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2022-02-28 thru 2022-03-27 Cert PayrolleCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2022-03-27 Payroll Number: 143 Amendment Number: 0 15 employee payroll record(s) processed Your Transaction ID is: 13699227 Print this Page View your submission Submit another set of payroll records Public Works Certifie yroll Reporting Form Certification unde- penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2022-03-27 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 2022-04-05 Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: PO BOX 848, THOUSAND PALMS, CA 92276 FEIN: 510532726 Contractor Email: KRISTYS@PWLC2,COM Insurance Number: NA Awarding Body: CITY OF LA OUINTA DIR Project ID: 290440 Project Name: LANDSCAPE 8 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: 143- 0 For Week Ending: 03/27/2022 7 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 Amours! Federal FICA Stale SDI Vac/ Health Pension Net Earned Tax Tax Holiday b Welf. ALATORRE, GRISELDA 0 Date Total Hourly Wage Check 11550 WESTERN AVE Work 03/21 03122 03/23 03/24 03125 03/26 03/27 Hours Pay Rale 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 ect I Pro ects i DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE $ 6.00 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 577.60 13463 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 - D o.00 o.00 o.aa am 0.ao a,00 o,oa o.00 o ou NOTE: OTHER a 6.40 401K 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 State SDI Vac/ Health Pension Net Earned Earned Tax Tax Halide & Welt. BRIONES, MARCELINO 2 Dale Total Hourly Wage Check 50700 CALLE MENDOZA Work 03/21 03/22 03123 03/24 03/25 03126 03/27 Hours Pay Rate This All 63.22 62.60 15.74 8.99 0.00 0.00 O.aa Pa;d For Week Number Classification Hours Worked Each DayI ProjectHoursProjects Prot COACHELLA CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 19,00 817417 817.00 TrainingFind Admin Dues Smut Subs Sayings 9 Other Total Deduct 658.38 13484 LABORER- 0 0.00 0,00 0.00 0.00 0.00 0.00 2.00 2.00 28.50 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 8.17 158.62 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER .: 8.17 401K Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Moe Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac Health Pension Net Earned Tax Tax Holiday & Welf. COLIN SANCHEZ, HUGO G 0 Date Total Hou fi' Wage Check 1500 E SAN RAFAEL DR #164 Work 03/21 03/22 03/23 03/24 03/25 03/26 03/27 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 PALM 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 584.00 13458 LABORER- p 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 56.00 gliMiii D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 a.ao 0,00 NOTE: Public works certified Payroll Reporting Form 04/05/2022 - Page 1 Public Works Certifier yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 03/27/2022 Payroll Number:143-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumberof Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac! Health Pension Net Earned Tax Tax Holiday yWage & Well. CORONADO. JESUS O Dale Total Hourly Check 82948 CORTE LUCIA Work 03121 03122 03123 03124 03/25 03/26 03/27 Hours Pay Rale This Ali 0.00 48.98 0.00 7.04 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project 1 Projects INDIp 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 Dues Trevl Savings Other Total 584.00 13465 LABORER- Q 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 56.00 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 NOTE: Noma, 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 Vecl Health Pension Net Earned Tax Tax Holiday& Wolf, OIMAS, PEDRO REVES 1 Date Total Hourly Wage Check 31-900 AVENIDA EL MUNDO Work 03121 03/22 03/23 03124 03/25 03126 03/27 Hours Pay Rale This All 47.21 61.20 8.72 8.80 0.00 0.00 0,00 Paid For Week Number Classification Hours Worked Each Day Project I Projects CATHEDRAL CITY CA LANDSCAPE MAINTENANCE 5 0.00 0.00 8.00 0.00 0.00 0.00 0.00 8.00 20.00 160.00 800.00 Training 9 Fund Admin Dues Tray/v! SubS Savings Other Total 666.07 13459 LABORER- 0 0.00 0.00 0.00 0,00 0.00 000 0.00 0.00 0.00 92234 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 8.00 133.93 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 i NOTE: OTHER = 8.00 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 SDI Vac/ Health Pension Net Earned Tax Tax Holiday & Well. GONZALEZ, GABRIELA 0 Date Total Hourly Wage Check 66900 IRONWOOD DR #1406 03/21 03122 03/23 03/24 03125 03/26 03/27 