.82 Fund Travl 1,140.71 30759 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 40.83 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 171.11 92201 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54.44 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Earned Federal Tax FICA State Tax SDI Vac! Holiday Health & Welf. Pension Net Social Security Number of Worker Withholding 5 Date GENARO VARGAS Total Hourly Wage Check Work 08117 08/18 08/19 08/20 08/21 08/22 08/23 This All 0.00 42.84 0.00 5.60 0.00 0.00 0.00 Hours Pay Rate Paid For Number 69130 VICTORIA OR CATHEDRAL Classlflcatlon Project Projects Week Hours Worked Each Day CITY LANDSCAPE*DO-00� 0 8.00 8.00 0.00 8.00 0.00 0.00 32.00 14.00 448.00 560.00 Fund Trav/ 511.56 30756 CA MAINTENANCE Training Admin Dues Subs Savings Other Total 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 92234 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 � NOTE: Public works certified Payroll Reporting Form 09/03/2020 - Page 2 Public Works Certifirr"�ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/23/2020 Payroll Number:60-0 Name, Address and Number of Day Social Security Number of Worker Withholding Mon Tue Wed Deductions, Contributions, and Payments J HUMBERTO S. VALDEZ 0 Thu Date Fri Sat Sun Gross Amount Earned Federal FICA State SDI Vac/ Health Total Hourly Tax Tax Holiday & Welf. Pension Net 12966 CACTUS DR #A Work 08/17 08/18 08/19 08/20 08/21 08/22 08/23 Hours Pa Rate y Wage Check Classification Hours Worked Each Day This All Project 171.30 93.31 53.37 12.20 0.00 0.00 0.00 Paid For Number DESERT HOT SPRINGS Protects Week ' CA TREE MAINTENANCE S 8.00 8.00 B.00 B.00 8.00 0.00 . 000 40,00 24.32 1,000.24 1.219.72 Fund 92240 LABER OR Q 0.00 0.00 000 . 1.00 0.00 moo n nn Training Admin Dues Travl Subs Savings Other Total 889.54 30762 1 00 27 44 D 0.00 0,00 0,00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 O.DO 0.00 0.00 330.18 0.00 0.00 NOTE: Name, Address and Number of Day Social Security Number of Worker Withholding Mon Tue Wed Thu Deductions, Contrlbutions, and Payments 0 Fri Sat Sun Gross Amount Federal State Vac/ Health JOSE I. PEREZ CINTORA Date Total Hourly Earned Tax FICA Tax SDI Holiday & Welf. Pension Net 46857 LILAC CT Work 08/17 08/1 B 08/19 08I20 08/21 08/22 08/23 Hours Pay Rate This All 0.00 58.81 15,17 Wage Check Classification 7.69 0.00 0.00 0.00 Paid For Number INDIO Hours Worked Each Day Project Projects Week LANDSCAPE S 8.00 8.00 0.00 8.00 8.00 0.00 0.00 CA MAINTENANCE 32.00 18.00 630.00 774.00 Fund Trav/ 92201 LABORER Q O.DO 0.00 0.00 0.00 2.00 0.00 0.00 Training Admin Dues Subs Savings Other Total 687.02 30753 2.00 27.00 � D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 5.31 86.98 0.00 36.00 i NOTE: $5.31 OTHER =FH125D e, Address and Number of Day Socirity Number of Worker Withholding Mon Tue Wed Thu Deductions, Contributions, and Payments i33477 4 Fri Sat Sun Gross Amount Federal State FICA Vac/ Health ICIABONILLA Date Total Hourly Earned Tax Tax SDI Holiday &Welf. Pension Net NAVAJO TR #B Work 08/17 08118 08/19 08/20 08/21 08/22 08/23 Hours Pay Rate This Alt 0.00 36.71 0.00 Wage Check Classification 4.80 0.00 47.39 0.00 Paid For Number i CATHEDRAL CITY Hours Worked Each Day Project Projects Week LANDSCAPE S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 CA MAINTENANCE 32.00 15.00 480.00 480.00 Training Fund Dues Trav/ 438.49 30749 92234 LABORER Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Admin Subs Savings Other Total 0.00 22.50 i i � D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 0.00 0.00 0.00 0.00 0.00 0.00 41.51 NOTE: I Name, Address and Social Security Number of Worker MARCELINO RAMIREZ 1500 E SAN RAFAEL DR #164 PALM SPRINGS CA 92262 NOTE: $13.88 OTHER = FH125 Number of Day Withholding Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate 4 Date Work 08/17 08116 08/19 08/20 08/21 08/22 08/23 Classification Hours Worked Each Day LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 MAINTENANCE 40.00 13.80 LABORER Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.70 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.60 Gross Amount Federal State Earned Tax FICA Tax This All 0.00 41.16 0.00 Protect Projects 552.00 552.00 Fund Training Admin Dues 0.00 J 0.00 j 0,00 'ibutions, and Payments SDI Vac/ Holiday Health & Welf. Pension Net Wage Check 5.38 0.00 47.39 0.00 Paid For Number Week Trav/ Subs Savings Other Total 491.58 30755 0.00 0.00 13.88 60.42 Public works Certified Payroll Reporting Form 09/03/2020 - Page 3 Public Works Certifir-`' ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/23/2020 Payroll Number:60-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State Vac/ Health MARIO VASOUEZ 0 Date Total Hourly Earned Tax SDI Tax Holiday & Welf. Pension Net 68285 CORTA RD Work OB117 08/18 08/19 08/20 08/21 OB/22 08/23 Hours Pa Rate y This All 0.00 42.84 0.00 5.60 0.00 0.00 0.00 Wage Check Peid For Number ClasslFlcatlon Hours Worked Each Day Project Projects Week CATHEDRAL CITY LANDSCAPE S 8,00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Fund Trav/ CA MAINTENANCE Training Dues Savings Other Total 511.56 30757 92234 LABORER Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 Admin Subs 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 48.44 ralENEoft 0.00 0.00 28.00 NOTE: Name, Address and Number of Day IDeductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net PASTOR R. PEREZ NEGRON 0 Data Total Hourly Earned Tax Tax Holiday & Welf. 67365 ONTINA RD Work 08/17 08/18 08/19 08/20 08/21 08/22 08/23 Hours Pay Rate This All 60.43 45.90 12.86 6.00 0.00 0.00 0.00 Wage Paid For Check Number Classification Hours Worked Each Day Project Projects Week CATHEDRAL CITY CA LANDSCAPE MAINTENANCE S 8.00 8,00 000 8.00 8.00 0.00 0.00 40.00 15.00 600.00 600.00 Fund Trav/ 474.81 30754 LABORER Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Training gdmin Dues Subs Savings Other Total 92234 0.00 22.50 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 125.19 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 FICA State SDI Vacl Health RUBEN F. HENRIQUEZ 0 Date Total Hourly Earned Tax Tax Holiday Pension Net Wage Check 15687 PALM DR #B3 Work 08/17 08/18 08/19 08/20 08/21 08122 08/23 Hours Pay Rate This All 123.07 76.54 36.37 9.96 0.00 0.00 0.00 Paid For Number Classification Hours Worked Each Day Project Projects Week DESERT HOT SPRINGS CA TREE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 24.32 1,005.80 1,005.80 Fund Trav/ 754.55 30760 LABORER Q 0.00 0.00 0.00 1.00 0.00 0.00 0.00 Training Admin Dues Subs Savings Other Total 92240 1.00 33.00 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 5.31 251.25 0.00 0.00 NOTE: $5.31 OTHER = FH125D Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net SALVADOR VALDEZ CISNEROS 0 Date Total Hourly Earned Tax Tax Holiday & Welf, Wage Check 12966 CACTUS DR Work 08/17 08/18 08/19 08/20 08/21 08/22 08123 Hours Pay Rate This All 104.22 88.79 25.83 11.61 0.00 0.00 0.00 Paid For Number Classification Hours Worked Each Day Project Projects Week DESERT HOT SPRINGS CA TREE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 24.32 972.80 1,160.64 Fund Trav/ 930.19 30763 Training Admin Dues Subs Savings Other Total 92240 LABORER Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.48 0.00 0.00 0.00 0.00 0.00 0.00 230.45 donommar p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.64 NOTE: Public works certified Payroll Reporting Form 09/03/2020 - 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: 9081267 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: 2020-08-16 Payroll Number: 59 Amendment Number: 1 2 employee payroll record(s) processed Your Transaction ID is: 10848446 Print this Page IRS l iew your submission Submit another set of payroll records Certification under penalty of perjury: Public Works Certifii ayroll Reporting Form 1, KRISTY SOUTH, the undersigned, am the CONTROLLER (positlon 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 2020-08-16 are the originals or true, full, and correct copies of the originals which depict the payroll recard(s) of the actual disbursements by way of cash, check, or whatever farm to the individual or individuals named. I certify this on 2021-04-08." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92262 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: Payroll #: 59 - 1 Ctr Payroll #: 59-1 Week Ending: 08/16/2020 Statement of Non -Performance? Final payroll for this project? Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 Mon Tue Wool Thu Fri Sat Sun Total Total Vacl Health Total 08/10 08/11 08112 08/13 08/14 08/15 08/16 Hours Base Hourly Fringe Holiday & Wof. Pension Other Training Hourly Rate S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00 M4 Tq= 15.00 0.00 0.00 0.00 0.00 0.00 0.00 fflffLow NOTE: ORIGINAL PAYROLL NUMBER 59-0 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 55.95 Public works certified Payroll Reporting Form 04/08/2021 - Page 1 Public Works Certifi( ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Week Ending: 08/16/2020 Payroll Number: 59-1 Employee: MARCELINO RAMIREZ 1500 E SAN RAFAEL DR #164, PALM SPRINGS, CA, 92262 Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health Total 08/10 08/11 08/12 08113 08/14 08/15 08/16 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 g.01-'0 13.80 0.00 0.00 0.00 0.00 0.00 0.00 13.80 NOTE: ORIGINAL PAYROLL NUMBER 59-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00, 13.88 WAS DEDUCTED FOR HEALTH INSURANCE Travel 8 Subsistence 0.00 Total Deductions 73.72 Public works certified Payroll Reporting Form 04/08/2021 - Page 2 eCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at oublicworks@dir.ca.gov. Y li 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: 2020-08-16 Payroll Number. 59 Amendment Number. 0 13 employee payroll record(s) processed Your Transaction ID is: 9081267 Print this Pago e3i:el�i View your submission tlr. Submit another set of payroll records I� Public Works Certifie-,'-O,ayroll Reporting Form Certification und, laity 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 perury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-08-16 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 individua€s named. I certify this on 2020-08-27." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANIA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: 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: 59- 0 For Week Ending: 08/16/2020 Is this a 'Statement of Non -Performance?' Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA ' State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Paid For Week Check Number APOLINAR GONZALEZ MARTINEZ 31325 AVE LA PALOMA 3 Date Work Classification 08/10 08/11 08/12 08/13 08/14 08/15 08/16 This Protect All Projects 24.86 42.85 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 484.33 30723 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 75.67 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vacl Holiday Health & Welf. Pension Net Wage Paid For Week Check Number ARMANDO RICO CHAVEZ 2103 JACQUES DR 3 Date Work Classlflcatlon 08/10 08/11 08/12 08/13 08/14 08/15 08/16 This Project All Projects 69.86 71.53 23.57 9.35 0.00 0.00 0.00 Hours Worked Each Day PALM SPRINGS CA 92262 ARNOW LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 I 8.00 8.00 0.00 0.00 40.00 20.00 815.00 935.