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2021-07-26 thru 2021-08-29 Cert Payroll
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 II]: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2021-08-29 Payroll Number: 113 Amendment Number: 0 12 employee payroll record(s) processed Your Transaction ID is: 12098470 Print this Page View your submission A Submit another set of payroll records Certification unbar 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 2021-08-29 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-09-16.- Contractor Name: PWLC II, INC. Address: PO BOX 848, THOUSAND PALMS, CA 92276 Insurance Number: NA Awarding Body: CITY OF LA QUINTA Contract With: CITY OF LA QUINTA Payroll Number: 113- 0 Public Works Certifies 4ayroil Reporting Form Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 FEIN: 510532726 Contractor Email: KRISTYS©PWLC2.COM DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS For Week Ending: 08/29/2021 Ells this a 'Statement of Non -Performance?' Name, Address and Social Security Number of Worker Number of Withholding NOTE: ALATORRE. GRISELDA 11550 WESTERN AVE DESERT HOT SPRINGS CA 92240 0 Work Classification LANDSCAPE MAINTENANCE LABORER- RIVERSIDE Day Mon Tue Wed Thu Fri Sat Sun Date 08/23 08124 08/25 08/26 08/27 08/28 08/29 8.00 8.00 Hours Worked Each Day 8.00 Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax Deductions, Contributions, and Payments FICA Stale Tax SDI Vac/ Holiday Health & Well. Pension This Project All Projects 0.00 64.10 8.91 10.06 0.00 0,00 0.00 Net Wage Paid For Week Check Number 8.00 8.00 0.00 0.00 40.00 16.00 0 0.00 0.00 0.00 0.00 0.25 8.00 0.00 8.25 24.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 838.00 838.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 0.00 0.00 0.00 0.00 0.00 0.00 83.07 754.93 10840 Name, Address and Social Security Number of Worker Number of Withholding BRIONES. MARCELINO 50700 CALLE MENDOZA COACHELLA CA 92236 81111111110 NOTE: OTHER = $8,90 401K 2 Work Classification LANDSCAPE MAINTENANCE LABORER. RIVERSIDE Day Mon Tue Wed Thu Fri Sat Sun Dale 08/23 08/24 08125 08/26 08/27 08/28 08/29 8.00 8.00 Hours Worked Each Day 8.00 Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax Deductions, Contributions, and Payments FICA Stale Tax SW Vac/ Holiday Health & well. Pension This Project All Projects 72.99 68.12 22.10 10.68 0.00 0.00 0.00 Net Wage Paid For Week Check Number 8.00 8.00 0.00 0.00 40.00 17.00 0 0.00 0.00 0.00 0.00 0,25 8.00 0.00 8.25 25.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 890.38 890.38 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 0.00 0.00 0.00 0.00 0.00 8.90 182.79 707.59 10841 Name, Address and Social Security Number of Worker Number of Withholding CASTILLO VIGIL. RAMON A 27335 HOPPER RD DESERT HOT SPRINGS CA 92241 NOTE: OTHER = S9.35 401K 0 Work Classification LANDSCAPE MAINTENANCE LABORER - RIVERSIDE S Day Mon Tue Wed Thu Fri Sat Sun Date 06/23 08124 08/25 08/26 08/27 08/28 08/29 8.00 8.00 Hours Worked Each Day 8.00 Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax Deductions, Contribution , end Payments FICA Stale Tax SDI This Project All Projects 69.06 71.53 25.02 11.22 8.00 8.00 0.00 0.00 40.00 20.00 0 0.00 0.50 0.00 0.00 0.00 2.00 2.00 4.50 30.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 935.00 935.00 Training Fund Admin Dues Trav/ Subs 0.00 0.00 0.00 0.00 Vac/ Holiday Health & Well. Pension Net Wage Paid For Week Check Number 0.00 0.00 0.00 Savings OtherTotal Deduct 748.82 10842 0.00 9.35 188.18 Public works Certified Payroll Reporting Forst 09/16/2021 - Page 1 Public Works Certiflti Payroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/29/2021 Payroll Number: 113-0 Name, Address and Social Security Number of Worker Number of Withholding GUTIERREZ HERNANDEZ. KATHERIN 81309 ALBERTAAVE INDIO CA 92201 NOTE: 0 Work Classification LANDSCAPE MAINTENANCE LABORER - RIVERSIDE S Day Mon Tue Wed Thu Fri Sat Sun Dale 08/23 08/24 08/25 08/26 08/27 08/28 08/29 0,00 8.00 Hours Worked Each Day 8.00 8.00 Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax Deductions, Contributions, and Payments FICA State Tax SDI Vac! Holiday Health & Well. Pension This Project AB Projects 0.00 49.87 0.00 7.82 0.00 0.00 0.00 Not Wage Paid For Week Check Number 8.00 8.00 0.00 40.00 16.00 0 0.00 0.50 0.00 0.00 0.00 0.00 0.00 0.50 24.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 652.00 652.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 0,00 0.00 0.00 0.00 0.00 0.00 57.69 594.31 10843 Name, Address and Social Security Number of Worker Number of Withholding NOTE: JIMENEZ. IVETTE 49615 HARRISON ST #40 COACHELLA CA 92236 0 Work Classification LANDSCAPE MAINTENANCE LABORER - RIVERSIDE S Day Mon Tue Wed Thu Fri Sat Sun Date 08/23 08/24 08/25 08/26 08/27 08/28 08/29 0.00 0.00 Hours Worked Each Day 8.00 8.00 8.00 0.00 0.00 Total Hours 24,00 Hourly Pay Rate 15.00 0 0.00 0.00 0,00 0.00 0.00 8.00 0.00 8.00 22.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Gross Amount Earned Federal Tax Deductions, Contributions, and Payments FICA Stale Tax SDI Vac! Holiday Health & Wolf. Pension This Project 540.00 All Projects 540.00 25.09 41.31 1.15 6.48 0.00 0.00 0,00 Net Wage Paid For Week Check Number Training Fund Admin Dues Tray/ Subs Savings Other Total 0.00 0.00 0.00 0.00 0.00 0.00 74.03 465.97 10844 Name, Address and Social Security Number of Worker Number of Withholding LIZARRAGA, MOISES 43795 RECLINATA WAY INDIO CA 92201 NOTE: PAYCHECK NUMBERS: 10845; 6571 0 Work Classification LANDSCAPE MAINTENANCE LABORER. RIVERSIDE Name, Address and Social Security Number of Worker Number of Withholding LUNA GONZALEZ, CARLOS 66145 7TH ST DESERT HOT SPRINGS CA 92240 NOTE: PAYCHECK NUMBERS: 10850; 6578 4 Work Classification TREE MAINTENANCE (LABORER). SENIOR TREE TRIMMER S Day Mon Tue Wed Thu Fri Sat Sun Date 08/23 08/24 06/25 08/26 08/27 08/28 08/29 8.00 8.00 Hours Worked Each Day 8.00 Total Hours Hourly Pay Rale Gross Amount Earned Federal Tax Deductions, Contributions, and Payments FICA State Tax SDI Vac/ Holiday Health & Well, Pension This Project All Projects 0.00 52.97 3.19 8.31 0.00 0.00 0.00 Net Wage Paid For Week Check Number 8,00 8.00 0.00 0.00 40.00 17.00 0 0.00 0.00 0.00 0.00 0.25 0.00 0.00 0.25 25.50 S 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Day Mon Tue Wed Thu Fri Sat Sun 0.00 0.00 692,38 692.38 Training Fund Adman Dues Tray! Subs Savings Other Total 0.00 0.00 Dale 08/23 08/24 08/25 08/26 08/27 08/28 08/29 8.00 8.00 Hours Worked Each Day 8.00 8.00 Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax 0.00 0.00 0.00 0.00 Deductions, Contributions, and Payments FICA Stale Tax SDI Vac/ Holiday 64.47 627.91 SEE NOTES Health 8 Well. Pension This Project All Projects 15.46 94.30 0,00 14.79 0,00 0.00 0.00 Net Wage Paid For Week Check Number 8.00 0.00 0.00 40.00 30.82 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 42.