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2021-07-04 thru 2021-07-25 Cert PayrolleCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at 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 Dale: 2021-07-25 Payroll Number. 108 Amendment Number: 0 11 employee payroll record(s) processed Your Transaction ID is: 11772830 Print this Page View your submission - RdObe Submit another set of payroll records Public Works Certif, 3ayroll Reporting Form Certification under penalty of perjury. -1, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC It. 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 2021-07-25 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-08-06." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type. CSLB License Number 855783 Address: PO BOX 848, THOUSAND PALMS, CA 92276 FEIN: 510532726 Contractor Email: KRISTYSQPWLC2.COM Insurance Number: NA Awarding Body: CITY OF LA QUiNTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA OUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 108- 0 For Week Ending: 07/25/2021 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 Fd Sat Sun Total Hourly Gross Amount Earned Federal Tax FICA State Tax SDI Vad Holiday Heallh & Wolf. Pension Not Wage Check ALATORRE, GRISELDA 0 Dale Work 07119 07120 07121 07122 07123 07124 07125 This All 0.00 63,64 8.52 9.98 0.00 0.00 0.00 Hours Pay Rate Paid For Number 11550 WESTERN AVE Classi0eatlon pro a j ct Projects Week Hours Worked Each Day DESERT HOT SPRINGS LANDSCAPE S 8.00 8.00 B.DO 8.00 8.Q0 0.40 O.Dg 40.00 16.00 832.00 832.00 Fund Trav! Total 749.86 10357 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct O 0.00 0.00 0.00 0.00 O.OD 8.00 0.00 LABORER- 8.00 24.00 92240 RIVERSIDE 0.00 0.00 0.00 0.00 O.OD OAO D 0.00 0.00 0.00 0.00 0.00 O.DD O.OQ 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 Famed Federal Tax FICA State Tax SDI Vad Holiday Health & Welf. Pension Net Wage Check ALEJO JERONIMO.ORLANDO 0 Dale Work 07119 07120 01121 07122 07123 p7l24 07I25 This All 0.00 4fi.50 0.45 7.30 0.D0 0.00 0.00 Hours Pay Rate Paid For Number 30105 AVE JIlAREZ Classification ec Project t Prgecls Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S 8.00 8.00 6.00 1 8.00 8.00 0.00 0.00 38.00 I 16.00 608.44 608.00 Fund Travl Total 553.75 10338 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct p 0.00 0.00 0.00 0.00 0.00 0.00 0.01) LABORER- 0,00 0.00 92234 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0,00 54.25 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 O.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 ALFARO. ZEYIN 0 Date Total hourly Earned FICA SDI Tax Tax Holiday & Welr. Pension Net Wage Check Work 07119 07120 07121 07122 07123 07124 07125 Hours Pay Rafe This All DAD 67.32 19,46 10.56 0.00 0.00 0,00 Paid For Number 11550 WESTERN AVE Classification Hours Worked Each Day Pra ect 1 Pmiects Week DESERT HOT SPRINGS LANDSCAPE $ 8.00 S.Do 8.00 8.00 8.00 0,00 0.00 40.00 16.00 880.00 880.00Hain Fund Trav/ Total 782,66 1035$ CA MAINTENANCE Admin DuesSubs Savings Otherpaducl LABORER- 0.00 0.00 0.00 0.00 8,00 2.00 10,00 24 00 92240 RIVERSIDE rD..000 O.OD 0.00 0.00 0.00 0.00 97.34 0.00 0.00 1 0.00 0.01 0.00 0,00 0.00 0,00 NOTE: Public works Certified payroll Reporting Farm 08/06/2021 Page 1 Public Works Certify ?ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE K LIGHTING DISTRICT 89-1 For Week Ending: 07/25/2021 Payroll Number:10" Name, Address and Social Security Number of Wormer Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sal Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA Stale Tax SDI Vacl Holiday Health d Welt. Pension Not Wage Paid Far Week Check Number BRIONES, MARCELINO 50700 CALLS MENDOZA COACHELLA CA 92236 2 Date Work Classification 07119 07120 07f21 07122 07f23 07124 07125 This Project All Projacls 44.01 48.96 8.17 7.68 0.00 0.00 0.00 Hours Worked Each Day LANDSCAPE MAINTENANCE LABORER- RIVERSIDE S 8.00 B.00 8.00 8.00 B.00 0.00 0.00 40.00 0.00 0.00 16.00 O.00 1 0.00 640.00 640.00 Training Fund Admin Dues Trav! Subs Savings Other Total 531.18 10359 O 0.00 O.DO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 0.90 �.62 D D.DO 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 Man Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA Scala Tax SDI Vacl Holiday Health G Well. Pension Net Wage Paid For Week Check Number CASTILLO VIGIL, RAMON A 27335 HOPPER RD DESERT HOT SPRINGS CA 92241 D Date Work Classification 07119 07120 07121 07122 07123 07124 07125 Thks Project All Projects 66.02 62.49 17.84 9.80 0.00 0.00 0.90 Hours Worked Each Day LANDSCAPE MAINTENANCE LABORER- RIVERSIDE 5 8,00 8.00 8.00 8.00 8.00 0,00 0.0Q 40.00 2.00 0.00 19.00 28.50 0.00 877.00 817.00 Training Fund Admin Dues Trav1 Subs Savings Other Total 670.85 70360 O 0.00 0,00 0.00 0.00 2.00 0.00 0.00 0.00 D,00 0.D0 0.00 0.00 0.00 146.75 b D.DO 0.00 1 0.00 1 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 Stale Tax SDI Vac1 Holiday Health 8 Weii. Pension Not Wage Paid For Week Chew Number GONZALEZ. GABRIELA 66900 IRONWOOD DR k1406 DESERT HOT SPRINGS CA 92240 0 Dale Work Classification 07119 07120 07121 07122 07123 07124 07f25 This Project All Projects 0.00 9.80 O.DO 1.54 0.00 0.00 0.00 Hours Worked Each Day LANDSCAPE MAINTENANCE