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 760.69 30721 O 0.00 0.00 0.00 0.50 0.00 0.00 0.00 0.50 30.00 0.00 0.00 0.00 0.00 0.00 0.00 174.31 D 0.00 0.00 1 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! Hollda y Health & Welf. Pension Net Wage Paid For Week Check Number CARLOS I. ESPARZAALVAREZ 33822 SHIFTING SANDS #B 0 Date Work Classlflcatlon 08110 08/11 08112 08/13 08/14 08115 08/16 This Project All Protects 0.00 42.84 2.36 5.60 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 509.20 30722 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 50.80 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: i Public works certified Payroll Reporting Form 08/27/2020 - Page 1 Public Works Certifie-1--0ayroll Reporting Form Contractor Name: PWLC II. INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/16/2020 Payroll Number:59-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Total Hourly Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Check CARLOS LUNA GONZALEZ 4 Date Work Classification 08110 08/11 08/12 08/13 08/14 08/15 08116 This Pro ect 1 Alf Pro ects 1 100.21 111.54 25.10 14.58 0.00 0.00 0.00 66145 7TH ST DESERT HOT SPRINGS Hours Pay Rate Paid For Week Number Hours Worked Each Day CA 92240 TREE MAINTENANCE LABORER S 8.00 B.00 8.00 8.00 8.00 0.00 0.00 40.00 29.42 1,221.22 1,458.04 Training Fund Admin Dues Trav/ Subs Savings Other Total 1,206.61 30731 Q 0.00 1.50 0.00 0.00 0.00 0.00 0.00 1.50 29.61 0.00 0.00 0.00 0.00 0.00 0.00 251.43 D 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 NOTE: Name, Address and Number of DENY 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 EDUARDO ESCAMILLA MORENO 0 Date Work Classification 08/10 08/11 08/12 08/13 08/14 o8/15 08/16 Thls Protect All Protects 0.00 87.56 41.32 11.45 0.00 0.00 0.00 84039 LINGAYAN AVE INDIO Hours Pay Rate Paid For Week Number Hours Worked Each Day CA 92201 TREE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 27.22 1,144.74 1,144.74 Training Fund Admin Dues Trav/ Subs Savings Other Total 1,004.41 30729 Q 0.00 1.50 0.00 0.00 0.00 0.00 0.00 1.50 37.29 0.00 1 0.00 0.00 0.00 0.00 0.00 140.33 D 0.00 0.00 0.00 0.00 0.00 1 0.00 0.00 0.00 0.00 1 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 & Welf. Pension Net Wage Check Social Security Number of Worker Withholding GENARO VARGAS 5 Date Work Classification 08/10 08/11 08/12 08/13 08/14 08/15 08/16 This Project All Projects 0.17 49.27 0.00 6.44 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 B.00 0.00 0,00 40.00 14.00 560.00 644.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 588.12 30727 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 55.88 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 sommoo NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hourly Gross Amount Federal FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Check Social Security Number of Worker Withholding HUMBERTO S. VALDEZ Work Classification 08/10 08/11 08/12 O8/13 08/14 08115 O8/16 This Project Pro J All Projects 198.51 102.77 66.02 13.43 0.00 0.00 0.00 12966 CACTUS DR #A Hours Pay Rate Paid For Week Number Hours Worked Each Day DESERT HOT SPRINGS CA 92240 TREE MAINTENANCE LABORER S 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 18.30 41.18 1,343.38 Trainingmin nd Dues Trav/ Subs Savings Other Total 962.65 30732 Q 0.00 0.50 0.00 0.00 1.00 0.00 0.00 1.50 27.45 0.0000 LAd 0.00 0.00 0.00 0.00 380.73 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.60 NOTE: Public works certified Payroll Reporting Form 08/27/2020 - Page 2 Public Works Certifie"3ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/16/2020 Payroll Number:59-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun I Total Hourly y Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Check HUMBERTO S. VALDEZ 0 Date Work 08/10 08/11 08112 08/13 08/14 08/15 08/16 Thls All 198.51 102.77 66.02 13.43 0.00 0.00 0.00 Hours Pay Rate Paid For Number 12966 CACTUS DR #A DESERT HOT SPRINGS Classification Pro act J Projects 1 Week Hours Worked Each Day TREE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 24.32 1,013.98 1,343.38 Fund Trav/ 962.65 30732 CA MAINTENANCE Training Admin Dues Subs Savings Other Total 0 0.00 0.50 0.00 0.00 1.00 0.00 0.00 1.50 27.45 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 380.73 92240 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 dElmommoft NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Social Security Number of Worker Withholding 0 Date JOSE I. PEREZ CINTORA Total Hourly Wage Check Work 08/10 08/11 08/12 08/13 08/14 08/15 08/16 This All 0.00 58.81 15.17 7.69 0.00 0.00 0.00 Hours Pay Rate Paid For Number 46857 LILAC CT INDIO 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 18.00 774.00 774.00 Fund Trav/ 687.02 30724 CA MAINTENANCE Training Admin Dues Subs Savings Other Total 0 0.00 0.00 0.00 1.00 1.00 2.00 27.00 LABORER 0.00 0.00 0.00 0.00 0.00 5.31 86.98 92201 D 0.00 i�g 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: $5.31 OTHER = FH125D Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Earned Federal Tax FICA State Tax SDI I Vac/ Holiday Health & Welf. Pension Net Social Security Number of Worker Withholding 4 Date LETICIA BONILLA Total Hourly Wage Check Work 08/10 08/11 08/12 O8113 08114 08/15 08/16 This All 4.04 45.91 0.00 6.00 0.00 47.39 0.00 Hours Pay Rate Paid For Number 33477 NAVAJO TR #B Classification Project Protects Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 600,00 600.00 Fund Travl 544.05 30720 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 55.95 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/ Hollday Health & Welf. Pension Net Social Security Number of Worker Withholding 4 Date MARCELINO RAMIREZ Total Hourly Wage Check Work 08/10 08/11 08/12 08/13 08/14 08/15 08/16 This All 6.13 47.50 0.00 6.21 0.00 47.39 0.00 Hours Pay Rate Paid For Number 1500 E SAN RAFAEL DR #164 Classification Project 1 Projects 1 Week Hours Worked Each Day PALM SPRINGS LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 13.80 552.00 634.80 Fund Trav! 561.08 30726 CA MAINTENANCE Training I Admin Dues Subs Savings Other Total 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.70 LABORER 0.00 0.00 0.00 0.00 0.00 13.88 73.72 92262 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 27.60 1 NOTE: $13.88 OTHER = FH125 Public works certified Payroll Reporting Form 08/27/2020 - Page 3 Public Works Certifir'^?,ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/16/2020 Payroll Number: 59-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health 0 Date Earned Tax FICA Tax SDI Hollday I & Welf. Pension Net MARIO VASQUEZ Total Hourly Wage Check Work 08/10 08/11 08/12 08/13 08114 08/15 08/16 Hours Pay Rate This All 0.00 42.84 0.00 5.60 0.00 0.00 0.00 Paid For Number 68285 CORTA RD CATHEDRAL Classlflcatlon Hours Worked Each Day Projec[ Projects Week CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Fund Trav! 511.56 30728 CA MAINTENANCE Tralning Admin Dues Subs Savings Other Total Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 48.44 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 Total Hourly Gross Amount Eerngd Federal Tax FICA State Tax SDI Vac/ Holiday y Health & Welf. Pension Net Wage Check Social Security Number of Worker Withholding RUBEN F. HENRIQUEZ 0 Date Work Classlflcatlon 08/10 08/11 08/12 08113 08/14 08/15 08/16 This Project 1 All Projects 1 188.43 99.25 63.91 12.98 0.00 0.00 0.00 15687 PALM DR #83 Hours Pay Rate Paid For Week Number Hours Worked Each Day DESERT HOT SPRINGS CA 92240 TREE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 24.32 1,009.48 1,302.88 Training Fund Admin Dues Travl Subs Savings Other Total 933.00 30730 Q 0.00 0.50 0.00 0.00 1.00 0.00 0.00 0.00 24.45 0.00 0.00 0.00 0.00 0.00 5.31 369.88 0.00 1 0.00 0.00 0.00 0.00 0.00 0.00 I 0.00 NOTE: $5.31 OTHER= FH125D Public works certified Payroll Reporting Form 08/27/2020 - 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: 8988108 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: 2020-08-09 Payroll Number: 58 Amendment Number: 1 2 employee payroll record(s) processed Your Transaction ID is: 10848238 Print this Page iew your submission f_ Adobe' Submit another set of payroll records Public Works Certifit ayroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC 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 2020-08-09 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 2021-04-08." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92262 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA Contract With: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 County: RIVERSIDE Location Description: Payroll #: 58 - 1 Ctr Payroll #: Week Ending: 08/09/2020 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 Vac/ Health Total 08/03 08104 08/05 08/06 08/07 08/08 08109 Hours Base Hourly Fringe Holiday & Welf. Pension Other Training Hourly Rate S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 i 8.00 0.00 0.00 14 -40.00 - 15.00 0.00 0.00 0.00 0.00 0.00 0.00 O LANDSCAPE MAINTENANCE LABORER 0.50 0.50 0.50 0.00 0.00 0.00 0.00 R O 22.50 0.00 0.00 0.00 0.00 0.00 0.00 22.50 - NOTE: ORIGINAL PAYROLL NUMBER 58-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00 Travel & Subsistence 0.00 Total Deductions 62.23 Public works certified Payroll Reporting Form 04/08/2021 - Page 1 Public Works Certifi� ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Week Ending: 08/09/2020 Employee: MARCELINO RAMIREZ 1500 E SAN RAFAEL DR #164, PALM SPRINGS, CA, 92262 Mon Tue Wed Thu Fri Sat Sun Total Total Base Hourly 08/03 08104 OB/OS 08/06 08/07 08/08 08l09 Hours Fringe S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00 Wand 13.80 0.00 NOTE: ORIGINAL PAYROLL NUMBER 58-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00, 13.88 WAS DEDUCTED FOR HEALTH INSURANCE Vac/ Health pension Holiday & Welf. 0.00 0.00 0.00 Travel & Subsistence 0.00 Payroll Number:58-1 Other Training Total Hourly Rate 0.00 0.00 IffmOm Total Deductions 60.43 Public Works certified Payroll Reporting Form 04/08/2021 - Page 2 eCPR Online Confirmation Your payroll submission request has been processed. Pleasa review the results of your submission. Should you have any questions please contact the eCPR unit at . blicwnrksQdlr ca.gnv. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-08-09 Payroll Number: 58 Amendment Number. 0 12 employee payroll record(s) processed Your Transaction ID is: 8988108 Print thi5Pagg View your submission 7,m-, Submit another set of payroll records Public Works Certifier- yroll Reporting Form Certification under. jity of perjury: "i, KRISTY SOUTH, the undersigned, am the CONTROLLER (positlon 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 2020-08-09 are the originals or true, full, and correct copies of the originals whlch 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 2020-08-15." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: 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: 58- 0 For Week Ending: 08/09/2020 ` F-I 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 Tat[ FICA State Tax SDI Vac/ Holiday y Health & Welf. . Pension Net Wage Paid For Week Check Number APOLINAR GONZALEZ MARTINEZ 31325 AVE LA PALOMA 3 Date Work Classification 08103 08/04 08/05 08/06 08/07 08/08 08109 This Pro1 ject All Projects 1 24.86 42.83 2.36 5.60 0.00 0.00 0.00 HW Hours Worked Each Day CATHEDRAL CITY CA LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8. 