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1,232.80 1.232,80 Training Fund Admin Dues Tray! Subs Savings Other Total 0.00 0.00 0.00 0.00 0.00 0.00 124.55 1,108.25 SEE NOTES Public Works Certified Payroll Reporting Form 09/16/2021 - Page 2 Public Works Certified iyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08l29l2021 Payroll Number: 113-0 Number of Day Deductions, Contributions, and Payments Name, Address and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Slate SDI Vac! Health Pension Net Date Earned Tax Tax Holiday & Welf. Wage Check MARTINEZ. LUCID 0 Total Hourly AVE Work 08123 08/24 08/25 08126 08/27 08128 08/29 Hours Pay Rate This All 0.00 49.87 0,00 7.82 0.00 0.00 0.00 Paid For Week Number 81309 ALBERTA Classification Hours Worked Each Day Project Projects INDIO CA LANDSCAPE MAINTENANCE S 0.00 8.00 8.00 8.00 8.00 0.00 8.00 40.00 18.00 652.00 652.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 594.31 16846 LABORER- 0.00 0,50 0.00 0.00 0.00 0.00 0.00 92201 RIVERSIDE 0 0.50 24.00 0.00 0.00 0.00 0.00 0.00 0.00 57.69 WHIM D 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Number of Day Deductions, Contributions, and Payments Name, Address and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross • Amount Federal FICA Stole SDI Vac! Health Pension Net Date Earned Tax Tax Holiday & Well Wage Check 0 Total Hourly MUNOZ. EVERARDO Work 08123 08/24 08125 08126 08/27 08/28 08/29 Hours Pay Rate This All 0.00 55.77 4.21 8.75 0.00 0.00 0.00 Paid For Week Number 74501 42ND AVE Classification Hours Worked Each Day Project Projects PALM DESERT CA LANDSCAPE8.00 MAINTENANCE s 8.00 6.00 8.00 5.50 0.00 0.00 37.50 18.00 729,00 729.00 Training Admin Dues Subs Savings Other Total 660.27 10847 LABORER- 0.00 2.00 0.00 0.00 0.00 0.00 0.00 27.00 92260 RIVERSIDE 0 2.00 0.00 0.00 0.00 0.00 0.00 0.00 68.73 - D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address Number of Day Deductions, Contributions, and Payments and Social Security Number of Worker Withholding Mon Tuo Wed Thu Fri Sat Sun Gross Amount Federal FICA Stela SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday & Well. Wage MARCELINO 4 Total Hourly Check RAMIRF.Z. DR k164 Work 08123 08124 08/25 0e726 08/27 08/28 08129 Hours Pay Rate This All 20.74 79.35 0.00 12.52 0.00 0.00 0.00 Paid For Week Number 1500 E SAN RAFAEL Classification Hours Worked Each Day Project Projects PALM SPRINGS CA TREE6.00 MAINTENANCE s 8.00 8.00 6.00 8.00 0.00 0.00 40,00 26.57 1,062.80 1.062.80 Training Fund Admin DuesTray/Subs Subs Savings Other Total 742.71 SEE NOTES 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.38 92262 (LABORER)- GROUNDSPERS 0 0.00 0.00 0.00 0.00 0.00 207.48 320.09 - ON D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: PAYCHECK NUMBERS: 10851; 6576 ; OTHER = S13.88 HEALTH INSURANCE, 55.31 DENTAL INSURANCE, S177.66 GARNISHMENT 8 $8.00 401K; OTHER = 52.63 401K Name. Address Number of Day Deductions, Contributions, and Payments and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday & Well. Wage SARABIA, JOSE 0 Total Hourly Check A 2950 N INDIAN CANYON DR Work 08/23 08124 08/25 08/26 08/27 08/28 08/29 Hours Pay Rate This All 28.59 63.64 22.82 9.98 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects PALM SPRINGS CA LANDSCAPE MAINTENANCE 540.00 8.00 8.00 8.00 8.00 8.00 0.00 0.00 18.00 832.00 832.60 Training Fund Admin Dues Trait/ Subs Savings Other Total 706.97 10848 LABORER- 0 0.00 0.00 0.00 0.00 0.00 8.00 0.00 24.00 92262 RIVERSIDE 8.00 0.00 0.00 0.00 0.00 0.00 0.00 125.03 MIIIMIO D a.00 0.Do o.00 0.00 0.00 0.00 0.00 am 0,00 NOTE: Public works Certified Payroll Reporting Form 09/16/2021 - Page 3 Public Works Certifi ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/29/2021 Payroll Number: 113-0 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 Stale Vac/ Health VALDEZ, HUMBERTO S 0 pate Total Haurly Earned Tax FICA Tax SDI Holiday & Welf. Pension Net Wage Check 12966 CACTUS DR NA yyo,r 08/23 08124 08125 08126 08127 08/28 08/29 Hours Pay Rate This All 99.74 80.91 14.78 12.69 0.00 0.00 0.00 Paid For Number DESERT HOT SPRINGS Classification ealFanWeek Hours Worked Each Day )Projects CA TREE MAINTENANCE 540.00 8.00 8.00 8.00 8.00 8.00 0.00 0.00 26.57 1,062.80 1,062.80 Training Fund Dues Tray! Savings Other Total 838.74 SEE (LABORER)- Q 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 36.38 Admin Subs NOTES 92240 GROUNDSPERS 0.00 0.00 0.00 0.00 0.00 15,94 224.06 ON D 0,00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 NOTE: PAYCHECK NUMBERS: 10852; 6567 ; OTHER = 55.31 DENTAL INSURANCE AND S7.20 401K: OTHER = 53.43 401K Public works Certified Payroll Reporting Form 09/16/2021 - 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: 2021-08-22 Payroll Number: 112 Amendment Number: 0 11 employee payroll record(s) processed Your Transaction ID is: 12010885 Print this Page View your submission >ubmit 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 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 2021-08-22 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-09-07." 