Hours Pay Rate This All 0.00 48.96 0.00 7.04 0.00 0.00 0.00 Paid For Week Number Classification Glass 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/ Sobs Savings Other Total 584.00 13486 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 56.00 - 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 501 Vac/ Health Pension Net Earned Tax Tax HolidayA Welt'. HERNANDEZ JOSS 0 Data Total Hourly Wage Check 9243 VISTA DEL VALLE Work 03/21 03/22 03/23 03/24 03/25 03/26 03/27 Hours Pay Rale This All 33.34 48.96 10.04 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 Savings 9 Other Total 540.62 13462 LABORER- Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 gm 0.00 92240 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 99.36 _ D o.o0 0.00 0.00 0.00 0.00 0.00 Q.o0 Q,00 0.00 NOTE: Public works Certified Payroll Reporting Form 04/05/2022 - Page 2 Public Works Certifie. yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 03/27/2022 Payroll Number:143-0 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 Pension Net Date Earned Tax Tax Holiday & Well. JIMENEZ IVETTE 0 Total Hourly Wage Check 49615 HARRISON ST #40 Work 03/21 03122 03/23 03/24 03125 03126 03/27 Hours Pay Rate This All 20.04 38,75 0.00 5.57 0.00 0.00 0.00 Paid For Week Number Classification H Hours Worked Each Day Project Projects COACHELLA CA LANDSCAPE MAINTENANCEAdmin S 0.00 ~ 8.00 8.00 6.00 8.00 0.00 0.00 32.00 16.00 512.00 512.00 TrainingFund Dues Sus! Subs Savings Other Total 442.34 13467 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 69.66 Man 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 1 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 lax Holiday & Well. LUNA GONZALEZ, CARLOS 4 Total Hourly Wage Check 66145 7TH ST Work 03/21 03/22 03123 03124 03/25 03/20 03/27 Hours Pay Rale This All 22.65 61.76 0.00 0.88 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project j Projects DESERT HOT SPRINGS CA TREE0.00 MAINTENANCE s 2.00 2.00 0.00 0.00 0.00 0.00 4.00 30.82 123.28 607.28 Training Fund Admin Dues Tray/ Subs Savings Other Total 713.99 13494 (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 93,29 MEM 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 Fri Sat Sun l 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 03/21 03122 03/23 03/24 03/25 03/26 03/27 Hours Pay Rate This All 0.00 53.61 4.21 7.71 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 18.00 720.00 720.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 628.09 13465 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 6.00 0.00 26,38 91.91 NIIIMS 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 & 7.20 401K Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber at Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac! Health Net Dale Earned Tax Tax Holiday & WellPension MUNOZ. EVERARDO O Total Hourly Wage Check 74501 42ND AVE Work 03/21 03/22 03/23 03/24 03/25 03/26 03/27 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 LANDSCAPE8.00 MAINTENANCE S40.00 8.00 8.00 8.00 8.00 0.00 0.00 18.00 720.00 720.00 Training Fund Admin Dues Trawl Subs Savings Other Total 649.74 13488 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 5.30 70.26 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 Public works Certified Payroll Reporting Form 04/05/2022 - Page 3 Public Works Certifies yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE 8 LIGHTING DISTRICT 89-1 For Week Ending: 03/27/2022 Payroll Number: 143-0 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 Pension Net Date Earned Tax Tax Holiday swell. MURILLO MARTINEZ, JUAN 0 Total Hourly Wage Check 48097 ESTRELLA TOMAS Work 03/21 03/22 03/23 03/24 03/25 03/28 03/27 Hours Pay Rate This All 52.73 55.92 14.04 8.04 0.00 0.00 0.00 Paid For Week Number ClassificationHours Worked Each Day Project Projects COACHELLA CA LANDSCAPE MAINTENANCE S a.o0 8.00 8.aa 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 600.27 13489 LABORER- o 0.00 0.00 0.00 0.00 0.00 2.00 0.00 2.00 25.50 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 130.73 OMNI 0 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 Dale Earned Tax Tax Holiday & Well, HAMIREZ MARCEUNO 0 Total Hourly Wage Check 1500 E SAN RAFAEL DR #164 Work 03/21 03/22 03/23 03/24 03/25 03/26 03/27 Hours Pay Rate This All 0.00 64.50 0.00 9.27 0.00 0.00 0.00 Paid For Number calionWeek Classification Hours Worked Each Day ProjectI Projects PALM SPRINGS CA TREE0.00 MAINTENANCE s 2.00 2.00 0.00 0.00 0.00 0.00 4.OD 28.57 106.28 882.28 Training Admin Dues Subs Savings Other Total 760,70 13495 (LABORER)- o 