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2022-01-31 thru 2022-02-27 Cert PayrolleCPR Online Confirmation r 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: 2022-02-27 Payroll Number: 139 Amendment Number: 0 13 employee payroll record(s) processed Your Transaction ID is: 13573093 Print this Page View your submission Submit another set of payroll records Public Works Certifie iyroll 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 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 2022-02-27 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2022-03-21 " 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 8 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: 139- 0 For Week Ending: 02/27/2022 ID Is this a'Statement of Non -Performance?' Number of Day Deductions, Contributions, and Payments Name, Address and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Dale Earned Tax Tax ; Holiday & welt. Wage Check ALATORRE, GRISELDA 0 Total Hourly Work 02/21 02122 02/23 02124 02/25 02/26 02/27 Hours Pay Rale This All 0.00 39.16 0.00 5.63 0.00 0.00 0.00 Paid For Weak Number 11550 WESTERN AVE Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE s 0.00 8.00 8.00 9.00 0.00 0.00 0.00 24.00 16.00 384.00 512.00 Training Fund Admin Dues Tray/ Subs Savings Other Total Deduct 462.09 13104 LABORER- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92240 RIVERSIDE O 0.00 0.00 0.00 0.00 0.00 0.00 5.12 49.91 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER a 5.12 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 Fedora) FICA Stale SDI Vac/ Health Net Date Earned Tax Tax Holiday & Well.Pension Wage Chock 2 Total Hourly BRIONES. MARCELINO Work 02/21 02/22 02/23 02/24 02/25 02/26 02/27 Hours Pay Rate This All 47.42 52.33 8.95 7.52 0.00 0.00 0.00 Paid For Week Number 50700 CALLE MENDOZA Classification Hours Worked Each Day Protect Projects COACHELLA CA LANDSCAPE MAINTENANCE 5 2.00 8.00 8.00 6.00 8.00 0.00 2.00 36.00 19.00 684.00 684.00 Training Fund Admia Dues Tray/ Subs Savings Other Total Deduct 560.94 13105 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 6.84 123.06 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER a 6.B4 401K 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 Stale SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday & Welf.Wage 0 Total Hourty GONZALEZ, GABRIELA 66900 IRONWOOD DR #1406 02/21 02/22 02/23 02/24 02/25 02/26 02/27 Hours Pay Rate This All 0.00 39.16 0.00 5.63 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 8.00 8.00 8.00 8.00 0.00 0.00 32.00 16.00 512.00 512.00 Training Fund Admin Dues Tray/ Subs Savings Other Total Deduct 467.21 13106 LABORER- D 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 44.79 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 03/21/2022 - Page 1 Public Works Certifie lyroll Reporting Form C Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 02/2712022 Payroll Number:139-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Wiihhaiding Man Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Net Dale Earned Tax Tax Holiday & Well, HERNANDEZ. JOSS c Total Hourly Wage Check 9243 VISTA DEL VALLE Work 02/21 02/22 02123 02/24 02/25 02/26 02/27 Hours Pay Rate This All 17.98 39.18 4.53 5.63 0.00 0.00 0.00 Paid For Week Number Classifcation Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE 0.00 8.00 8.04 0A0 0 00 9.00 0.00Tray/S 16.00 16.00 256.00 512.00 Training Fund Admin Dues Subs Subs Savings Other Total 444.68 13085 LABORER- 0 0.00 0.00 0 0a 0 00 0.00 i1 00 0.00 0.00 0.00 92240 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 67.32 D 0,00 0.011 11.1111 0.1110 4.00 100 Q.44 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 Dale Earned Tax Tax Holiday & Welf. JIMENEZ, IVETTE 0 Total Hourly Wage Check 49615 HARRISON ST #40 Work 02/21 02/22 02/23 02/24 02/25 02126 02127 Hours Pay Rale This All 20.04 38.76 Q.00 5.57 0.00 0.00 0.00 Paid For Week Number cation Classification Worked Each DayProject Projects COACHELLA 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 Training Fund Admin Ones Tray/ subs Savings Other Total 442.33 13107 . LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.QQ 0.00 0.00 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 5.30 69.67 D 0.00 0.00 0 00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 5.30 DENTAL INSURANCE Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sal Sun Gross Amours! Federal FICA Stela SDI Vac! Health Pension Net Dale Earned Tax Tax Holiday & Well. LUNA GONZALEZ, CARLOS 4 Total Hourly Wage Chock 66145 7TH ST Work 02/21 02/22 02/23 02/24 02/25 02/26 02/27 Hours Pay Rate This All 10.30 52.31 0.00 7.52 0.00 0.00 0.00 Paid Far Week Number ClassificationProject Hours Worked Each Day Projects DESERT HOT SPRINGS CA TREE MAINTENANCE S 0.00 0.00 4.00 0.00 0.00 0.00 0.00 4.00 30.82 123.28 683.78 TrainingFund Admin Dues Smut Subs Sayings 9 Other Total 613.65 13112 (LABORER).. 