00 8.00 0.00 0,00 40.00 14.00 560.00 560.00Hain Fund Admin Dues Trav! Subs Savings Other Total Deduct 484.35 30575 Q0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.0092234 0.00 0.00 0.00 0.00 0.00 75.65 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Hollda y Health & Welf. Pension Net Wage Paid For Week Check Number ARMANDO RICO CHAVEZ 2103 JACQUES DR 3 Date Work Classiflcatlon 08/03 08104 08/05 08/06 08/07 08/08 08/09 This Pro ect 1 All Projects 1 73.46 73.82 25.55 9.65 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 20.00 965.00 965.00 Trainin Fund Admin Dues Subs Subs Savings Other Total Deduct 782.52 30573 Q 0.50 1.00 0.50 0.50 0.00 3.00 0.00 5.50 30.00 0.00 0.00 0.00 0.00 0.00 0.00 182.48 p 0.00 0.00 0.00 0.00 0.00 6 0 00.00 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 I Tax SDI Vac! Holida y Health & Welf. Pension Net Wage Paid For Week Check Number 0 Date CARLOS I. ESPARZAALVAREZ 33822 SHIFTING SANDS #B Work Classification 08103 08/04 08/05 08106 08/07 08/08 08/09 This Project All Pro acts 0.00 42.84 2.36 5.60 0.00 0.00 0.00 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 Subs Subs Savings Other Total Deduct 509.20 30574 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 50.80 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 08/15/2020 - Page 1 Public Works Certifier iyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/09/2020 Payroll Number:58-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Hollday Health & Welf. Pension Net 4 Date CARLOS LUNA GONZALEZ Total Hourly Wage Check Work 08/03 08/04 08/05 08/06 08107 08108 08/09 This All 54.34 82.31 7.93 10.76 0.00 0.00 0.00 Hours Pay Rate Paid For Number 66145 7TH ST DESERT Classlfication Protect Projects Week Hours Worked Each Day HOT SPRINGS TREE S 4.50 4.50 4.50 4.50 0.00 0.00 0.00 18.00 29.42 529.56 1,075.75 Fund Travl 920.41 30582 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 44.13 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 155.34 92240 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 58.84 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 0 Date EDUARDO ESCAMILLA MORENO Total Hourly Wage Check Work 08/03 08/04 08/05 08/06 08/07 08108 08/09 This All 0.00 79.35 31.82 10.37 0.00 0.00 0.00 Hours Pay Rate Paid For Number 84039 LINGAYAN AVE Classification Project 1 Pro 1acts Week Hours Worked Each Day INDIO TREE S 4.50 4.50 4.50 4.50 0.00 0.00 0.00 18.00 27.22 489.96 1,036.77 Fund Travl 915.23 30580 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 40.83 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 121.54 92201 D 0.00 0.00 10.00 0.00 0.00 0.00 0.00 0.00 54.44 NOTE: �:J 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 5 Date GENARO VARGAS Total Hourly Wage Check Work 08/03 08/04 08/05 08/06 08/07 08108 08/09 This All 0.00 45.25 0.00 5.92 0.00 0.00 0.00 Hours Pay Rate Paid For Number 69130 VICTORIA DR Classification Pro ect 1 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 I 14.00 591.50 591.50 Fund Travl 540.33 30579 CA MAINTENANCE Training Admin Dues Subs Savings Other Total O 0.50 0.50 0.50 0.00 0.00 0.00 0.00 1.50 21.00 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 51.17 92234 D 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 0.00 28.00 solloolow NOTE: Name, Address and Number of Social Security Number of Worker Withholding 0 HUMBERTO S. VALDEZ Work 12966 CACTUS DR #A Classification DESERT HOT SPRINGS TREE CA MAINTENANCE LABORER 92240 moneekoibb 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/ Holida y Health & Welf. Pension Net Wage Paid For Week Check Number Date 08/03 08/04 08/05 08/06 08/07 08/08 08/09 This Project All Projects 124.83 77.14 34.49 10.08 0.00 0.00 0.00 Hours Worked Each Day 4.50 4.50 4.50 4.50 0.00 0.00 0.00 18.00 24.32 437.76 1,008.48 Training Fund Admin Dues Trav/ Subs Savings Other Total 761.94 30584 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 36.48 0.00 0.00 0.00 0.00 0.00 0.00 246.54 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 48.64 Public works certified Payroll Reporting Form 08/15/2020 - Page 2 Public Works Certified- -.yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/09/2020 Payroll Number:58-0 Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vacl HolIda y Health & Welf. Pension Net Wage Paid For Week Check Number JOSE I. PEREZ CINTORA 46857 LILAC CT 0 Date Work Classification 08/03 08104 08/05 08/06 08/07 08/08 08/09 This Pro'ect J All Pro acts 1 0.00 54.67 11.75 7.15 0.00 0.00 0.00 Hours Worked Each Day INDIO CA 92201 92201 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 18.00 720.00 720.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 641.12 30576 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 -�'�Foo 0.00 0.00 0.00 5.31 78.88 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: $5.31 OTHER = FH125D Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA I State Tax SDI Vac/ Holiday Health & Welf. Penslon Net Wage Paid For Week Check Number i LETICIABONILLA 33477 NAVAJO TR #B 4 Date Work Classification 08/03 08104 08105 08/06 08/07 08/08 08109 This Project roecro � All Projects j 7.41 48.48 0.00 6.34 0.00 47.39 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 633.75 633.75 Training Fund Admin Dues Trav/ Subs Savings Other Total 571.52 30572 Q 0.50 0.50 0.50 0.00 0.00 0.00 0.00 1.50 22.50 0.00 0.00 0.00 0.00 0.00 0.00 62.23 p 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 30.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday& Health Welf. Pension Net Wage Paid For Week Check Number 4 Date _ MARCELINO RAMIREZ 1500 E SAN RAFAEL DR #164 Work Classification 08/03 08/04 08/05 08/06 08/07 08/08 08/09 Thls Pro act 1 All Pro acts 1 0.00 41.17 0.00 5.38 0.00 47.39 0.00 Hours Worked Each Day PALM SPRINGS CA 92262 r� LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 13.80 552.00 552.00 TrainingFund Admin Dues Trav/ Subs Savings 9 Other Total 491.57 30578 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.70 0.00 0.00 0.00 0.00 0.00 13.88 60.43 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.60 NOTE: $13.88 OTHER = FH125 Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and 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. Pe nslon Net Wage Paid For Week Check Number 0 Date PASTOR R. PEREZ NEGRON 67365 ONTINA RD Work Classification 08/03 08104 08/05 08/06 08/07 08/08 08109 This I Project All Projects 60.43 45.90 12.86 6.00 0.00 0.00 0.00 Hours Worked Each Day i 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 Trainin 9 Fund Admin Dues Trav/ Subs Savin s 9 Other Total 474.81 30577 Q 0.00 0.001�g 0.00 0.00 0.00 0.00 22.50 0.00 0.00 0.00 0,00 0.00 0.00 719 p 0.00 0.00 0.00 0.00 0.00 0,00 30.00 NOTE: Public works certified Payroll deporting Form 08/15/2020 - Page 3 Public Works Certifie,"iyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/09/2020 Payroll Number: 58-0 Name, Address and Number of Day _ Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Frl Sat Sun Gross Amount Federal State Vac/ Health 0 Date Earned Tex FICA Tax SDI Holiday I & Welf. Penslon Net I RUBEN F. HENRIQUEZ Total Hourly ! Wage Check Work 08103 08104 08105 08/06 08/07 O8/08 08/09 Hours Pay Rate This All 113.62 73.26 32.80 9.58 0.00 0.00 0.00 Paid For Number 15687 PALM DR #83 Classlflcatlon Hours Worked Each Day Project Projects 1 1 Week DESERT HOT SPRINGS TREE S 4.50 4.50 4.50 4.50 0.00 0.00 0.00 18.00 24.32 437.76 962.84 Fund Travl 728.27 30581 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 36.48 LABORER 0.00 0.00 0.00 0.00 0.00 5.31 234.57 92240 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 48.64 4010000 NOTE: $5.31 OTHER= FH125D Public works certified Payroll Reporting Form 08/15/2020 - 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. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 8923974 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: 2020-08-02 Payroll Number: 57 Amendment Number: 1 2 employee payroll record(s) processed Your Transaction ID is: 10848011 Print this Page 'iew your submission Adobe Submit another set of payroll records Public Works Certifk 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 andlor contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-08-02 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 rartify this on 2021-04-48." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92262 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Contract With: CITY OF LA QUINTA County: RIVERSIDE Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Location Description: Payroll #: 57 - 1 Ctr Payroll #: 57-1 Week Ending: 08/02/2020 ❑ Statement of Non -Performance? Final payroll for this project? I Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 Mon Tue Wed Thu 07/27 07128 07/29 07/30 Fri 07/31 Sat 08101 Sun 08102 Total Hours Base Hourly Total Fringe Vac/ Holiday Health & Welf. S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40XCp _,Yj 15.00 0.00 0.00 000 O LANDSCAPE MAINTENANCE LABORER 1.50 1.00 0.00 0.50 0.50 0.00 0.00 ,?w 22.50 0.00 0.00 0.00 NOTE: ORIGINAL PAYROLL NUMBER 57-0 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 0.00 0.00 0.00 ffingsw 0.00 Total Deductions 70.62 Public works certified Payroll Reporting Form 04/08/2021 - Page 1 Public Works Certifi( 'ayroll Reporting Form i �.onzraczor imame: rvvLI, n, irvV. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 I Employee: MARCELINO RAMIREZ 1500 E SAN RAFAEL DR #164, PALM SPRINGS, CA, 92262 Mon Tue Wed Thu Fri Sat Sun Total Total Base Hourly 07/27 07/28 07/29 07/30 07/31 08/01 08/02 Hours Fringe S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00 4tgm' 13.80 0.00 NOTE: ORIGINAL PAYROLL NUMBER 57-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00, 13.88 WAS DEDUCTED FOR HEALTH INSURANCE Week Ending: 08/02/2020 Payroll Number:57-1 I Vac/ Health Total Holiday & Welf. Pension Other Training Hourly Rate 0.00 0.00 0.00 0.00 0.00 EMMOSM, Travel & Subsistence 0.00 Total Deductions 60.42 Public works certified Payroll Reporting Form 04/08/2021 - Page 2 eCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at u bl icwo rks@d Ir. ca. gov_ Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-08-02 Payroll Number: 57 Amendment Number. 0 13 employee payroll record(s) processed Your Transaction ID is: 8923974 F'r1ritI s gg. View your submission r l '; Submit another set of payroll records Public Works Certifier"--iyroll 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 2020-08-02 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 2020-08-07." Contractor Name: PWLC 11, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: 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: 57- 0 For Week Ending: 08/02/2020 Is this a 'Statement of Non -Performance?' 