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 02262 GROUNDSPERS 0.00 0.00 0.00 0.00 0.00 27.61 101.58 ON i7 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 & 8.62 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 501 Vac/ Health Pension Net Date Earned Tax Tax Holiday & Well. SORIANO LOZANO, FERNANDO B 0 Total Hourly Wage Check 33300 PUEBLO TR #A work 03/21 03/22 03/23 03124 03/25 03126 03/27 Hours Pay Rate This All 15.38 48.06 0.00 7.04 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project i Projects CATHEDRAL CITY 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 Training Fund Admin Dues Tray/ Subs Savings Other Total 562.22 13490 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 SEMI 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 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. VALDEZ, HUMBERTO S 0 Total Hourly Wage Check 12966 CACTUS DR #A Work 03/21 03122 03/23 03/24 03/25 03/26 03/27 Hours Pay Rate This All 79,90 60.45 16.72 8.69 0.00 0.00 0.00 Paid For Week Number Classification cation Worked Each Day Project Projects DESERT HOT SPRINGS CA TREE MAINTENANCE S 0.00 2.00 2.00 0.00 0.00 0.00 0.00 4.00 26.57 106.28 790.28 Training Fund Admin Dues Tray/ Subs Savings Other Total 460.49 13496 (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 0.00 164.03 329.79 _ ON D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 156.13 GARNISHMENT & 7.90 401K Public works Certified Payroll Reporting Form 04/05/2022 - 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: 2022-03-20 Payroll Number: 142 Amendment Number: 0 12 employee payroll record(s) processed Your Transaction ID is: 13653403 Print this Page View your submission Submit another set of payroll records Public Works Certifie iyroll Reporting Form 0 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 2022-03-20 are the originals or true, full, and correct copies of the originals Whirl 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 2022-03-30 " 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: C1TY 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: 142- 0 For Week Ending: 03/20/2022 a Is this a 'Statement of Non -Performance?' Name, Address and Number of say Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SD1 Vac/ Health Pension enson Net Earned Tax Tax Holiday& Well. ALATORRE, GRISELDA 0 Dale Total Hourly Wage Check Check 11550 WESTERN AVE Work03/14 03/15 03/16 03/17 03/18 03/19 03/20 Hours Pay Rate This All 0.00 48.96 0.00 7.04 0.00 0.00 0.00 Paid For Week Number ClassificationHours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE8.00 MAINTENANCE s40.00 6.00 8.00 8.00 8.00 0.00 0.00 16.00 640.00 640.00 Training Fund Admin Dues Tray/ Subs Savings Other Total Deduct 577.60 13330 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 6.40 62.40 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 and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tun Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Earned Tax Tax Holiday & Well. BRIONES, MARCELINO 2 Date Total Hourly Wage Chock 50700 CALLE MENDOZA Work 03/14 03/15 03/16 03/17 03/18 03/19 03120 Hours Pay Rate This All 63.22 62.50 15.74 8.99 0,00 0.00 0.00 Paid For Week Number Classification HoursProjectPro Worked Each Dayi eds COACHELLA CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 19.00 817.00 817.00 TrainingFund Admin Dues Tray/ Subs Savings Other Total Deduct 658.38 13331 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00 28.50 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 8.17 158.62 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 8.17 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 State SDI Vac/ Health Pension Net Earned Tax Tax Holiday& Welt, Ct]LiN SANCHEZ, HUGO G 0 Date Total Hourly Wage Check 1500 E SAN RAFAEL DR #164 Work 03/14 03/15 03/16 03/17 03/18 03/19 03/20 Hours Pay Rate This All 0.00 46.96 0.00 7.04 0.00 0.00 0.06 Paid For Week Number ClassificationPro Hours Worked Each Day i ett Pro ecis i PALM 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 Duos Tray/ Savings Other Total 584.00 13305 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 coo Admin Subs Deduct 92262 RIVERSIDE 0.00 0,00 0.00 0.00 0.00 0.00 56.00 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 03/30/2022 - Page 1 Public Works Certifie 3yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 03/20/2022 Payroll Number:142-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac! Health CORONADO, JESUS 0 Date Total Hourly Earned Tax FICA Tax SDI Holiday & Wall. Pension Net