LABORER- RIVERSIDE 5 8.00 0,00 0.00 0.00 0.00 0.00 0.00 8.00 0,00 0.00 16.00 0.00 0.00 I 128,00 128.00 Training Fund Admin Dues Trav! Subs Savings Other Total 116.66 6526 0.00 0.00 0.00 0.00 0.00 0.00 O.DO ri.00 0.00 0.00 0.00 0,0a 0.00 11,34 p 0.00 0,00 1 0.00 1 0.00 0.00 0.00 0.00 NOTE: Name, Address and Social Security Number a1 Worker Number of Withholding Day Deductions, Contributions, and Payments Not Wage Check Paid For Number Week 1,030.11 10365 Man Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Federal Tax FICA State Tax SDI Vac' Holiday Health E Welf, Pension LUNA GONZALEZ. CARLOS 66145 7TH ST DESERT HOT SPRINGS CA 92240 4 DateEarned Work Classification 07119 07120 07121 07f22 07123 07124 07125 This Project All Projects 71.33 93.60 13,87 14.68 O.DO 0.00 0.00 Hours Worked Each Day TREE MAINTENANCE (LABORER)- TREE TRIMMER S 8.00 8.00 8.00 8.00 R.00 0.00 0,00 40.00 2.00 0.00 28.62 39,39 0.00 1,223.59 1,223.59 Training Fund Admin Dues Trav! Subs Savings Other total p O.DO 0.00 0.50 1.00 0.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 193,48 p 0.00 0.00 0.00 0.00 0,00 D.00 0.00 NOTE: Public works certified Payroll Reporting Farm 09/06/2021 - Page 2 I-. Public Works Certif. Payroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 0712512021 Payroll Number:108-0 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 Stale Vaal Health 4 Date Earned Tax FICA Tax SDI Holiday a Well, Pension Not RAMIRE2: MARCELINO Total Hourly Wage Check Work 07119 07120 07121 07122 07123 07124 07125 Hours Pay Rate This All 54.08 83.5E 7.54 13.11 0.00 0.00 0.00 Paid For Number I.All 1500 E SAN RAFAEL DR N164 Classification Pro Week Hours Worked Each Day 1 I PALM SPRINGS TREE 8.00 8.00 8.00 8.00 8,OQ 0.00 0.00 S 40.00 1 26.02 1,711.90 1,111.90 Fund Trav! 698,94 SEE CA MAINTENANCE Training Admin Dues Subs Savings Other Total NOTES (LABORER)- (LABORER} 0 0.00 0.00 0.50 1.00 0.50 0.00 0.00 2.00 35.55 92262 0.00 0.00 0.00 0.00 0,00 254.65 412.96 ON D 0.00 0.00 0.00 1 0.00 0.00 0.00 D.00 0.00 0.00 [NOTE. PAYCHECK NUMBERS: 10366:6543 , OTHER = S13.88 HEALTH INS, $5,31 DENTAL INS & S235.46 GARNISHMENT Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sal Sun Gross Amount Earned Federal Tax FICA State Tax SDI I Vacl Holiday Health a Welf. Pension Not 0 Dale ROMAN, MIGUEL B Total Hourly Wage Wage �� Work 07119 07120 07121 07122 07123 07124 07125 This All 63.21 61.20 21.97 9.60 0.00 0.00 0.00 Hours Pay Rare Paid For Number 84047 FIESTA RD Classification Project Projects Week Hours Worked Each Day COACHELLA LANDSCAPE 5 8.00 8.00 B.00 8,00 8.00 0.00 0 Qo 40.00 20.00 800.00 800.00 Fund Trav! 644.02 10367 CA MAINTENANCE Training Admin Dues Subs Savings Other Total 0 0A0 0.00 0.00 0.00 0.00 0,00 0.00 LABORER- D,00 0.00 9223fi RIVERSIDE 0.00 0.00 0,00 0.00 0.00 0.00 155.98 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 Man Tue Wed Thu Fri Sat Sun Gross Amount Federal Stale Vac! Health FICA SDI Pension Net 0 Date Earned Tax Tax Holiday a Weir, SARABIA, JOSE A Total Hourly Wage Check Work 07119 07120 t17121 07122 07123 07124 07125 Hours Pay Rate This All 0.00 39.16 7.00 6.14 0.00 0,00 0.00 Paid For Number 2950 N INDIAN CANYON DR Classifcatlon Project Projects Week Hours Worked Each Day l�s PALM SPRINGS LANDSCAPE S 0.00 8.00 8.00 8,00 8.00 0 00 0.00 32.00 16.00 512,00 512.00 Fund Trav! 459,70 10362 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 0.00 92262 RIVERSIDE 0.00 0.00 0.00 0,00 0.00 0.00 52.30 D 0.00 0.00 000 0,00 0.00 0.00 0.00 0.00 0.00 NOTE: Nome, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wad Thu Fri Sat Sun Total Hourly Gross Amount Earned Federal Tax FICA State Tax SOI Vac1 Holiday Health a Welf. PInsion Net Wage Check VILLEGAS BRITO, PEDROA D Dale Work 07119 07120 07121 07122 07123 07124 07125 This All 0.00 39.16 O.DO 6.14 O.DO 0.00 Hours Pay Rate Paid For Number 87125 66TH AVE #5 Classification Pro ect 1 Pro'eds I Week Hours Worked Each Day THERMAL LANOAISGAPE g 0.00 8.00 8,00 8.00 8.00 0.00 0.00 32.00 16.00 512.00 512.00 Fund Trav1 488.70 10363 CA MAINTENANCE- Training Admin Dues Subs Savings Other Total 0 0.00 0.00 0.00 0.00 0.00 0.00 0,00 LABORER- 0.00 0.00 92274 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 45.30 D 0.00 0.00 1 0.00 0.00 0.00 0.00 0,00 1 0.00 0.00 1 NOTE: Public works Certified Payroll Reporting Farm 08/06/2021 - page 3 eCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2021-07-18 Payroll Number: 107 Amendment Number: 0 15 employee payroll record(s) processed Your Transaction ID is: 11770978 Print this Page View your submission Adobe I Submit another set of payroll records Public Works Certifj '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 If. 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 2021-07-18 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-08-06." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: PO BOX 848, THOUSAND PALMS, CA 92276 FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM Insurance Number: NA Awarding Body: CITY OF LA OUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA OUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 107- 0 For Week Ending: 07/18/2021 _ Is this a'Statement of Non -Performance?' Name, Address and Number of pay Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sal Sun Total Hourly Gross Amount Earned Federal Tax FICA I State Tax SDI Vac1 yoliday Health 8 welt. Pension Not Wage Check ALATORRE, GRISELDA 0 Dale Work 07/12 07113 07114 07115 07116 07117 07118 This All 0.00 46.96 0.00 7.68 0,00 0.00 0.00 Hours Pay Ralo Paid For Number 11550 WESTERN AVE Classification Project Protects Week Hours Worked Each pay DESERT HOT SPRINGS LANDSCAPE 5 a.00 8.00 8.00 e.ao 8,00 0.00 0.00 40,00 16.D0 640.00 fi40.00 Fund Trav! Total 583.36 10328 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct O 0.00 O.go wm 0.00 0.00 0.00 0.00 LABORER- 0.00 0.00 92240 RIVERSIDE a.aD D.00 0.00 0.00 0.00 0.00 56,64 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 Stale Tax SDI Vacl Holiday Health 3 Well. Pension Net Wage Check ALEJO JERONIMO, ORLANDO 0 Dale work 07/12 07113 07/14 07115 07116 07117 07/18 Thls All 0.00 48.96 1.16 7.68 0.00 0.09 0.00 Hours Pay Rate Paid For Number 30105 AVE JUAREZ Classification Project l t Projects Week Hours Worked Each Ray CATHEDRAL CITY LANDSCAPE 5 8.00 8.00 0.00 O.DO 0,00 Q.00 0.40 1fi.00 16.00 256.00 640,0Q Fund Trav/ Total 582.20 10309 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct O 0.00 0.D0 1 0.00 0.00 1 00 0.00 0.00 LABORER- 0.00 0.00 92234 RIVERSIDE 0.00 0.00 0.00EDGO 0.00 0.00 57.80 D 0.00 0.00 0.00 O,QO 0.00 0.0o 0.00 doom 0.00 0.00 NOTF: Name, Address and Number of flay Deductions, Contributions, and Payments Social security Number of Worker Withholding Man Tue Wed Thu Fri Sat Sun Gross Amount Federal Stale Vac1 Health ALFARO, ZEYIN 0 Data Total Earned Hourly Tax FICA Tex SDI Holiday S Wetf. Pension Net Wage Check Work 07112 ON13 07114 07115 07/16 07117 07/18 Hours Pay Rate This All 0.00 44,06 3.66 6.91 0.00 0.00 0.00 Paid Far Number 11650 WESTERN AVE Classification Hours Worked Each Day Pro ect Pra ecls J 1 week DESERT HOT SPRINGS LANDSCAPE S B.OD 0.00 8,Q0 8.00 8.00 2.00 2.00 36A0 1fi.06 578,00 576.00 Fund Trav! Total 521.37 10329 CA MAINTENANCE Training Admin Dues Subs Savings Othor Deduct LABORER- 0.00 0.00 0.00 0.00 0.00 O.QO 0.00 0.00 24.00 92240 RIVERSIDE 0.00 0.00 0.90 0.00 0.00 0.00 54.fi3 D 0.00 0.00 0.00 0.00 O,pO 0.00 0.00 0.00 0.00 NOTE; Public Works Certified Payroll Reporting Form 03/06/2021 . Page 1 Public Works Certifi layroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 07/18/2021 Payroll Number:107-0 Name, Address and Number of Day Deductions, Contributions, and Payments Y Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Total Hourly Grass Amount Earned Federal Tax FICA Stale Tax SDI Vac! Holiday Health & Well. Pension Net Wage Check CASTILLO VIGIL. RAMON A 0 Date work Classification 07112 07113 07114 07115 07116 07117 07118 This Project All Projects I 49.18 58.14 14.08 9.12 0.00 0.00 0.00 27335 HOPPER RO Hours Pay Rate Paid For Week Number Hours Worked Each Day DESERT HOT SPRINGS LANDSCAPE MAINTENANCE LABORER- S 8,90 8.00 8.00 8.00 8.00 0.00 0.00 40.00 0.00 19.00 0.00 760.00 760.00 Training Fund Admin Dues 7rav! Subs Savings Other Total 629.48 10330 CA 0 0.00 Q.DQ 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 D,00 130.52 92241 RIVERSIDE p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 NOTE:: Name, Address and Number of Day Deductions, Contributions, and Payments Man Tue Wed Thu Fri Sat Sun Total Hourly Gross Amount Earned Federal Tax FICA Stale Tax Sol I Vacl Holiday Health & Well. Pension Net Wage Check Social Security Number of Worker Withholding DIMAS, PEDRO REYES 1 Date Work 07112 07113 07114 07115 07n6 07117 07118 This All 40.67 55.08 7.49 0.64 0.00 0,00 0.00 31-900 AVENIDA E! Hours Pay Rate Paid For Number MUNOO CATHEDRAL CITY Classification Proiect Projects Week Hours Worked Each Day CA LANDSCAPE MAINTENANCE LABORER- $ 8.00 8.00 0.00 0.00 0,00 0.00 0.00 16.00 0.00 18.00 0.00 288.00 720.00 Training Fund Admin Dues TraW Subs Savings Other Total 608.12 10310 0 0.00 0.00 0.010 0.00 0.00 0.00 0.00 roo 0.00 0.00 0.00 117.88 92234 RIVERSIDE p 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 Q.DO �T,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 Vacl Health Earned Tax FICA Tax SDI Holiday & Welf. Pension Net ELIAS ALVARFl, .lANNET 0 Date Total Hourly Wage Check Work 07112 07113 07114 07115 07116 07117 07118 Hours Pay Rate This All 0.00 48.96 8.17 7.68 0.00 0.00 0,00 Paid Far Number 13088VIA REAL Classification Week Hours Worked Each Day Project Projects DESERT NOT SPRINGS LANDSCAPE 8.00 8.00 8.00 8.00 8.00 0.00 0.00 5 40,00 16.00 640.00640.00 Fund Trav1 575.19 6522 CA MAINTENANCE Training Admin Dues Subs Savings Other Total LABORER- 0 O.DD 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92240 RIVERSIDE 0.00 0,00 0.00 0.00 0.00 0.00 64.81 p 0.00 0.00 0.00 0.00 0,00 0.00 0.00 D.00 0.00 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 Sol Vacl Holiday Health & Well. Pension Net Wage Check Social Security Number of Worker Withholding GONZJLLEZ, GABRIELA 0 pate yy 07112 07113 07114 07115 07116 07117 07M8 This All 0.00 48.96 0,30 7.68 D.00 0.00 0.00 669DO IRONWOOD OR Hours Pay Rate Paid For Number #1406 Classification Project Pro acts 1 Weak Hours Worked Each Day DESERT HOT SPRINGS CA 92240 LANDSCAPE MAINTENANCE LABORER- S 8.0D 8.00 8.00 8.00 8.00 0.00 0.00 40.00 0.0D 16.00 0.00 640.00 640.00 