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: 112- 0 For Week Ending: 08/22/2021 Ells 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 Stale SDI Vac/ Health Pension Net Earned Tax Tax Holiday & Welt, ALATDRRE, GRISELDA 11550 WESTERN AVE W� 08/16 08117 08/18 08119 08120 08/21 08122 Hours Pay Rate This All 0.00 63.66 8.52 9.98 0.00 0.00 0,00 Paid For Number Classification Hours Worked Each Day ProjectWeek Projects DESERT HOT SPRINGS CA LANDSCAPEB.00 MAINTENANCE s 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 832.00 832.00 Training Fund Admin Dues Tray/ Subs Savings Other Total Deduct 749.84 10706 LABORER- O 0.00 0,00 0,00 0.00 0.00 8,00 0,00 8.00 24.00 92240 RIVERSIDE 0.00 0.00 0,00 0.00 0.00 0.00 82,16 UMW 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 FICA State SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday & Well. BRIONES, MARCELINO 2 Total Hourly Wage Check 50700 CALLE MENDOZA Work 08/16 08/17 08118 08/19 08/20 08121 08/22 Hours Pay Rate This All 73.29 67.63 22.27 10.61 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project1 Projects COACHELLA CA LANDSCAPE8.00 MAINTENANCE s 8.00 8.00 8.00 8.00 0.00 0.00 40.00 17,00 884.00 884.00 TrainingFund Admin Dues S Subsubs Sayings 9 Other Total Deduct 710.20 10707 LABORER- 0 0.00 0.00 0.00 0.00 0.00 8.00 0.00 8.00 25.50 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0,00 0.00 173.80 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 FICA Stale SDI Vac/ Health Not Dale Earned Tax Tax Holiday 8 Well.Pension CASTILLO VIGIL, RAMON A 0 Total Hourly Wage Check 27335 HOPPER RD Work 08/16 08/17 08/18 08/19 08120 0B/21 08/22 Hours Pay Rate This All 62.86 66.86 21,61 10.49 0.00 0.00 0.00 Paid Far Week Number Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE 5 8 00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 19.00 874.00 874.00 TrainingFund Admin Dues S Subsubs Sayings 9 Other Total Deduct 712.18 10708 LABORER- 0 0.00 0.00 0.00 0.00 0.00 2.00 2.00 4.40 28.50 92241 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 161.82 r D 0.00 0.00 0.00 9.99 0.00 0.00 0.00 0,00 0.00 NOTE: Public works Certified Payroll Reporting Form 09/07/2021 - Page 1 Public Works Certifit ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/22/2021 Payroll Number: 112-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sal Sun Gross Amount Federal RCA Stale SDI Vast Health Pension Net Dale Earned Tax Tax Holiday & WelL LIZARRAGA, NOISES 0 T Total HourlyWage Check 43795 RECLINATA WAY Work 08116 0B17 08/18 08/19 08/20 08/21 08/22 Hours Pay Rate This All 0.00 48.96 2.93 7.68 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Protect Projects INDIO CA LANDSCAPE MAINTENANCE SaD.DD 8.00 8.00 8.00 8.00 8.00 0.00 0.00 18.00 640.00 640.00 Training Fund Admin Dues Su Subs bs Savings 9 Other Total 580.43 10709 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.p0 0.00 92201 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 59.57 SINIMIP D . 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 Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Slate SDI Vac/ Health Pension Net Tax Tax Holiday & Wolf, LUNAGONZALEZ.CARLOS 4 DaleEarned Total Hourly Wage Check 66145 7TH ST yyprlt 08/16 08/17 08/18 08/19 08120 08121 08/22 Hours Pay Rate This All 77.55 97.58 16,14 15,30 0,00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA TREE8.00 MAINTENANCE S 8.00 8.00 8.00 8.00 0.00 0.00 40.00 30.82 1,275.38 1,275.38 TrainingFund Admin Dues Tray/ Subsubs Savin s 9 Other Total 1,068,81 10713 (LABORER)- 0 0.00 0.00 0.00 0.50 0.50 0.00 0.00 1.00 42.57 92240 SENIOR TREE 0.00 0.00 0.00 0.00 0.00 0.00 206.57 TRIMMER D 0illMilin.00 0.00 0.00 ODD 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 Men Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Net Dale Earned Tax Tax Holiday & Wolf. MUNOZ EVERARDO 0 Total Hourly Wage Check 74501 42ND AVE Work 08/16 08/17 08/18 08/19 08/20 08/21 08/22 Hours Pay Rate This All 0.00 55.08 3.82 8.64 0.00 0.00 0.00 Paid Far Number ClassificationWeek Hours WorkedProject Each Day Projects 1 PALM DESERT CA LANDSCAPE MAINTENANCE $ 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 18,00 720.00 720.00 TrainingFund Admix Dues Smut Subs Savings 9 Other Total 652.48 10710 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92260 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 67.54 D o.0D 0.0a a.oa o.DD D.aa O.DD am 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 Stale SDI Vac/ Health Pension Net Earned Tax Tax Holiday & Well. RAMIREZ MARCELINO 4 Dale Total Hourly Wage Check 1500 E SAN RAFAEL DR #164 Work 08/16 08/17 08/18 08/19 08/20 0B/21 08/22 Hours Pay Rate This All 54.84 83.10 7.82 13.03 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects PALM SPRINGS CA TREE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 26.57 1,099.18 1,099.18 TrainingFund Admin Dues S Subs Sayings Other Total 686.10 10714 (LABORER)- U 0.00 0.00 0.00 0.50 0.50 0.00 0.00 1.00 36.38 uhs 92262 GROUNDSPERS 0.00 0.00 0.00 0.00 0.00 254.29 413.08 ON D ODD 0.00 0.00 O.DD 0.00 0.00 0.00 0.0o 0.00 S NOTE: OTHER = HEALTH INSURANCE 513 88, DENTAL INSURANCE 55.31. GARNISHMENT S235.10 Public Works Certified Payroll Reporting Form 09/07/2021 - Page 2 Public Works Certifif. ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/22/2021 Payroll Number:112-0 3 Number of Day Deductions, Contributions, and Payments Name, Address and Scrotal Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac! Health Pension Net Dale Earned Tax Tax Holiday 8 Welf. Wage 0 Total Hourly ROMAN, MIGUEL B FIESTA RD Work 08/16 08l17 08/18 08/19 0B/20 08/21 08122 Hours Pay Rate This All 0.00 12.24 0.00 1.92 0.00 0.00 0.00 Paid For Week Number 84047 Classification Hours Worked Each Day Project Projects COACHELLA CA LANDSCAPE MAINTENANCE S B.00 0.00 0.00 0.00 0.00 0.00 0.00 8,00 20.00 160.00 160.00 Training Fund Admin Dues Tray/ Subs Sayings Other Total 145.84 6553 LABORER- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92236 RIVERSIDE 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14,16 co 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address Number of Day Deductions, Contributions, and Payments and Soclal Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stole SDI Vac! Health Pension Nat Date Earned Tax Tax Holiday & Well. Wage 0 Total Hourly Check SARABIA, JOSE A N INDIAN CANYON DR Work 08/16 08/17 08118 06l19 08/20 08121 08122 Hours Pay Rate This All 5.55 48.90 12.57 7,68 0.00 0.00 0.00 Paid For Week Number 2950 Classification Hours Worked Each Day Project Projects PALM SPRINGS CA LANDSCAPE MAINTENANCE $ 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 640.00 640.00 Training Fund Admin Dues Tray! Subs Savings Other Total 565.24 10711 LABORER- p 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 0.00 74.76 D o.00 o.