Wage Check 02948 CORTE LUCIA Work 03114 03115 03116 D3117 03/18 03119 03/20 Hours Pay Rala This All 0.00 48.96 0.00 7.04 0.00 0.00 0.00 Paid For Number INDIO Classification Hours Worked Each Day Project Projects Week CA LANDSCAPE MAINTENANCE $ 8.00 8.00 8.00 8.00 8.00 0.00 0.0o- 40.00 16.00 640.00 640.00 Training Fund Dues Tray/ Savings Other Total 584.00 13332 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 56.00 D 0.00 0.00 0.00 0.00 0.00 0,00 0.00 moo 0,00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal Stale Vac/ Heallh DIMAS, PEDRO REVES 1 Date Total Hourly Earned Tax FICA Tax SDI Holiday A Welf. Pension Net Wage Check 31-900 AVENIDA EL MUNDO Work 03/14 03/15 03/16 03/17 03/18 03/19 03/20 Hours Pay Rate This All 47.21 61.20 8.72 8.80 0.00 0.00 0.00 Paid For Number CATHEDRAL CITY Classification Hours Worked Each Day Project 1 ProjectsWeek CA LANDSCAPE MAINTENANCE S 0.00 4.00 5.00 4.00 0.00 0.00 0.00 13.00 20.00 260.00 800.00 Training Fund Dues Tray/ Savings Other Total 666.07 13306 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Admin Subs 92234 RIVERSIDE 0,00 0.00 0,00 0.00 0.00 8.00 133.93 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 mown 0.00 NOTE: OTHER v. 8,00 401K 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 State Vac/ Health GONZALEZ, GABRIELA D Date Total Hourly Earned Tax FICA Tax SDI Holiday & Well. Pension Net Wage Check 66900 IRONWOOD DR #1406 Work 03/14 03/15 03/16 03/17 03/18 03/19 03/20 Hours Pay Rate This All 0.00 48.96 0.00 7.04 0.00 0.00 0.00 Paid For Number DESERT HOT SPRINGS Classification Hours Worked Each Day Project Projects Week CA LANDSCAPE MAINTENANCE S40.00 8.00 B.OD B,DO 8.00 B.00 0.00 0.00 16.00 640.00 640.00 Training Fund Dues Tray/ Savings Other Total 584.00 13333 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 0.00 56.00 MINIM D 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal Stale Vac/ Health HERNANDEZ,LOSE 0 Date Total Hourly Earned Tax FICA Tax SDI Holiday &Well, Pension Net Wage Check 9243 VISTA DEL VALLE Work 03/14 03/15 03116 03/17 03/18 03/19 03/20 Hours Pay Rale This All 33.34 48.96 10.04 7.04 0.00 0.00 0.00 Paid For Number DESERT HOT SPRINGS Classification Hours Worked Each Day Project 1 Projects Week 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 Dues Trav/ Savings Other Total 540,82 17709 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 0.00 99.38 IIIIMINNI 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 03/30/2022 • Page 2 Public Works Certifie Jyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 03/20/2022 Payroll Number:142-0 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 Pension Net Earned Tax Tax Holiday & Welf. JIMENEZ, IVETTE 0 Date Total Howdy Wage Check 49615 HARRISON ST 1140 Work 03/14 03115 03/18 03/17 03/18 03/19 03/20 Hours Pay Rate This All 35.40 48.56 4.35 6.98 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Pro eat i Pro 1 acts COACHELLA 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 Training Fund Dues Tray/ Savings Other Total 539.41 13334 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Admin Subs 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 5.30 100.59 - 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 Y Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State 501 Vac! Health Pension Net Earned Tax Tax Holiday 8 Well• MEDINA ESCOBAR, JUAN F 0 Date Total Hourly Wage Check 65946 DESERT VIEW AVE Work 03114 03/15 03/16 03/17 03/18 03/19 03/20 Hours Pay Rate This All 0.00 53.61 4.21 7.71 0.00 0.00 _ 0.00 Paid For Week Number Classification Hours Worked Each Day ProjectProjects DESERT HOT SPRINGS CA LANDSCAPE0.00 MAINTENANCE s 8.00 8.00 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 628.09 13312 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 26.38 91.91 IIIIMIll 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 5 7.20 401K Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Man Tue Wad Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Net Earned Tax Tax Holiday8 Welf. MUNOZ EVERARDO 0 Dale Total Hourly Wage Check 74501 42ND AVE Work 03/14 03/15 03/16 03/17 03/18 03/19 03/20 Hours Pay Rate This All 0.00 54.67 2.42 7.86 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project 1 Projects 1 PALM DESERT CA LANDSCAPE MAINTENANCE 5 8.00 8.00 6.00 8.00 8.00 0.00 0.00 40.00 18.00 720.00 720.00 TrainingFund Admin Dues S Subsubs Savings 9 Other Total 649.75 13335 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 5.30 70.25 _ D O.