Training Fund Admin Dues Travl 1 Subs Savings Other Total 583.08 10331 0 0.00 0.00 0.00 0.0a 0.00 0,00 000 0,00 0.00 0.00 0.00 0.00 0.00 56.9A RIVERSIDE p 0.04 0.00 0.00 0.00 0.00 0.00 0110 0,00 0.00 1 NOTE: Public works certified Payroll Reporting Form 08/06/2021 - Page 2 Public Works Certifi rayroll Reporting Form G tno�ractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 07/18/2021 Payroll Number:107-0 Name, Address and Number at flay Deductions, Contributions, and Payments Man Tue Wed Thu Fd Sat Sun Gross Amount Earned Federal Tax FICA Stale Tax SDI Vae1 Holiday Heallh S Welr. Ponslon Not Social Security Number of Worker Withholding 0 Dais HENRIOUEZ, RUBEN FABRICIO Total Hourly Wage Check Work 07112 07113 07114 07115 07116 07117 67118 This All 85.10 62.50 23.10 9.60 0.00 0.00 0,00 Haas Pay Rate Paid Far Number 15687 PALM DR #83 Classiricabon Project Projects Week Hours Worked Each Day DESERT HOT SPRINGS TREE 5 0-00 0.00 0.00 B-00 0.00 0-00 0.00 e,00 26.02 208.16 822.37 Fund Tray/ 595.44 10334 CA MAINTENANCE Training Dues Savings Other Total p 0.00 0.1k} 0.00 0.00 0-00 0.011 0.00 (LABORER)- 0.00 0.00 Admin Subs 0.00 0,00 0.00 0.00 0.00 46.43 226,93 92240 GROUNDSPERS b D,QO ern 0.00 0,110 0.11d 0.00 0-OQ ON 0.00 0.00 NOTE: OTHER d $41-12 CALSAV£R5, 55-31 DENTAL INS 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 Slats Vac! Health 0 Date Earned Tax FICA Tax SDI Holiday 6 Well. Pension Met HERR£RA, GUSTAVO Total Houdy wage Check Work 07112 07113 07114 07115 07116 07117 07J18 Hours Pay Rate ThisFAII17.20 46.33 0.00 7.27 0.00 0.00 0.00 Paid Far Number 32250 AURORA VISTA RD Class fication Week Hours Worked Each pay Project CATHEDRAL CITY LANDSCAPE 8 00 a DO 8.00 Boo 8.06 0.00 0,00 5 40.00 15.00 605.63 605.83 Fund Trav1 534.83 8521 I CA MAINTENANCE Training Admin Dues Subs Savings Other Total LABORER- p 0.25 0.00 0.00 0 06 000 0.00 0.00 0.25 22.50 92234 RIVERSIDE 0.00 0.00 0,00 0.00 0.00 0.00 70,80 D 000 000 0.00 0.00 0 00 D.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 Sal Sun Gross Amount Federa State Vac! Health 4 Dale Earned Tax FICA Tax SDI Holiday d Wei(. Pension Not LUNA GONZALEZ, CARLOS Total Houdy Wage Check Work 07112 07113 07114 07115 07116 07117 07118 Hours Pay Rota This All 64.24 89.08 11.27 13,97 0.00 0.00 0,00 Paid For Number 66145 7TH ST Classircation Week Hours Worked Each Day Project Projects DESERT HOT SPRINGS TREE 8.00 Boo 8.00 8.00 8.00 0 00 0.00 5 40.00 28.62 1.164.50 1,164.50 Fund Tray! 985.94 10335 I CA MAINTENANCE Training Admin Dues Subs Savings Other Total (LABORER) 0.00 0.00 0.00 0.00 0.50 0.00 0.00 0.50 39.39 92240 SENIOR TREE 0.00 0.00 0.00 0.00 0.00 Q,00 178.56 TRIMMER D 0,00 0,00 0.00 0.00 0.00 0.00 400 0.00 0.00 1 1 NOTE: Noma, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Man Tue Wed Thu Fri Sat Sun Cross Amount Earned Federal Tax FICA Stale I Tax I SDI Vaal Holiday Health & Welf. Pension Net 0 Date MURtllO MARTINEZ, JUAN Total Hourly Wage Check Work 07112 07113 07114 07115 07116 07117 07118 This All 40.12 49.42 11.06 7.75 0.00 0.00 0.0D Hours Pay Rate Paid For Number 4B097 TOMAS Classification Project 1 Projects Weak Hours Worked Each pay COACHELLESTRELLA COACHELLA LANDSCAPE 5 8.00 8.00 8.00 8.00 8,00 0,00 0.00 40.00 16.00 646.00 646.00 Fund Trav1 537.65 6519 CA MAINTENANCE Training Admin Dues Subs Savings other Total � 0 0.25 0.00 Q,QO 0.00 0.00 0.00 0.00 LABORER- 0.25 24.00 92236 RIVERSIDE 0.00 0.00 0.00 0.00 O.QO Q.00 108.35 D D,OQ 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 NOTE; Public works Certified Payroll Reporting Form 08/06/2021 - Page 3 Public Works Certift layroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE 8r LIGHTING DISTRICT 89-1 For Week Ending: 07/18/2021 Payroll Number:107-0 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! Holiday Health & Welf. Pension Net 4 Dale RAMIREZ, MARCELINO Total Hourly Wage Check Work 07112 07/13 07/14 07115 07/16 t17117 0711E This All 43.10 75.61 3.58 11.86 0.00 0.00 0.00 Hours Pay Rate Paid For Number 1500 E SAN RAFAEL DR #164 Classification Project Projects Week Hours Worked Each pay PALM SPRINGS TREE S 800 8.00 8.00 ODD 800 0.06 0.00 32.00 1 30.82 1,007,53 1,047.53 Fund Trav! 635.84 10338 CA MAINTENANCE Training Admin Dues Subs Savings Other Total O a.fp4 0.00 0.00 OAO 0 50 a.00 0.00 (LABORER)- 0.50 42.58 92262 SENIOR TREE 0.00 0.00 0.00 0.00 0.00 237.54 371.69 D D.DO 0.00 0.00 Q.aa DAO 0.0A DOD TRIMMER 0.00 0.00 NOTE: OTHER a $13.88 HEALTH INS, S5.31 DENTAL INS d 3218.31, GARNISHMENT 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 Slate Tax SDI Vac! Holiday Health & Well, Pension Net 0 Date ROMAN, MIGUEL B Total Hourly Wage Check Work 07112 07113 07114 07115 07116 07117 07/18 This All 63.21 61.20 21.97 9.60 1 D.00 D.Do 0.00 Hours Pay Rate Paid For Number 84047 FIESTA RD Classification Projec[ Projects Week Hours Worked Each Day COACHELLA LANDSCAPE S 8.00 8.00 8 00 B.00 8.00 0.00 0.00 40.00 20.00 800.00 800.00 Fund Trav! fi44.Q2 10332 CA MAINTENANCE Training Admin Dues Subs Savings Other Total p D.00 0.00 0.00 0.00 0.00 0.00 0.00 LABORER- 0.00 0.00 92236 RIVERSIDE 0.00 0.00 0.00 9.00 0.00 0.00 155.98 D 0.00 000 0.00 D DO 0.00 0.00 0.01) Gomm 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 Sal Sun Total Hourly Gross