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 SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Grass Amount Federal FICA Stela SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday & Welf. HUMBERTO S 0 Total Hourly Wage Check VALDEZ. #A Work08116 OB117 OBl1B 08119 OBf20 08/21 OBl22 Hours PayRate This All 142.1E B3,68 41.24 13.13 0.00 0.00 0.00 Paid For Week Number 12966 CACTUS DR Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA TREE MAINTENANCE 5 8.00 8.00 8.00 8.00 8,00 0.00 0.00 40.00 26.57 1,099.18 1,099.18 Training Fund Admin Dues Tray/ Subs Sayings Other Total 813.64 10715 (LABORER)- 0 0.00 0.00 0.00 0.50 0.50 0,00 0.00 36.38 92240 GROUNDSPERS 1.00 0.00 0.00 0,00 0.00 0.00 5.31 285.54 ON D o.00 0.00 0.0o o.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = DENTAL INSURANCE 55.31 Name, Address Number of Day Deductions, Contributions, and Payments and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Grass Amount Federal FICA State SDI Vac! Health Pension Net Dale Earned Tax Tax Holiday 8 Well. VILLEGAS BRITO, PEDRO A 0 Total Hourly Wage Check AVE #5 08117 08/18 08/19 08120 08l21 08/22 Hours Pay Rate This All 0.00 9,78 0.00 1.54 0.00 0.00 0.00 Paid For Week Number 87125 66TH Classification Hours Worked Each Day Project Projects THERMAL CA LANDSCAPE MAINTENANCE S 8.00 0.00 0.00 0.00 0.00 0.00 0.00 8.00 16.00 128.00 128.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 118.68 6554 LABORER- 0 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 92274 RIVERSIDE 0.00 0.00 0,00 0.00 0.00 0.00 11.32 i D o.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Public works Certified Payroll Reporting Fora 09/070021 Page 3 eCPR Online Confirmation t 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: 2021-08-15 Payroll Number: 111 Amendment Number: 0 13 employee payroll record(s) processed Your Transaction ID is: 11876156 Print this Page View your submission ..ubmit another set of payroll records Public Works Certifie! yroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC 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 2021-08-15 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-08-20." 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: KRISTYSI 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: 111- 0 For Week Ending: 08/15/2021 0Is this a 'Statement of Non -Performance?' Address Number of Day Deductions, Contributions, and Payments Name, and Social Security Number of worker ty Withholding Mon .ue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/Health Pension Net toile Tax Tax Holiday 8 Well.Wage 0 Total HourlyEarned Check GRISELDA Work08109 08110 08111 08112 08113 08114 08175 Hours Pay Rate This All 0.00 48.96 0.00 7.68 0.00 0.00 0.00 paid For Week Number 11550 WESTERN AVE ClassificationHours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE8.00 MAINTENANCE s 8.00 8.00 8.00 8.00 0.00 0.00 40.00 1fi.00 640.04 640.00 Training Fund Admin Dues S Subsubs Savings Other Total583.36 Deduct 10675 LABORER- O 0.00 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 56.64 ENIMMO D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address Number of Day Deductions, Contributions, and Payments and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Slate SDI Vac! Health Pension Net Dale Earned Tax Tax Holiday & Welt. Wage Check 0 Total Hourly ALFARO, ZEY[N 11550 WESTERN AVE Work 08/09 0B110 08111 08112 0B/13 08/14 08/15 Hours Pay Rale This All 0.00 39.18 1.33 6.14 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 0.00 0.00 0.00 32.00 16.00 512.00 512.00 Training Fund Admin Dues Travl Subs Savings Other Total Deduct 465.35 10650 LABORER- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92240 RIVERSIDE 0 0,00 0.00 0.00 0.00 0.00 0.00 0.00 46.65 - E1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address Number of Day Deductions, Contributions, and Payments and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Slate SDI Vac! Health Pension Net Dale Earned Tax Tax Holiday & Welf. Wage 2 Total Hourly Check BRIONES. MARCELINO CALLE MENDOZA Work 08/09 08110 08111 08/12 08/13 08/14 08115 Hours Pay Rate This All 73.29 67.62 22.27 10.61 0.00 0.00 0.00 Paid For Week Number 50700 Classification Hours Worked Each Day Project Projects COACHELLA CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 17.00 680.00 884.00 Training Fund Admin Duos ?rev! Subs Sayings g Other Total Deduct 710,21 10676 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 173.79 MEM 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 OB/20/2021 Page 1 r-� Public Works Certifies yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 0811512021 Payroll Number:111-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Grose Amount Federal FICA State SDI Vac! Health Pension Net Date Famed Tax Tax Holiday & Weif. CASTILLO VIGIL, RAMON A 0 Total Hourly Wage Chedt 27335 HOPPER RD Work 08109 08110 08111 08112 08113 06114 08/15 Hours Pay Rale This All 49.18 58.14 14.08 9.12 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project 1 Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE 5 8,00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 19.00 760.00 760.00 TrainingFund Admin Dues Smut Subs Savings g Other Total 629.48 10677 LABORER- Q 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 IMMO D D.DD 0.00 0.00 0.09 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 FICA Stale SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday & Well. LIZARRAGA, MOISES 0 Total Hourly Wage Check 43795 RECLINATA WAY Work 08109 08110 08/11 08/12 08/13 08114 08/15 Hours Pay Rate This All 0.00 29.38 0.00 4.61 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects INDIO CA LANDSCAPE MAINTENANCE S 0.00 0.00 8.00 8.00 8.00 0.00 0.00 24.00 16.00 384.00 384.00 Training Fund Admin Dues Travl Subs Savings Other Total 350.01 10678 LABORER- p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92201 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 33,99 MEMOD 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 Grass Amount Federal FICA State 501 Vac! Health Pension Net Date Earned Tax Tax Holiday 8 Weir. LUNA GONZALEZ. CARLOS 4 Total Hourly Wage Check 66145 7TH ST Work 08109 08110 08/11 08112 08113 08114 08/15 Hours