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 Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net MURILLO MARTINEZ, JUAN 0 Date Total Hourly Earned Tax Tax Holiday & Welt. Wage Check 48097 ESTRELLA TOMAS Work 03/14 03/15 03/16 03/17 03/18 03/19 03/20 Hours Pay Rale This Alt 52.73 55.92 14.04 8.04 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 17.00 731.00 731.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 600.27 13336 LABORER- O 0.00 0.00 0.00 0.00 0.00 2.00 0.00 2.00 25.50 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 130.73 _ 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 03/30/2022 - Page 3 Public Works Certifie lyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 03/20/2022 Payroll Number: 142-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sal Sun Gross Amount Federal FICA State Vac/ Health Net Earned Tax Tax SDI Holiday & Wolf. Pension SORIANO LOZANO. FERNANDO B 0 Dale Total Hourly Wage 9 Check 33300 PUEBLO TR #A Work 03/14 03115 03116 03/17 03/18 03/19 03/20 Hours Pay Rate This All 15.38 48.96 0.00 7,04 0,00 0.00 0.00 Paid For Number CATHEDRAL CITY Classification on Hours Worked Each Day ProjectProjectsWeek 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 Fund Duos Tray/ Savings Other Total 562.22 13337 LABORER- o 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 Admin Subs 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 NOTE: OTHER = 6.40 401K Public works Certified Payroll Reporting Form 03/30/2022 - PAW. + 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: 2022-03-13 Payroll Number: 141 Amendment Number: 0 10 employee payroll record(s) processed Your Transaction ID is: 13595595 Print this Page View your submission Submit another set of payroll records Public Works Certifi€ ayroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2022-03-13 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. 1 certify this on 2022-03-23." 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: KRISTYSQPWLC2.COM Insurance Number: NA Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 141- 0 For Week Ending: 03j13/2022 0Is 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 Gress Amount Federal Slate Vac/ Health ALATORRE, GRISELDA 0 pate Total Hourly Earned Tax FICA Tax SDI Holiday & WeltWage Pension Net Check 11550 WESTERN AVE Work 03107 03/08 03109 03110 03111 03/12 03113 Hours Pay Rate This All 0.00 48.96 0.00 7.04 0.00 0.00 0.00 Paid For Number DESERT HOT SPRINGS Classification Hours Worked Each Day Pro 1 Project Projects i Week CA LANDSCAPE MAINTENANCE s40.00 8.00 8.00 6.00 8.00 6.00 0.00 0.00 16.00 640.00 640.00 Training Fund puss Travl Savings Other Total 577.60 13292 LABORER- O 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 Admin Subs Deduct 92240 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 6.40 62.40 MIMI D 0.0D 0.00 0.00 0.00 0,00 0.00 0.00 0,00 0.00 NOTE: OTHER = 6.40 401K Name. Address and Number of Day Deductions, Contributions, and Payments Soclal Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health BRIONES, MARCELINO 2 Date Total Hourly Earned Tax FICA Tax SDI Ha Holiday & Welf. Pension Net Wage Check 50700 CALLE MENDOZA Work 03/07 03/06 03/09 03/10 03/11 03/12 03/13 Hours Pay Rate This All 63.22 62.51 15.74 8.99 0.00 0.00 0.00 Paid For Number COACHELLA Classification Hours Worked Each Day Project 7 act Projects 1 Week CA LANDSCAPE MAINTENANCE S 6.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 19.00 817.00 $17.00 Training Fund Dues Tray/ Savings Other Total 658.37 13293 LABORER. 0 0.00 0.00 0.00 0.00 0.00 OM 2.00 2.00 28.50 Admin Subs Deduct 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 8.17 158.63 4111111111 D 0.00 am o,Oo 0.00 0.00 0.00 0.00 0.00 0,00 NOTE: OTHER = 8.17 401K Name. Address and Number al Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal Stale Vac/ Health COLIN SANCHEZ, HUGO G 0 Date Total Hourly Earned Tax FICA Tax SDI Holiday & Waif. Pension Net Wage Check 1500 E SAN RAFAEL DR k164 Work 03/07 03108 03/09 03/10 03111 03/12 03/13 Hours Pay Rate This Ail 0.00 48.96 0.00 7.64 0.00 0.00 0.00 Paid For Number PALM SPRINGS Classification Hours Worked Each Day Project Projects Week CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 18.00 640.00 640.00 Training Fund Dues Tray/ Savings Other Total 584.00 13266 LABORER. O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Admin Subs Deduct 92262 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 56.00 SIMMS 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 03/23/2022 - Page 1 Public Works Certifik ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 03/13/2022 Payroll