Amount Earned Federal Tax FICA State lax SDI Vac/ Holiday Health d Waif. Pension Net Wage Check SARABIA,JOSEA 0 Dale Work 07112 07113 07114 07115 07116 07117 07118 This All 5.65 48.96 12.57 7.68 0.00 0,00 0.00 Hours Pay Rat" Paid For Number 2950 N INDIAN CANYON DR Classification Project Pro a 1 cis Week Hours Worked Each Day PALM SPRINGS LANDSCAPE 5 8,00 8.00 Boo 8,00 8.00 0.00 11.00 40.00 15.00 640.00 640.00 Fund Trav! 565.24 10333 CA MAINTENANCE Training Admin Dues Subs Savings Other Total p 0.00 0.00 0.00 0. )0 0.00 0.00 0.00 LABORER- 0.00 0.00 92262 RIVERSIDE 0.0a 0.00 0.00 0.00 0.00 0.00 74,76 D ORO 0.00 0.00 0. To 0.o0 0.00 0.00 0.00 0.00 HOTE: 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 Stale Vac! Health Earned Tex FICA Tax SDI Holiday 5 We1f. Pension Not VAZQUEZ ROJAS. MIGUEL A 0 Date Total Hourly Wage Chock Work 07/12 07/13 07114 07115 07/16 07/17 07/18 He= Pay Rate This All 0.00 22.64 0.00 3.55 0.00 0.0D O.Oo Paid For Number 54596 SHADY LANE #3 Classification Project Projects Week Hours Worked Each Day 1 THERMAL LANDSCAPE g 2.50 0.00 0.00 0.00 0.00 0.00 0.00 2.50 18.60 40.00 298,00 Fund Tray 2$9.81 10308 CA MAINTENANCE Training Dues Savings Other Total Admin Subs LABORER- O D.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92274 RIVERSIDE 0.00 0.00 0.00 D.OD 0.00 0.00 26.19 goo _ D 0.00 0.00 0.00 0.00 0.00 0.00 D.DO 0,00 Public works Certified Payroll Reporting Form 08/06/2021 Page 4 eCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2021-07-11 Payroll Number: 106 Amendment Number: 0 12 employee payroll record(s) processed Your Transaction ID is: 11770299 Print this Page 7do View your submission e Submit another set of payroll records Public Works Certifi. layroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority 10 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 2021-07-11 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-08-06." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: PO BOX 848. THOUSAND PALMS, CA 92276 FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM Insurance Number: NA Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE E 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: 106- 0 For Week Ending: 07111/2021 Is this a'5tatement 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 Stale Vac! Health ALATORRE. GRISELDA 0 Date Total Hourly Earned Tax FICA Tax SDI Holiday Pension Net Work 07105 07106 07/07 07108 07109 07110 07111 Hours Pay Rain This AB 0.00 29.38 0.00 4.61 0.00 0.00 0.00 Paid For Number 11550 WESTERN AVE Classification Hours Worked Each Day Proiecl Protects Week DESERT HOT SPRINGS LANDSCAPE g 0.00 8.00 8.00 8.00 0.00 0.00 0.00 24.00 16.00 384.00 384.00 Fund Trov1 Total 350.01 10293 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct LABORER- O 0.00 0.00 0,00 0.00 0.00 0.00 0.00 000 0.00 92240 RIVERSIDE 000 0,00 0.00 0.00 0.00 0.00 33.99 Gomm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 000 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 Slate SDI Vacl Health Pension Net ALFARO, ZEYIN 0 Dale Total Hourly Earned Tax Tax Holiday 6 We1L Wage Check Work 07105 07106 07/07 07108 07109 07110 07111 Hot= Pay Rate this All 0.00 50.80 7.63 7.97 0.00 0.00 0.00 Paid For Number 11550 WESTERN AVE Classification Hours Worked Each Ray Project Protects I 1 Week DESERT HOT SPRINGS LANDSCAPE 5 0 00 8.00 8.00 a.00 8 00 8.00 0.00 40.00 16.00 664.00 664.00 Fund Trav1 Total 597,70 10294 CA MAINTENANCE Training Admin Dues Subs Savings Other Deduct LABORER- 0 0.00 0.00 0.00 0.44 0.00 1.00 0.00 100 24.00 92240 RIVERSIDE .0.00 0.00 0.40 0.00 0.00 O.Op 5fi.30 D 0.00 0.00 0.00 0.00 0.00 0,00 D.OD 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 Sal Sun Gross Amounl Federal FICA State SDI Vac! Health Pension Net CASTILLO VIGIL, RAMON A 0 Date Total Hourly Earned Tax Tax Holiday d Welf. Wage Check W� 07105 07106 07107 07108 07109 07110 071ll Hours Pay Rate This All 30.94 46.52 6.76 7.30 0.00 0.00 0.00 Paid For Number 27335 HOPPER RD Classification Hours Worked Each Day Pro act j Projects Week DESERT HOT SPRINGS LANDSCAPE S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 19.00 608.00 608,00 Fund Trav/ Total 516.48 10295 CA MAINTENANCE Training Dues Savings Other TABORER. 0 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 o.00 Admin Subs Deduct 92241 RIVERSIDE 0.00 0.00 0.D0 0.00 0.00 0.00 91.52 I SNOW D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Public works certified Payroll deporting Form 08/06/2021 - rage 1 Public Works Certifi rayroll Reporting Form Contractor Name: PWLC II, INC, Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 07/11/2021 Payroll Number:106-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withhotding Mon Tue Wed Thu Fri Sat Sun Grass Amount Federal Slate Vac/ Health DIMAS, PEDRO REYES 1 Date Total Hourly Earned Tax FICA Tax SDI Holiday & Well. Pension Net Wage Check Work 07105 07106 07107 07108 07109 07110 07111 Hours Pay Rale This All 11.47 33.06 1.16 5.18 0.00 0,00 0.00 Paid For Number 31-9aa AVENIDA EL MUNOO Classification Hours Worked Each Day Project Projects Week CATHEDRAL CITY LANDSCAPE S 0.00 8.00 0.00 D.00 0.00 0.00 0.00 11.00 18.00 144,00 432.00 Fund Trav/ 381.13 10274 CA 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 