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 I FICA State Tax SDI Vacl Holiday Health & Welf. pension Net Wage Paid For Week Check Number 3 Date APOLINAR GONZALEZ MARTINEZ 31325 AVE LA PALOMA Work Classification 07/27 07/28 07/29 07/30 07/31 08/01 08102 This Project 1 All Pro acts 1 24.86 42.85 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 B.00 B.00 B.00 0.00 0.00 40.00 14.00 560.00 560.00 Training g Fund Admin Dues Trav/Subs Subs Savings g Other Total Deduct 484.33 30549 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 75.67 D 0.00 0.00 0.00 1 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal i Tax FICA State Tax SDI Vac/ Holiday& Health Welf. Pension Net Wage Paid For Week Check Number ARMANDO RICO CHAVEZ 2103 JACQUES DR 3 Date Work Classification 07/27 07/28 07/29 07/30 07/31 08/01 08/02 This Pro'ect / All Pro acts j 66.26 69.23 21.59 9.05 0.00 0.00 0.00 Hours Worked Each Day PALM SPRINGS CA 92262 loomm� LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 905.00 905,00 Trainin g Fund Admin Dues Trav/Subs Subs Savings g Other Total Deduct 738.87 30546 0 1.50 1.00 0.00 0.50 0.50 0.00 0.00 3.50 30.00 0.00 0.00 0.00 0.00 0.00 0.00 166.13 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 Federal FICA State Tax SDI Vac/ Holiday Health & Welf, Pension Net Wage Paid For Week Check Number CARLOS I. ESPARZAALVAREZ 33822 SHIFTING SANDS #B Work Classification 07127 07/26 07/29 07/30 07/31 08101 08/02 This Project I All Projects 0.00 42.84 2.36 5.60 0.00 0.00 0.00 Hours Worked Each Day CATHEDRAL CITY CA 92234 � LANDSCAPE MAINTENANCE LABORER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560,00 Training g Fund Admin Dues Travl Subs s Savings g Other Total Deduct 509.20 30548 Q 0.00 0.00�Lo 0.00 0.00 0.00 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 50.80 D 0.00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: Public Works certified Payroll Reporting Form 08/07/2020 - Page 1 Public Works Certifier'"- iyroll Reporting Form Contractor Name: PWLC II, INC. I Name, Address and Social Security Number of Worker CARLOS LUNA GONZALEZ 66145 7TH ST i DESERT HOT SPRINGS CA 92240 NOTE: Name, Address and Social Security Number of Worker EDUARDO ESCAMILLA MORENO 84039 LINGAYAN AVE INDIO CA 92201 NOTE: Name, Address and Social Security Number of Worker GENARO VARGAS 69130 VICTORIA DR CATHEDRAL CITY CA 92234 NOTE: Number of Withholding 4 Work Classification TREE MAINTENANCE LABORER Number of Withholding 0 Work Classification TREE MAINTENANCE LABORER Number of Withholding 5 Work Classification LANDSCAPE MAINTENANCE LABORER Name, Address and Social Security Number of Worker Number of Withholding HUMBERTO S. VALDEZ 0 Work 12966 CACTUS DR #A Classification DESERT HOT SPRINGS TREE CA MAINTENANCE LABORER 92240 loomm9d" NOTE: Project Name: LANDSCAPE 8, LIGHTING DISTRICT 89-1 For Week Ending: 08/02/2020 Payroll Number: 57-0 Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun i Gross Amount Federal State Vac/ Health Date Total Hourly Earned Tax FICA Tax SDI Holiday y $ Welf. Pension Net 07/27 07I28 07/29 07/30 07131 08/01 08/02 Hours Pay Rate This All 87.35 103.33 20,04 13.51 0.00tOtherTotal Wage Paid For Check Number Hours Worked Each Day Project Projects Week 4.50 4.50 4.50 4.50 0.00 0.00 0.00 18.00 29.42 529.56 1,350.83 0.00 0.00 0.00 0.00 0.00 000 ODO Training Admn Dues Subs Savings1,126.60 6160 0.00 40.470.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.000.00 0.00 51.52 Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday y07127 Health 8 Welf. 4Ne Date 07/28 07/29 07/30 07/3108/01 08102 This Project All Projects 0.00 90.81 45.04 11.87 0.00 0.00 Hours Worked Each Day 4.504.50 4.50 4.50 0.00 0.000.00 18.00 27.22 489.96 1,187.04 T�g�m'o�n Fud Dues Trav/ Subs Savings Other 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 37.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 147.72 0.00 1 47.32 Day Deductions, Contributions, and 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 Date 07/27 07/28 07/29 07/30 07/31 08101 08/02 Thls Project All Projects 0.00 47.66 0.00 6.23 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 14.00 623,00 623.00 Training:�und dmin Dues Trav/ Subs Savings Other Total 569.11 30556 1.50 1.00 0.00 0.00 0.50 0.00 0.00 3.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 53.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 28.00 Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat&SunGross ourly Rate Amount Federal Tax FICA State Tax SDI Vac/ Holiday y Health 8, Welf. Pension Net Wage Paid For Week Check Number DateEarned 07/27 07128 07129 07/30 07/31 08101y This All Projects 195.88 101.87 64.80 13.31 0.00 0.00 0.00 Hours Worked Each DayProject 4.50 4.50 4.50 4.50 0.00 0.0024.32 437.76 1,331.43 Training Fund gdmin Dues Trav/ SubsSavings Other Total 955.57 6164 00 0.00 0.00 0.00 0.00 0.003.000.000.00 0.00 0.00 0.00 0.00 375.86 0.00 0.00 0.00 0.00 0.00 0.005.61 Public works certified Payroll Reporting Form 08/07/2020 - Page 2 Public Works Certifie, - iyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/02/2020 Payroll Number: 57-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Total Hourly Gross Amount Earned Federal Tax FICA I State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Check JOSE I. PEREZ CINTORA 0 Date Work 07/27 07128 07129 07/30 07/31 08/01 08/02 This All 0.00 65.00 20.52 6.50 0,00 0.00 0.00 Hours Pay Rate Paid For Number 900 E SATURNINO RD #202 Classification Pro ec J t Projects Week Hours Worked Each Day PALM SPRINGS LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 18.00 855.00 855.00 Fund Travl 755.67 30552 CA MAINTENANCE Training Admin Dues Subs Savings Other Total p 0.00 0.00 0.00 0.00 1.00 2.00 2.00 5.00 27.00 LABORER 92262 0.00 0.00 0.00 0.00 0.00 5.31 99.33 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: $5.31 OTHER = FH125D Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net 4 Date LETICIABONILLA Total Hourly Wage Check Work 07/27 07/28 07129 07130 07/31 08/01 08/02 Thls All 11.91 51.92 0.00 6.79 0.00 47.39 0.00 Hours Pay Rate Paid For Number 33477 NAVAJO TR #B CATHEDRAL CITY Classification Protect Protects Week Hours Worked Each Day LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 678.75 678.75 Fund Travl 608.13 30545 CA MAINTENANCE Training Admin Dues Subs Savings Other Total Q 1.50 1.00 0.00 0.50 0.50 0.00 0.00 3.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 70.62 92234 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 jd3 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Earned Federal Tax FICA State Tax SDI Vacl Holiday Health & Welf. Pension Net Social Security Number of Worker Withholding 4 Date MARCELINO RAMIREZ Total Hourly wage Check Work 07/27 07/28 07/29 07/30 07/31 08/01 08/02 This All 0.00 41.16 0.00 5.38 0.00 47.39 0.00 Hours Pay Rate Paid For Number 1500 E SAN RAFAEL DR #164 PALM Classification Project 1ect Pro ects Week Hours Worked Each Day SPRINGS LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 13.80 552.00 552.00 Fund Travl 491.58 30554 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 20.70 LABORER 0.00 0.00 0.00 0.00 0.00 13.88 60.42 92262 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.60 NOTE: $13.88 OTHER = FH125 Name, Address and Number of Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Gross Amount Earned Federal Tax FICA State I Tax SDI Vac/ Holiday Health & Welf. Pension Net Social Security Number of Worker Withholding 0 Date PASTOR R. PEREZ NEGRON Total Hourly Wage Check Work 07/27 07/28 07/29 07/30 07/31 08/01 08/02 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 Classification Project Protects Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 8.00 B.00 B.00 8.00 0.00 0.00 40.00 15.00 600.00 600,00 Fund Trav/ 474.81 30553 CA MAINTENANCE Training Admin Dues Subs Savings Other Total Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22.50 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 125.19 92234 D J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 NOTE: I Public works certified Payroll Reporting Form 08/07/2020 - Page 3 Public Works Certifier'iyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/02/2020 Payroll Number: 57-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ FICA SDI Health Pension Net ROSALIO G. MILLAN 0 Date Total Earned Hourly Tax Tax Hollda y & welt. Wage Check 66184 PIERSON BLVD Work 07/27 07/28 07/29 07/30 07/31 08/01 08/02 Hours Pay Rate Thls All 0.00 64.01 19.66 8.37 0.00 o.00 0.00 Paid For Number ClassiFlcetlon Hours Worked Each Day Project Projects Week DESERT HOT SPRINGS TREE S 4.50 4.50 4.50 4.50 0.00 0.00 0.00 18.00 24.32 437.76 836.75 Fund Travl 744.71 6163 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 33.00 92240 0.00 0.00 0.00 0.00 0.00 0.00 92.04 � p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 41.67 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Total Hourly Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Check RUBEN F. HENRIQUEZ 0 Date Work 07/27 07128 07/29 07/30 07/31 08/01 08/02 This All 163.75 90.68 52.64 11.85 0.00 0.00 0.00 Hours Pay Rate Paid For Number 16687 PALM DR #83 DESERT HOT SPRINGS Classification Project Projects Week Hours Worked Each Day TREE S 4.50 4.50 4.50 4.50 0.00 0.00 0.00 18.00 24.32 437.76 1,190.70 Fund Trav/ 866.47 6162 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 33.00 LABORER 0.00 0.00 0.00 0.00 0.00 5.31 324.23 92240 p 1 0.00 0.00 10.00 0.00 0.00 0.00 0.00 p,pp 41.67 1 NOTE: $5.31 OTHER = FH125D Public works certified Payroll Reporting Form 08/07/2020 - 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: 8849942 This certified payroll will be treated as an amendment #: 1 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: 2020-07-26 Payroll Number: 56 Amendment Number: 1 2 employee payroll record(s) processed Your Transaction ID is: 10847598 Print this Page iew your submission f Atldl]2 Submit another set of payroll records Public Works CertifN 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 cansisting of certified payroll records for the week ending 2020-07-26 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, Or whatever form to the individual or individuals named. I certify this on 2021-04-08." 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: 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 #: 56 - 1 Ctr Payroll #: 56-1 Week Ending: 07/26/2020 ❑ Statement of Non -Performance? Employee: LETICIA BONILLA 33477 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health 07/20 07/21 07/22 07/23 07124 07/25 07/26 Hours Base Hourly Fringe Holiday & Welf. S LANDSCAPE MAINTENANCE LABORER 0.00 0.00 8.00 8.00 8.00 0.00 0.00 4gpffll' 15.00 0.00 0.00 0.00 O LANDSCAPE MAINTENANCE LABORER 0.00 0.00 0.00 0.00 1.00 0.00 0.00 9Eyif6; 22.50 0.00 0.00 0.00 NOTE: ORIGINAL PAYROLL NUMBER 56-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00 Travel & Subsistence Final payroll for this project? Pension Other Training Total Hourly Rate 0.00 0.00 0.00 ONE= 0.00 0.00 0.00 yy 0.00 Total Deductions 60.11 Public works Certified Payroll Reporting Form 04/08/2021 - Page 1 Public Works Certific/� 'ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Week Ending: 07/26/2020 Employee: MARCELINO RAMIREZ 1500 E SAN RAFAEL DR #164, PALM SPRINGS, CA, 92262 Mon Tue Wed Thu Fri Sat Sun Total Total 07/20 07/21 07122 07/23 07/24 07/25 07/26 Hours Base Hourly Fringe S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00 T6002 13.80 0.00 NOTE: ORIGINAL PAYROLL NUMBER 56-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00, 13.88 DEDUCTED FOR HEALTH INSURANCE Vac/ Health Holiday & Welf. Pension 0.00 0.00 0.00 Payroll Number:56-1 Other Training Total Hourly Rate 0.00 0.00 ;'v.40 Travel & Subsistence 0.00 Total Deductions 60.42 Public Works certified Payroll Reporting Form 04/08/2021 - Page 2 eCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at ,bl is Works@dlr_ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2020-07-26 Payroll Number: 56 Amendment Number. 