Pay Rate This Ail 31.83 67.60 1.28 10.60 0.00 0.00 0.00 Paid Far Week Number Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA TREE0.00 MAINTENANCE s 8.00 8.00 8.00 0.00 0,00 0.00 24.00 30.82 739.66 883.68 Training Fund Admin Dues Tr5y! Subs Savings Other Total 772.37 10684 (LABORERj- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 92240 SENIOR TREE 0.00 0.00 0.00 0.00 0.00 0.00 111.31 TRIMMER 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 FICA Stale SDI Vaal Health Pension Net Dale Earned Tax Tax Holiday & Wetf. MUNOZ CHAVEZ, JOSE L 0 Total Hourly Wage Check 43186 BURR ST Work 08109 08/10 08/11 08/12 08113 08/14 08115 Hours Pay Rale This All 0.00 9.78 0.00 1.54 0.00 0.00 0.00 Paid For Week Number Classilcation Hours Worked Each Day Project Projects INDIO CA LANDSCAPE MAINTENANCESubs $ 8.00 0.00 0.00 0.00 0.00 0.00 0.00 8.00 16.00 128.00 128.00 TrainingFund Admin Dues Subs Savings Other Total 116.88 8545 LABORER- Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92201 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 11.32 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 08/20/2021 - Page 2 Public Works Certifiet yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/15/2021 Payroll Number: 111-0 Name, Address Number of Day Deductions, Contributions, and Payments and Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac! Health Pension Net Date Earned Tax Tax Holiday & Well. Wage 0 Total Hourly Check MUNOZ EVERARDO 42ND AVE Work 08109 08110 08111 08112 08/13 08114 08/15 Hours Pay Rate This All 0.00 55.08 3.82 8.64 0.00 0.00 0.00 Paid For Week Number 74501 Classification Hours Worked Each Day Project Projects PALM DESERT CA LANDSCAPE8.00 MAINTENANCE s 8.00 8.00 8.00 8.00 0.00 0.00 40.00 18.00 720.00 720.00 Training Fund Admin DueS Tray/ Subs Savings Other Total 652,46 10674 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92260 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 67.54 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 SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Grass Amount Federal FICA Stele SDI Vac/ Health Pension Net DaleEarned Tax Tax Holiday & Welf. RAMIREZ, MARCELINO 4 Total Hourly Wage Check 1500 E SAN RAFAEL DR #164 Work 08/09 08/10 o81i1 08112 08/13 08/14 08/15 Hours Pay Rale This All 43.43 75.84 3.64 11.89 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects PALM SPRINGS CA TREE MAINTENANCE S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 26.57 850.24 1,010.24 Training Fund Admin Dues Tract Subs Savings Other Total 637.39 10685 (LABORER)- 0 0,oa 0.00 0,00 0.00 a,aa 0.00 0.00 0.00 92262 GROUNDSPERS 0.00 0.00 0.00 0.00 0.00 0.00 238.05 372.85 SIMINID ON D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = MED INSURANCE 513.88, DENTAL INSURANCE $5.31, GARNISHMENT S218.86 Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac! Health Pension Net Date Earned Tax Tax Holiday S Wolf. ROMAN, MIGUEL B 0 Total Hourly Wage Check 84047 FIESTA RD Work 08/09 08110 08/11 08/12 08113 08/14 08115 Hours Pay Rale This Alt 77.61 70.38 29.89 11.04 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day roP'ect 1 Projects COACHELLA CA LANDSCAPE MAINTENANCE 5 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 920.00 920.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 731.08 10680 LABORER- O 0.00 0.00 0.00 0.00 0.00 2.00 2.00 4,00 30.00 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 188.92 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 Securl Number of Worker tYGross Withholding Mon Tue Wed Thu Fri Sal Sun Amount Federal FICA State SDI Vac! Health Pension Net Date Earned Tax Tax Holiday A Well. SARABIA, JOSE A 0 Total Hourly Wage Check 2950 N INDIAN CANYON DR Work 08109 08/10 08/11 08112 08/13 08f14 08/15 Hours Pay Rate This All 5.55 48.96 12,57 7,68 0.00 0.00 0.00 Paid For Week Number ClassificationProject Hours Worked Each Day1 Projects PALM SPRINGS CA LANDSCAPE MAINTENANCE 5 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16,00 840.00 640 00 TrainingFund Admin Dues Subs Subs Savings Other Total 565.24 10681 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 74.76 IMMIP 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 05/20/2021 - Page 3 Public Works Certifiet yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/15/2021 Payroll Number: 111-0 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 Stale SDI Vac/ Health Pension Net Date Earned Tax Tax Holida y & Well. - VALDE2 HUMBERTO S 0 Total Hourly Wage Check 12966 CACTUS DR f1A Work 08/09 08110 08/11 08/12 08113 08114 08/15 Hours Pay Rale This All 132.37 80.29 37.31 12.59 0.00 0.00 0.00 Paid For Week Number Classification Each Day Hours Worked Ea Proect j Pro acts 1 DESERT HOT SPRINGS CA TREE MAINTENANCE S 0.00 0.00 8.00 6.00 8.00 0.00 0.00 24.00 26.57 637.fi8 1,054,57 Training Fund Admin Dues Ss Subs Savings Other Total 786.70 10686 (LABORER)- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92240 GROUNDSPERS 0.00 0.00 0.00 0.00 0.00 5.31 267.87 IliiMM ON D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = DENTAL INSURANCE 55.31 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 RCA State SDI Vac/ Health Pension Net Dale Earned Tax Tax Holiday & Welf. VILLEGAS BRIM. PEDRO A 0 Total Hourly Wage Check 87125 66TH AVE #5 Work 08109 08110 08/11 08/12 08/13 08/14 08/15 Hours Pay Rate This All o.p i. 48.96 0 30 7 68 0 00 0,00 (Lao Paid For Week Number ClassificationProject H Hours Worked Each Day Projects I THERMAL CA LANDSCAPE MAINTENANCE 5 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40,00 16.00 640.00 640.00 TrainingFund Admin buss S Subsubs Savings Other Total 583.06 10682 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92274 RIVERSIDE 0.00 0.00 0,00 0.00 0.00 0,00 56.94 D (Lon coo 9.00 0.00 0.00 0,o0 0.00 0.00 0.00 NOTE: Public works Certified Payroll Reporting Form 08/20/2021 - 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: 2021-08-08 Payroll Number: 110 Amendment Number: 0 14 employee payroll record(s) processed Your Transaction ID is: 11875359 Print this Page View your submission ..ubmit another set of payroll records Public Works Certifiet "roll 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 2021-08-08 are the originals or true, full, and correct copies of the originals which depict thu 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 2021-08-20." 