0.00 92234 RIVERSIDE OAQ 0.00 0.00 0.00 0.00 0.00 50.87 r D 0.00 0.40 0.00 0.00 0.60 0.00 0.00 p,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 Sal Sun Gross Amount Federal State Vac/ Health ELIASALVAREZ, JANNET 0 Dale Total Hourly Earned Tax FICA Tax SDI Holiday & Weir. Pension Net Wage Check work 07105 07106 07107 07/08 07109 07110 07111 Hours Pay Rate This All 0.00 39,18 2.54 6.14 0.00 0.00 p,Qp Paid For Number 13088 VIA REAL Classification Hours Worked Each Day pro ct Pro jecls is Week DESERT HOT SPRINGS LANDSCAPE S 0.00 6.90 8,00 8.00 $.00 0.00 0.00 32.66 76.00 512.00 512.00 Fund Trev! 464,14 10296 CA MAINTENANCE Training Ad.!. Dues Subs Savings Other Total LABORER- p 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 O.a6 92240 RIVERSIDE 0.00 0.00 0.00 0.00 D.DO 0,00 47.86 D 0,00 0.00 0.00 O.QO O.DD O,p0 0.00 O.OD 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 HourlyWage Gross Amount Earned Federal Tax FICA Stale Tax SDI VaW Holiday Health & WeII. Pension Net Check HERRERA, GUSTAVO D Dale Work 07105 07106 07107 01108 07109 07110 07111 This All 0.00 18.36 0,D0 2.88 0.00 0.00 0.00 Hors Pay Rate Paid For Number 322SO AURORA VISTA RD Classification Project projects Week Hours Worked Each Day CATHEDRAL CITY LANDSCAPE S D.00 8.00 8.00 0.00 0.Q0 0,00 0.00 16.00 15.OQ 240.00 240.00 Fund Trav! 218,76 10297 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 0.00 92234 RIVERSIDE 0.00 0.40 0.00 0.00 0.00 0,00 21.24 D 0.00 0.00 0,00 0.00 0.00 0.00 0,00 memo 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 LUNA GONZALEZ, CARLOS 4 Date Total Hourly Earned Tax RCA Tax SDI Holiday & Welf. Pension Net Wage Check Work 07106 07106 07107 D7108 07109 07110 07111 Hours Pay Rare This All 16.13 55.59 0.00 0.72 0.00 0.00 O.aa Paid For Number 66145 7TH ST Classification Hours Hours Worked Each Day Project Projects DESERT HOT SPRINGS TREE S 0.00 Q.DQ 0.00 a.00 8.00 0.00 0.00 8.00 28.62 248.65 726.69 Fund Trav! 846.25 10302 CA MAINTENANCE Training Dues Savings Other Total (LABORER)- 0 0.00 0.00 0.00 a.OQ 0.50 0,00 0.00 0.50 26.25 Admin Subs 92240 TREE TRIMMER 0.00 0.00 0.00 0.00 0.00 0.00 Una 0 0.00 0.60 0.00 0.00 0.00 0.00 0.00 D.Do 0.09 18044 NOTE: Public works certified Payroll Reporting Fong 09/06/2021 - page 2 Public Works Certifi ?ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 07/11/2021 Payroll Number:106-0 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 Slate Vac! Health LUNA GONZALEZ, CARLOS 4 Date Total Hourly Earned Tax FICA Tax SDI Holiday & Well. Pension Net Wage Check Work 07105 07105 07107 07108 07109 07110 07111 Hours Pay Rate This All 16.13 55.59 0.00 8.72 0,00 0.00 0.00 Paid For Number 66145 7TH ST Classification Hours Worked Each Day Project Projects Week DESERT NOT SPRINGS LANDSCAPE S 8,00 8.00 8.0G 0.00 0.00 0.00 0.00 24.00 18.G0 478.04 726.69 Fund Trav1 646.25 10302 CA MAINTENANCE Training Admin Dues Subs Savings Other Total LABORER- 0 1.OG 0.50 0,00 0.00 0.00 0.00 0.00 1.50 30.69 92240 RIVERSIDE 0.00 0.00 0100 0.00 0.00 0.00 80,44 p D.00 o.aD v.oa D,aa o.ov a.00 0.00 o.vv 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 Slate Vacl Health MURILLO MARTINEZ, JUAN 0 Dale Total Hourly Earned Tax FICA Tax SDI Holiday & well. Pension Ne! Wage Check Work 07105 07106 07107 0710a 07109 07110 07111 Hours Pay Rate This Alf SD,92 5$.31 SS.i3 8,63 0.00 0.00 0.00 Paid For Number 48097 ESTRELLA TOMAS Classification Hours Worked Each pay Project 1 l Projects Week COACHELLA LANDSCAPE S 2.00 11.00 8.00 8.00 8.00 6,00 0.00 40.00 16.00 736.00 730.00 Fund Travl 6G4.81 1029a CA MAINTENANCE Training Admin Dues Subs Savings Other Total LABORER- 0 0.00 0,00 0.00 0.00 0.00 2.00 2.00 4.00 24.00 92236 RIVERSIDE 0.00 0.00 0.00 0,00 0.00 0.00 131.19 D 0.00 0.00 0.00 0.00 0,00 O.00 O.aO 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 Grass Amount Federal FICA Slate SDII Vac/ l Heahh Pension Nei RAMIREZ, MARCELINO 4 Date Total Hourly Earned Tax Tax Holiday & Wolf. Wage Check 1500 E SAN RAFAEL OR 0164 Work 07105 07106 07107 07108 07109 07110 07/11 Hours Pay Rate this Ail 18.38 57.32 0.00 e.99 D,aa 0.00 0.00 Paid For Number Classification Hours Worked Each Day Prof act Projects I Week PALM SPRINGS TREE S 0.00 v.DO 0.00 0.00 8.00 0.00 0,00 8.00 30.82 267.65 76B.3B Fund Travl 493.58 10303 CA MAINTENANCE Training Admin Dues Subs Savings Other Total (LABORER)- 0 0.00 0.00 0.00 0.00 0.50 0.G0 0.00 0.50 28.39 92262 SENIOR TREE 0.00 Goo 0.00 a.a0 0.00 9911,11 274,80 TRIMMER D 0.00 0,0o 0,00 1 0.00 0.00 0.00 0,13F0,00 0.00 NOTE: OTHER = HEALTH INSURANCE $13.88, DENTAL INSURANCE S5.31 & GARNISHMENT $170.92 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number al Worker Withholding Man Tue Wed Thu Fri Sat Sun Gross Amount Federal Stale Vacl Health ROMAN, MIGUEL 8 a Date Total Hourly Earned Tax FICA Tax SDI Holiday &Wall. Pension Net Wage Work 07105 07106 a7107 07108 07109 07110 07111 Hours Pay Rate This Atl 44.01 48.96 13.42 7.68 0.00 0.00 0.00 Paid For Check Number 84047 FIESTA RD Classification Hours Hours Worked Each Day ProJeci Projects COACHELLA LANDSCAPE S 0.00 8.00 8.00 9,00 8.00 0.00 O.DO 32.00 20.00 640.00 840.00 Fund Trav1 525.93 10299 CA MAINTENANCE E Training Admin Dues Subs Savings Other Total LABORER- 0 D.00 0.00 0.00 0.00 0.00 