0 13 employee payroll record(s) processed Your Transaction ID is: 8849942 Print this Pagg View your submission Submit another set of payroll records Public Works Certifief" yroll Reporting Forni - Certification under, alty of perjury: 19, 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 2020-07-26 are the originals cr true, full, and correct copies of the originals which depict the payroIf record(s) of the actual disbursements by way of cash, check, or whatever form to the indiv]dual or individuals named. I certify this on 2020-07-29:' 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: 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 CITYWInF nnFninNtc Payroll Number: 56- 0 Name, Addreae and FAPOLINAR cial Security Number of Worker GONZALEZ MARTINEZ 31325 AVE LA PALOMA CATHEDRAL CITY CA 92234 NOTE: Number of Withholding 3 Work Classification LANDSCAPE MAINTENANCE LABORER For Week Ending: 07/26/2020 Is this a 'Statement of Non -Performance?' Day Mon Tue Wed Thu Fri Sat Sun Total Hours 40.00 Hourly Pay Rate 14.00 Gross Amount Earned Federal Tax Deductions, FICA Contributions, State Tax SDI and Payments Vac/ Holiday y Health & Welf. Pension Net Wage Paid For Week Check Number Date 07I20 07/21 07/22 07/23 07124 07I25 07/26 This Project 560.00 All Projects 560.00 24.86 Training 42.83 Admi 2.36 Dues 5.60 Subs 0.00 Savings 0.00 Other 0.00 Hours Worked Each Day 8,00 6.00 8.00 8.00 8,00 0.00 0.00 Total Deduct 484.35 30399 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 0.00 II 0.00 I 28.00 0.00 0.00 0.00 0.00 1 0.00 0.00 75.65 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/ FICA SDI Pension NetWage 3Date RICO CHAVEZ Total Hourly Earned Tax Tax Holiday 2103 JACQUES DR Hours Pay Rate LeWa.",fARMANDO Check 64.46 68.09 20.60 8.90 0.00 0.00 Paid For Number Work 07/20 07/21 07122 07/23 07124 07I25 07126 This All Classification Project Projects Week Hours Worked Each Day PALM SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 890.00 890.00 Total 727.95 30396 LABORER Training Admin Dues Subs Savings Other Deduct 0.50 0.50 0.50 0.50 1.00 0.00 0.00 92262 3.00 30.00 0.00 0.00 0,00 0.00 0.00 0.00 162.05 p o.Do 0.00 o.00 0.00 0.00 0.00 0.00 o,00 ao.00 NOTE: Deductions, Contributions, and Payments Name, Address and Number of Day Social Security Number of Worker WithholdingJj d Thu Fri Sat Sun Gross Amount Earned Federal State Vac/ Health FICA SDI Pension Net 0 CARLOS I. ESPARZAALVAREZ Date Total Hourly Tax Tax Holiday 8 Welf. 33822 SHIFTING SANDS #B Hours Pay Rate Wage Check 0.00 42.84 2.36 5.60 0.00 0.00 0.00 Paid For Number Work2 07/23 07/24 07/25 07/26 This All Classification Project Projects Week s Worked Each Day CATHEDRAL CITY CA LANDSCAPE MAINTENANCE 8.00 8.00 0.00 0.00 40.00 14.00 560 000 560.00 Total 509.20 30398 LABORER Training Admd Dues Subs Savings Other Deduct 0.00 0.00 0.00 0.00 92234 0.00 21.00 0.00 0.00 0.00 0.00 0.00 0.00 50.80 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 26.00 NOTE: Public works Certified Payroll Reporting Form 07/29/2020 - Page 1 Public Works Certifier' yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 07/26/2020 Payroll Number:56-0 and NfJ Number of Day Deductions, Contributions, and Payments Social Ser of Worker Withholding Mon Tue Wed Thu Fri Sat Sun _ Gross Amount Federal State Vac/ FICA Health CARLNZALEZ 4 Date Total Earned Hourly Tax Tax SDI Holiday y & Welf. Pension Net T Work 07/20 07/21 07/22 07/23 07/24 07/2507/26 Hours Pay Rate This All 82.81 100.44 18.37 13.13 0.00 0.00 0.00 Wage Check Paid For Number ClassificationHours Worked Each Day Project Projects WeekDESINGS TREE S MAINTENANCE 8.00 8.00 8.00 8.00 0.00 0.00 0.0032.00 27.07 947.46 1,312.96 Fund Trav/ 1,098.21 30401 LABORER Q 1.00 0.00 0.00 1.00 0.00 0.00 0.00 Training Admin Dues Subs Savings Other Total 2.00 40.61 D 0.00 0.00 0.00 0.00 0.00 0.00 0 0.00 0.00 0.00 0.00 0.00 0.00 214.75.00 0.00 54.14 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 FICA State SDI Vac/ Health Pension Net 0 Date EDUARDO ESCAMILLA MORENO Total Hourly Tax Tax Holiday & Welf. 84039LINGAYANAVE Hours Pay Rate Wage Paid For Check Number Work 07/20 07/21 07/22 07/23 07/24 07/25 07/26 Thls All 0.00 79.67 32.23 10.41 0.00 0.00 0.00 Classification Protect Projects Week Hours Worked Each Day INDIO CA TREE MAINTENANCE S 8.00 8.00 8.00 8.00 0.00 0.00 0.00 32.00 24.87 870.46 1,041.46 Fund Trav/ 919.15 30397 LABORER Training Admin Dues Subs Savings Other Total Q 1.00 0.00 0.00 1.00 0.00 0.00 0.00 92201 2.00 37.31 0.00 0.00 0.00 0.00 0.00 0.00 122.31 D 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 49.74 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net GENARO VARGAS 5 Date Total Hourly Earned Tax Tax Holiday y & Welf. Wage Check 69130 VICTORIA DR Work 07/20 07/21 07/22 07/23 07/24 07/25 07/26 Hours Pay Rate This All 0.00 44.44 0.00 5.81 0.00 0.00 0.00 Paid For Number Classification Hours Worked Each Day Project Projects Week CATHEDRAL CITY CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 581.00 581.00 Fund Trav/ 530.75 30406 LABORER Q 0.00 0,00 0.00 0.00 1.00 0.00 0.00 Training Admin Dues Subs Savings Other Total 92234 1.00 21.00 D 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 50.25 0.00 28.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health HUMBERTO S. VALDEZ 0 Date Total Hourly Earned Tax FICA Tax SDI Holiday & Welf. Pension Net Wage Check 12966 CACTUS DR #A Work 07/20 07/21 07/22 07/23 07/24 07/25 07/26 Hours Pay Rate This All 150.22 85.98 44.65 11.24 0.00 0.00 0.00 Paid For Number Classification Hours Worked Each Day Project Protects Week DESERT HOT SPRINGS CA TREE MAINTENANCE S 8,00 8.00 8.00 8.00 0.00 0.00 0.00 32.00 21.97 801.92 1,123.92 Fund Trav/ 831.83 30405 Training Dues SubsSavings Other Total LABORER Q 1.00 1.00 0.00 1.00 0.00 0.00 0.00 3.00 32.9692240.00 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 �dmi 0.00 0.00 0,00 0.00 292.09 0.00 43.94 NOTE: Public works certified Payroll Reporting Form 07/29/2020 - Page 2 Public Works Certifier'! yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 07/26/2020 Payroll Number:56-0 Name, Address and Number of Day - - - - - Social Security Number of Worker Withholding Mon Tue Wed Deductions, contributions, and Payments Thu Fri Sat Sun JOSE I. PEREZ CINTORA 0 Date Gross Amount Earned Federal State Vac/ Health FICA SDI 900 E SATURNINO RD #202 Work 07/20 07/21 07/22 07/23 07/24 07/25 07/26 Total Hours Hourly Pay Rate Tax Tax Holiday & Welf. Pension Net Wage Check Classification Hours Worked Each Day This All Project 0.00 57.77 14.28 7.55 0.00 0.00 0.00 Paid For Number PALM SPRINGS Projects Week LANDSCAPE Si 7.00 7.00 7.00 7.00 7.00 0.00 0.00 CA MAINTENANCE 35.00 18.00 670.50 760.50 Fund Trav/ 92262 LABORER Q 0.00 0.00 0.00 0.00 1.50 0.00 0.00 Training Admin Dues Savings Other Subs Total 675.59 30393 1.50 27.00 OMMONEW D 0.00 0.00 0.00 0.00 o.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.31 84.91 0.00 36.00 NOTE: $5.31 OTHER = FH125D Name, Address and Number of Day Social Security Number of Worker Withholding Mon Tue Wed Deductions, Contributions, and Payments LETICIABONILLA 4 Thu Fri Date Sat Sun Gross Amount Earned Federal Tax FICA State Vac/ Health SDI Pension Net Total Hourly Tax Holiday &Welf. 33477 NAVAJO TR #B Work 07/20 07121 07/22 07/23 07/24 07I25 07/26 Hours Pay Rate Wage Check Classification This All 6.29 47.63 0.00 6.19 0.00 47.39 0.00 Paid For Number CATHEDRAL CITY Hours Worked Each Day Project Projects Week LANDSCAPE S 0.00 0.00 8,00 8.00 8.00 0.00 0.00 CA MAINTENANCE 24.00 15.00 382.50 622.50 Fund Trav/ 92234 LABORER Q 0.00 0.00 0.00 0.00 1.00 0.00 0.00 Training Dues Admin Subs Savings Other Total 562.39 30395 1.00 22.50 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 60.11 0.00 30.00 NOTE: I Name, Address and Number of Day Social Security Number of Worker Withholding Mon Tue Wed Deductions, Contributions, end Payments 4 Thu Fri Sat Sun Gross Amount Federal Slate Vac/ Health MARCELINO RAMIREZ Date Total Hourly Earned Tax FICA Tax SDI Holiday & Wolf. Pension Net 1500 E SAN RAFAEL DR #164 Work 07/20 07/21 07122 07123 07/24 07125 07126 Hours Pay Rate This 0.00 41.16 Wage Check Classification All 0.00 5.38 0.00 47.39 0.00 Paid For Number PALM SPRINGS Hours Worked Each Day Project Projects Week LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 CA MAINTENANCE 40.00 13.80 552.00 552.00 Fund Trav/ 92262 LABORER Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Training Admin Dues Savings Other Subs Total 491.58 30403 0.00 20.70 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 13.88 60.42 0.00 27.60 NOTE: $13.88 OTHER = FH125 Name, Address and Number of Day Social Security Number of Worker Withholding Mon Tue Wed Deductions, Contributions, and Payments 0 Thu Fri Sat Sun Gross Amount Federal State Vac/ Health FICA PASTOR R. PEREZ NEGRON Date Total Hourly Earned Tax Tax SDI Holiday & Welf, Pension Net 67365 ONTINA RD Work 07/20 07121 07122 07123 07124 07/25 07/26 Hours Pay Rate This 60.43 45.90 12.86 Wage Check Classification All 6.00 0.00 0.00 0.00 Paid For Number CATHEDRAL CITY Hours Worked Each Day Project Projects Week LANDSCAPE S 8.00 8.00 8.00 8.00 8,00 0.00 0.00 CA MAINTENANCE 40.00 15.00 600.00 600.00 Training Fund Trav/ Dues 474.81 30402 92234 LABORER Q 0.00 0.00 1 0.00 0.00 1 0.00 0.00 I 0.00 Admin Subs Savings Other Total 0.00 22.50 D 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 125.19 0.00 30.00 NOTE: Public Works Certified Payroll Reporting Form 07/29/2020 - Page 3 Public Works Certifier' iyroll Reporting Form Contractor Name: PWLC II, INC. Name, Address and Social Security Number of Worker ROSALIO G. MILLAN 66184 PIERSON BLVD DESERT HOT SPRINGS CA 92240 NOTE: Name, Address and Social Security Number of Worker RUBEN F. HENRIOUEZ 15687 PALM DR #83 DESERT HOT SPRINGS CA 92240 NOTE: $5.31 OTHER = FH125D Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 07/26/2020 Payroll Number: 56-0 Number of Day Deductions, Contributions, and Payments Withholding Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health 0 Date Total Hourly Earned Tax FICA SDI Tax Holiday & Welf. Pension Net Work 07/22 07/23 07/24 07/25 07/26 Hours Pay Rate This All 0.00 66.79 22.06 8.73 0.00 0.00 0.00 Wage Check Paid For Number ClassificationHours I Worked Each Day Project Projects Week TREE MAINTENANCE S 7.00 8.00 0.00 0.00 0.00 31.00 21.97 730.51 873.01 775,43 30407 LABORER O 0.00 0.50 0.00 0.00 0.00 Training Admin Dues SubsSavings Other Total 1.5, 32.96 0.00 0.00 0.00 0.00 0.00 0.00 43.94 Number of Day IDeductions, Contributions, and Payments Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net 0 Date Total Hours Hourly Pay Rate Earned Tax Tax Holiday y & Welf. Wage Paid For Check Number Work 07/20 07/21 07/22 07/23 07/24 07/25 07/26 This All 154.12 1 87.33 48.78 11.42 0.00 0.00 0.00 Classlflcatlon Project Projects Week Hours Worked Each Day TREE MAINTENANCE S 8.00 8.00 8.00 8.00 0.00 0.00�0032.00 21.97 801.92 1,146.92 Fund Trav/ 839.96 30400 LABORER Training Admin Dues Subs Savings Other Total Q 1.00 1.00 0.00 1.00 0.00 0.00 0.00 3.00 32.96 0.00 0.00 0.00 0.00 0.00 5.31 306.96 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 43.94 Public Works certified Payroll Reporting Form 07/29/2020 - 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: 10847001 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: 2020-07-19 Payroll Number: 55 Amendment Number: 2 1 employee payroll record(s) processed Your Transaction ID is: 10847206 Print this Page i �I iew your submission — Submit another set of payroll records Certification under penalty of perjury: Public Works Certifie 4yroll Reporting Form 1, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-07-19 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever Form to the individual or individuals named. I certify this on 2021-04-08." r— 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 92252 Contractor Email: KRISTYS@PWLC2.COM Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: Payroll #: 55 - 2 Ctr Payroll #: 55-2 Week Ending: 07/19/2020 Statement of Non -Performance? Final payroll for this project? Employee: MARCELINO RAMIREZ 1500 E SAN RAFAEL DR #164, PALM SPRINGS, CA, 92262 Mon Tue Wed Thu Fri Sat Sun Total Base Hourly Total Vac/ Health 07/13 07/14 07/15 07/16 07/17 07/18 07/19 Hours y Fringe Holiday & Welf. Pension Other Training Total Hourly Rate S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00 �'yJir4d;60 j 13.80 0.00 0.00 0.00 0.00 0.00 0.00 f3';60 NOTE: ORIGINAL PAYROLL NUMBER 55-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00, 