Number:141-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number o1 Worker Withholding Mon Tue Wed Thu Fri Sat Sun Grose Amount Federal State Vac/ Health FICA Tax 501 Holiday Pension Net GONZALEZ, GABRIELA Total Hourly & Weir, Wags Check 66900 IRONWOOD DR #1405 Work 03/07 03/08 03/09 03/10 03/11 03/12 03/13 Hours Pay Rate This All 0.00 48.96 0.00 7.04 0.00 0,00 0.00 Paid For Number DESERT HOT SPRINGS Classification Hours Worked Each Day Project Projects week 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 Dues Tray/ Savings tither Total 584.00 13294 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 0,00 56.00 D 0,00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 NOTE: Nome, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal Stale Vac/ Health HERNANDEZ.JOSE 0 Dale Total Hourly Eamed Tax FICA Fax SDI Holiday & Well.Pension Net Wage Check 9243 VISTA DEL VALLE Work 03/07 03108 03/09 03/10 03/11 03/12 03/13 Hours Pay Rate This Ali 3.88 29.38 1.71 4.22 0.00 0.00 0.00 Paid For Number DESERT HOT SPRINGS Classification Hours Worked Each Day Project Projects Week CA LANDSCAPE MAINTENANCE g e.00 8.00 13,00 0.00 0.00 0.00 0.00 24.00 16.00 384.00 384.00 Training Fund Dues Trav/ Savings Other Total 344.81 13272 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 0.00 39.19 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 Tuo Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health JIMENEZ.IVETTE o Date Total Hourly Earned Tax FICA Tax SDI Holiday & Welf. Pension Net Wage Check 49615 HARRISON ST 840 WCIfif03/07 03/08 03/09 03/10 03/11 03112 03/13 Ham Pay Rate This All 35.40 48.56 4.35 6.98 0.00 0.00 0,00 Paid Far Number COACHELLA Classification HoursProjects Worked Each Day Project Pra j 1 Week 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 Dues Tray/ Savings Other Total 539.41 13295 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 gm Admin Subs 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 5.30 100.59 D 0,00 0.0o 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 Gross Amount Federal State Vac/ Health MEDINA ESCOBAR, JUAN F 0 Date Total Hourly Earned Taxe. FICA Tax S01 Holiday & Wlf Pension Net Wage Check 65946 DESERT VIEW AVE Work 03/07 03/08 03/09 03/10 03/11 03/12 03/13 Hours Pay Rate This All 0.00 53.61 4.21 7.71 0.00 0.00 0,00 Paid For Number DESERT HOT SPRINGS Classification Hours Worked Each Day Project 1 Projects 1 Week 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 Dues Troll/ Savings Other Total 628,09 13275 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 26.38 91.91 - D o.00 0.00 o.DD o.0o moo o.Do 0.00 moo 0.00 NOTE: OTHER = 13.88 HEALTH INSURANCE, 5.30 DENTAL INSURANCE 8 7.20 401K Public works Certified Payroll Reporting Form 03/23/2022 - Page 2 Public Works Certifit. ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 03/1312022 Payroll Number: 141-0 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 Vac! Health Net Earned Tax Tax SDI Holiday & Well. Pension MUNOZ.EVERARDO 0 Date Total Houdy Wage Check 74501 42ND AVE Work 03/07 03108 03109 03/10 03111 03/12 03/13 Hours Pay Rate This All 0.00 54.67 2.42 7.86 0.00 0.00 0.00 Paid For Week Number PALM Classification Hours Worked Each Day Project1 Projects DESERT CA LANDSCAPE8.00 MAINTENANCE s 8.00 8.00 8.00 8.00 0,00 0.00 40.00 18.00 720.00 745.00 Training Fund Dues Tray/ Savings Other Total 674.75 13296 LABORER. o 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Admin Subs 92260 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 5.30 70.25 IIMEMI 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 Sal Sun Gross Amount Federal FICA Stale SDI Vac/ Health Net Earned Tax Tax Holiday & Well. Pension MURILLO MARTINEZ JUAN 0 Date Total Hourly Wage Check 48097 ESTRELLA TOMAS Work 03/07 03138 03/09 03/10 03/11 03/12 03/13 Hours Pay Rate This All 52.73 55.92 14,04 8.04 0.00 0.00 0.00 Paid For Number COACHELLA Classification Hours Worked Each Day Project ProjectsWeek CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 17.00 731.00 731.00 Training Fund Dues Tray/ Savings Other Total 600.27 13297 LABORER- o 0.00 0.00 0.00 0.00 0.00 2.00 0.00 2.00 25.50 Admin Subs 92236 RIVERSIDE _ 0.00 0.00 0.00 0.00 0.00 0,00 130.73 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 State Vac! Health Tax FICA Tax SDI Holiday & Waif. Pension Net SORIANO LOZANO, FERNANDO B Q DaleEarned Total Hourly Wage Check 33300 PUEBLO TR NA Wait 03/07 03/08 03109 03/10 03/11 03/12 03/13 Hours Pay Rale This All 15.38 48.96 0.00 7.04 0.00 0.00 0.00 Paid For Number CATHEDRAL CITY Classification