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 70.13 _ 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 Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Slate SDI Vac/ Health Pension Net Dale Earned Tax Tax Holiday & Welt. MEDINA ESCOBAR, JUAN F 0 Total Houdy Wage Check 65946 DESERT VIEW AVE Work 02/21 02/22 02123 02/24 02/25 02/26 02/27 Hours Pay Rale This All 0.00 42,60 0.00 6.13 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 8.00 8.00 0.00 0.00 0.00 0.00 18.00 18.00 288.00 576.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 502.33 13088 LABORER. 0 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 24.94 73.87 D 0.00 0.00 0.00 0.00 0.00 0 00 0.00 0.00 0.00 I NOTE: OTHER = 13.88 HEALTH INSURANCE, 5.30 DENTAL INSURANCE & 5.76 401K Public works Certified Payroll reporting Form 03/21/2022 - Page 2 Public Works Certifie tyroll 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 2022-02-20 are the originals or true, full, and correct copies of the originals Whir-h rf aii c1 tbP, 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 2022-03-21 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: 138- 1 For Week Ending: 02/20/2022 pis 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 Date Earned Tax Tax Holiday & Wet. ALATORRE, GRISELDA 0 Total Hourly Wage Check 11550 WESTERN AVE Work 02/14 02/15 02116 02/17 02/18 02119 02120 Hours Pay Rate This All 0.00 48.96 0.00 7.04 0.00 0.00 0.00 Paid For 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 16.00 640.00 640.00 TrainingFund Admin Dues S Subsubs Sayings 9 Other Total Deduct 577.60 12955 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 6.40 62.40 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 IIMIIIMIF NOTE: OTHER e 6.40401K 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 Dale Earned Tax Tax Holiday & Well. BRIONES, MARCELINO 2 Total Hourly Wage Check 50700 CALLE MENDOZA Work 02/14 02/15 02/16 02/17 02118 02/19 02/20 Hours Pay Rate This All 53.01 55.92 10.99 8.04 0.00 0.00 0.00 Paid For Week Number ClassificationHours Worked Each Day Project Projects COACHELLA CA LANDSCAPE MAINTENANCE S 8.00 a,00 8.00 8.00 8.00 0.00 0,00 40.00 17.00 731.00 731.00 Training Fund Admin Dues S Subs Savings Other Total Deduct 595.73 12956 LABORER. 0 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00 25.50 92236 RIVERSIDE _ 0.00 0.00 0.00 0.00 0.00 7.31 135,27 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 7.31 401K Name. Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat SunFICA Gross Amount Federal State S01 Vac/ Health Pension Net Earned Tax Tax Holiday A Well. GONZALEZ, GABRIELA 0 Dale Total Hourly Wage Check 66900 IRONWOOD DR t11406 Work 02/14 02/15 02116 02/17 02/18 02/19 02/20 Hours Pay Hale This All 0.00 48.96 0.00 7.04 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 9.00 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 584.00 12957 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 56.00 IMMO D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: PubiiC works certified Payroll Reporting Form 03/21/2022 - Page 1 Public Works Certifie iyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 02/20/2022 Payroll Number: 138-1 Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal RCA Stale SD! Vac/ Health Pension Net Date Earned Tax Tax Holiday & Wolf. Wage HERNANOEZ JOSE 0 Total Hourly Check 9243 VISTA DEL VALLE Work 02/14 02115 02/18 02/17 02/18 02119 02/20 Hours Pay Rate This All 17.98 39.16 4.53 5.63 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each pay Protect Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE 5 0.00 8.00 8.00 8.00 0.00 0.00 0.00 24.00 16.00 384.00 512.00 TrainingFund Admin Dues S Subsubs Savings 9 Other Total 444.70 12937 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 67.30 - 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 Dale Earned Tax Tax Holiday & Well. JIMENEZ,!VETTE 0 Total Hourly Wage Check 49615 HARRISON ST It40 Work 02/14 02/15 02/16 02/17 02/18 02/19 02/20 Hours Pay Rata This All 28.04 38.77 0.00 5.57 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects COACHELLA CA LANDSCAPE8.00 MAINTENANCE s 0.00 8.00 8.00 8.00 0.00 0.00 32.00 16.00 512.00 512.00 Training Admin Dues Tray)u Savings Other Total 442.32 12958 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 5.30 69.68 _ D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 5.30 DENTAL INSURANCE 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 SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday & Watf. LUNA GONZALEZ, CARLOS 4 Total Hourly Wage Check 66145 7TH ST Work 02/14 02/15 02/16 02/17 02/18 02/19 02/20 Hours Pay Rate This All 19.11 59.04 0.00 8.49 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA TREE MAINTENANCE 5 0.00 0.00 0.40 0.00 1.00 0,00 0.00 1,00 30.82 30.82 771.82 TrainingFund Admin Dues Tray/ Subs Savings Other Total 685.18 12962 (LABORER)- 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 86.64 _ 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 Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Dale