13.88 WAS DEDUCTED FOR HEALTH INSURANCE Travel & Subsistence 0.00 Total Deductions 60.43 PubliC works Certified Payroll Reporting Form 04/08/2021 - Page 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: 8791860 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: 2020-07-19 Payroll Number: 55 Amendment Number: 1 1 employee payroll record(s) processed Your Transaction ID is: 10847001 Print this Page Ham L iew your submission AdoN Submit another set of payroll records Certification under penalty of perjury: Public Works Certifie 3yroll Reporting Form "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC 11, INC. (name of business and/or contractor), certify under. penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-D7-19 are the originals or true, fu11, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or Individuals named. I certify this on 2021-04-08:' Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Ty pe: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92262 Insurance Number: WCV5504144 .w U111y cvuy: VI IT Ur LAWUIN IA Contract With: CITY OF LA QUINTA rayrotl ?F: oo - 1 ctr Payroll #: 55-1 DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 County: RIVERSIDE Location Description: Week Ending: 07/19/2020 []Statement of Non -Performance? n Final payroll for this project? r �y��• win �� LnvU rcAIVnKCL I0UU t JAN KAFAEL DR #164, PALM SPRINGS, CA, 92262 Mon Tue Wed Thu Fri Sat Sun Total Total 07/13 07/14 07/15 07116 07/17 07/18 07/19 Hours Base Hourly Fringe S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.004:0 6tl! 13.80 0.00 NOTE: ORIGINAL PAYROLL NUMBER 47-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00, 13.88 WAS DEDUCTED FOR HEALTH INSURANCE Vac/ Health Total Holiday & Welf. Pension Other Training Hourly Rate 0.00 0.00 0.00 0.00 0.00 B'! Travel & Subsistence 0.00 Total Deductions 60.43 Public works certified Payroll Reporting Form 04/08/2021 - 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 blicwotks@d lr 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: 2020-07-19 Payroll Number. 55 Amendment Number. 0 12 employee payroll record(s) processed Your Transaction ID is: 8791860 Pr t HE Pa9e View your submission / �e Submit another set of payroll records Public Works Certifie, ,yroll Reporting Form Certification under r _.,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 2020-07-19 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 form Whatever to the individual or individuals named. I certify this on 2020-07-22." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: WCV5504144 [Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 55- 0 For Week Ending: 07/19/2020 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 FICA State SDI Vac/ Health Pension Net ALAN RAMIREZ RAYA 1 Date Total Hourly Earned Tax Tax Holida y & Welf. Wage Check 84037 MAGNOLIA ST Work 07/13 07114 07/15 07/16 07/17 07/18 07/19 Hours Pay Rate Thls All 63.91 55.08 14.56 7.20 0.00 0.00 0.00 Paid For Number Classification Hours Worked Each Day Pro ect J ProJects Week COACHELLA 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! Total 579.25 30377 CA MAINTENANCE LABORER Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Training Admin Dues Subs Savings Other Deduct 92236 0.00 27.00 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 140.75 0.00 36.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding APOLINAR GONZALEZ MARTINEZ 3 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 ARMANDO RICO CHAVEZ 3 2103 JACQUES DR Work Classification PALM SPRINGS LANDSCAPE CA MAINTENANCE LABORER 92262 NOTE: "ay Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac! Holiday olida y Health & Welf. Pension Net Wage Paid For Week Check Number Date 07/13 07/14 07/15 07116 07/17 07118 07/19 This Project All Projects 24.86 42.85 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 Fund Trav/ Total 484.33 30372 Training Admin Dues Subs Savings Other Deduct 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 75.67 , 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 28.00 Mon Tue Wed Thu Frl Sat Sun Date Total 07/13 07/14 07/15 07/16 07/17 07118 07/19 Hours Hours Worked Each Day 8.00 8.00 1 8.00 1 8.00 1 8.00 1 0.00 1 0.00 40.00 0.00 1.00 0.00 1.00 0.00 0.00 0.00 2.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Gross Amount Federal I Earned Tax FICA Hourly 11 'ay Rate This All. 60.86 65.79 Project Projects 20.00 860.00 860.00 Fund Training Admin 30.00 0.00 0.00 40.00 ons, Contributions, and Payments State SDI Vac/ Health pension Net Tax Holiday & Wolf. Wage Check 18.62 8.60 0.00 0.00 0.00 Paid For I Number Week Dues Subs Savings Other Deduct 706.13 30369 0.00 0.00 0.00 + 0.00 153.87 Public works certified Payroll Reporting Form 07/22/2020 - Page 1 Public Works Certifie, _ yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 07/19/2020 Payroll Number: 55-0 Name, Address and Number of Day Social Security Number of Worker Withholding Mon Tue Wed Deductions, contributions, and Payments Thu Fri Sat Sun Gross Amount Federal Slate Vac/ Health CARLOS I. ESPARZAALVAREZ 0 Date Total Hourly Earned Tax FICA Tax SDI Holiday & Welf. Pension Net 33822 SHIFTING SANDS #B Work 07/13 07/14 07/15 07/16 07/17 07118 07/19 Hours Pay Rate This All 0.00 42.84 2.36 5.60 0.00 Wags Check Paid For CATHEDRAL CITY Classification Hours Worked Each Day Project Projects 0.00 0,00 Week Number SCAPE S ENANCE �IN B.00 8.00 8.00 8.00 8.00 0,00 0.00CA 40.00 14.00560.00560.00 ORER Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Training Admin Dues Subs Savings Other Total92234 509.20 30371 0.00 21.00 p o.00 0.00 0.00 0.00 o.00 o.00 o.00 0.00 0.00 0.00 0.00 0.00 0.00 50.80 o.o0 2e.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments y Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun 4 Gross Amount Federal State FICA SDI Vac/ Health CARLOS LUNA GONZALEZ Date Total Hourly Earned Tax Tax Hollda & Welf. y Pension Net 66145 7TH ST Work 07/13 07/14 07/15 07/16 07/17 07/18 07/19 Hours Pay Rate This All 60.37 86.14 10.15 11.26 0.00 0.00 0.00 Wage Paid For Check Number DESERT HOT SPRINGS Classification Hours Worked Each Day Project Projects Week CA TREE MAINTENANCE S 0.00 0.00 0.00 0.00 8.00 0.00 0.00 8.00 27.07 582.01 1,126.01 LABORER p 0.00 0.00 0.00 0.00 1.00 8.00 0.00 Training Admin Dues Subs Savings Other Total 958.09 30374 92240 g.00 40.61 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 0.00 167.92 0.00 54.14 NOTE: =Name,ress and Number of Day Deductions, Contributions, and Payments Somber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun 0 Gross Amount Federal FICA State SDI Vac/ Health EDUARDO ESCAMILLA MORENO Date Total Hourly Earned Tax Tax Holiday & Welf. Pension Net 84039 LINGAYAN AVE Work 07/13 07114 07/15 07/16 07/17 07/18 07/19 Hours Pay Rate This All 0.00 66.34 19.09 8.67 0.00 0.00 0.00 Wege Paid For Check Number Classification Hours Worked Each Day Project Projects Week INDIO CA TREE MAINTENANCE S 0.00 0.00 0.00 0.00 8.00 8.00 0,00 16.00 24.87 435.23 867.23 Fund T 773.13 30370 LABORER O 0,00 0.00 0.00 0.00 1.00 0.00 0.00 Training Adm rn Dues Subs Savings Other Total 92201 1.00 37.31 p a.00 o.00 o.00 o.00 o.00 o.00 o.00 0.00 0.00 0.00 0.00 0.00 0.00 94.10 o.00 as.7a NOTE: I Name, Address and Number of Day Deductions, Contributions, and Payments j Social Security Number of Worker Withholding Man Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State Vacl Health GENARO VARGAS 5 Date Total Hourly Earned Tax Tax SDI Holiday & Waif. Pension Net 69130 VICTORIA DR Work 07/13 07114 07115 07/16 07117 07/18 07/19 Hours Pay Rate This All 0.00 42.84 0.00 5.60 0.00 0.00 Wage 0.00 Paid For Check Number Classiflcatlon Hours Worked Each Day Protect Protects Week CATHEDRAL CITY CA LANDSCAPE MAINTENANCE S 8,00 8.00 0.00 8.00 8.00 0.00 0.00 32.00 14.00 448.00 560.00 Fund Trav/ 511.56 30379 LABORER 0 0.00 0,00 0.00 0.00 0.00 0.00 0.00 Training Admin Dues Subs Savings Other Total 92234 0.00 21.00 p 0.00 0.00 0.00 o.00 0,00 o.00 o.00 0.00 0.00 0.00 0.00 0.00 0.00 48.44 1 0.00 28.00 f NOTE: Ji Public works certified Payroll Reporting Form 07/22/2020 - Page 2 Public Works Certifier.- yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 - For Week Ending: 07/19/2020 Payroll Number:55-0 Name, Address and Number of Day - -- - - _ Social Security Number of Worker Withholding Mon Tue Wed Thu Deductions, Contributions, and Payments HUMBERTO S, VALDEZ 0 Fri Date Sat Sun Gross Amount Federal State Vac/ FICA Health 12966 CACTUS DR #A Work 07/13 07114 07/15 07/16 07/17 07/18 07/19 Total Hours Hourly Earned Pay Rate Tax Tax SDI Holiday & Welf. Pension Net Wage Check DESERT HOT SPRINGS Classification Hours Worked Each Day This All Protect Protects 82.71 60.74 19.42 7.94 0.00 0.00 0.00 Pald For Number CA TREE S MAINTENANCE 0.00 0.00 0.00 0.00 8.00 8.00 0.00 16.00 21.97 384.48 793.98 Week 92240 LABORER 0 0.00 0.00 0.00 0.00 1.00 0.00 0.00 Training Fund Trav/ gdmin Dues Savings Subs Other Total 623.17 30378 1.00 32.96 goommemb D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 43.94 0.00 0.00 0,00 0.00 0.00 0.00 170.81 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Mon Tue Wed Day Thu Fri Sat Sun Total Hourly Gross Amount Earned Federal Tax Deductions, FICA Contributions, State Tax SDI and Payments Vac/ Holiday Heal[h & Welf. Pension Net MARCELINO RAMIREZ 4 Date Work 07/13 07/14 07/15 07/16 07/17 07/18 07/19 1500 E SAN RAFAEL DR #164 Hours Pay Rate Wage Check PALM SPRINGS Classification Hours Worked Each Day This All Project Projects 0.00 41.17 0.00 5.38 0.00 47.39 0.00 Pald For Number LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 Week CA MAINTENANCE 40.00 13,80 552.00 552.00 Fund Trav/ 92262 LABORER 0 0,00 0.00 0.00 0.00 0.00 0.00 0.00 Training Admin Dues Subs Savings Other Total 491.57 30376 0.00 20.70 m D 0.00 0.00 0.00 0.00 0.00 0.00 0.1 0.00 27.60 0.00 0.00 0.00 0.00 0.00 13.88 60.43 NOTE; $13.88 OTHER = FH125 , Name, Address and Number of Day Social Security Number of Worker Withholding Mon Tue Wed Deductions, Contributions, and Payments Thu Fri Sat Sun PASTOR R. PEREZ NEGRON 0 Date Gross Amount Earned Federal Tax Slate Vac/ Health FICA SDI Pension Net 67365 ONTINA RD Work 07/13 07/14 07/15 07/16 07/17 07/18 07/19 Total Hours Hourly Pay Rate Tax Holiday & elf. W Check CATHEDRAL CITY Classification Hours Worked Each Day This All Project Protects 60.43 45.90 12.86 6.00 000 000 .. 