Hours Worked Each Day pro Project fProjects Week 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 Dues Tray/ Savings Other Total 562.22 13298 LABORER- o 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Admin Subs 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 NOTE: OTHER = 6.40 401K Public works Certified Payroll Reporting Form 03/23/2022 - nage l 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: 2022-03-06 Payroll Number: 140 Amendment Number: 0 11 employee payroll record(s) processed Your Transaction ID is: 13594482 Print this Page View your submission Submit another set of payroll records Public Works Certifit ayroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC 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 2022-03-06 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 2022-03-23." 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 LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA OUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 140- 0 For Week Ending: 03/06/2022 7 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 Grose Amount Federal Stale Vac/ Health ALATORRE. GRISELDA 0 Data Total Hourly Earned Tax FICA Tax SDI Holiday & Watf. Pension Net Waga Check 11550 WESTERN AVE Work 02/28 03101 03102 03/03 03/04 03/05 03106 Hours Pay Rate This Alt 0.00 48.96 0.00 7.04 0.00 0.00 0.00 Paid For Number DESERT HOT SPRINGS Classification Hours Worked Each Day Project Project Projects CA LANDSCAPE MAINTENANCE S 8,00 a.QD 8.00 8.00 0.00 0.00 0.00 40.00 16,00 840.00 640.00 Training Fund Dues Tray/ Savings Other Total 577.60 13141 LABORER- 0 0.00 ; 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Admin Subs Deduct 92240 RIVERSIDE 0.00 0.00 0 00 0.00 0.00 6.40 62.40 IINNIMM D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ODD 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 Sat Sun Gross Amount Federal State Vac! Health BRIONES, MARCELINO 2 Dale Total Hourly Earned Tax FICA Tax SDI Holiday & . Weil Pension Net Wage Check 50700 CALLE MENDOZA Work 02/28 03101 03/02 03103 03104 03/05 03/06 Hours Pay Rate This All 63.22 62.49 15.74 8.99 0 00 0.00 0.00 Paid For Number COACHELLA Classification Hours Worked Each Day Project Projects Week CA LANDSCAPE MAINTENANCE 5 8.00 8.00 8.00 8.00 8.00 0.00 0.00 4000 1900 817.00 817,00 Training Fund Dues Tray/ Savings Other Total 658,39 13142 LABORER- 0 0,00 0.00 0.00 0.00 0.00 0.00 2.00 2.00 28.50 Admin Subs Deduct 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 8.17 158.61 WIMP D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 6,17 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 Slate Vac/ Health COLIN SANCHEZ, HUGO G 0 Date Total Hourly Earned Tax FICA Tax SDI Holiday & Well. Pension Net Wage Check 1500 E SAN RAFAEL DR ft164 Work 02/28 03101 03102 03103 03/04 03105 03/06 Hours Pay Rate This All 0.00 39.16 0.00 5.63 0.00 0.00 0.00 Paid For Number PALM SPRINGS Classification Hours Worked Each Day ProjectProjects Week CA LANDSCAPE MAINTENANCE 5 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 18.00 512,00 512.00 Training Fund Dues Tray/ Savings Other Total 467.21 13117 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Admin Subs Deduct 92262 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 03/23/2022 - Page 1 Public Works Certifit. ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 03/06/2022 Payroll Number:140-0 Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hourly Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health A Wolf. Pension Net Wage Paid For Week Check Number 0 Dale GONZALEZ GABRIELA 66909 IRONWOOD DR #1406 DESERT HOT SPRINGS CA 92240 IIIMIMI Work Classification 02/28 03/01 03102 03/03 03/04 03105 03/06 Hours Pay Rale This Project All Projects 0.00 39.18 0.00 5.83 0.00 0,00 0.00 Hours Worked Each Day LANDSCAPE MAINTENANCE LABORER- RIVERSIDE 5 8.00 8.00 8.00 0.00 8.00 0.00 0.00 32.00 18.00 512.00 512.