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 LAQUINTA 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: 110- 0 For Week Ending: 08/08/2021 DIs 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 RCA Stale SDI Vac! Health Pension Net Date Earned Tax Tax Holiday & weir. ALATORRE, GRISELDA 0 Total HourlyWage Check 11550 WESTERN AVE Work 08102 08f03 08J04 08/05 08106 08/07 08/08 Hours Pay Rale This All 0.00 63.64 0.00 9.98 0.00 0.00 0.00 Paid For Week Number Hours Worked Each Day Project Pro J ProjectsClassification DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 832.00 832.00 TrainingFund Admin Dues S Subsubs Savings Other Total Deduct 758 38 SEE NOTES LABORER- o 0.00 0.00 0.00 0.00 0.00 8.00 0.00 8.00 24.00 92240 RIVERSIDE 0 00 0 00 0.00 0.00 0.00 0 00 73.62 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 D.0O NOTE: PAYCHECK NUMBERS: 10530; 6548 Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Slate SDI Vac/ Health Pension Net Data Earned Tax Tax Holiday & Welt. ALEJO JERONIMO, ORLANDO 0 Total Hourly Wage Check 30105 AVE JUAREZ Work 08/02 08/03 08104 08/05 08106 08107 08108 Hours Pay Rale This All 0 00 49.87 1 42 7.82 0 00 0.00 0 00 Paid For Week Number ClassificationHours Worked Each Day Project Projects CATHEDRAL CITY CA LANDSCAPE MAINTENANCE s 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40,00 16.00 652 00 652.00 Training Fund Admin Dues Tray/ Subs Savings Other Total Deduct 592.89 10509 LABORER- p 0.00 0.00 0.00 0.50 0.00 0.00 0.00 0.50 24.00 92234 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 59.11 D O.00 o.o0 o.00 (Loa o.Do D.o0 0.00 p.m0.00 _ NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal RCA State SDI Vac/ Health Pension Not Date Earned Tax Tax Holiday& Welf. ALFARO, ZEYIN 0 Total Hourly Wage Check 11550 WESTERN AVE Work 08102 08103 08J04 08l115 08105 08/07 OBl08 Hours Pay Rate This All 0.00 48.96 6.48 7.68 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE s 8.00 8.00 8.00 8.00 8.00 0.00 0,00 40.00 16.00 640.00 640.00 Training Fund Admin Dues Tray! Subs Savings Other Total Deduct 576.88 10531 LABORER- p 0.00 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 63.12 - 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 08/20/2021 - Page 1 Public Works Certifier yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/08/2021 Payroll Number:110-0 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 Slate SDI Vac! Health Pension Net Earned Tax Tax Holiday& Well. BRIONES, MARCELINO 2 Dale Total Hourly Wage Check 50700 CALLE MENDOZA Work 08102 08/03 08104 68105 08106 08107 08108 Hours Pay Rate This All 44.01 48.96 8.17 7.68 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects COACHELLA CA LANDSCAPE8.00 MAINTENANCE s 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 640.00 640.00 TrainingFund Dues S Savings g Other Total 531.18 16532 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Admin Subsubs 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 108.82 MIIIIIMMIli 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 FICA Stale SDI Vac/ Health Pension Net Earned Tax Tax Holiday yWage & Welt. CASTILLO VIGIL, RAMON A 0 Dale Total Hourly Check 27335 HOPPER RD Work 08102 OS/03 08104 08105 08/06 08107 08108 Hours Pay Rate This All 49.18 58.14 14,08 9.12 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project 1 Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCEAdmin S 8.00 8.00 8.00 8.00 8.00 0.00 0,00 40.00 19.00 760.00 760.00 TrainingFund Dues S Subs Saving s Other Total 629.48 10533 LABORER- Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92241 RIVERSIDE 0100 0,00 0.00 0.00 0,00 0.00 130.52 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 FICA Stale SDI Vac! Health Pension Net Earned Tax Tax Holiday & Welf. HENRIOUEZ, RUBEN FABRICIO 0 Dale Total Hourly Wage Check 15687 PALM DR N83 Work 08102 08103 08/04 08105 08/06 08107 08108 Hours Pay Rate This All 73.12 57.78 16.81 9.06 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 0.00 0,00 8.00 8.00 8,00 0.00 0,00 24.00 16.00 454,00 760.50 TrainingFund Admin Dues S Subs uhs Sayings g Other Total 560.39 10539 LABORER- Q 0.00 0.00 0.00 0.50 0.50 0.00 0.00 1.00 27.00 92240 RIVERSIDE _ 0,00 0,00 0.00 0.00 0.00 43.34 200,11 D 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER a CALSAVER 538,03, DENTAL INSURANCE 55.31 Name, Address and Number of Day Deductions, Contribution , and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Slate SDI Vac/ Health Pension Net Earned Tax Tax Holiday& Well. LUNA GONZALEZ, CARLOS 4 Date Total Hourly Wage Check 66145 7TH ST Work 08/02 08/03 08/04 08/05 DB/06 08/07 08/08 Hours Pay Rate This All 81.88 87.57 10.40 13.74 0.00 0.00 0.00 Paid For Week Number ClassificationPro Hours Worked Each Day 1 ect Pro acts 1 DESERT HOT SPRINGS CA TREE MAINTENANCE S40.00 8.00 8.00 B.DO 8.00 8.00 0.00 0.00 28.62 1,140..80 1,144.80 Training Fund Admin Dues Smut Subs Savings Other Total 971.21 10540 (LABORER). Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92240 TREE TRIMMER 0.00 0.00 0.00 0.00 0.00 0.00 173.59 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 08/20/2021 - Page 2 Public Works Certifier yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/08/2021 Payroll Number: 110-0 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 Stale SDI Vac/ Health Pension Net Earned Tax Tax Holiday& Well. MUNOZ CHAVEZ JOSE L. Date Total Hourly Wage Check 43186 BURR ST Work 08102 08103 08104 08105 08/06 OB107 08108 Hours Pay Rate This All 14.27 29.38 4.61 4.61 0.00 0.00 0.00 Pald For Week Number Classification Hours Worked Each Day Project Projects INplp CA LANDSCAPE MAINTENANCE 5 0.00 8.00 8.00 8.00 0.00 0,00 0,00 24.00 18.00 384.00 384.00 Training Fund Dues Tray/ Savings Other Total 331.13 10535 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Admin Subs 92201 RIVERSIDE 0.00 0.00 0,00 0.00 0.00 0.00 52.87 _ 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 Sal Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Earned Tax Tax Holiday& Well. MUNOZ EVERARDO 0 Date Total Hourly Wage Check 74501 42ND AVE Work 08102 08/03 08104 08105 08/06 08/07 08108 Hours Pay Rale This All 0.00 55.08 