Earned Tax Tax Holiday & Well. MEDINA ESCOBAR. JUAN F 0 Total Hourly Wage Check 65946 DESERT VIEW AVE Work 02l14 02/15 02/16 02/17 02/18 02/19 02/20This Hours Pay Rate All 0.00 54.26 4.58 7.60 0.00 0.00 0.00 Paid For Weak Number Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE8.00 MAINTENANCE s 8.00 8.00 8.00 0.00 0.00 0.00 32.00 t8.00 578,00 728.57 TrainingFund Admin Du°s S Subsubs Savings 9 Other Total 635.46 12940 LABORER- 0 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 26.47 93.11 IMMO D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 13.88 HEALTH INSURANCE, 5.30 DENTAL INSURANCE & 7.29 401K Public Works Certified Payroll Reporting Form 03/21/2022 - Page 2 Public Works Certifie. .iyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 02/2012022 Payroll Number:138-1 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac! Health Pension Nel Dale Earned Tax Tax Holiday & Welf. SORIANO LOZANO, FERNANDO B 0 Total Hourly Wage check PUEBLO TR ifA Work 02114 02115 02/16 02/17 02118 02119 02/20 Hours Pay Rale This All 15.38 48.96 0.00 7.04 0.00 0.00 0.00 Paid Far Week Number 33300 Classification Hours Worked Each Day Project Projects CATHEDRAL CITY CA LANDSCAPE MAINTENANCE S8.00 6.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 640.00 640.00 Training Fund Admin Dues S Subsubs Savings Other Total 562.22 12961 LABORER- 0 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 6.40 77.78 MINN D 0.00 0.00 0.00 0.00 0.06 0.00 0.00 0.00 0.00 NOTE: OTHER = 6.40 401K Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sal Sun Grass Amount Federal FICA Stale SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday & Well. VALDEZ, HUMBERTO S 0 Total Hourly Wage Check 12966 CACTUS DR dA 02/15 02/16 02/17 02/18 02/19 02/20 Hours Pay Rate This All 77.20 58.72 15.32 8.44 0.00 0.00 0.00 Pa d Far Week Number Classification cation Worked Each Day Project Projects DESERT HOT SPRINGS CA TREE MAINTENANCE S1.00 0.00 0.00 0.00 0.00 1.00 0.00 0.00 26.57 26.57 767.57 TrainingFund Admin Dues Tray) Subs Savings Other Total 600.21 12964 (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 7.68 167.36 IIIIIIIIMIIS ON D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE; OTHER = 7.68 401K public works Certified Payroll Reporting Form 03/21/2022 - Page 4 r,* Public Works Certifie tyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 02/20/2022 Payroll Number:138-1 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 Stales SDI Vac/ Health Pension Not Date Earned Tax Tax Holiday 8 Waif. MEDINA ESCOBAR. JUAN F 0 Total Hourly Wage Check 65946 DESERT VIEW AVE Work 02)14 02/15 02/16 02)17 02/18 02/19 02/20 Hours Pay Rate This All 0.00 54.26 4.58 7.80 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA TREE MAINTENANCE 5 0.00 0.00 0.00 0.00 1.00 0.00 0.00 1.00 26.57 26.57 728,57 TrainingFund Admin Dues S Sudsubs Sayings 9 Other Total 635.46 12940 (LABORER}- o 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 26.47 93.11 607700966 ON D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 13.88 HEALTH INSURANCE, 5.30 DENTAL INSURANCE 6 7.29 401K 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 a Wolf. MEJIA, DENtS D 0 Total Hourly Wage Check 44220 SAN PABLO AVE #5 Work 02/14 02/15 02/16 02/17 02/18 02/19 02/20 Hours Pay Rate This All 0.00 19.58 0.00 2.82 0.00 0.00 0,00 Paid For Week Number Classification Hours worked Each Day Project Projects PALM DESERT CA LANDSCAPE MAINTENANCE s 0.00 8.00 0.00 8.00 0,00 0.00 0.00 16.00 16.00 256.00 256.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 233.60 12959 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 22.40 610204786 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 Nel Dale Earned Tax Tax Holiday E Welf. MUNOZ, EVERARDO 0 Total Hourly Wage Check 74501 42ND AVE Work 02/14 02/15 02/16 02/17 02/18 02/19 02/20 Hours Pay Rate This All 0.00 54.68 2.42 7.86 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 0.0D 40.00 18.00 720.00 720.00 TrainingFund Admin Dues Tray/ Subsuhs Sayings g Other Total 649.74 12960 LABORER- o 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 5.30 70.26 691429227 D 0.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 5.30 DENTAL INSURANCE Name. Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sal Sun Grass Amount Federal FICA I, Stale SDI Vac! Health Pension Net Date Earned Tax Tax Holiday & Well. RAMIREZ. MARCELINO 0 Total Hourly Wage Check 1500 E SAN RAFAEL DR #164 Work 02/14 02/15 02/16 02/17 02/18 02/19 02/20 Hours Pay Rate This All 23,72 63.22 0.00 9.09 0.00 0.00 0.00 Pall For Week Number Classification Hours Worked Each Day Project Projects PALM SPRINGS CA TREE MAINTENANCE 5 0.00 0.00 0.00 0.00 1.00 0.00 0.00 1.00 28.57 26.57 845.57 TrainingFund Admin Dues S Subsubs Savings Other Total 721.89 12963 (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 27.65 123.66 532871987 ON D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 13.68 HEALTH INSURANCE. 