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 467.19 13143 0 0.00 0.00 0.00 0.00 0.00 0,00 0,00 0.00 0.00 0,00 0.00 0M 0.00 0.00 COO 44.81 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hourly Gross Earned Amount Federal Tax FICA Stale Tax SDI Vac! Holiday Health A Welf. Pension Net Wage Paid For Week Check Number 0 Date HERNANDEZ, JOSE 9243 VISTA DEL VALLE DESERT HOT SPRINGS CA 92240 Work Classification 02/28 03/01 03/02 03/03 03/04 03/05 03106 Hours Pay Rate This Project All Projects 33.34 48.96 10.04 7.04 0.00 0.011 0.00 Hours Worked Each Day LANDSCAPE MAINTENANCE LABORER- RIVERSIDE S 8.00 8.00 8.00 8.00 8.00 0.00 0,00 40.00 16.00 640.00 840.00 Training Fund Admin Dues Trav! Subs Savings Other Total 540.62 13121 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 99.38 D 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hourly Gross Earned Amount Federal Tax FICA State Tax SDI Vac! Holiday Health A Well. Pension Net Wage Paid For Week Check Number 0 Data JIMENEZ. IVETTE 49615 HARRISON ST /MD COACHELLA CA 92236 111111111111111 Work Classification 02/28 03/01 03/02 03/03 03/04 03/05 03106 Hours Pay Rale This Pro i Project All Projects 35.40 48,55 4.35 6.98 0.00 0.00 0.00 Hours Worked Each Day LANDSCAPE MAINTENANCE LABORER- RIVERSIDE 5 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 539.42 13144 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.30 100.58 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 end Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac! Health MEDINA ESCOBAR. JUAN F 0 Date Total Hourly Earned Tax FICA Tax SDI Holiday & Well. Pension Net Wage Check 65946 DESERT VIEW AVE Work 02/28 03/01 03/02 03/03 03/04 03/05 03/06 Hours Pay Rate This All 0.00 53.62 4.21 7.71 0,00 0.00 0,00 Paid For Number DESERT HOT SPRINGS Classification Hours Worked Each Day Project Projects Week CA LANDSCAPE MAINTENANCE S40.00 8.00 8.00 8.00 8,00 8.00 0.00 0.00 18.00 720.00 720.00 Training Fund Dues Trav1 Savings Other Total 628.08 13124 LABORER- 0 0,00 0.00 0.00 0.00 0.00 0.00 0.00 Q00 0.00 Admin Subs 92240 RIVERSIDE 0,00 0.00 0.00 0.00 0.00 26.38 91.92 - D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 13.86 HEALTH INSURANCE, 5.30 DENTAL INSURANCE & 7.20 401K Public works Certified Payroll Reporting Form 03/23/2022 -. Page 2 Public Works Certifit ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 03/06/2022 Payroll Number: 140-0 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 Stale SRl Vac! Health Net Earned Tax Tax Holiday & Well. Pension MEJIA, DENIS D 0 Date Total HourlyWage Check 44220 SAN PABLO AVE 45 Work 02/28 03/01 03102 03/03 03104 03105 03/06 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 Project Projects PALM DESERT CA LANDSCAPE MAINTENANCE 5 8.00 8.00 6.00 8.00 8.00 0.00 0.00 40.00 16.00 640.00 640.00 Training Fund Dues Tray/ Savings Other Total 576.69 13145 LABORER- o 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Admin Subs 92260 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 63,31 - D 0.00 D.DD 0.00 am 4.a4 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 Vac! Health Net Earned Tax Tax SDI Holiday & Wolf.Pension MUNOZ EVERARDO 0 Date Total Hourly Wage Check 74501 42ND AVE Work 02/28 03101 03/02 03103 03104 03/05 03/06 Hours Pay Rate This All 0.00 43.66 0.00 6.28 0.00 0.00 0.00 Paid For Number PALM DESERT Classification Hours Worked Each Day Project Projects Week CA LANDSCAPE8.00 MAINTENANCE S 8.00 8.00 8,00 0.00 0.00 0.00 32.00 18,00 576.00 576.00 Training Fund Dues Tray/ Savings Other Total 520.76 13148 LABORER- Q 0.00 0.00 ODD 0.00 0.00 0.00 0.00 0.00 0.00 Admin Subs 92260 RIVERSIDE _ 0.00 0.00 0.00 0.00 0.00 5.30 55.24 _ 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 Sal Sun Grass Amount Federal Stale Vac/ Health Tax FICA Tax SDI Holiday A Well.Pension Net MURILLO MARTINEZ. JUAN 0 DateEarned Total Hourly Wage Check 48097 ESTRELLA TOMAS Work 02/28 03/01 03/02 03/03 03104 03105 03/06 Hours Pay Rate This All 52.73 55.92 14.04 8.04 0.00 0.00 0.00 Paid For Number Classification Hours Worked Each Day Project Projects Week COACHELLA CA LANDSCAPE8.00^ MAINTENANCE s 8.00 8.00 8.00 8.00 0.00 0.00 0.04 17.00 731.00 731.00 Training Fund Admin Dues Tray/ Savings Other Total 600.27 13147 LABORER. p 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00 25.50 Subs 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 130.73 IIMINI 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 Stale Vac/ Health SORIANO LOZANO, FERNANDO B 0 Date Total Hourly Earned Tax FICA Tax SDI Holiday A Weil.Pension Net Wage Chock 33300 PUEBLO TR dA Work o2126 03/01 03/02 03103 03/04 03/05 03/06 Hours Pay Rate This All 15.38 48.98 0.00 7.04 0.00 0,00 0.00 Paid Far Number CATHEDRAL CITY Classification Hours Hours Worked Each Day Project Projects CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8,00 0.00 0.00 40.00 16.00 640.00 640.40 Training Fund Dues Tray/ Savings Other Total 582.22 13148 LABORER- o 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Admin Subs 92234 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 6.40 77.76 - D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 6.40 401K Public works certified Payroll Reporting Form 03/23/2022 - Page 3