3.82 8.64 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects PALM DESERT CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 18.00 720.00 720.00 TrainingFund Admin Dues Tray/ Subsubs Savin s 9 Other Total 652.48 10534 LABORER- p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92260 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 67.54 umnp D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address and Number or Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tuo Wed Thu Fri Sat Sun Gross Amount Federal FICA Mato SDI Vac/ Health Pension Net Earned Tax Tax Holiday &Welt. RAMIREZ, MARCELINO 4 Dale Total Hourly Wage Check 1500 E SAN RAFAEL DR #164 Work 08/02 08103 08/04 08/05 08/06 08107 08/08 Hours Pay Rate This All 45.73 7727 4.48 12.12 0.00 0.00 0.00 Paid For Week Number Classificationj Hours Worked Each Day Project Proects PALM SPRINGS CA LANDSCAPE MAINTENANCEAdmin S 0.00 0.00 8.00 0.00 0,00 0.00 0.00 8.00 20.00 160.00 1,010.24 TrainingFund Dues Tray/Subs Subs Savin s 9 Other Total 870.64 10541 LABORER- Q 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 0.00 139.60 Mini 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 FICA Slate SDI Vac/ Health Pension Net Earned EarnedWage Tax Tax Holiday& Waif. RAMIREZ MARCELINO 4 Date Total Hourly Check 1500 E SAN RAFAEL DR #164 Wodt 08102 08103 08r04 4$105 08/06 00107 08108 Hours Pay Rate This All 45.73 77.27 4.48 12.12 0.00 0,00 0.00 Paid For Week Number ClassificationPro Hours Worked Each Day 1 act Projects rot PALM SPRINGS CA TREE MAINTENANCE S 8.00 8.00 0.00 8.00 8,00 0.00 0.00 32.00 26.57 850.24 1,010.24 Training Fund Admin Dues Tray/ Subs Savings Other Total 870,64 10541 (LABORER)- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 92262 GROUNDSPERS 0.00 0.00 0.00 0.00 0.00 0.00 139.60 _ ON D o.00 0.00 0.00 0.0o O.DD o.00 0.00 o.00 0.00 NOTE: Public works Certified Payroll Reporting Form 08/20/2021 - Page 3 Public Works Certifier, yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/08/2021 Payroll Number:110-0 Name, Address and Number of Day Deductions. Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Net Date Earned Earned Tax Tax Holiday & Weill. ROMAN, MIGUEL B 0 Total Hourly Wage Check 84047 FIESTA RD Work 08/02 08/03 08104 08/05 08/06 08/07 08/08 Hours Pay Rale This All 77.61 70.38 29.89 11.04 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects COACHELLA CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20,00 920.00 920.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 731.08 10536 LABORER. 0 0,00 0.00 0.00 0.00 0.00 2.00 2.00 4.00 30.00 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 188.92 IMINIMII D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 i NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stara SDI Heallh Pension Net Earned Tax Tax Holiday & Welt. SARABIA,JOSEA 0 Date Total Hourly Wage Check 2950 N INDIAN CANYON DR Work 08/02 08/03 08/04 08/05 08106 08/07 08108 Hours Pay Rale This All 5,55 48,96 12,57 7,68 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects Pro i PALM SPRINGS CA LANDSCAPE MAINTENANCE $ 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 640.00 640.00 TrainingFund Admin Dues S Subsubs Savings Other Total 565,20. 10537 LABORER- Q 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 74.76 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 FICA Slate SDI Vac/ Health Pensi01 Net Dale tamed Tax Tax Holiday & Welt. VILLEGAS BRITO, PEDRO A 0 Total Hourly Wage Check 87125 66TH AVE 95 Work 08/02 08103 08/04 08/05 08106 08/07 08/08 Hours Pay Rate This All 0.00 48,96 0.30 7.68 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects THERMAL CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.60 640,00 640.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 583.06 10538 LABORER- 0 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 92274 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 56.94 D 6.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 MIMS NOTE: Public works Certified Payroll Reporting Form 08/20/2021 - 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@dirca.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: 2021-08-01 Payroll Number: 109 Amendment Number: 0 11 employee payroll record(s) processed Your Transaction ID is: 11872393 Print this Page View your submission ,ubmit another set of payroll records Public Works Certifier yroll Reporting Form Certification under penalty of perjury; "I, KRISTY SOUTH. the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC 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 2021-08-01 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. 1 certify this on 2021-08-20," 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: 109- 0 For Week Ending: 08/01/2021 ' ] 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 FICA Stale SDI Vac! Health Pension Net Earned Tax Tax Holiday 8 Welf. ALATORRE, GRISELDA 0 Dale Total Hourly Wage Check 11550 WESTERN AVE Work 07/26 07/27 07/28 07/29 07130 07131 08101 Hours Pay Rate This All 0.00 48.96 0.00 7.68 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each tray Project i Projects 1 DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 16.00 640 00 640.00 TrainingFund Admin Dues S Subsubs Sayings 9 Other Total Deduct 583.36 10498 LABORER- O 0.00 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 56,64 111111111 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 SecurityNumber of Worker Withholding Mon Tue Wad Thu Fri Sat Sun Gross Amount Federal FICA Stela SDI Vac/Health Pension Net Date Earned Tax Tax Holiday & Welt. ALEJO JERONIMO, ORLANDO 0 Total Hourly Wage Check 30105 AVE JUAREZ Work 07/28 07127 07/28 07129 07/30 07131 08101 Hours Pay Rate This All 0.00 40.09 0.00 6.29 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day ect Pro 1 Pro acts I CATHEDRAL CITY CA LANDSCAPE MAINTENANCE S 0.00 8.00 8.00 8.00 2.00 0.00 0.00 26,00 16.00 428.00 524.00 Training Fund Admin Dues Travl Subs Savings Other Total Deduct 477.62 10475 LABORER- O 0.00 0.00 0.50 0.00 0.00 0.00 0.00 0.50 24.00 92234 RIVERSIDE 0.00 0,00 0.00 0.00 0.00 0.00 46.38 1111111111 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.60 6.06 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 Nel Earned Tax Tax