5.31 DENTAL INSURANCE & 8.46 401K Public works Certified Payroll Reporting Form 03/21/2022 - Page 3 eCPR Online Confirmation -four 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: 2022-02-20 Payroll Number: 138 Amendment Number: 0 13 employee payroll record(s) processed Your Transaction ID is: 13572347 Print this Page 1 View your submission Submit another set of payroll records Public Works Certifie. ayroll Reporting Form Certification undei 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 2022-02-20 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2022-03-21 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 4UINTA 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: 138- 0 For Week Ending: 02/20/2022 al 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 Grose Amount Federal FICA State 5DI Vac/ Health Pension Net Tax Tax Holiday & Welt. ALATORRE, GRISELDA 0 DaleEarned Total HourlyWage Check 11550 WESTERN AVE Work 02/14 02/15 02110 02117 02118 02/19 02/20 Hours Pay Rate This All 0,00 48.96 0,00 7.04 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 TrainingFund Admin Dues S Subsubs Sayings g Other Total Deduct 577.60 12955 LABORER- O 0,00 0,00 0.80 0.00 0,00 0,00 0.00 0.00 0.00 92240 RIVERSIDE 0.00 0.00 0,00 0,00 0,00 6,40 62.40 Min D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER r 6,40 401K Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fe Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Earned Tax Tax Holiday d Well. BRIONES, MARCELINO 2 Date TotaF Hourly Wage Check 50700 CALLE MENDOZA Work 02/14 02/15 02/15 02117 02118 02119 02/20 Hours Pay Rate This All 53.01 55.92 10.99 8.04 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects CDACHELLA CA LANDSCAPE8.00 MAINTENANCE S 8.00 8.00 8.00 8.00 0.00 0.00 40,00 17,00 731,00 73.06 TrainingFund Admin Dues S Subsubs Sayings 9 Other Total Deduct 595,73 12956 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00 25.50 92236 RIVERSIDE 0,00 0.00 0.00 0,00 0.00 7.31 135.27 MM.D o.00 0.D0 0.00 0.00 o.oa 0.00 D.00 0.00 0.00 NOTE: OTHER = 7.31 401K 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 Earned Tax Tax Holiday & Welt. GONZALEZ.GABRIELA 0 Dale Total Hourly Wage Check 66900 IRONWOOD DR #1406 Work 02/14 02115 02/16 02/17 02118 02/19 02/20 Hone Pay Rale This All 0,09 48,96 1100 7.04 0 00 0 00 0 ao Paid For Week Number Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE $ B.00 B.00 8.00 B.00 8.00 0.00 0.00 40,00 16.00 840.40 640.00 TrainingFund Admin Dues TrayeSubs Subs Savin s 0 Other Total Deduct 584.00 12957 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92240 RIVERSIDE 0.00 0.00 n.00 0.0 i 3.00 O.0D 56 09 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 o.00 0.00 NOTE: Public works Certified Payroll Reporting Form 63/2i12022 • Page i Public Works Certifie.. }yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 02/20/2022 Payroll Number:138-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Man Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac! Health Pension Net Earned Tax Tax Holiday& Well, HERNANDEZ JOSE 0 Date Total Hourly Wage Check 9243 VISTA DEL VALLE Work 02/14 02/15 02116 02117 0u18 02/19 02120 Hears PaY Rate This Ali 17.98 39.16 4.53 5.63 0.00 0.00 0.00 Paid For Week Number ClassificationPro Hours Worked Each Day i eet Pro acts 1 DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 0.00 8,00 8.00 8.00 0.00 0.00 0.00 24.00 15.00 384.00 512.00 Training Fund Dues Tray! Subs Savings Other Total 444.70 12937 LABORER- o 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Admin 92240 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 67.30 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 State SDI Vac/ Health Net Tax lax Holiday & Wolf. Pension JIMENEZ, IVETTE 0 Date Total HourlyEarned Wage 9 Check 49615 HARRISON ST #40 Work 02/14 02115 02116 02117 02118 02/19 02/20 Hours Pay Rate This All 20.04 38,77 0,00 5.57 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects COACHELLA CA LANDSCAPE MAINTENANCE S 8.00 0.00 8.00 8.00 8.00 0.00 0.00 32.00 16.00 512.00 512.00 Training Fund Dues Tray/ Savings Other Total 442.32 12958 LABORER- o 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Admin Subs 92235 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 a 69.68 IMMO D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 5.30 401K 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 Vac/ Health Net Tax Tax S01 Holiday & Welf. Pension LUNAGONZALEZ,CARLO5 4 DateEarned Total Hourly . Wage Check 66145 7TH ST Work 02l14 02115 02/16 02117 02/18 02/19 02/20 Hours Pay Rate This All 19.11 59.04 0.00 6.49 0.00 0.00 0.00 Paid For Week Number ClassificationProject Hours Worked Each Day1 Projects DESERT HOT SPRINGS CA TREE MAINTENANCE 51.00 0.00 0.00 0.00 0.00 1.00 0.00 0.00 30,82 30.82 771.82 Training Fund Admin Dues Tr5v/ Savings Other Total 685.18 12962 (LABORER} p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Subs 92240 SENIOR TREE 0.00 0,00 0.00 0.60 0.00 0.00 86.64 flONMP 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 SecurityNumber of Worker Withholding Mon Tue Wed Thu Fe Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Net MEDINA ESCOBAR. JUAN F 0 Date Total Hourly Earned Tax Tax Holida y Well. Pension Wage Check 65948 DESERT VIEW AVE Work 02/14 02115 02116 02/17 02118 02/19 02/20 Hours Pay Rate This All 0.00 54.26 4.58 7.80 0.00 0.00 0,00 Paid For Weak 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 18.00 576,00 728.57 Training Fund Dues Tray/ Savings Other Total 635.48 12940 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Admin Subs 92240 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 26.47 93.11 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 13.88 HEALTH INSURANCE. 