O.Da O.pO 0,00 0.00 92236 RIVERSIDE 0.00 0,00 0.00 0.00 0.00 0.00 114.07 emu*p D.Op 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 �KOTE- Public works Certified Payroll Reporting Form 011/06/21121 - Page 3 Public Works Certifi 'ayroii Reporting Form Contractor Name: PWLC II, INC. Name, Address and Number of Social Security Number of Worker Withholding SARABIA, JOSE A a Wank 2950 N INDIAN CANYON DR Classification PALM SPRINGS LANDSCAPE CA MAINTENANCE LABORER- 92262 RIVERSIDE NOTE: Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 07/11/2021 Payroll Number:106-0 Day Deductions, Contrlbudions, and Payments Mon Tue Wed Thu Fit Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vae! Holiday Health 3 Well. Pension Net Wage Paid For Week Check Number Date 07105 07106 07107 ovoa 07109 07110 07111 Pr T�JISAIIGIS 5.55 48.96 12.57 7.08 0.00 0.00 0,00 Hours Worked Each Day moo 8.00 8,00 8.00 8.00 8.00 0,00 40.00 16.00 640.00 J 640.00 Training Fund Admin Dues Trav! Subs Savings Other Total 565.24 10300 0.00 0.00 0.00 0.60- 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 74.7fi 0.00 0.00 0.00 0.00 0.00 D.00 0.00 0,00 0.40 Public works certified Payroll Reporting Form 08/06/2021 - Pig* 4 eCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca_gov. Contractor Name: PWLC 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: 2021-07-04 Payroll Number: 105 Amendment Number: 0 11 employee payroll record(s) processed Your Transaction ID is: 11770108 Print this Page View your submission )Ad;e Submit another set of payroll records Certification under penalty oI perjury: Public Works Certifi 'ayroll Reporting Form "I, KRI STY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC, (name of business 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 2021-07-04 are the originals or true, full, and correct copies of the originals which depict the payroll recard(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named, I certify this on 2021-08-06 ' Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: PO BOX 848. THOUSAND PALMS, CA 92276 FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM Insurance Number: NA 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: 105- 0 For Week Ending: 07/04/2021 ' J 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 Grass Amount Federal FICA State SDI Vac! 1 Health Pension Net ALATORRE, GRISELDA 0 Date Total Hourly Eamed Tax Tax Holida y t. WeIL Wage 11550 WESTERN AVE Work 06128 Ofi129 06130 07/01 07102 07703 07f0A Hours Pa Rate y This All 0,00 48.96 0.00 7.68 0.00 0.00 G.OD 9 Paid For Check Number Classification Hours Worked Each Day Protect Projects Week DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.D0 8.00 0.00 0.00 40.D0 1fi.00 fi44.00 640.00 Fund Total 583,36 10157 LABORER- O 0.00 0.00 O.DO 0.00 0.00 0.00 0.00 Training Admin flues sTrav/ubs Subs Savings Other Deduct 92240 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 O.tPD 56.64 D 0,00 0.04 0.00 0.06 0.00 0.00 0.00 iio� �7TE Name, Address and Number at Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Frisat Sun Gross Amount Federal FICA Slate SD! VaG Health Pension 1e ALFARO, SOCORRO N 0 Dale Total Hourly Eamed Tax lax Haliday 6 Wait WO Check 11550 WESTERN AVE Work 06128 06/29 06/30 07101 07102 07103 07104 Hours Pay Rate This All 0.00 48.96 O D4 7.fi8 0.00 e.00 0.D0 9 Paid For Number Classification Hours Worked Each Day Project Projects Week DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE 8.00 8.00 8.00 8.00 0.00 0.00 40.00 woo 640.00 640,00 Fund Tray..Total 583.36 650a LA80RER- #S8.0000 O.OD 0.00 0.00 0.00 O.OD 0.00 gAdminSubs gDeduct RIVERSIDE ggg 00092240 0.00 0.00 0.00 0.0p 0.00 0.00now 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 Whhholding Man Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net ALFARO, ZEYIN 0 Date Total Hourly Earned ed Tax Tax Holiday 6 Welf. Wage Check 11550 WESTERN AVE Work 06/28 06129 06130 07/01 07102 07103 07104 Hours Pay Rate This All 0.00 52,64 8.59 8.26 0.00 0.00 0.00 Paid For Number Classification Hours Worked Each Day Project IT Week DESERTHOtSPRINGS CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 688.00 688.00 Fund Trav! Total 618.51 10158 LABORER- 0 0.00 0.00 0.00 0.00 0.00 2.00 0,00 Training Admin Dues Subs Savings Other Deduct 92240 RIVERSIDE 2.00 24.00 0.00 O.00 0.00 0.00 0.00 0.00 69.49 6111101111111111, D 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 08/06/2021 - Page 1 Public Works Certifi 'ayroll Reporting Form Contractor Name: PWLC il, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 07/04/2021 Payroll Number:105-0 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 Slate Vac! Health CASTILLO VIGIL, RAMONA 0 Date Total Hourly Eamed Tax FICA Tax SDI Holiday & Well. Pension Wage Wage 27335 HOPPER RO Work 06128 06129 06130 07/01 07102 07/03 07104 Hours Pay Rate ihis All 49.18 58.14 14•118 9.12 0.00 0.00 0.