Holiday& Welt. ALFARO, 2EYIH 0 Date Total Hourly Wage Check 11550 WESTERN AVE Work 07/26 07/27 07/28 07/29 07/30 07131 08/01 Hours Pay Rate This All 0.00 52.62 8.59 8.26 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project i Projects rn] DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 16.00 668.00 688.00 Training Fund Admin hues Sus! Subs Savings Other Total Deduct 618.53 10499 LABORER- 0 0.00 0.00 0.00 0.00 0.00 2.00 0.00 2,00 24.00 92240 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 69.47 MEM 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 08/20/2021 - Page 1 Public Works Certifiet yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/01/2021 Payroll Number:109-0 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 Stale SDI Vac/ Health Pension Not Date Earned Tax Tax Holiday & Welf. BRIONES, MARCELINO 2 Total HourlyWage 50700 CALLE MENDOZA 07/26 07127 07/28 07129 07/30 07131 08/01 Hours Pay Rale This All 44.01 48.96 8.17 7.68 0.00 0.00 0.00 Paid For Week Number Nur Classification Hours Worked Each Day Project Projects COACHELLA CA LANDSCAPE0.00 MAINTENANCE s 8.00 8.00 8.00 8.00 8.00 0.00 40.00 16.00 540,00 640.00 Training Fund Admin Dues Trav! Subs Savings Other Total 531.18 10500 LABORER- p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 108.82 MEW 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 FICA State SDI Vac! Health Pension Net Data Earned Tax Tax Holiday & Welf. CASTILLO VIGIL, RAMON A 0 Total Hourly Wage Check 27335 HOPPER RD Work 07126 07127 07128 07129 07/30 07/31 08101 Hours Pay Rale This All 30.94 46.52 6.76 7.30 0.00 0.00 0.00 Paid Far Week Number Classification Hours Worked Each Day Projeci Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 0.00 8.00 8.00 8,00 8,00 0.00 0.00 32.00 19.00 608.00 608.00 TrainingFund Admin Dues S Subsubs Sayings 9 Other Total 516,48 10501 LABORER- 0 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 91.52 - 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 SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Net Date Earned Earned Tax Tax Holiday& Well. DIMAS, PEDRO REYES 1 Total Hourly Wage Check 31-900 AVENIDA EL MUNDO Work 07/26 07/27 07/28 07129 07/30 07131 08101 Hours Pay Rale This All 25.87 44.06 4.33 6.91 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Pro act Pro ds i a CATHEDRAL CITY CA LANDSCAPE MAINTENANCE g 0.00 8,00 8.00 0.00 0.00 0.00 0.00 16.00 18.00 288.00 576 00 Training Fund Admin Dues Tray! Subs Savings Other Total 494 83 10477 LABORER- o 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 81.17 UMW 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 SecuritNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday 11 Welt. LUNA GONZALEZ. CARLOS 4 Total Hourly Wage Check 66145 7TH ST Work 07126 07/27 07/28 07129 07/30 07131 08101 Hours Pay Rate This All 26.55 63.57 0.12 9.97 0.00 0.00 0.00 Paid For Week Number ClassificationProjects Hours Worked Each Day1 Project DESERT HOT SPRINGS CA TREE MAINTENANCE S 0.00 8.00 8.00 0.00 8.00 0.00 0.00 24.00 28.62 686.88 830.88 Training Fund Admin Dues Subs Sub Savings Other Total 730,67 10506 (LABORER} o 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92240 TREE TRIMMER 0.00 0.00 0.00 0.00 0.00 0.00 100,21 .11111.111 D 0,00 0.00 0.60 0,00 0.00 0,00 0,00 0.00 0.00 NOTE: Public works Certified Payroll Reporting Form 08/20/2021 - Page 2 7- Public Works Certifiet yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/01/2021 Payroll Number:109-0 Name, Address Number of Day Deductions, Contributions, and Payments and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Var./ Health Pension Net Date Earned Tax Tax Holiday & Welf. Wage RAMIREZ, MARCELINO 4 Total Hourly Check 1500 E SAN RAFAEL DR N164 Work 07126 07127 07/28 07/29 07/30 07131 08/01 Hours Pay Rate This All 19.27 59 55 0.00 9.35 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects PALM SPRINGS CA TREE MAINTENANCE S 0.00 8.00 8.00 0.00 8.00 0.00 0.00 24.00 26.57 637.68 797.68 Training Fund Admin Dues Tray/ Subs Savings Other Total 517.59 SEE NOTES (LABORER)- Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92262 GROUNDSPERS - 0.00 0.00 0.00 0.00 0.00 191.92 280.09 _ ON D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: PAYCHECK NUMBERS: 10507; 6542; 6552 ; OTHER = $13.88 HEALTH INSURANCE. 55.31 DENTAL INSURANCE. 5172.73 GARNISHMENT Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Net Dale Earned Tax Tax Holiday & Well'. ROMAN, MIGUEL B 0 Total Hourly Wage Check 84047 FIESTA RD Work 07/26 07/27 07/28 07/29 07/30 07/31 05101 Hours Pay Rate This All 44.01 48.96 13.42 7.68 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects COACHELLA CA LANDSCAPE0.00 MAINTENANCEAdmin s32.00 8,00 8.00 6.00 8.00 0.00 0.00 20.00 640.00 640.04 TrainingFund Du Tray/es Subs Subs Savings Other Total 525.93 10502 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92236 RIVERSIDE 0.00 0.40 0.00 0.00 0.00 0.00 114,07 D 0.04 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 FICA Slate SDI Vac/ Health Pension Net Dale Earned Tax. Tax Holiday & Welf SARABIA,JO5EA 0 Total Hourly Wage Check 2950 N INDIAN CANYON DR Work 07/26 07/27 07/28 07/29 07/30 07/31 08/01 Hours Pay Ralo This API 0.00 39.18 7.00 6.14 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects PALM SPRINGS CA LANDSCAPE MAINTENANCE g 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 16.00 512.00 512.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 459.68 10503 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 52.32 D D.ao o.00 0.00 0.04 0.o0 o.00 D.o0 D.00 0.00 - NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SOt Vac/ Health Pension Not Date Earned Tax Tax Holiday & Welt. VILLEGAS BRITO, PEDRO A 0 Total Hourly Wage Check 87125 66TH AVE p5 Work 07/26 07/27 07/28 07/29 07/30 07131 08/01 Hours Pay Rale This All 0.00 39,18 0.00 6.14 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects THERMAL CA LANDSCAPE MAINTENANCE S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 16.00 512.00 512.00 TrainingFund Admin Dues Dues S Savings 9 Other Total 466.68 10504 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92274 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 45.32 MIIIIMI 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 08/20/2021 - Page 3