5.30 DENTAL INSURANCE & 7.29 4131K Public works Certified Payroll Reporting Form 03/21/2022 - Page 2 Public Works Certifie. .iyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 02/20/2022 Payroll Number: 138-0 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 Hal Dale Earned Tax lax Holiday & Welf. MEDINA ESCOBAR. JUAN F 0 Total Hourly Wage Check 65946 DESERT VIEW AVE Work 02/14 02/15 02/16 02/17 02118 02/19 02/20 Hours Pay Rate This All 0.00 54.26 4.58 7.80 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA TREE MAINTENANCE 5 0.00 0.00 0.00 0.00 1.00 0.00 0.00 1.00 26.57 26.57 728.57 Training Fund Admin Dues Tray/ Subs Savings Other Total 635.46 12940 (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 26.47 93.11 IIIIIMI ON D 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 13.88 HEALTH INSURANCE, 5.30 DENTAL INSURANCE & 7.29 401K 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 Slate SDI Vac/ Health Pension Net pale Earned Tax Tax Holiday 8 Welf. . MEJIA, DENIS D 0 Total Hourly Wage Check 44220 SAN PABLO AVE S5 Work 02/14 02/15 02116 02117 02/18 02/19 02/20 Hours Pay Rale This All 0.00 19.58 0.00 2.82 0.00 0.00 0.00 Paid Far Week Number Classification Hours Worked Each Day Project Projects PALM DESERT CA LANDSCAPE MAINTENANCE S 0.00 8,00 0.00 8.00 0.00 0,00 0.00 16.00 18.00 256.00 256.00 TrainingFund Admin Dues S Subsubs Savings 9 Other Total 233.60 12959 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.0Q 0.00 92260 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 22.40 - 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 Sale SDI Vas! Health Pension Net Dale Earned Tax Tax Holiday & Waif. MUNOZ, EVERARDO 0 Total Hourly Wage Check 74501 42ND AVE Work 02/14 02115 02/16 02/17 02118 02/19 02/20 Hours Pay Rate This All 0.00 54,68 2.42 7.86 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 Training Fund Admin Dues Tray! Subs Savings Other Total 649.74 12960 LABORER. 0 0.00 0.o0 0.00 0.00 0.00 0.00 0.00 0,00 0.00 ..----1 92260 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 5.30 70.26 IMMO D 0.00 0.0o o.00 o.00 o.00 o.00 o.00 0.00 0.00 NOTE: OTHER = 5.30 401K 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 Holida y 8 Welf. RAMIREZ, MARCELINO 0 Date Total Hourly Wage Check 1500 E SAN RAFAEL DR #164 Work 02/14 02/15 02/16 02/17 02/18 02/19 02/20 Hours Pay Rate This All 23.72 63.22 0.00 9.09 0.00 0.00 0.00 Paid For Week Number Classifica8 Hours ours Worked Each Day Project I Projects PALM SPRINGS CA TREE0,00 MAINTENANCE s 0.00 0.00 0.00 1.00 0.00 0.00 1.00 26.57 26.57 845.57 TrainingFund Admin Duos Tray/ Subs Sayings 9 Other Total 721.89 12963 (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 27,65 123,66 IIIIMIN ON D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 13.88 HEALTH INSURANCE. 5.31 DENTAL INSURANCE & 8.46 401K Public works Certified Payroll Reporting Fore 03/21/2022 - Page 3 Public Works Certifie Jyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 02/20/2022 Payroll Number: 138-0 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 State SDI Vac/ Health Pension Net Dale Earned Tax Tax Holiday & Welt. Wage Check SORIANO LOZANO, FERNANDO B D Total Hourly Work 02/14 02115 02/16 02/17 02/18 02/19 02/20 Hours Pay Rate This An 15.38 48.96 0.00 7.04 0.00 0.00 0.00 Paid For Week Number 33300 PUEBLO TR NA Classification Hours Worked Each Day Project Projects CATHEDRAL CITY 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 Training AFund dmin Duos Tray/ Subs Savings Other Total 562.22 12961 LABORER- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92234 RIVERSIDE p 0.00 0.00 0.00 0.00 0.00 0.00 6.40 77.78 MEM D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 6.40 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 Dale Earned Tax Tax Holiday & Wolf, Wage Check HUMBERTO S D Total Hourly VALDEZ. DR #A Work 02/14 02/15 02/16 02/17 02/18 02/19 02/20 Hours Pay Rate This All 77.20 58.72 15.32 8.44 0.0n 0.00 0,00 Paid For Week Number 12966 CACTUS Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA TREE MAINTENANCE $ 0.00 0.00 0.00 0.00 1.00 0.00 0.00 1,O0 26.57 26.57 767.57 Training Admin Dues Sutra Savings Other Total 600.21 12964 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 02240 {LABORER} GROUNDSPERS 0 0.00 0.00 0.00 0.00 0.00 7.68 167.36 MEM ON 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 7,68 401K public works Certified Payroll Reporting Fors 03/21/2022 - Page 4 eCPR Online Confirmation four 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: 2022-02-13 Payroll Number: 137 Amendment Number: 0 10 employee payroll record(s) processed Your Transaction ID is: 13360870 Print this Page View your submission Submit another set of payroll records i Public Works Certifiecroll 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 2022-02-13 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2022-02-23." 