()()Paid For Check Number Classification Hours Worked Each Day Pro a j ct Projects Week DESERT HOT SPRINGS LANDSCAPE S 8,00 8.00 8.00 8.00 8.00 0.00 O.ua 40.00 19.00 700.00 760.00 Fund Travl 629.48 10159 CA MAINTENANCE Training Admin Dues Subs Savings Other Total LABORER- O 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0,00 0.00 92241 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 130.52 0 0.00 0.00 0.00 1 0.00 0,00 0.00 0.00 0.00 1 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 Stale Vac! Health DIMAS. PEDRO REYES 1 Date Total Hourly Earned Tax FICA Tax SDI Holiday &Well, Pension Net Wage Check 31.900 AVENIDA EL MUNDO Work 06128 06/29 06/30 D7101 07102 07103 07104 Hours Pay Rate This All 40.67 55.09 7.49 8.64 0.00 0.00 0.00 Paid For Number Classification Hours Worked Each Day Protect Projects week CATHEDRAL CITY LANDSCAPE S 0.00 Q.00 0.00 8.40 0.aa 0.001 0.00 8.00 18.00 144.00 720.00 Fund Trav/ 608.12 10137 CA MAINTENANCE Training Admin Dues Subs Savings Other Total LABORER- p 0,60 0.00 0.00 0.00 0.00 6.00 0.00 0.00 0.00 92234 RIVERSIDE 0.00 a.0v O.D0 0.00 0.00 0.00 111.98 - D 0.00 Q.Qo axis 0.00 D.pD o.aa G.vv 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 FICA State SOI Vac1 Health Pension Not ELIAS ALVARET, JANNET 0 Data Total Hourly Earned Tax Tax Holiday & Wolf. Wage Check 13088VIAREAL Work 06128 06129 06130 07/01 07102 07103 07104 Hours Pay Rate This All 0.00 39.16 2.54 6.14 0.00 0.40 0.00 Paid For Number Classification Hours Worked Each Day Protect Projects Week DESERT HOT SPRINGS LANDSCAPE S 8.00 8.00 6.00 8.Q0 0.00 O,OD 0.00 32.00 16.00 512.00 512.00 Fund Tray! 464.16 10160 CA MAINTENANCE Training Admin Dues Subs Savings Other Total LABORER- p 0.00 0.00 0,0a 0.00 0.01) 0.00 0,00 Q,00 0.00 92240 RIVERSIDE 0.00 0.00 D.00 0,00 Q.00 0.00 47.84 b o.GO G.DO 0,00 o.ao 0.00 D,Do 0.00 D,GQ 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 Stale Vac/ Health HERRERA, GUSTAVO 0 Date Total Hourly Earned Tax FICA Tax SDI Holiday d Well. Pension Net Wage Work06128 06129 06130 07/01 07102 07103 0T104 Hours Pay Rate Thls Afl 16.63 45.90 0.00 7.20 0.00 0.00 o.00 Paid For Check Number 32250 AURORA VISTA RD Classification Hours Worked Each Day Project Projects Week CATHEDRAL CITY LANDSCAPE S 9.00 8.00 B.Da 8.00 8.00 0.00 0.00 40.00 15.v0 600.00 600.00 Fund Trav! 530.27 10181 CA MAINTENANCE Training Admin Ices Subs Savings Other Total LABORER- p 0.00 0.00 0,00 0.00 0.00 0.00 0,00 0.00 0.00 92234 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0,00 69.73 ID 0.00 O,Ga 0.00 0.00 0.00 0.00 0.00 0,00 0.00 NOTE: Public works Certified Payroll Reporting Form 08/06/2021. - Page 2 Public Works Certifi 'ayroll Reporting Form Contractor Name: PWLC ll, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 07/04/2021 Payroll Number:105-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sal Sun Gross Amount Federal FICA I State SDI Vac! Health Pension Naat LUNA GONZALEZ, CARLOS 4 Data Total Hourly Earned Tax Tax Holiday 8 Wei(. Wa a Check 66146 7TH ST Work 06128 06129 06130 07101 07102 07103 07104 Hours Pay Rate This All 43.11 75.61 3.58 11.86 0,00 0.00 0.ee Paid For Number Classification Hours Worked Each pay Project Projects Week DESERT HOT SPRINGS TREE S o.00 0.00 8.00 8.00 8.00 0.00 0.00 24.00 28.62 686.88 988.38 Fund Trav! 854.22 10167 CA MAINTENANCE Training gdmin Dues Subs Savings Other Total (LABORER- 0.00 0.00 0.p0 0.00 0.00 0.00 0.00 0.00 0.00 92240 TREE TRIMMER rD 0.00 0.00 0.00 0.00 0.M0 0.00 134.16 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 Sal Sun Gross Amount Federal FICA State SDI Vac! Health MURILLO MARTINEZ, JUAN 0 pale Total Hourly Earned Tax Tax Holida y d WeIL Pension Net Wage 48097 ESTRELLATOMAS Work 06128 06129 06130 07101 07102 07103 07104 Hours Pay Rate This All 45.16 52,62 12,91 8.26 0.00 0.00 0,00 Paid Far Check Number Classification Hours Worked Each Day Protect Projects 1 Week COACHELLA LANDSCgpE S 8.00 8.00 8.00 8,00 8.00 0,00 0.00 40.OD 16.00 688.00 888.00 Fund Travl 569.p5 10162 CA MAINTENANCE Training gdmin Dues Suhs Savings Other Total LABORER- Q 0.00 0.00 0.00 0.00 0.00 0,00 2.00 2.00 24.00 92236 RIVERSIDE 0.00 0.00 O.Op 0.00 0.00 0.00 118.95 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 Gross Amount Federal Stale Vacl Health ROMAN, MIGUEL 13 0 Date Tafal Hourly Earned Tax FICA Tax SDI Holiday 6 Wolf. Pension No' 84047 FIESTA RD Work 06128 06129 06130 o7ml 07102 07103 07104 Hours Pay Rate This All 63.21 61.20 21.97 9,60 0.00 0,00 0.00 Wage Paid For Check Number Classification Hours Worked Each Day Project Projects Week COACHELLA LANDSCAPE S 8.00 8.D0 8.00 8.00 8.00 0,00 0.00 40.00 20.00 800.00 B00.00 Fund Tray! 644.02 10163 CA MAINTENANCE Training gdmin Dues Subs Savings Other Total LABORER- 0.00 0.00 p.DO 0.011 0.00 0,00 0.00 0.00 0.00 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 155.98 p v.DD o.oa D.Iro v.DM 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 SARABIA.JOSEA 0 Date Total Hourly Earned Tax FICA Tax SDI Holiday y & Well. Pension Net Wage Check 2950 N INpIAN CANYON DR Work 06128 06129 06130 07101 07102 07103 07104 Hours Pay Rate This All 0.00 48.96 4.85 7.68 0.00 0.00 0.00 Paid For Number Classification Hours Worked Each Day Protect Projects Week PALM SPRINGS LANDSCAPE S 8.00 "a 8.0M 8.00 8.00 0.00 0.00 40.00 16.00 640,00 640.00 Fund 578.51 10164 CA MAINTENANCETra Training Dues Savings Other Total LABORER- o O.pOgt 0.00 0.00 0.00 0.00 O.oD p.OD O.pO Ad In Tubs 92262 RIVERSIDE 0.00 0.00 D.00 0.00 0.00 0.00 61.49 p M.ovv.DD 0.00 0.00 0,00 0,00 a.DD D.DD NOTE: Public Works Certified Payroll Reporting Form 09/06/2021 - Page 3