0.00 PWage aid For Number LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 Week CA MAINTENANCE 40.00 15.00 600.00 600.00 Fund Trav/ 92234 LABORER 0 0.00 0.00 0.00 0,00 0.00 0.00 0.00 Training Dues Admin Subs Savings Other Total 474.81 30375 0.00 22.50 RENEMNlhb D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12s.19 NOTE: 30.00 i Name, Address and Number of Day Social Security Number of Worker Withholding Mon Tue Wed Deductions, Contributions, and Payments ROSALIO G. MILLAN 0 Thu Date Fri Sat Sun Grose Amount Earned Federal State Vec/ Health FICA SDI Total Hourly Tax Tax Holiday & Welf. Pension Net 66184 PIERSON BLVD Work 07113 07/14 07/15 07/16 07/17 07/18 07/19 Hours Pa Rate y RtThis Wage Check DESERT Classification Hours Worked Each Day All Project 0.00 43.51 5.32 5.69 0.00 0.00 0.00 Paid For Number HOT SPRINGS Projects Week CA TREE MAINTENANCE S 0.00 0.00 0.00 0.00 8.00 0.00 0.00 8.00 21.97 208.72 568.72 Fund 92240 LABORER 0 0.00 0.00 0.00 0.00 1.00 0.00 0.00 Training Trav/ Admin Dues Savings Other Subs Total 514.20 30380 1.00 32.96 aimmomma D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 43.94 0.00 0.00 0.00 0.00 0.00 0.00 54.52 NOTE: i Public works Certified Payroll Reporting Form 07/22/2020 - Page 3 Public Works Certifier lyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 07/19/2020 Payroll Number: 55-0 Name, Address and Number of Day Social Security Number of Worker Withholding Mon Tue Wed Thu Deductions, Contributions, and Payments 0 Fri Sat Sun Gross Amount Federal FICA State Vac/ Health RUBEN F. HENRIQUEZ Date Total Hourly Earned Tax Tax SDI Holiday & Welf. Pension Net 15687 PALM DR #83 Work 07/13 07/14 07/15 07/16 07/17 07/18 07/19 Hours Pa Rate y This All 145.96 84.50 45.52 11.05 W89e Check DESERT HOT SPRINGS Classification Hours Worked Each Day Project Projects 0.00 0.00 0.00 Paid For Number Week CA TREE S MAINTENANCE 0.00 0.00 0.00 0.00 8.00 0.00 0.00 8.00 21.97 472.36 1,109.86 Fund Trav/ LABORER Q 0.00 0.00 0.00 0.00 1.00 8.00 0.00 Training Admin Dues Subs Savings Other Total 817.52 30373 92240 9,00 32.96 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 43.94 0.00 0.00 0.00 0.00 0.00 5.31 292.34 NOTE; $5.31 OTHER = FH125D Public works certified Payroll Reporting Form 07/22/2020 - 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: 8768059 This certified payroll will be treated as an amendment #: 1 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: 2020-07-12 Payroll Number: 54 Amendment Number: 1 2 employee payroll record(s) processed Your Transaction ID is: 10841946 Print this Page L ,7 l iew your submission rf Adobe Submit another set of payroll records Public Works Certifie, 3yroll Reporting Form Certification under penalty of perjury: 1, KRI STY SOUTH, the undersigned, am the CONTROLLER tpasition in business) with the authority to act for and on behalf of PWLC il, INC. (name of business andlor contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certlfled payroll records for the week ending 2020-07-12 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, Or whatever form to. the individual Or Individuals named. I certify this on 2021-04-08.1 Contractor Name: PWLC II, INC. l Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANY WAY, PALM SPRINGS, CA FEIN: 510532726 92262 Contractor Email: KRISTYS@PWLC2.COM Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE &LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: Payroll #: 54 - 1 Ctr Payroll #: 54-1 Week Ending: 07/12/2020 Statement of Non -Performance? [-]Final payroll for this proiect? _• V'_y"' "' . ' ovi'1LLA JJ4t 1 NAVAJO TR #B, CATHEDRAL CITY, CA, 92234 S LANDSCAPE MAINTENANCE LABORER O LANDSCAPE MAINTENANCE LABORER Mon Tue Wed Thu 07106 07/07 07/08 07/09 8.00 8.00 8.00 8.00 0.50 0.50 0.50 0.00 Fri 07110 8.00 0.00 Sat 07/11 0.00 0.00 Sun 07/12 0.00 0.00 Total Hours 40.00 1.50 Total Base Hourly Fringe 15.00 0.00 22.50 0.00 Vac/ Holiday 0.00 0.00 Health & Welf. 0.00 0.00 NOTE: ORIGINAL PAYROLL NUMBER 54-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00 Travel 8 Subsistence Pension Other Training Total Hourly Rate 0.00 0.00 0.00 15:00 0.00 0.00 0.00 22.50 0.00 Total Deductions 62.23 Public works certified Payroll Reporting Form 04/08/2021 - Page 1 Public Works Certific/^ ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Week Ending: 07/12/2020 Payroll Number:54-1 Employee: MARCELINO RAMIREZ 1500 E SAN RAFAEL DR #164, PALM SPRINGS, CA, 92262 i Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health 07/06 07/07 07/08 07/09 07/10 07/11 07112 Hours Base Hourly Fringe Holiday & Welf. Pension Other Training Total LANDSCAPE MAINTENANCE LAB�' LABORER 8.00 8.00 8.00 8.00 8.00 0.00 0.00 / �^ 4.UO�.�i Hourly Rate 13.80 0.00 0.00 0.00 0.00 0.00 0.00 ,'f,3x80wnj NOTE: ORIGINAL PAYROLL NUMBER 47-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00, 13.88 WAS DEDUCTED FOR HEALTH INSURANCE Travel &Subsistence 0.00 Total Deductions 60.41 Public works certified Payroll Reporting Form 04/08/2021 - Page 2 eCPR Online Confirmation Your payroll submission request has been processed. ,_Please review the results of your submission. Should you have any questions please contact the eCPR unit at Clblicworks@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: 2020-07-12 Payroll Number. 54 Amendment Number. 0 8 employee payroll record(s) processed Your Transaction ID is: 8768059 Pfinj this PP gg View your submission Submit another set of payroll records Certification under. .ally of perjury: Public Works Certifier- iyroll Reporting Form 1, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authorlty to act for and on behalf of PWLC Il, INC. (name of business andlor contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020-07-12 are the orlginals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2020.07-2W' 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: 54- 0 For Week Ending: 07/12/2020 Is this a 'Statement of Non -Performance?' Name, Address and Number of Day Deductions, Contributions, and Pa mants y Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health ALAN RAMIREZ RAYA Date Total Hourly Earned Tax Tax Holiday y & Welf. Pension Net f 07/O6 07I07 07/OB 07/09 07I10 07l11 0 //12 84037 MAGNOLIA ST Hours Pay Rate This All 59.59 52.33 12.98 6.84 0.00 0.00 0.00 Wage Paid For Check Number CWork lassification Project Projects Week Hours Worked Each Day COACHELLA LANDSCAPE g 8.00 8,00 8.00 6.00 B.00 0.00 0.00 38.00 18.00 684.00 684.00 Fund CA MAINTENANCE Training Dues Savings Other Total 552,26 30351 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92236 LABORER 0.00 27.00 Admin Subs Deduct 0.00 0.00 0.00 p.00 0.00 0.00 131.74 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 9 NOTE: Deductions, Contributions, and Payments Name, Address and Number of Day Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Total Hourly Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday y Health 8 Welf. Pension Net APOLINAR GONZALEZ MARTINEZ 3 Date Work 07/06 07/07 07108 07/09 07/10 07/11 07/12 31325 AVE LA PALOMA Hours Pay Rate This All 24.86 42.83 2.36 5.60 0.00 0.00 0.00 Wage Paid For Check Number Classification Project Projects Week Hours Worked Each Day CATHEDRAL CITY CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 14.00 560.00 560.00 Fund Trav/ Total 484.35 30346 LABORER Training Admin Dues S ubs Savings Other Deduct Q 0.00 0,00 0.00 0.00 0.00 0.00 0.00 92234 0.00 21.00 �M 0.00 n-nn 0.00 0.00 0.00 0 .00 75.65 p o.00 o.00 0.00 0.00 o.00 o.00 0.00 o.00 ze.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 FICA State SDI Vac! Health Pension Net 3 Date ARMANDO RICO CHAVEZ Total Hourly Tax Tax Holiday & Welf. 2103 JACQUES DR Hours Pay Rate Wage Paid For Check Number WorkL 07/06 07/07 07l08 07/09 07/10 07/11 07/12 This All 64.46 68.09 20.60 8.90 0.00 0.00 0.00 Classification Project Protects Week Hours Worked Eech Day PALM SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40,00 20.00 890,00 890.00 Fund Trav/ Total 727.95 30343 LABORER Training Admin Dues Subs Savings Other Deduct Q 1.00 1.00 1,00 0.00 0.00 0.00 0.00 92262 3.00 30.00 p 0.00 0.00 O.DO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 162.05 0.00 0.00 ao.00 NOTE: Public Works certified Payroll deporting Form 07/20/2020 - Page 1 Public Works Certifier _ -tyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 07/12/2020 Payroll Number: 54-0 Name, Address and Number of Day - - - - Social Security Number of Worker Withholding Mon Tue Wed Thu Deductions, Contributions, and Payments CARLOS I. ESPARZAALVAREZ 0 Fri Date Sat Sun Gross Amount Earned Federal Tax State FICA SDI Vac/ Health Pension 33822 SHIFTING SANDS #B Work 07/06 07/07 07/08 07/09 07/10 07/11 07/12 Total Hours Hourly Pay Rate Tax Holiday $ Welf. Net Wage Check CATHEDRAL CITY Classification Hours Worked Each Day This All Project Projects 0.00 42.84 2.36 5.60 0.00 0.00 0.00 Paid For Number LANDSCAPE S 8.00 8.00 8.00 8.00 B.00 0.00 0.00 Week CA MAINTENANCE 40.00 14.00 560.00 560.00 Fund Trav/ 92234 LABORER Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Training Admin Dues S ubs Savings Other Total 509.20 30345 0.00 21.00 ■Iw�nr D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 o.o0 26.00 0.00 0.00 0.00 0.00 0.00 0.00 50.80 NOTE: Name, Address and Number of Day Social Security Number of Worker Withholding Mon Tue Wed Deductions, Contributions, and Payments 5 Thu Fri Sat Sun Gross Amount Federal State Vac/ Health GENARO VARGAS Date Total Hourly Earned Tax FICA Tax SDI Holiday 8 Welf. Pension Net 69130 VICTORIA DR Work 07/06 07107 07108 07/09 07/10 07/11 07/12 Hours Pay Rate 0.00 Wage Check CATHEDRAL Classification Hours Worked Each Day This All Project Projects 45.25 0.00 5.92 0.00 0.00 0.00 Paid For Number CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 Week CA MAINTENANCE 40.00 14.00 591.50 591.50 Fund Travl 92234 LABORER Q 0.50 0.50 0.50 0.00 0.00 0.00 0.00 Training Admin Dues Subs Savings Other Total 540.33 30354 1.50 21.00 400alow D 0.0o 0.00 0.00 0.00 0.00 0.00 0.00 o.o0 o.ao a.00 o.00 o.00 o.00 o.00 s1.17 NOTE: 2e.00 i Name, Address and Number of Day Social Security Number of Worker withhclding Mon Tue Wed Thu Deductions, Contributions, and Payments 4 Fri Sat Sun Gross Amount Federal FICA State Vac/ Health LETICIABONILLA Date Total Hourly Earned Tax Tax SDI Holiday $ Welr. Pension Net 33477 NAVAJO TR #B Work 07/06 07/07 07/OB 07/09 07/10 07111 07/12 Hours Pa Rate y This All 7.41 48.48 0.00 Wage Check CATHEDRAL Classification Hours Worked Each Day Project Projecis 6.34 0.00 47.39 0.00 Paid For Number CITY LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 Week CA MAINTENANCE 40.00 15.00 633.75 633.75 Fund Trav/ 92234 LABORER Q 0.50 0.50 0.50 0.00 0.00 0.00 0.00 Training Admin Dues Subs Savings Other Total 571.52 30342 1.50 22.50 � D 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 30.00 0.00 0.00 0.00 0.00 0.00 0.00 62.23 f NOTE: Name, Address and Number of Day Social Security Number of Worker Withholding Mon Tue Wed Thu Deductions, Contributions, and Payments 4 Fri Sat Sun Gross Amount Federal State Vac/ Health MARCELINO RAMIREZ Date Total Hourly Earned Tax FICA Tax SDI Pension Holiday $ Welf. Net 1500 E SAN RAFAEL DR #164 Work 07/06 07107 07108 07/09 07/10 07/11 07/12 Hours Pay Rate This 0.00 41.15 Wage Check Classification All 0,00 5.38 0.00 47.39 0.00 Pala For Number PALM SPRINGS Hours Worked Each Day Project Projects Week LANDSCAPE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 CA MAINTENANCE 40.00 13.80 552.00 552.00 Training Fund Dues Trav/ 491.59 30350 92262 LABORER Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 gdmin Subs Savings Other Total 0.00 20.70 dmmmwm D 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 13.88 60.41 0.00 27.60 NOTE: $13.88 OTHER = FH125 Public Works Certified Payroll Reporting Form 07/20/2020 - Page 2 Public Works Certifie,"ayroll Reporting Form Contractor Name: PWLC II, INC. Name, Address and Social Security Number of Worker Number of Withholding PASTOR R. PEREZ NEGRON 0 Work 67365 ONTINA RD Classification CATHEDRAL CITY LANDSCAPE CA MAINTENANCE LABORER 92234 NOTE: Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 07/12/2020 Payroll Number: 54-0 Mon Tue Wed Day Thu Fri Sat Sun Total Hours 40.00 Hourly Pay Rate 15.00 Gross Amount Earned Deductions, Federal FICA Tax Contributions, and Payments State SDI Vac/ Health Tax Holiday Pension y & Waif. Net Wage Paid For Week Check Numbs Date 07/06 07/07 07/08 07/09 07/10 07/11 07/12 This Project 600.00 All Projects 600.00 60.43 Training 45.90 Fund gdmin 12.86 Dues 6.00 Subs 0.00 Savings 0.00 0.00 Hours Worked Each Day 8.00 8.00 8.00 6.00 8.00 0.00 0,00 Other Total 474,81 30349 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 0.00 0.00 30.00 0.00 0.00 0.00 0.00 0.00 0.00 125.19 Public works Certified Payroll Reporting Form 07/20/2020 - 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: 8704033 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: 2020-07-05 Payroll Number: 53 Amendment Number: 1 2 employee payroll record(s) processed Your Transaction ID is: 10841502 Print this Page 07-7 r.' iew your submission kdOl]R' Submit another set of payroll records Certification under penalty of perjury: Public Works Certifit ayroll Reporting Form "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2020.07 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 indlviduals named, 1 certify this on 2021-04-08." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92262 Insurance Number: WCV5504144 rmwaroing tsoay: l:l I Y Ur LA UUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: rayrou ff: oa - I t tr eayroll P: 53-1 Week Ending: 07/05/2020 ❑ 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 06/29 06/30 07/01 07/02 07/03 07/04 07/05 Hours Base Hourly Fringe Holiday & Welf. S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 8.00 8.00 0.00 0.00 0.00"�',32:00(r; 15.00 0.00 0.00 0.00 NOTE: ORIGINAL PAYROLL NUMBER 53-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00 Travel 8 Subsistence Pension Other Training Total Hourly Rate 0.00 0.00 0.00�' R15Ut1" 0.00 Total Deductions 41.52 Public works Certified Payroll Reporting Form 04/08/2021 - Page 1 Public Works Certifii ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Week Ending: 07/05/2020 Employee: MARCELINO RAMIREZ 1500 E SAN RAFAEL DR #164, PALM SPRINGS, CA, 92262 Mon Tue Wed Thu Fri Sat Sun Total Total Vac/ Health 06/29 06130 07/01 07/02 07/03 07104 07/05 Hours Base Hourly Fringe Holiday & Welf. Pension S LANDSCAPE MAINTENANCE LABORER 8.00 8.00 0.00 8.00 0.00 0.00 0.00 13.80 0.00 0.00 0.00 0.00 NOTE: ORIGINAL PAYROLL NUMBER 53-0 SHOWS 47.39 IN HEALTH & WELFARE, HOWEVER IT WAS NEVER DEDUCTED FROM THE EMPLOYEE'S CHECK, SHOULD = 0.00, 13.88 WAS DEDUCTED FOR HEALTH INSURANCE Travel & Subsistence 0.00 Payroll Number:53-1 Other Training Total Hourly Rafe 0.00 0.001;3:80 Total Deductions 42.23 Public works Certified Payroll Reporting Form 04/08/2021 - Page 2 eCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at rblicworks@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: 2020-07-05 Payroll Number. 53 Amendment Number. 0 11 employee payroll record(s) processed Your Transaction ID is: 8704033 Print [his Pa9e KEN View your submission Submit another set of payroll records Certification under, alty of perjury: Public Works Certifie, ` �yroll Reporting Form , "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (posilion 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 2020-07-05 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 2020-07-10." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: 3584 E LA CAMPANA WAY, PALM SPRINGS, CA FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 92202 Insurance Number: WCV5504144 Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 53- 0 For Week Ending: 07/05/2020 11-1Is 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 Vacl FICA SDI Health Pension Net ALAN RAMIREZ RAYA 1 Date Total Hourly Earned Tax Tax Holiday & Waif. Wage Check Work 06/29 06/30 07/01 07/02 07/03 07/04 07/05 Hours Pay Rate This All 46.63 44.06 8.23 5.76 0.00 0.00 0.00 Paid For Number 84037 MAGNOLIA ST COACHELLA Classification Hours Worked Each Day Project Pro j Projects Week LANDSCAPE S 8.00 8.00 8.00 8.00 0.00 0,00 0.00 32.00 18.00 576.00 576.00 Fund Trav/ Total 471.32 30193 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct LABORER 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.00 92236 0.00 0.00 0.00 0.00 0.00 0,00 104.68 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.00 NOTE: Name, Address and Social Security Number of Worker APOLINAR GONZALEZ MARTINEZ 31325 AVE LA PALOMA CATHEDRAL CITY CA 92234 NOTE; 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 & Waif. Pension Net Wage Paid For Week Check Number 3 Date Work Classification 06/29 06/30 07/01 07/02 07103 07/04 07/05 This Project All Projects 12.68 34.28 0.00 4.48 0.00 0.00 0.00 Hours Worked Each Day LANDSCAPE MAINTENANCE LABORER S 0.00 8.00 8.00 8.00 0.00 0.00 0.00 24.00 14.00 336.00 448.00 Training Fund gdmin Dues Trav/ Subs Savings Other Total Deduct 396.56 30188 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 51.44 11 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 0.00 28.00 Name, Address and Number of Social Security Number of Worker Withholding ARMANDO RICO CHAVEZ 3 Wok 2103 JACQUES DR Classification PALM SPRINGS LANDSCAPE CA MAINTENANCE LABORER 92262 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 Wege Paid For Week Check Number Date 06/29 06/30 07/01 07102 07/03 07/04 07/05 This Project All Projects 11 45.26 55.85 10.04 7.30 0.00 0.00 0.00 Hours Worked Each Day 8.00 8.00 8.00 8.00 0.00 0.00 0.00 32.00 20.00 730.00 730.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 611.55 30185 1.00 1.00 1.00 0.00 0.00 0.00 0.00 3.00 30.00 0.00 0.00 0.00 0.00 0.00 1 0.00 118.45 0.00 0.00 0.00 1 0.00 0.00 0.00 0.00 0.00 1 40.00 Public works Certified Payroll Reporting Form 07/10/2020 - Page Public Works Certifier -, zyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 07/05/2020 Payroll Number: 53-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health CARLOS I. ESPARZAALVAREZ 0 Date Total Earned Hourly Tax Tax Holiday y & Welf. Pension Net 33822 SHIFTING SANDS #B Work O6/29 O6/30 07/01 07102 07/03 07104 07/05 Hours Pay Rate This All 0.00 34.28 0.00 4.48 0.00 0.00 0.00 Wage Check Paid For Number Classification Hours Worked Each Day Project Projects Week CATHEDRAL CITY LANDSCAPE g 8.00 8,00 8.00 8.00 0.00 0.00 0.00 32.00 14.00 448.00 448.00 Fund Trav/ CA MAINTENANCE Training Dues Savings Other Total 409.24 30187 92234 LABORER Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21.00 Admin Subs p o.00 o.00 o.o0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38.76 �� 0.00 28.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Earned Total Hourly Tax FICA Tax SDI Hollda & Welf. Pension y Net Wage Check CARLOS LUNA GONZALEZ 4 Date Hours Pay Rate This All Paid For Number Work 06/29 06/30 07/01 07/02 07/03 07/04 07/05 14.55 53.94 0.00 7.05 0.00 0.00 0.00 66145 7TH ST Classlfcation Project Protects Week Hours Worked Each Day DESERT HOT SPRINGS TREE g 0.00 0.00 8.00 8.00 0.00 0.00 0.00 16.00 27.07 433.12 705.12 Fund Trav/ 629.58 30190 CA MAINTENANCE Training Admin Dues Subs Savings Other Total Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 LABORER 0.00 40.61 92240 0.00 0.00 0.00 0.00 0.00 0.00 75.54 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54.14 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Total Hourly Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension Net Wage Check GENARO VARGAS 5 Date Work 06/29 06/30 07/01 07/02 07/03 07/04 07105 This All 0.00 34.28 0.00 4.48 0.00 0.00 0.00 Hours Pay Rate Paid For Number 69130 VICTORIA DR CATHEDRAL CITY Classification Project j Projects Week Hours Worked Each Day LANDSCAPE S 8.00 8.00 8.00 8.00 0.00 0.00 0.00 32.00 14.00 448.00 448.00 Fund Trav/ 409.24 30196 CA MAINTENANCE Training Admin Dues Subs Savings Other Total Q 0.00 0.00 0.00 D.00 0.00 0.00 0.00 LABORER 0.00 21.00 92234 0.00 0.00 0.00 0.00 0.00 0.00 38.76 p 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 28.00 NOTE: I Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health 0 Earned Tax FICA Tax SDI Holiday & Welf. Pension Net Date HUMBERTO S. VALDEZ Total Hourly Wage Check 06/29 06130 07101 07102 07103 07/04 07/05 This All 132.69 79.88 37.63 10.44 0.00 0.00 0.00 Work Hours Pay Rate Paid For Number I 12966 CACTUS DR #A Classification DESERT HOT SPRINGS Pro 1 act Projects Week Hours Worked Each Day TREE g 0.00 0.00 8,00 8,00 0.00 0.00 0.00 16.00 21.97 582.21 1,044.21 Fund Trav/ 783.57 30195 CA MAINTENANCE Training Admin Dues Subs Savings Other Total Q 0.00 0.00 4.00 3.00 0.00 0.00 0.00 7.00 32.96 LABORER 92240 0.00 0.00 0.00 0.00 0.00 0.00 260.64 p 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 1 43.94 NOTE: Public works certified Payroll Reporting Form 07/10/2020 - Page 2 Public Works Certifie`-- 'ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89- 1 For Week Ending: 07/05/2020 Payroll Number:53-f Name, Address and Number of Day Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Deductions, Contributions, and Payments LETICIA BONILLA 4 Date Gross Amount unt Federal State Vac/ Health FI CA 33477 NAVAJO TR #B Work 06/29 06/30 07101 07/02 07/03 07/04 07/05 Total Hours Hourly Earned Tax Tax SDI Holiday & waif, Pension Net CATHEDRAL CITY Classification Hours Worked Each Day Pay Rate This AI! ProJec[ Protects 0.00 36.72 0.00 4,80 0.00 47.39 0.00 Wage Chei Pald For Numt CA LANDSCAPE MAINTENANCE g B.00 8.00 8.00 8.00 0.00 0.00 0.00 Week 92234 LABORER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.00 15.00 480.00 480.00 Training Fund Dues Travl Admin Savings Other 438.48 301E 0.00 22.50 Subs Total � D 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30,00 0.00 0.00 0.00 0.00 0,00 0.00 41.52 NOTE: i Name, Address and Number of Day I Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Deductions, Contributions, and Paymarlls MARCELINO RAMIREZ q Sat Sun Date Gross Amount Federal State Vac/ Health FICA 1500 E SAN RAFAEL DR #164 Work 06/29 06/30 07/01 07/02 07103 07/04 07/05 Total Hours HourlyEarned Pay Rate Tax Tax SDI Holiday & Welf. Pension Net PALM SPRINGS Classification Hours Worked Each Day This All Project Protects 0.00 25.07 0.00 3.28 0.00 47.39 0.00 Peid For Checb Numbs CA LANDSCAPE $ 8.00 8,00 0.00 8.00 0.00 0.00 0.00 MAINTENANCE 24.00 Week 82262 LABORER O 0.00 0.00 0.00 0.50 0.00 0.00 0.00 13.80 341.55 341.55 Training Fund Dues Trav/ Admin Savings Other Total 299.32 30192 0.50 20.70 Subs D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.60 0.00 0.00 0.00 0.00 0,00 13.86 42.23 i NOTE: $13.88 OTHER = FH125 Name, Address and Number of Day Social Security Number of Worker Withholding Mon Tue Wed Thu Deductions, Contributions, and Payments PASTOR R. PEREZ NEGRON 0 Fri Sat Sun Date Gross Amount Federal State Vac/ H FICA Health 67365 ONTINA RD Work 06/29 06/30 07/01 07/02 07/03 07/04 07/05 Total Hours Hourly Pay Rate Earned Tax Tax SDI Holiday & WeIF. Pension Net CATHEDRAL CITY Classification Hours Worked Each Day This All Project Projects 46.03 36.72 7.78 4.80 0.00 0.00 0.00 ck Paid For NuWage mber CA LANDSCAPE 3 8.00 8.00 8.00 8.00 0.00 0.00 0.00 Week MAINTENANCE 32.00 15.00 480.00 480.00 Fund 92234 LABORER 0 0,00 0.00 0.00 0.00 0.00 0.00 0.00 Training Dues Trav/ Admin Subs Savings Other Total 384.67 30191 0.00 22.50 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30.00 0.00 0.00 0.00 0.00 0.00 0.00 95.33 NOTE: Name, Address and Number of Day Social Security Number of Worker Withholding Mon Tue Wed Thu Deductions, Contributions, and Payments RUBEN F. HENRIQUEZ 0 Fri Sat Sun Date Gross Amount Federal State Vac/ Health FICA 15687 PALM DR #83 Work 06/29 06/30 07/01 07/02 07/03 07/04 07/05 Total Hourly Hours Pay Rate Earned Tax Tex SDI Holiday & Welf. Pension Net Wage DESERT HOT SPRINGS Classification Hours Worked Each Day This All Project Protects 138,78 82.00 42.65 10.72 0.00 0.00 Check 0.00 Paid For Number CA TREE S 0.00 0.00 8.00 8.00 0.00 0.00 0.00 Week MAINTENANCE 16.00 21.97 582.21 1,077.21 Fund 92240 LABORER 0 0.00 0.00 4.00 3.00 0.00 0.00 0.00 Trav/ Training Admin Dues Savings Other Total 797.75 30189 7.00 32.96 Subs D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 43.94 0.00 0.00 0.00 0.00 0.00 5.31 279.46 NOTE: $5.31 OTHER = FH125D Public works certified Payroll Reporting Form 07/10/2020 - Page 3