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 aIPWLC2.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: 137- 0 For Week Ending: 02/13/2022 C Is this a 'Statement of Non -Performance?' Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Slate SDI Vac! Health Pension Net Date Earned Tax Tax Holiday 8 Well. ALATORRE. GRISELDA 0 Total Hourly Wage Check 11550 WESTERN AVE W 02/07 02108 02/09 02/10 02111 02112 02113 Hours Pay Rate This All 0.00 48,96 0.00 7,04 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Pro Project i Projects DESERT HOT SPRINGS 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 Dues Tray: Subsubs Sayings Other Total Deduct 577.60 12921 LABORER- 0 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 6.40 62.40 MIMI D 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 NOTE: OTHER = 6.40 401 K 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 Dale Earned Tax Tax Holiday & Wolf. 9RIDNES, MARCELINO 2 Total Hourly Wage Check 50700 CALLE MENDOZA Work 02/07 02108 02109 02/10 02/11 02112 02/13 Hours Pay Rate This All 53.01 55.92 10.99 8.04 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 17.00 731.00 731.00 Training Fund Admin Dues Tray/ Subs Savings Other Total Deduct 595.73 12922 LABORER- 0 0.00 0.00 0,00 0.00 0.00 0.00 2.00 2.00 25.50 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 7.31 135.27 _ D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 7.31 401K 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 Date Earned Tax Tax Holiday d Wolf, CORRALES, FIDELIA 0 Total Hourly Wage Check 84526 CALLE GREGORIO Work 02/07 02/08 02/09 02/10 02/11 02/12 02/13 Hours Pay Rate This All 0.00 13.64 0.00 1,96 0.00 0.00 0,00 Paid For Week Number Classification Hours Worked Each Day Project Protects COACHELLA CA LANDSCAPE8.00 MAINTENANCE s 2.50 0,00 0.00 0.00 0.00 0.00 10.50 17.00 178.50 178.50 TrainingFund Admin Dues Tray! Subs Savings 9 Other Total Deduct 162.90 8690 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0,00 15,60 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 02/23/2022 - Page 1 Public Works Certifietyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week EndIng: 02/1312022 Payroll Number:137-0 Number of Day Deductions, Contributions, and Payments Name, Address and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun 1 Gross Amount Federal FICA State SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday 8 Well. Wage Check DIMAS, PEDRO REYES 1 Total Hourly Work 02/07 02108 02/09 02110 02/11 02112 02113 Hours Pay Rate This All 47.21 61.20 8.72 8.80 0.00 0.00 0.00 Paid For Week Number 31-900 AVENIDA EL MUNDO Classification Hours Worked Each Day ProjectJ Pro acts CATHEDRAL CITY CA LANDSCAPE MAINTENANCE 5 8.00 8.00 8.00 0.00 0.00 0.00 0.00 24.00 20.00 480.00 800.00 Training Admin Dues Subs Savings Other Total 666.07 12900 LABORER- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92234 RIVERSIDE 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.00 133.93 SIMINI D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 NOTE: OTHER = 8.00 401K Number of Day Deductions. Contributions, and Payments Name, Address and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday & Well. Wage 0 Total Hourly GON741F7 GABRIELA #1406 Work 02/07 02/08 02/09 02110 02/11 02112 02/13 Hours Pay Rate This All 0.00 48.96 0.00 7.04 0.00 0.00 0.00 Paid For Week Nume6er 66900 IRONWOOD DR ClassificationProject Hours Worked Each Day Projects DESERT HOT SPRINGS CA • LANDSCAPE MAINTENANCE S40.00 8.00 8.00 8.00 8.00 8.00 0.00 0.00 16.00 640.00 640.00 Training Fund Adm n Dues Tray) Subs Savings Other Total 584,00 12923 LABORER- 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 92240 RIVERSIDE 0 g,00 0.00 0.00 0.00 0.00 0.00 0.00 56.00 D 0.00 0.00 0.00 e.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 Slate SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday 8 Well. Wage Check JIMENEZ. IVETTE 0 Total Hourly ST #40 Work 02/07 02108 02/09 02/10 02111 02/12 02113 Hours PayRate This All 35,40 48 55 4.35 6.98 0.00 0.00 0.00 Paid For Week Number 49615 HARRISON Classification Hours Worked Each Day Project Projects COACHELLA CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 a,00 0,00 0.00 40.00 16.00 640.00 640.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 539.42 12924 LABORER- 0.00 0.00 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 5.30 100.58 D o.00 0.00 0.00 0.00 0.o9 0.00 0.00 gm coo NOTE: OTHER = 5.30 DENTAL INSURANCE Number of Day Deductions, Contributions, and Payments Name. Address and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Dale Earned Tax Tax Holiday & Welt. Wage Check MEDINA ESCOBAR, JUAN F 0 Total Hourly Work 02/07 02/08 02/09 02/10 02/11 02/12 02/13 Hours Pay Rate This All 0.00 53.61 4.21 7.71 0.00 0.00 0.00 Paid For Week Number 65946 DESERT VIEW AVE Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S a.00 8.00 8.00 8.00 0.00 0.00 0.00 32.00 18.04 576.00 720.00 Training Adm,� Dues Subs Savings Other Total 628.09 12905 LABORER- 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 26.38 91.91 SIMMIlli D 0.00 0.00 0.00 0.00 0.00 9.00 0.00 0.00 0.00 NOTE: OTHER = 13.88 HEALTH INSURANCE. 5.30 DENTAL INSURANCE & 7.20 401K Public works Certified Payroll Reporting Form 02/23/2022 - Page 2 Public Works Certifies yroll Reporting Form Contractor Name: PWLC 11, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 0211312022 Payroll Number: 137-0 Name, Address Number of Day Deductions, Contributions, and Payments and 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 & Well, Wage Check 0 Total Hourly MEJIA, DENIS D AVE Work 02107 02108 02109 02/10 02/11 02/12 02113 Hours Pay Rate This Ali 0.00 39.18 1.80 5.63 0.00 0.00 0.60 Paid For Week Number 44220 SAN PABLO #5 Classification Hours Worked Each Day Project Projects PALM DESERT 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 Training Fund Admin Dues Trav/ Subs Savings Olhor Total 465.39 12925 LABORER- Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92260 RIVERSIDE 0410 0.00 0.00 0.00 0.00 0.00 0.00 46.61 - 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 Stale SDI Vac/ Health Pension Net date Earned Tax Tax Holiday & Well. Wage 0 Total Hourly Chock MUNOZ, EVERARDO Work 02/07 02108 02/09 02/10 02/11 02/12 02113 Hours Pay Rate This All 0.00 54.67 2.42 7.66 0.00 0.00 0.00 Paid For Week Number 74501 42ND AVE 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 18.00 720.00 745.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 674.75 12926 LABORER- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92260 RIVERSIDE p 0.00 0.00 0.00 0.00 0.00 5.30 70.25 - D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 5.30 DENTAL INSURANCE 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 Vac/ Health Pension Net Dale Earned Tax Tax Holiday & Well. Wage Chock 0 Total Hourly RODRIGUEZ-PINEDA,ALEJANDRO Work 02/07 02/08 02/09 02/10 02/11 02/12 02/13 Hours Pay Rate This All 0.00 39.18 1.80 5.63 0.00 0.00 0.00 Paid For Week Number 69BONAZARD ClassificationProject Hours Worked Each Day Projects PALM SPRINGS CA LANDSCAPE MAINTENANCE S 6.00 8.00 8.00 8.00 0.00 0.00 0.00 32,00 16.00 512.00 512.00 Training Fund Admin Dues Subs Sube utts Savings Other Total 465.39 6695 LABORER- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92262 RIVERSIDE O 0.00 0.00 0.00 0.00 0.00 0.00 46.61 - D 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 NOTE: Wb1ic works certified Payroll Reporting Farm 02/23/2022 - Page 1 eCPR Online Confirmation 'our 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: 2022-02-06 Payroll Number: 136 Amendment Number: 0 9 employee payroll record(s) processed Your Transaction ID is: 13356435 Print this Page View your submission Submit another set of payroll records Public Works Certifiet yroll Reporting Form Certification under" enaliy 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 2022-02-06 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2022-02-23 " 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: 136- 0 For Week Ending: 02/06/2022 Is this a 'Statement of Non -Performance?' 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 Vac/ Health Pension Net Date Earned Tax Tax Holiday & Welt. Wage ALATORRE, GRISELDA a Total Hourly Check WESTERN AVE Work 01/31 02/01 02/02 02/03 02/04 02105 02/06 Hours Pay Rale This All 0.00 48.96 0.00 7.04 0.00 0.00 0.00 Paid For Week Number 11550 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 S Subsubs Savings Other Total Deduct 577.60 12769 LABORER- 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 6.40 62.40 IMMO D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 6.40 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 Stale SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday & Well. Wage 2 Total Hourly Check BRIONES, MARCELINO Work 01131 02/01 02/02 02/03 02/04 02/05 02106This Hours Pay Rate A11 53.01 55.92 10.99 8.04 0.00 0.00 0.00 Paid For Week Number 50700 CALLE MENDOZA Classification Hours Worked Each Day Project Projects COACHELLA CA LANDSCAPE MAINTENANCEAdmin S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40,00 17.00 731.00 731.00 TrainingFund Dues Tray/ Subs Savings Other Total Deduct 595.73 12770 LABORER- 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00 25.50 92236 RIVERSIDE 0 0.00 0.00 0.00 0.00 0.00 7.31 135.27 IMMO D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 7.31 401K Number al 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 Stale SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday & Well. Wage Check 0 Total Hourly CORRALES. FIDELIA CALLE GREGORIO W� 01/31 02/01 02102 02/03 02/04 02/05 02/06 Hours Pay Rate This All 9.30 52.02 11.80 7.48 0.00 0.00 D.00 Paid For Weak Number 84526 Classification Hours Worked Each Day Project Projects COACHELLA CA LANDSCAPE MAINTENANCE 5 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40,00 17.00 680.00 680.00 Training Fund Admin Dues Tray/ Subsabs Sayings Other Total Deduct 599.40 12771 LABORER- 0.00 0.00 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 80.60 i 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 02/23/2022 - Page 1 Public Works Certifiet yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 02/06/2022 Payroll Number:136-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac! Health Net Date Earned Tax Tax Holiday 8 We.Pension GONZALEZ, GABRIELA 0 Total Hourly Wage Check 66900 IRONWOOD DR 61406 Work 01/31 02/01 02/02 02/03 02/04 02/05 02/06 Hours Pay Rate This All 0.00 39.16 0.00 5.63 0,00 0.00 D.00 Paid For Weak Number Classification H Hours Worked Each Day Project Projects 1 DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE $ 0.00 8.00 8.00 8.00 8.00 0.00 D.Oa 32.Oa 16,Dp 512.00 512.D4 Training Admin Dues Tray/ Subs Savings Other Total 467.21Fund 12772 LABORER- Q 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 44.79 D 0,D0 0.a0 0.00 0,00 0,00 0.00 0.00 0.00 0.01.1 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 State SDP Vac/ Health Pension Net Dale Earned Tax Tax Holiday & Waif. JIMENEZ. IVETTE a Total Hourly Wage Check 49615 HARRISON ST #40 Work 01/31 02101 02/02 02/03 02/04 02/05 02/06 Hours Pay Rate This All 20.04 38.76 0.01 5.57 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects COACHELLA CA LANDSCAPE MAINTENANCE 5 8,00 8.00 8.00 8.00 0.00 0.00 0.00 32.00 18.00 512.00 512.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 442,33 12773 LABORER- p 0.00 0.00 0.00 0.00 0.00 0.00 O,DO 0.0a a,aa 92236 RIVERSIDE 0.00 0.00 0.00 0,00 0.00 5.30 69.67 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 5.30 DENTAL INSURANCE 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 Vac/ Health Pension Net Date Earned Tax Tax Holiday Holiday & Walt. LOZAND, DANIEL 0 Total Hourly Wage Check 33300 PUEBLO TRL Work 01/31 02/01 02/02 02/03 02/04 02105 02/06 Hours Pay Rate This All 0.00 48,96 1,57 7.04 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects CATHEDRAL CITY CA LANDSCAPE8.00 MAINTENANCE s32.00 8.00 8,00 8.00 0,00 0.00 0.00 16.00 512.00 640.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 576.03 6689 LABORER- 0 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 6.40 63.97 IIIIIImmi D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER a 6.40 401K 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 Holida y & Welf. MEJIA, DENIS D 0 Total Hourly Wage Check 44220 SAN PABLO AVE 05 Work 01/31 02/01 02/02 02103 02/04 02/05 02/06 Hours Pay Rate This All 0.00 48.96 7.31 7.04 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Pro act i Pro acts 1 PALM DESERT CA LANDSCAPE MAINTENANCEAdmin 540.00 8,00 8.00 8.00 8.00 8.00 0.00 0.00 16.00 640.00 640.00 TrainingFund Dues Sus/ Subs Sayings 9 Other Total 576.69 12774 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 63.31 IMIMO 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 02/23/2022 - Page 2 Public Works Certifiet yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 02/06/2022 Payroll Number: 136-0 Name, Address Number of Day Deductions, Contributions, and Payments and Social Security Number of Worker Withholding Man Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday 8 WeIT. Wage MUNOZ EVERARDO 0 Tataf Howdy Check Work 01131 02/01 02/02 02/03 02/04 02105 02/06 Hours Pay Rate This All 0.00 54.67 2.42 7.86 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 0.00 8.00 8.00 0.00 0.00 32.00 18.00 576.00 720.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 649.75 12775 LABORER- O 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.t 1 0.00 92260 RIVERSIDE 0.00 0,00 0.00 0.00 0.00 5.30 70.25 4.1111.11 D 0,00 0.00 0.00 0.00 0.00 0.00 0.00 Etc 0.00 NOTE: OTHER = 5.36 DENTAL INSURANCE 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 Vac/ Health Pension Net Date Earned Taz Tax Holiday d WBIT. Wage SORIANO LOZANO, FERNANDO B 0 Total Hourly Check 33300 PUEBLO TR #A Work 01/31 02/01 02/02 02/03 02/04 02/05 02/06 Hours Pay Rate This All 15.38 46 96 0.00 7.04 0 00 0.00 0.00 Paid For Week Number Classification Hours 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 16.00 640.00 640.00 Training Admin Dues Subs Savings Other Total 582.22 12776 LABORER- 0 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 6,40 77.78 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 MIMI NOTE: OTHER = 6.40 401K Public works Certified Payroll Reporting Form 02/23/2022 - Page